- Highmark Health (Frankfort, KY)
- …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
- CVS Health (Plymouth, MN)
- …This challenging role provides exposure to virtually all aspects of healthcare claims administration, from reinsurance/ stop loss , data analytics, provider ... expert between our internal and external stakeholders and the stop loss administrators. Managing stop ...Qualifications** *Minimum of 1 year of experience in healthcare claims processing *Minimum of 2 years of experience with… more
- Highmark Health (Pierre, SD)
- …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
- Highmark Health (Trenton, NJ)
- …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 ... of financial exhibits. This is an entry level position, with oversight by Senior Underwriters and/or Management until the individual is acclimated to the Company… more
- Commerce Bank (Kansas City, MO)
- …and making sure people and their money are taken care of. And our commitment doesn't stop there. Our culture is about our people, the ones in our communities and the ... job is to perform the day-to-day processes related to the collections, loss mitigation, foreclosure/real estate owned (REO), and bankruptcy functions. The primary… more
- CVS Health (Annapolis, MD)
- …models in Excel and Salesforce. * Marketing and placement of 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
- HUB International (New York, NY)
- …+ Evaluating and negotiating optimum quotes, rate extensions plan design changes and stop loss terms as needed; + Creating detailed benefit analysis comparisons ... medical, ancillary and alternative funding programs - with strong understanding of self-insurance and stop loss ; + Working knowledge of PPACA and the ability to… more
- HCA Healthcare (Nashville, TN)
- …Accounts (HRA), vision, LTD, STD, life insurance, benefits administration fees, EAP, COBRA, Stop Loss and various voluntary plans and make reporting available ... Do you want to join an organization that invests in you as a Senior Benefits Financial Analyst? At HCA Healthcare, you come first. HCA Healthcare has committed… more
- HUB International (Wilmington, MA)
- …an advanced understanding of the various funding and distribution principles of stop loss , pharmacy benefit management, and life and disability programs. ... own unique, regional culture. We currently have an opportunity for a ** Senior Client Relationship Executive -- Employee Benefits** . **Overview:** Responsible for… more
- HUB International (New York, NY)
- …on self-funded and large fully insured clients, as appropriate + Secure stop - loss coverage for self-insured clients, as appropriate **Knowledge/Skills & ... mergers and acquisitions We are currently looking for an ** Senior Account Executive & Team Lead** to join our...+ Promote Teamwork + Develop strong relationships + Oversee claims and administrative issues and ensure resolution + Act… more
- HUB International (Brentwood, TN)
- …under which our subsidiaries reside: + Avant Underwriters (AU + Avant Specialty Claims (ASC) + Avant Brokerage (AB) + Avant Supermarket Group (ASG) + SafeHerb ... leading edge talent and organizations. The result is a one- stop source for insurance solutions. **Job Summary** The SafeHerb...problem solving. They are also responsible for profit and loss of their underwriting territory. The ideal candidate will… 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 ... impacted ARTs to ensure achievement of business objectives. + Working closely with Cigna Stop Loss business line stakeholders to align on business & technology… 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 ... + Installs new benefit designs with direction from more senior staff. + Codes non-complex group benefits as directed...We offer fully insured and self-funded group coverage, including stop loss , as well as Medicare Advantage,… more