Manager, Stop Loss Claims (Remote) Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking for an experienced Manager, Stop loss Claims. Amwins Accident & Health (A…
Skills: Stop Loss Claims Adjudication, Contract Interpretation, Medical Necessity Review, Cost Containment, Financial Analysis
Senior Civil Litigation Attorney - Personal Injury (Washington)
Seattle, Washington, United States · Remote OK
Senior+
About Bush & Bush Law Group Bush & Bush Law Group is a rapidly growing plaintiff's personal injury law firm dedicated to delivering exceptional results for injured clients. As we continue expanding into new markets, we a…
Skills: Civil Litigation, Personal Injury Law, Trial Advocacy, Case Management, Deposition
Why Seyfarth At Seyfarth, we understand that great people are the key to our success, and we provide the opportunities to match. If you join us, you’ll work with state-of-the-art technology in a friendly and profes…
Skills: Commercial Real Estate Transactions, Due Diligence, Title Review, Closing Coordination, Legal Writing
Description We are a midsize law firm dedicated to delivering exceptional legal services while fostering a collaborative, inclusive, and professional workplace. Pacifica is a values-driven, community-oriented law firm th…
Superhuman offers a dynamic hybrid working model for this role. This flexible approach gives team members the best of both worlds: plenty of focus time along with in-person collaboration that helps foster trust, innovati…
Skills: Data Privacy, GDPR, System Design, Computer Science Fundamentals, Algorithms
Stoel Rives LLP is seeking a litigation associate with at least seven years of experience to join its Litigation Practice Group in the Seattle office. Our Litigation Team Stoel Rives’ litigators are trial lawyers. We han…
A highly respected boutique litigation firm with a national practice representing contractors, businesses, and institutional clients is seeking a Senior Litigation Attorney to join their team in a fully remote role. This…
Skills: Commercial Litigation, Construction Litigation, Government Contracts Litigation, Legal Writing, Deposition Leadership
Senior Business Programs Manager, Compliance Enablement
Seattle, Washington, United States · On-site
$155k–$248k/yr
Senior$6.7B raised
At Expedia Group, we help travelers explore the world, one journey at a time. As a global travel company powered by passionate people, trusted partnerships, and leading technology, we connect travelers, partners, and adv…
Skills: Program Management, Compliance Enablement, Cross-functional Leadership, Business Process Improvement, Risk Management
About Us Twitch is the world’s biggest live streaming service, with global communities built around gaming, entertainment, music, sports, cooking, and more. It is where thousands of communities come together for whatever…
Skills: Contract Drafting, Contract Negotiation, Commercial Transactions, IP Agreements, Rights and Clearances
Description We are a midsize law firm dedicated to delivering exceptional legal services while fostering a collaborative, inclusive, and high-performance workplace. Pacifica is a values-driven, community oriented law fir…
About Anthropic Anthropic’s mission is to create reliable, interpretable, and steerable AI systems. We want AI to be safe and beneficial for our users and for society as a whole. Our team is a quickly growing group of co…
Join Amazon's Legal Department as an Associate Contracts Manager and shape how we build trusted partnerships across our technology ecosystem. You'll review, draft, and negotiate critical contracts that enable Amazon and …
Who We Are Tomo is a digital mortgage company on a mission to eliminate the greed and complexity in lending, helping homebuyers save thousands of dollars. Our AI-driven customer experience makes the lending process faste…
About Us Kreato Language Group LLC, founded in 2020, is a BPO company specializing in providing comprehensive language solutions. We ensure smooth communication in the healthcare, legal, customer service, and social sect…
Skills: Japanese Interpretation, English Interpretation, Consecutive Interpretation, Medical Interpretation, HIPAA Compliance
Overview Senior Underwriter – AmTrust E&S Insurance Services. This underwriting position is designed for an individual with a minimum of seven (7) years of Medical Professional Liability underwriting experience. Strong p…
Skills: Medical Professional Liability Underwriting, E&S Market Knowledge, Risk Analysis, Pricing Strategy, Broker Development
Who We Are: At PEMCO, we’re all about people – our customers, our employees, and the community. We’re a mutual insurance company owned by our Northwest policyholders. We provide auto, home, renters, and boat coverage. Re…
Head of Intake & Evaluation Who We Are The Advocates are a rapidly growing personal injury law firm with branches across the United States. We are dedicated to representing victims of accidents with professionalism and r…
Skills: People Leadership, Data Analysis, Customer Experience Management, Intake Process Optimization, Case Evaluation
Digital Marketing Specialist Who We Are The Advocates are a growing personal injury law firm with branches across the United States. We are dedicated to representing victims of accidents with kindness and respect. Our te…
Skills: Google Ads, Meta Ads, Wordpress, Google Analytics, GA4
Position Summary Our Seattle office has an opportunity for an Employment Litigation Associate to join the firm’s dynamic and long-established practice representing premier local and national employers. This is an e…
At Wilson Elser, we are redefining what it means to work at a national law firm. With more than 1,400 attorneys across 46 offices nationwide, we are recognized among the top 100 law firms by The American Lawyer and ranke…
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
$140k–$155k/yr
Full-time
bachelor degree
Performance-based Bonuses
Posted 1d ago
~40 hrs/week
Remote in United States
Responsibilities
Manage complex, high-dollar stop loss claims and serve as a senior escalation point for adjudication and contractual interpretation. Collaborate with underwriting and TPA partners to ensure consistent claims philosophy and provide mentorship to claims professionals.
