Consultant - Stop Loss - Philadelphia, PA

The Stop Loss Coordinator is responsible for managing the full lifecycle of stop loss claims for self-funded health plans. · This role focuses on the accurate and timely submission, tracking, and resolution of high-cost claims, · while serving as a key liaison between internal te ...

+ Manage stop loss claims process: responsible for the entire stop loss claims process · from initial submission to final resolution · + Maintain documentation: Keep detailed and organized records of all stop loss claims · ...

Attend operational/technical meetings as content relates to stop loss. · Analyze monthly stop-loss reports and claims paid to identify data variances. · Investigate variances and identify the root cause. · Manage escalated inquiries to resolution. · Manage all production/issue ti ...

Manage Inventory Maintain claimant files Update group/broker/carrier contact information as needed Distribute monthly stop loss reporting Process external pbm files monthly Open tickets for issues and follow through to resolution Follow up on all open items timely Reconcile accou ...

· Attend operational/technical meetings as content relates to stop loss. · Analyze monthly stop-loss reports and claims paid to identify data variances. · Investigate variances and identify the root cause. · Manage escalated inquiries to resolution. · Manage all production/issue ...

Stop Loss Claims ManagerWe are seeking an experienced and highly organized Stop Loss Claims Manager with a deep background in third-party administration (TPA). · ...

Attend operational/technical meetings as content relates to stop loss. · Analyze monthly stop-loss reports and claims paid to identify data variances. · Investigate variances and identify the root cause. · Manage escalated inquiries to resolution. · Manage all production/issue ti ...

Manage stop loss reporting perform other duties as necessary or appropriate for the position. · Maintain claimant files communicate discrepancies immediately attend meetings to resolve issues as needed. ...

The Stop Loss Consultant supports and promotes the growth of the Stop Loss Center of Excellence. · Work with Account and Underwriting Teams to provide financial analysis. · Evaluate benefit programs and their impact on overall business objectives. · ...

Marsh McLennan Agency's East Region is a leader in the employee benefits marketplace. · ...

This job is with Marsh McLennan, an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. · We value integrity, collaboration, passion, innovation, and accountability, · and we are committed to making a difference in the momen ...

Job summaryAs a Stop Loss Intern, you will have the opportunity to support the Stop Loss Center of Excellence for Marsh McLennan Agency. · ...

This internship is designed to provide you with hands-on experience in financial analysis and risk management within the insurance industry. · ...

The Stop Loss Consultant is tasked with supporting and promoting the growth of the Stop Loss Center of Excellence. The primary responsibility is to work with the Account and Underwriting Teams. · ...

Company: · Marsh McLennan Agency · Description: · Marsh McLennan Agency's East Region is a leader in the employee benefits marketplace. Our associates simplify employee health and welfare benefits and risk management for regional, national, Fortune 500 and Fortune 1000 companies. ...

We are looking for a highly organized and detail-oriented [no changes] Stop Loss Coordinator to oversee and streamline the claims process for stop loss insurance. · Manage the complete lifecycle of stop loss claims... · ...

This is a full-time role for a Stop Loss Coordinator responsible for managing day-to-day operations related to stop loss insurance. · ...

We're a recognized leader in self-funded health plans, driven by collaboration, continuous learning, and a shared commitment to doing what's right—for our clients and for one another. · ...

We are looking for a highly organized and detail-oriented Stop Loss Coordinator to oversee and streamline the claims process for stop loss insurance. This role involves managing claims from submission to resolution, ensuring compliance with policies and timely reimbursements. The ...

This job is with MARSH , an inclusive employer and a member of myGwork – the largest global platform for the LGBTQ+ business community. Please do not contact the recruiter directly. · Marsh McLennan Agency's East Region is a leader in the employee benefits marketplace. Our assoc ...