Stop Loss Auditor Job at Daley and Associates

New

Senior Stop Loss Auditor

A Connecticut based Medical Insurance company is seeking an experienced Senior S...

Location

United States

Salary:

75000.00 - 90000.00 USD / Year

Daley and Associates

Expiration Date

Until further notice

Requirements

3+ years of medical stop loss insurance experience at the Senior level (required)
Experience auditing stop loss or first-dollar medical claims
Strong knowledge of: Plan Documents and Stop Loss policies, Reinsurance contracts, Medical terminology and coding (ICD-10, HCPCS, CPT-4)
Ability to work independently in a remote environment while collaborating with a team

Job Responsibility

Lead audits of complex and high-cost medical stop loss claims for assigned clients
Interpret and apply Plan Documents and Stop Loss policy provisions
Evaluate reimbursement submissions and render claim determinations
Verify eligibility, financial accuracy, and medical coding compliance
Review claims for coordination with cost containment programs
Ensure claims are processed within established accuracy and turnaround standards
Identify and pursue recovery of overpaid claims
Maintain detailed audit documentation and reporting
Partner with TPAs, carriers, and internal teams throughout the approval process
Support cross-functional collaboration and knowledge sharing across teams

Fulltime

Associate Medical Risk Consultant

Berkshire Hathaway Specialty Insurance is seeking Associate Medical Risk Consult...

Location

United States , Indianapolis

Salary:

65000.00 - 85000.00 USD / Year

Berkshire Hathaway Specialty Insurance

Expiration Date

Until further notice

Requirements

1+ years of medical stop loss support experience, preferred
Knowledge of medical billing codes (ie: ICD10, CPT, HCPCS, REV, NDC)
Experience in Medical service industry (ie: medical office staff, acute care setting, home health care, insurance, stop loss)
Ability to work in high volume, rapid response environment
Ability to multi-task and shift priorities as needed
Exceptional attention to detail and strong organizational skills are imperative
Excellent verbal and written communication skills
Demonstrated excellence with Microsoft Excel
Experience with Excel
PDFs

Job Responsibility

Assist in managing the Employer Stop Loss referral mailbox
Assist with new and renewal group set up in Medical Underwriting ESL Office (Stop Loss Software) including uploading documents and entering data for identified risks
Manage Renewal Assignment report for the Medical Risk Consultant Team
weekly update of Renewal Assignment report with group sale notifications/data
Run various reports for nurses, auditors, and management as requested
Perform data review to identify pertinent data for medical risk reviews (ie: various Excel functions including pivot tables and charts
formulas
data cleaning, data sorting
report preparation for reviews)
Upload pertinent documents into AMS Profiler

What we offer

Comprehensive Health, Dental and Vision benefits
Disability Insurance (both short-term and long-term)
Life Insurance (for you and your family)
Accidental Death & Dismemberment Insurance (for you and your family)
Flexible Spending Accounts
Health Reimbursement Account
Employee Assistance Program
Retirement Savings 401(k) Plan with Company Match
Generous holiday and Paid Time Off
Tuition Reimbursement

Fulltime

New

Human Resources Business Partner

We are seeking a proactive and pragmatic HR Business Partner to join our Federat...

Location

United Kingdom , Croydon

Salary:

24.00 - 29.00 GBP / Hour

Randstad

Expiration Date

April 04, 2026

Requirements

Significant experience at an HRBP or Senior Advisory level within a complex organisation
Deep knowledge of employment law and a proven track record of managing complex ER cases and restructuring
CIPD qualified (or equivalent professional experience)
Exceptional analytical skills with the ability to translate data into actionable HR projects
The ability to influence, challenge, and coach senior stakeholders with professionalism

Job Responsibility

Strategic Partnering: Provide expert advice on workforce planning, performance management, and staff wellbeing to academy leadership
Complex Employee Relations: Lead on high-level ER cases, including disciplinaries, grievances, and capability management, ensuring full legal compliance
Organisational Change: Manage restructures and TUPE transfers, guiding leaders through consultation processes and maintaining positive trade union relationships
Leadership Coaching: Strengthen management capability by coaching senior leaders in best practices and informal dispute resolution
Data-Driven Insights: Analyse workforce trends to design initiatives that improve retention, attendance, and the overall employee experience
Policy & Compliance: Stay at the forefront of employment law, updating policies and managing employment tribunal cases or settlement agreements where necessary
Team Leadership: Line manage and mentor HR Advisers, fostering a culture of professional excellence

What we offer

Weekly pay and competitive daily rates
Developing skill set / career progression
Your own dedicated and experienced consultant to guide you through the application process
Earn £300 in shopping vouchers by referring a friend and is subject to terms and conditions
Job satisfaction through making a positive impact on our pupils' lives
Friendly and supportive working environment
Family friendly policies
Supportive and positive management
Investment in your training and development
Excellent career development opportunities

New

General Assistant

As a General Assistant, you will provide support across various operational task...

