- Highmark Health (Des Moines, IA)
- …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
- Highmark Health (Des Moines, IA)
- …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 ... questionable claim patterns of renewal clients and issues with competitor's claims experience for prospect clients and develops recommendations to account for… more
- CVS Health (Des Moines, IA)
- …financial models in Excel and Salesforce. + Market and place stop loss policies, negotiating terms based upon claims data, strategy, relationships and cost ... and existing business quotations and proposals including administrative fee pricing, stop loss , RFP questionnaire responses, and plan consultation. This… more