Requirements
Requires a bachelor's degree and over 10 years of hands-on medical stop loss claims experience. Must possess expert knowledge of physician billing, stop loss contracts, and the ability to make defensible judgments in ambiguous scenarios.
Full job description
Manager, Stop Loss Claims
(Remote)
Amwins Accident & Health Underwriters, formerly known as Beacon Risk Strategies, is conducting a search looking for an experienced Manager, Stop loss Claims.
Amwins Accident & Health (Amwins A&H) has primary locations in Seattle, WA and Atlanta, GA, and is a managing underwriter for several key carrier partners. We provide a unique approach to even the most challenging risk. Expertise includes Medical Stop Loss, Hospital Indemnity Plans, and other niche A&H products.
As a specialty underwriter, distributor, and program manager, Amwins A&H focuses on medical stop-loss and other accident and health products. Brokers, TPAs and reinsurers rely on the higher standard set by Amwins A&H in everything we do ─ from our thoughtful approach to underwriting to our tenacious focus on delivering superior cost containment, claims administration and customer service. Our employees pride themselves on prompt, personalized service and our customers have direct access to the claims and underwriting teams. Please visit www.amwins.com/opco/amwins-accident-health-underwriters
Amwins A&H is an Amwins Group Inc. company (www.amwins.com). Amwins is the largest wholesale brokerage and group insurance administrator in the US; we are privately held with annual placed premiums over $45b, over 165+ locations around the world, 60 operating companies and employs over 8.1k people.
Amwins has expertise across a diversified mix of property, casualty, and group benefits products, and offers value-added services to support some of these products, including product development, underwriting, premium and claims administration and actuarial services.
Position Overview
The Manager, Stop Loss Claims, will play a critical role in supporting the A&H claims organization by performing claims adjudication functions, managing complex, high-dollar and high-ambiguity stop loss claims, employing cost containment solutions, serving as a senior escalation point, and applying expert judgment to drive consistent, high-quality outcomes.
This role will be responsible for some personal claims production including, but not limited to, high dollar and complex stop loss claim reimbursement requests and will assist with overall claims department operations. It is designed to complement current claims leadership by adding depth of expertise, decision-making capacity, and mentorship through influence and credibility.
The successful candidate will bring deep stop loss claims experience, strong financial and contractual acumen, and the ability to operate effectively in gray areas where precedent, documentation, and interpretation require seasoned judgment.
Responsibilities
Stop Loss Claims Oversight
Serve as a senior escalation point for complex, high-dollar, or high-risk stop loss claims.
Review and evaluate claims requiring eligibility or medical necessity review, advanced contractual interpretation, medical judgment, or financial analysis.
Apply expert judgment to claim decisions that materially impact financial outcomes.
Identify trends, risks, and opportunities related to claim determinations and outcomes.
Support loss mitigation and cost containment through industry knowledge and expertise.
Participate in daily claim processing, escalated claim reviews and decision making.
Perform monthly and year-end aggregate claim reporting audits and review prior to referral to senior management.
Partner with internal teams to ensure consistent application of stop loss provisions and claims philosophy.
Collaboration & Influence
Work closely with existing management, claims leadership, underwriting, and operations teams.
Provide insight and recommendations on claims-related matters that influence pricing, program structure, and risk assessment.
Function as a trusted internal resource for complex claims discussions and decision-making.
Assist underwriting department in setting reserves for ongoing claimants.
Mentorship & Knowledge Sharing
Mentor and coach claims professionals through guidance, case review, and knowledge sharing.