Location

United Kingdom

Salary:

11083.12 GBP / Year ▼

Elior UK

Expiration Date

Until further notice

Requirements

Flexibility and willingness to undertake a variety of tasks
Good communication and teamwork skills
Ability to follow instructions and work independently
Basic knowledge of health and safety practices
Positive attitude and reliability

Job Responsibility

Assist with general cleaning, maintenance, and tidying of the work environment
Support team members with various duties as required
Help with the receipt, storage, and distribution of supplies and equipment
Operate basic machinery or tools safely under supervision
Maintain a clean, safe, and organised workspace
Follow health and safety guidelines and company policies
Provide excellent customer service when interacting with clients or visitors

What we offer

Free, tasty meals
Flexible working
Plenty of Time to Unwind
Leave for life’s important moments
Give back time
Room to grow
Wellbeing first
Financial security
Exclusive discounts

Parttime

New

Assistant General Manager - Student Accommodation

Join Homes for Students, the UK's leading independent provider of Student Accomm...

Location

United Kingdom , Aberdeen

Salary:

28000.00 - 29146.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Previous experience in team management within a similar role or environment
Proficiency in presenting and analysing information accurately and effectively
Excellent organisational skills to ensure seamless operations
Ability to work collaboratively, inspire, and motivate team members
Strong IT skills, including proficiency in Microsoft Office software

Job Responsibility

Delivering exceptional customer service across sales, maintenance, and housekeeping departments
Collaborating closely with the dedicated team to uphold company values and ensure optimal performance
Supporting the General Manager and the wider site team in the check-in, check-out, and room turnaround processes during the September period
Supporting new students and managing any customer or operational challenges that arise

What we offer

Generous holiday package of 25 days, plus bank holidays
Access to a range of exclusive retail discounts
Birthday day off
Car leasing scheme
Cycle-to-work scheme
2 charity days per annum
Life insurance
Opportunity to work towards a nationally recognised qualification

Fulltime

New

Relief Chef Manager

Step away from the same kitchen every day. As a Relief Chef Manager with Caterpl...

Location

United Kingdom , Edinburgh; Aberdeen; Glasgow

Salary:

30000.00 - 36500.00 GBP / Year

Elior UK

Expiration Date

Until further notice

Requirements

Senior chef experience
Calm, organised and confident under pressure
A genuine passion for customer service
Strong kitchen management and people leadership
A positive, solutions-focused approach
TMF experience helpful, though training provided
Must be flexible
Hold a full valid UK driving licence
Have your own reliable transportation

Job Responsibility

Cover planned and unplanned absence across multiple Caterplus locations
Support teams during busy periods or transition
Bring consistency, standards and leadership wherever you go
Keep kitchens running safely, efficiently and to Caterplus standards
Act as the regional specialist for Textured Modified Foods (TMF), delivering training and best practice
Build strong relationships with managers and operations teams across the region
Role model high standards in H&S, food safety and compliance

What we offer

Car Allowance
Mileage is paid (33p per mile petrol, 26p per mile electric)
Free, tasty meals
Flexible working
28 days of holiday (31 after two years)
Leave for life’s important moments
Paid volunteering days
Career development and learning opportunities
Mental health support and wellbeing perks
Pension schemes and life assurance

Fulltime

New

SEN Teacher

Do you love supporting and teaching children and seeing the 'light bulb moment'?...

Location

United Kingdom , Coulsdon

Salary:

Not provided

Randstad

Expiration Date

April 07, 2026

Requirements

Teaching Qualification (UK QTS or equivalent)
UK based teaching experience (Must be able to provide references)
Must be a nurturing, patient and committed individual
Committed to teaching and supporting children with SEN
Eligibility to work in the UK

Job Responsibility

Provide high quality, challenging and differentiated science educational activities and sensory experiences to a small classroom of 6 students with complex needs

What we offer

Ready supply of tea, cakes and biscuits in the modern and spacious staff room
On-site training
Bright and spacious classrooms with top of the range resources and technology
Supportive Senior leadership
Free training and qualifications
Career development opportunities

New

Guest Experience Manager

A chance to lead, inspire, and deliver magical guest experiences in one of the U...

Location

United Kingdom , Coleford

Salary:

40000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

Full UK driving license and access to a vehicle
Experience managing teams
Strong leadership, planning, and organisational skills
A genuine passion for delivering exceptional guest experiences
Proven customer service management experience
Outstanding communication and relationship-building skills
Strong commercial awareness and problem-solving ability
IT literate - MS Office & databases
Ability to work collaboratively, under pressure, and influence at all levels

Job Responsibility

Deliver a seamless and exceptional guest journey from arrival to departure
Engage with guests, gather feedback, and resolve issues proactively
Lead service recovery and implement improvements based on reviews
Oversee all F&B operations, ensuring top-quality service and standards
Drive revenue through upselling, cross-selling, and cost management
Manage stock, suppliers, and outlet performance
Support revenue targets and budgets
Identify new revenue opportunities and growth initiatives
Monitor daily performance across accommodation, F&B, and activities
Lead, motivate, and develop F&B and Ranger teams

What we offer

23 days’ holiday plus bank holidays (increasing with service)
Annual bonus based on company performance
Enhanced parental leave - (24 weeks maternity, 3 weeks paternity at full pay)
Long service awards and company events
Secure your future with our company pension scheme
One full paid day to volunteer
Discounted food when working on location
Health cash plan & life assurance
Wellbeing events & activities
Discounted and last-minute stays at Forest Holidays and Sykes Cottages for you, your friends & family

Fulltime

Stop Loss Auditor

Daley and Associates

Location:
United States

Category:
Insurance

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:
March 21, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Stop Loss Auditor

Daley and Associates

Location:United States

Category:Insurance

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Additional Information:

Job Posted:March 21, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Location:
United States

Category:
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Contract Type:
Not provided

Job Posted:
March 21, 2026