Job Closed

This listing is no longer active.

Higginbotham logo
Higginbotham

Lead with values and value leads.

Senior Stop Loss Consultant

ConsultantConsultantFull TimeRemoteSeniorTeam 1,001-5,000Since 1948H1B No SponsorCompany SiteLinkedIn

Location

Texas

Posted

12 days ago

Salary

0

Seniority

Senior

Bachelor Degree7 yrs expEnglish

Job Description

Senior Stop Loss Consultant

Higginbotham

• Lead or support the full stop-loss placement process: data collection, market submissions, quote analysis, and recommendation. • Negotiate stop-loss contracts and renewals directly with carriers to ensure optimal pricing, terms, and coverage structures. • Serve as a stop-loss lead on new business opportunities and client transitions from fully insured to self-funded arrangements. • Oversee the stop-loss implementation process in coordination with TPAs and carrier partners, ensuring policies are issued accurately and on time. • Review and reconcile contracts, disclosures, ASO provisions, and reimbursement terms for alignment and accuracy. • Monitor large claims activity and work closely with TPAs and carriers to support timely reimbursement submissions and payments. • Manage a portion of the stop-loss book, including strategic guidance on renewals, plan design, captives, lasers, and risk mitigation strategies. • Help direct and manage workflow for junior team members or peers as assigned, ensuring timely, accurate delivery of client work. • Contribute to the development of standardized templates, reporting tools, and documentation procedures to improve efficiency and scale.

Job Requirements

  • Bachelor’s degree in Business Administration, Risk Management, Healthcare Administration, or related field
  • Minimum of 7 years in employee benefits, with at least 5 years of direct stop-loss consulting, underwriting, or carrier negotiation experience
  • Experience with a mix of fully insured, level-funded, and self-funded plans across multiple funding structures (ASO, minimum premium, captives)
  • Familiarity with TPA models, ASO contract structures, and reimbursement mechanisms
  • Ability to interpret and explain stop-loss terms, underwriting decisions, and claim adjudication policies to internal and external stakeholders
  • Experience working with stop-loss platforms (e.g., Claros, Ringmaster) preferred
  • Proficiency in Excel, PowerPoint, and internal reporting tools
  • Current state insurance license (or ability to obtain within 90 days of hire)

Benefits

  • Equal Opportunity Employer

Related Categories

Related Job Pages

More Consultant Jobs

Full TimeRemoteTeam 201-500Since 2009H1B No Sponsor

• Atuar na implementação e sustentação do SAP SuccessFactors Employee Central (EC) • Conduzir workshops de levantamento e validação de requisitos junto às áreas de negócio • Realizar configurações da solução de acordo com as necessidades do cliente • Elaborar documentos funcionais, especificações e materiais de apoio • Apoiar a definição de processos de RH aderentes às melhores práticas do SuccessFactors • Executar e apoiar testes unitários, integrados e de aceite do usuário (UAT) • Identificar e propor soluções para gaps de negócio • Atuar em conjunto com equipes técnicas, de integração e demais frentes do projeto • Apoiar atividades de migração de dados, cutover e go-live

Brazil
Full TimeRemoteTeam 5,001-10,000H1B No Sponsor

• Atuar em suporte da solução fiscal Seidor e projetos de implementação; • Realizando o atendimento aos clientes em diversos ramos de atividade; • Será responsável pelo levantamento de requisitos, testes, treinamentos; • Conhecimento fiscal, contábil e tributário;

Brazil
Job Closed
Red Clay Consulting logo

Senior Consultant

Red Clay Consulting

Leading Utility Transformations

Consultant12 days ago
Full TimeRemoteTeam 51-200Since 2003H1B Sponsor

• Gather business requirements • Translate needs into technical specs and design solutions • Configure and develop using Oracle Utilities Application Framework (OUAF) • Go-live activities back support • Ensure quality and compliance with coding standards • Work closely with internal and / or client teams

Philippines

Role Description The Senior Security Consultant at DirectDefense will be a crucial member of our cybersecurity team. They are responsible for identifying security vulnerabilities within our clients’ environments and providing technical remediation guidance. This role involves conducting comprehensive penetration tests, performing detailed vulnerability assessments, and leading Red Team engagements to simulate sophisticated attacks. The ideal candidate will possess extensive technical expertise, a deep understanding of both offensive and defensive IT concepts, and the ability to communicate complex security issues effectively. With a focus on staying current with the latest vulnerabilities and technology trends, the Senior Security Consultant will develop and execute proof-of-concept exploits, create detailed reports, and recommend improvements to enhance clients' security postures. This position also involves mentoring junior testers and contributing to the development of innovative testing tools and methodologies. Responsibilities - Conduct comprehensive penetration tests to identify security vulnerabilities, assess their impact, and develop actionable remediation strategies. - Perform detailed vulnerability assessments and analyses of client networks, systems, servers, and other infrastructure components. - Lead Red Team exercises to simulate advanced persistent threats and measure an organization’s readiness to detect, respond, and mitigate attacks. - Stay up to date with the latest vulnerabilities, technology trends, threat landscapes, and offensive toolkits used in penetration testing. Apply this knowledge to enhance testing methodologies. - Develop and execute proof-of-concept exploits to demonstrate the impact and severity of identified vulnerabilities. - Create comprehensive, accurate, and detailed reports and presentations for both technical and executive audiences, clearly communicating findings, risks, and remediation recommendations. - Design and develop scripts, tools, and methodologies to improve testing processes and efficiencies. - Mentor and guide less experienced penetration testers, fostering a culture of continuous learning and professional development. - Assist in scoping prospective engagements, managing client expectations, and lead engagements from kickoff through remediation. - Evaluate and recommend improvements to clients’ security architectures, ensuring robust and resilient defenses. Qualifications - 5-10 years of hands-on experience in network/infrastructure security and penetration testing. - Extensive knowledge of offensive toolkits and techniques used in network/infrastructure penetration testing. - Strong grasp of both offensive and defensive IT concepts, including common attack vectors and defense mechanisms. - Proven ability to stay current with the latest vulnerabilities, technology trends, and threat landscapes. - Exceptional ability to develop proof-of-concept exploits that accurately demonstrate identified vulnerabilities. - Excellent written and verbal communication skills, capable of conveying complex security topics in a clear, concise, and understandable manner to diverse audiences. - Professional certifications such as OSCP and OSEP are highly preferred. - Ability to travel up to 25%. Requirements - Salary range: $130,000 - $170,000 - Bonus: Up to 15% Annual Bonus Benefits - 401(k) - AD&D Insurance - Dental Insurance - Disability insurance - Health insurance - Life insurance - Vision insurance - Flex PTO program - Paid certification and continuing education Career Development - Opportunities for professional growth and development within the company. - Access to training programs and certifications. - Participation in industry conferences and workshops. Application Instructions To apply, please submit your resume and cover letter through our online application portal. Applications will be reviewed on a rolling basis until the position is filled.

United States
$130K - $170K / year