Stop Loss Claims Manager - Claims Management - CyberCoders : Job Details

Stop Loss Claims ManagerPosition OverviewWe are seeking an experienced Stop Loss Claims Manager to lead our claims department and ensure efficient processing of stop loss claims. The ideal candidate will have a strong background in claims management and operations, with the ability to analyze and resolve complex claims issues while ensuring compliance with relevant regulations.Key Responsibilities

• Oversee the processing and adjudication of stop loss claims to ensure timely and accurate resolution.
• Manage a team of claims adjusters and support staff to optimize department performance.
• Develop and implement claims management strategies to enhance operational efficiency and customer satisfaction.
• Analyze claim data and trends to identify areas for improvement in the claims process.
• Collaborate with underwriting and sales teams to address client needs and provide exceptional service.
• Ensure compliance with industry regulations and internal policies related to stop loss claims.

Qualifications

• Master's degree in Business Administration, Insurance, or a related field.
• Minimum of 5 years of experience in claims management, with a focus on stop loss claims.
• Proven leadership skills and experience managing a team.
• Strong analytical and problem-solving abilities.
• Excellent communication and interpersonal skills.
• Knowledge of relevant insurance regulations and compliance requirements.

Benefits

• Medical, Dental, Vision
• PTO, Sick, Vacation Time Off
• Life, STD, LTD
• Annual Bonuses

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Andy Prickett - Associate ManagerFor this position, you must be currently authorized to work in the United States without the need for sponsorship for a non-immigrant visa.This job was first posted by CyberCoders on 10/08/2024 and applications will be accepted on an ongoing basis until the position is filled or closed.CyberCoders is proud to be an Equal Opportunity EmployerAll qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, status as a crime victim, disability, protected veteran status, or any other characteristic protected by law. CyberCoders will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. CyberCoders is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please contact a member of our Human Resources team to make arrangements.