Senior Accident & Health Claims Leader

AXIS (AXIS Capital); Red Bank (NJ); In loco; USD 104.000 - 138.000; Tempo pieno

Vantaggi offerti da questo lavoro

Comprehensive benefits package

Medical, dental, and vision plans

Tuition reimbursement

Descrizione del lavoro

AXIS (AXIS Capital) is seeking an Accident and Health Senior Claims Specialist in Red Bank, New Jersey. This role involves handling senior claims expertise across various product lines and requires strong knowledge of medical claims and cost containment strategies.

Successful candidates should possess a Bachelor’s degree and 4-6 years of relevant experience, with proficiency in Microsoft Office. AXIS offers a comprehensive benefits package, a competitive salary, and an inclusive corporate culture.

Competenze

• 4-6 years of experience with stop-loss, HMO managed care, and excess provider claims.
• Prior experience with MGU oversight.
• Strong Accident & Health claims management experience.

Mansioni

• Conduct audits of MGUs and TPAs, preparing and presenting findings.
• Monitor oversight procedures for MGUs and TPAs.
• Analyze monthly reporting data for trends.

Conoscenze

HMO, excess medical, stop-loss claims

Medical cost containment strategies

Specialty A&H products

Auditing and reviewing TPAs

Analytical skills

Communication skills

Formazione

Bachelor’s degree or equivalent industry experience

Insurance designation

Strumenti

Microsoft Office Suite

Power BI

Descrizione del lavoro

AXIS (AXIS Capital) is seeking an Accident and Health Senior Claims Specialist in Red Bank, New Jersey. This role involves handling senior claims expertise across various product lines and requires strong knowledge of medical claims and cost containment strategies.

Successful candidates should possess a Bachelor’s degree and 4-6 years of relevant experience, with proficiency in Microsoft Office. AXIS offers a comprehensive benefits package, a competitive salary, and an inclusive corporate culture.