- Highmark Health (Trenton, NJ)
- …:** **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
- Highmark Health (Trenton, NJ)
- …**Job Description :** **JOB SUMMARY** This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with ... in accordance with department standards. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or subsequent… more
- Axis (Princeton, NJ)
- …years of experience working with and overseeing MGAs/MGUs. * Market Segment knowledge: Employer Stop Loss , Major Medical , and Supplemental Health. * Product ... Works with Actuarial, Finance, Legal, Operations, Product Development and Senior Management for constant monitoring of the program. *...knowledge: Employer Stop Loss , Major Medical , and Provider Excess. *… more
- Axis (Princeton, NJ)
- …of a wide spectrum accident and health products including group health, disability, short term medical , medical stop loss , and managed care products as ... well knowledge of the landscape of medical cost containment and management vendors are essential for...Broad experience working in an accident and health, disability, stop loss or life and health claims… more
- Highmark Health (Trenton, NJ)
- …+ None **Preferred** + None + Understanding of self-funding and/or Stop Loss concepts + Knowledge of medical insurance products and terminology + ... issues; provide timely and accurate responses to external customers. + At a senior level, mentor sales support staff and promote effective team work by assisting… more