- 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
- 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
- Highmark Health (Frankfort, KY)
- …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
- Dignity Health (Rancho Cordova, CA)
- …The Lead will have knowledge and ability to perform all Daily Operations that the Senior Claims staff is responsible for. This position will report directly to ... assignments. This position will perform the duties of the Senior Claims Examiner when needed. These duties...plan audits, appeals and PDR's, recovery of overpayments and stop loss , and support to the staff… 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
- Elevance Health (Middletown, NY)
- …Will Make an Impact** Primary duties may include, but are not limited to: + Calculates stop loss rates for complex group cases based on thorough analysis of the ... Group Underwriter Senior **Location:** Elevance Health operates in a Hybrid...LOMA, HIAA or other insurance related courses preferred. + Stop Loss underwriting experience preferred + Demonstrated… more
- HUB International (Cheshire, CT)
- …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** . **Responsibilities:** + Overall… more
- Blue KC (Kansas City, MO)
- …on behalf of Blue KC for both fully-insured and self-insured clients with stop loss . Post-risk evaluation, collaborates closely with: internal sales, large group ... of group healthcare underwriting experience including fully insured and self-insured. Stop Loss rating experience preferred. **Preferred Qualifications** + MBA… more
- Axis (Alpharetta, GA)
- …to engage in reinsurance pricing efforts. Products supported by the department include Stop - Loss , Short Term Medical/Limited Medical, Excess of Loss , Pet ... is available upon request for candidates taking part in the selection process. ** Senior A&H Pricing Actuary** **How does this role contribute to our collective… 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