Contribute to the development of training content or informal learning sessions as appropriate.
Elevate claims capability across the organization by sharing best practices and technical expertise.
Vendor & Partner Interaction
Engage with TPAs, carriers, and external partners on complex claims matters as needed.
Help manage, interpret and escalate reporting from TPA partners as needed.
Support alignment between internal claims philosophy and external partner execution.
Stay abreast of industry changes as related to emerging medical and pharmacy trends as well as cost containment solutions.
Qualifications
Bachelor’s degree or equivalent experience required.
10+ years of hands-on medical stop loss claims experience, including responsibility for complex, high-dollar, and high-ambiguity claims and understanding of self-funded claim funding processes.
Expert level understanding of physician and hospital billing practices, medical terminology, case management and utilization review reporting and industry claim processing best practices.
Demonstrated expertise interpreting stop loss contracts, plan documents, and policy language, including exclusions, limitations, aggregating specifics, lasers, and reimbursement thresholds.
Strong understanding of medical claims adjudication, including eligibility, coordination of benefits, medical necessity considerations, and primary drivers of large claims.
Proven ability to apply sound, defensible judgment in non-standard claims scenarios where documentation is incomplete, facts are disputed, or precedent is unclear.
Experience evaluating the financial impact of claims decisions, balancing contractual compliance, reimbursement outcomes, and long-term program integrity.
History of working with multiple TPA claim administrators and demonstrated ability to understand different claim reporting templates and to identify gaps in reports across partners.
Track record of serving as an escalation resource for complex claims issues, providing clear, well-reasoned recommendations to internal stakeholders.
Ability to collaborate effectively across functional departments including claims, underwriting, finance, legal, and operations without formal authority.
Experience mentoring or guiding other claims professionals through case review, technical coaching, or knowledge sharing.
Strong written and verbal communication skills, with the ability to clearly explain complex claims determinations to varied audiences.
Experience with Connexure, ESL Office software.
Core Competencies
Stop Loss Claims Judgment Applies consistent, defensible judgment in complex and high dollar stop loss claims through accurate interpretation of contract language, plan provisions, and medical documentation.
Technical Contract Interpretation Demonstrates deep expertise in stop loss contracts and plan documents, including exclusions, limitations, aggregating specifics, lasers, and reimbursement thresholds.
Financial Impact Evaluation Assesses the financial implications of claims decisions, balancing contractual compliance, reimbursement outcomes, and long-term program integrity.
Escalation & Decision Ownership Serves as a senior escalation point for ambiguous or disputed claims, providing clear recommendations and owning decisions through resolution.
Comfort with Ambiguity Operates effectively in non-standard claims scenarios where facts, documentation, or precedent are incomplete or conflicting.
Influence Through Expertise Elevates claims quality and consistency through technical credibility, mentorship, and collaboration rather than positional authority.
Pursuant to Washington regulation, the compensation range for this position is as stated and includes eligibility for performance-based bonuses.
At Amwins Benefits, we’ve created a portfolio of capabilities that span the benefits landscape, and we deliver them with hands-on service and expertise you can trust. So, whether you need a partner for the day-to-day or a problem solver for the complex, our goal is that whenever you think of benefits, you think of us.
Whether it's small to mid-market, self-funded, ancillary, exclusive programs, or retiree healthcare, you can count on us for a fully integrated experience, in-depth regional expertise, customized retailer marketing strategies and white-glove sales support.
Offices: 4725 Piedmont Row Dr, Charlotte, North Carolina 28210, US
Based on 102 listings with disclosed salaries, most legal jobs in Seattle, WA pay between $67k–$208k per year. Individual offers vary with seniority, company size, and specialization.
How many Legal jobs are open in Seattle, WA right now?
There are currently 121 open legal positions in Seattle, WA listed on Clera. New openings are added daily as companies post roles.
Which companies are hiring for Legal roles in Seattle, WA?
Companies currently hiring include Amazon, Starbucks, Tyson & Mendes, Kreato Global | BPO and Language Solutions, PROVIDENCE MEDICAL INSTITUTE, among others. Browse the listings above to see every active employer.
Are there remote or hybrid Legal jobs in Seattle, WA?
Yes — 56 of the 121 open legal positions offer remote or hybrid work (12 remote, 44 hybrid).
How do I apply for Legal jobs in Seattle, WA?
Each listing links directly to the employer's application page. Apply early — fresh listings get the most recruiter attention in the first two weeks.