Manager – Stop Loss Claims – Remote

Lead day-to-day stop loss claims operations to ensure quality, accuracy, and timely customer service. Monitor performance metrics, ensure compliance with state and federal regulations, and handle escalated claims, payment approvals, expense adjustments, and complaint resolution. Drive continuous improvement by streamlining workflows and supporting claims projects and system enhancements. Coach and develop a high-performing claims team while partnering across Legal and Compliance to deliver a consistent customer experience.