SENIOR STOP LOSS CLAIMS jobs in UNITED STATES, United Kingdom

on a timely basis. Process stop loss and aggregate claims with stop loss carriers. Create and maintain monthly invoices...

of a contract for a group based on claims experience, characteristics of the employee groups, etc. The incumbent uses discretion... with competitor’s claims experience for prospect clients and develops recommendations to account for these situations...

and implement comprehensive action plans for complex Stop Loss claims. Orchestrates the subtleties in the timing of the...) plus years of experience handling complex claims, preferably in Stop Loss. In depth grasp of highly complex claim practices...

and implement comprehensive action plans for complex Stop Loss claims. Orchestrates the subtleties in the timing of the...) plus years of experience handling complex claims, preferably in Stop Loss. In depth grasp of highly complex claim practices...

Title: Senior Claims Processor Department: Claims Bargaining Unit: UFCW 21 Grade: 8 Position Type: Non-Exempt Hours... to and documenting telephone, written, electronic, or in-person inquiries. Processes voids, stop payments, and refunds to adjust claims...

, from: reinsurance/stop loss, data analytics, provider and broker relations, underwriting, eligibility, finance, client management... liaison and subject matter expert between our internal and external stakeholders and the stop loss administrators. Pay: $20...

as a liaison and subject matter expert between our internal and external clients and the stop loss administrators. Reviews... and manages stop loss claim filings. Resolves discrepancies between the amount requested and the amount reimbursed by the stop...

of Employer Stop Loss claims. This position exists to ensure the integrity of outside medical payments for the organization.... Your Impact: Process employer stop loss claims within defined authority limits Handle customer service calls and correspondence...

affiliates. Senior Provider Reimbursement Representatives support those who analyze claims, pre and post payment, to ensure... and with special repricing projects Cover stop loss rush repricing shifts as late as 9pm CT as assigned Participate in macro...

are applied accurately for company affiliates. Senior Provider Reimbursement Representatives support those who analyze claims, pre... Repricing Committee and with special repricing projects Cover stop loss rush repricing shifts as late as 9pm CT as assigned...

degree prefer BA/BS degree preferred; 5+ or more years of Stop-Loss product underwriting experienced Requires...We are looking for a Senior Underwriter, key responsibilities include evaluating, pricing, and proposing benefit rates...

of stop loss, pharmacy benefit management, and life and disability programs. Supports and guides the Account Manager in... their own unique, regional culture. We currently have an opportunity for a Senior Client Relationship Executive. The selected...

auditing across medical and pharmacy, health plan experience, large claims, stop/loss, and technical acumen in coding/building..., contracting, network management, operations, billing, stop-loss, claim and performance auditing, compliance, and quality standards...

and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual...

and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare Advantage... insured and self-funded group coverage, including stop loss, as well as Medicare Advantage, Medicare Supplement and individual...

Checklist Stop Loss Checklist Admin Agreement Checklist Compliance oversight for “Schedule A” request from carriers, Form...Company: Marsh McLennan Agency Description: JOB TITLE: Senior Benefits Account Executive JOB TYPE: FLSA Exempt...

, including stop loss, as well as Medicare Advantage, Medicare Supplement, and individual plans. Responsibilities Business..., vision and indemnity plans. We offer fully insured and self-funded group coverage, including stop loss, as well as Medicare...