- CDPHP (Albany, NY)
- …share these values and invites you to be a part of that experience. The Stop Loss Manager, support new business sales and account retention through the marketing ... of competitive stop loss products and industry best practices stop loss claims administration and serve as CDPHP's Stop Loss Insurance subject… more
- CVS Health (Chicago, IL)
- …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 newly formed ... Stop Loss Underwriting team. In this role,...Stop Loss Underwriting team. In this role, you will support...through effective underwriting. Identifies and manages risk, focused on stop loss risk, to maximize revenue, membership,… more
- CVS Health (Hartford, CT)
- …for driving distribution strategies, analytics, and sales effectiveness of our traditional Stop Loss products across Aetna and Meritain businesses. This person ... of internal and external environmental influences. **Key Deliverables:** + Increasing Stop Loss market competitiveness by executing innovative solutions that… more
- CVS Health (Plymouth, MN)
- …exposure to virtually all aspects of healthcare claims administration, from reinsurance/ stop loss , data analytics, provider and broker relations, underwriting, ... and subject matter expert between our internal and external stakeholders and the stop loss administrators. Managing stop loss claim filings, you will… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …as Marketing, Product Portfolio, Infrastructure Planning and Network Planning. The Senior Underwriter, Stop Loss will underwrite accounts of a variety of Stop ... Accountabilities: + Responsible for the accurate and timely calculation of Stop Loss New Business and Renewal quotations. + Maintain adherence to Underwriting… more
- Corewell Health (Grand Rapids, MI)
- Join Priority Health as a Senior Stop Loss Underwriter and play a key role in shaping the financial success of our Large Group Commercial business. In this role, ... renewal requests with insurance carriers in a timely fashion. Analyze stop loss proposals and prepare easily understood financial exhibits which highlight… more
- Highmark Health (Frankfort, KY)
- …**Job Description :** **JOB SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with ... big impact for those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as… more
- Highmark Health (Trenton, NJ)
- …:** **JOB SUMMARY** This job pricies quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, ... etc. The incumbent develops and uses discretion of Underwriting authority, within the policies of HMIG, and ensure appropriate levels of profitability and growth over time. Identifying when to decline quotes that do not fit into the overall HMIG strategy and… more
- Highmark Health (Pierre, SD)
- …:** **JOB SUMMARY** This job prices quotes and analyzes the structure of a contract for a group based on claims experience, characteristics of the employee groups, ... etc. The incumbent uses discretion of Underwriting authority within the policies of HMIG and ensures appropriate levels of profitability and growth over time. Identifying when to decline quotes that do not fit into the overall HMIG strategy and risk structure.… 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 ... and influential partners. External parties include Pharmacy Benefit Managers, vendors and stop loss carriers. Manages client interactions for optimal experience… more
- Aston Carter (Durham, NC)
- …reporting, and presentation of historical and/or forecasted financial claims expense and stop loss coverage information. + Support the preparation of invoicing ... of financials for loss coverage for employer groups or stop loss vendors based on actual high-dollar claims and/or claimants' performance, previous … more
- NTT DATA North America (Decatur, IL)
- …well as the Claim's Department internally, to ensure all claims eligible for stop loss reimbursement are received, reported and processed timely. Provides ... reimbursements, additional information as requested by the carrier, etc. File stop loss reimbursement claims for assigned clients according to the requirements… more
- CVS Health (Annapolis, MD)
- …and existing business quotations and proposals. Including administrative fee pricing, stop loss , RFP questionnaire responses, and plan consultation. This ... consultation to our Sales and Client Management teams on pricing and stop loss strategies * Prepares and issues quotations and other financial deliverables for… more
- HUB International (Newport Beach, CA)
- …fully insured to self-funded analyses (captives, traditional self-funding with stop loss , discount analysis, reference-based pricing, pharmacy marketing, ... stop loss efficiency analyses, point solutions, transparency, navigation) + Assists...developed increments or decrements. + Assists with review of Stop Loss marketing and appropriate design. +… more
- The Cigna Group (Bloomfield, CT)
- …Responsibilities- + Working closely with Cigna Dental/Vision, Supplemental Health, and Stop Loss business strategy stakeholders in defining portfolio project ... to ensure achievement of business objectives. + Working closely with Cigna Stop Loss business line stakeholders to align on business & technology strategy, and… more
- Highmark Health (Pittsburgh, PA)
- …**JOB SUMMARY** This job is responsible for profitability and revenues of all stop loss product lines (level funded, captive, consortium and other self-funded ... HM Insurance Group. **ESSENTIAL RESPONSIBILITIES** + Development, execution and monitoring of stop loss pricing and underwriting strategies for all stop … more
- Highmark Health (St. Paul, MN)
- …and work with other partners in the promotion of a core product line: Employer Stop Loss and other lines as determined by management. This sales position will ... ideal candidate for this role will be someone who has experience selling stop loss insurance. This position is a Midwest position within Kansas City, St Louis,… more
- Medical Mutual of Ohio (Dublin, OH)
- …and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage, Medicare Supplement, and ... knowledge of health insurance products, sales and industry processes including underwriting, stop loss , benefit plan design; health care funding arrangements,… more
- Elevance Health (Hanover, MD)
- …Make an Impact** Primary duties may include, but are not limited to: + Calculates stop loss rates for large complex cases based on thorough analysis of ... CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses preferred. + Stop Loss underwriting experience preferred + Demonstrated expertise, knowledge, and… more
- Kelly Services (New York, NY)
- …or NYC - Hybrid** **Salary: $26-36/hour** **Direct Hire Opportunity!** Do you have prior Stop Loss experience at a Brokerage or TPA/carrier? If so, this ... and billing forms for all sold accounts. **Skills and Requirements:** + Stop Loss experience at a Brokerage or TPA/carrier required. + Bachelor's degree or… more
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