- Highmark Health (Topeka, KS)
- …making a big impact for those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or ... experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise… 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
- Axis (New York, NY)
- …in insurance or reinsurance. + 5+ years experience with Employer Stop Loss , Fully Insured, and Managed Care claims adjudication. + A firm understanding ... process. **Reinsurance Claim Specialist Job Description** **Job Family Grouping: Reinsurance Claims ** **Job Family: Claims ** **The Accident & Health Reinsurance… more
- Geisinger (Danville, PA)
- … Senior Underwriter with strong expertise in Administrative Services Only (ASO), Stop Loss , and pharmacy risk evaluation to join our dynamic team. ... and pricing strategies to achieve target financial results. + Analyze claims experience, demographics, benefit plans, group attributes and competitor data. Applies… more
- Southland Industries (Garden Grove, CA)
- …+ Collaborate with Finance and brokers to evaluate self-insured program performance, stop - loss coverage, and claims experience. + Ensure compliance ... **Position Summary** The Senior Benefits Specialist supports the design, administration, and continuous improvement of employee benefits programs, with an emphasis… more
- Washington Suburban Sanitary Commission (WSSC) (Laurel, MD)
- …such as partial or full self-funding and recommend retention levels and stop loss limits, etc. * Monitors claims activity and reviews claims reserves ... Position Summary Information General Summary TheSr. Strategic Financial Advisorprovides senior -level internal financial consulting services in support of key… more
- HUB International (Berkeley Heights, NJ)
- …analysis on self funded and large fully insured clients, as appropriate (yours and Senior AE book) + Secure stop - loss coverage for self-insured clients, ... and wealth management products and services. But we don't stop there - we also invest deeply in our...contact for client + Develop strong relationships + Resolve claims and administrative issues (yours and Senior … more
- BlueCross BlueShield of North Carolina (NC)
- …appeals, and audit requirements. + Familiarity with ancillary products (COBRA, Stop - Loss , HSA/FSA, HDHP) and their operational, regulatory, and compliance ... the development, oversight, and execution of all dental operations, including claims adjudication, customer service, appeals, and reporting. This role provides… more
- CareFirst (Baltimore, MD)
- …etc. Complete the renewal process on smaller accounts, complete/update ASO and Stop Loss contracts and quote alternate funding arrangements with assistance ... from senior underwriter, consultant or management. + Support attainment of...through the completion of new business quotes (eg demographics, claims experience, benefit levels, contribution strategy, carrier history, etc.)… more