Hybrid Senior Manager, Stop Loss & Health Claims

Posted 3 weeks ago

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About the role

  • Oversee complex claims operations
  • Manage a high-performing team
  • Direct the evaluation, investigation, negotiation, and settlement of complex claims
  • Ensure optimal balance between policyholder interests and company objectives
  • Supervise, mentor, and grow a talented claims team
  • Monitor workflow and implement efficiencies
  • Collaborate with third-party administrators, brokers, agents, policyholders, vendors, and legal counsel

Requirements

  • 5+ years of medical stop loss insurance or health insurance claims experience required
  • Proven leadership skills and deep industry expertise
  • Strong analytical and problem-solving abilities
  • Experience in stakeholder management and customer-facing roles
  • In-depth knowledge of claims practices, state and federal laws
  • Excellent communication and negotiation skills
  • Ability to analyze and communicate complex data and trends
  • Proficiency with claims management systems and Sun Life products

Benefits

  • Health insurance
  • 401(k) employer match
  • Paid family, parental and adoption leave
  • Generous vacation and sick time
  • Medical coverage
  • Company paid life and AD&D insurance
  • Disability programs
  • Partially paid sabbatical program

Job title

Senior Manager, Stop Loss & Health Claims

Job type

Experience level

Senior

Salary

$68,200 - $102,300 per year

Degree requirement

Bachelor's Degree

Location requirements

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