- CVS Health (Albany, NY)
- …day. **Position Summary** Join Meritain, a subsidiary of CVS Health as the Manager of Stop Loss /Reinsurance Operations. In this high impact role, you will lead a ... team of about 12-15 colleagues who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop Loss … more
- Elevance Health (Mendota Heights, MN)
- ** Stop Loss Sales Account Executive Sr.** **Location:** **This field-based role enables associates to primarily operate in the field, traveling to client sites ... employment, unless an accommodation is granted as required by law._ __ The ** Stop Loss Sales Account Executive Sr.** is responsible for acquiring and renewing … more
- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** As part of the Stop Loss Center of Excellence, this role will be supporting the Stop ... through effective underwriting. Identifies and manages risk, focused on stop loss risk, to maximize revenue, membership, and earnings. Performs underwriting… more
- CRC Insurance Services, Inc. (Phoenix, AZ)
- …and maintain strong client relationships with employee benefit brokers and consultants, stop loss carriers, and various clinical point solutions providers. ... stop - loss . In-depth knowledge of Self-funded employee benefit plans, stop loss insurance, and risk management principles. CERTIFICATIONS, LICENSES,… more
- CRC Insurance Services, Inc. (Charlotte, NC)
- …Coordinates and executes comprehensive internal and external marketing plans which would assist with current and future business development of the company. ... **The position is described below. If you want to apply, click the Apply button at the top or bottom of this page. You'll be required to create an account or sign in to an existing one.** _If you have a disability and need assistance with the application, you… more
- CVS Health (Hartford, CT)
- …And we do it all with heart, each and every day. **Position Summary** As part of the Stop Loss Center of Excellence, this role will be supporting the Stop ... and account management inquires, facilitate COE monthly meetings, work on Stop Loss reconciliations and audits along with other various support type processes.… more
- Elevance Health (Nashville, TN)
- …Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without ... is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …segments such as Marketing, Product Portfolio, Infrastructure Planning and Network Planning. The Stop Loss Underwriter II will underwrite accounts of a variety ... of Stop Loss programs for self-funded accounts. This role is eligible for our Flex Persona. Your Day to Day Responsible for the accurate and timely calculation… more
- Emory Healthcare/Emory University (Atlanta, GA)
- …semi-annually to University Board **Risk Management & Actuarial Oversight** + Restructure stop - loss insurance program for $1.3B scale (specific and aggregate ... **Vendor Management & Cost Optimization** + Lead negotiations with TPA, PBM, stop - loss carriers, and specialty vendors managing $50M+ administrative spend +… more
- WTW (Stamford, CT)
- …on funding strategies, underwriting pools, credibility methods, pooling point analysis, and stop - loss solutions to optimize risk management. + Carrier and Market ... + Deep understanding of employer health risk management strategies, including stop - loss , credibility, and rating mechanics. + Experience advising small… more
- Blue Cross and Blue Shield of Minnesota (Eagan, MN)
- …with a strong emphasis on pharmacy pricing, carve-in/carve-out strategies, and stop - loss evaluations. The position requires strategic thinking, data-driven ... fully insured and self-insured environments. They bring expertise in pharmacy pricing, stop - loss strategies, and analyzing complex data to build competitive… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Highmark Health (Oklahoma City, OK)
- …recommendations or proposals for action. Interns will acquire practical business experience in stop loss underwriting while working with Stop Loss ... underwriting experts. **REQUIRED QUALIFICATIONS** + Full or part-time enrollment in an accredited college or university baccalaureate program. **PREFERRED ANTICIPATED GRADUATION DATES** + Spring 2026 + Summer 2026 + Winter 2026 + Spring 2027 **ESSENTIAL JOB… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- Medical Mutual of Ohio (OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement and individual plans.… more
- HUB International (Berkeley Heights, NJ)
- …insured clients, as appropriate (yours and Senior AE book) + Secure stop - loss coverage for self-insured clients, as appropriate **Knowledge/Skills & Abilities ... array of insurance, retirement, and wealth management products and services. But we don't stop there - we also invest deeply in our people. Here, your career is… more
- Highmark Health (Cheyenne, WY)
- …someone who has experience with health insurance and has worked with TPA, Stop loss , and self-funded clients.** **ESSENTIAL RESPONSIBILITIES** + Review new ... products, services, capabilities, and technologies with the client in order to sell assigned product lines, renewals and add-on sales to ensure retention, profitability and growth of existing business. + Manage relationships at senior levels with clients,… more
- Air National Guard Units (Kirtland AFB, NM)
- …unsatisfactory participation, retirements, conditional releases, advise commanders' on stop - loss , activation periods, and demobilization, and inter- ... and intra-service transfers. Readiness: Develops wing readiness plans for the administration of contingencies and mobilizations. Determines human resources requirements in support of mobilization. Coordinates with gaining Major Commands (MAJCOMs),… more
- Air National Guard Units (Salt Lake City, UT)
- …unsatisfactory participation, retirements, conditional releases, advise commanders' on stop - loss , activation periods, and demobilization, and inter- ... and intra-service transfers. Develops wing readiness plans for the administration of contingencies and mobilizations. Coordinates with gaining Major Commands (MAJCOMs), Headquarters, Personnel Readiness Center (PRC), National Guard Bureau (NGB), and unit… more
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