support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Representative - IAP (Entry level) PRIMARY
PURPOSE : To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES Attendance and completion of designated classroom claims professional training program. Performs on-the-job training activities including: Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. Adjusting low and mid-level liability and/or physical damage claims under close supervision. Processing disability claims of minimal disability duration under close supervision. Documenting claims files and properly coding
claim activity. Communicating claim action/processing with claimant and client.
Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. Participates in rotational assignments to provide temporary support for office needs. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's or Associates degree from an accredited college or university preferred. Experience: Prior education, experience, or knowledge of: Customer Service Data Entry Medical Terminology (preferred) Computer Recordkeeping programs (preferred) Prior claims experience (preferred) Additional helpful experience: State license if required (SIP, Property and Liability, Disability, etc.
) WCCA/WCCP or similar designations for particular discipline For internal colleagues, completion of the Sedgwick Claims Progression Program Skills and Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical : Computer keyboarding, travel as required Auditory/Visual : Hearing, vision and talking NOTE : Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description.
They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. #entrylevel As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in California, Colorado or New York City. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the state noted in this job posting only, the range of starting pay for this role is $27.69/hour.
A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
You may be just the right candidate for this or other roles. Requisition #: R32139tcv57hlu2
requests only; other inquiries won't receive a response). Regular or Temporary: Regular Language Fluency: English (Required) Work Shift: 1st shift (United States of America) Please review the following job description: Build and maintain professional rapport with clients, vendor and teammates by providing superior internal and external service support.
Work as a supportive member of the sales and service teams. ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.1. Process new and renewal business within
timelines and quality standards, including updating and maintaining information in the client management system.2. Escalate issues of increased complexity, according to department standards, to the applicable internal contact.3.
Provide clients with timely information including plan information, rates, contributions, and carrier contacts.4. Set up policy notebooks for delivery to client; assemble proposals and other presentations for client and prospect meetings.5. Address and resolve client questions and issues.6. Assist in preparation of new and renewal proposals; stewardship reports; service plans; comparisons, and demonstrates creativity in presentation style.7. Support service and
production team in reaching overall agency revenue and retention goals.8.
Maintain daily client processing functions such as endorsements, policies, audits, pending cancellations, ID cards.9. Assist with all aspects of marketing, as needed.10. Take report and monitor claims (if applicable).11. Document member and client communications in the client management services tool according to department standards.12. Prepare presentations, spreadsheets, direct bill, accounting discrepancies and other communications based on the needs of the internal team and clients.13. Assist clients with claims resolution.14. Participate in company sponsored seminars, training workshops and webinars to enhance industry knowledge and education.15.
Other duties and responsibilities assigned by management. QUALIFICATIONS Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.1. Assignment based primarily upon the individual's minimal level of experience and production capacity to service a midsize book of business2. High school diploma or equivalent3. Demonstrated proficiency in computer applications such as Microsoft Office Suite4.
Demonstrate strong organizational and project skills5. Strong communication and interpersonal skills (written and verbal)6. Act with responsiveness, urgency and professionalism in all matters7. Prioritize work to achieve timely completion of the most critical and sensitive activities8. Respond quickly to client requests and work to provide appropriate information Preferred Qualifications: 1. 2-3 years of insurance experience2. LOB designations3. College or advanced degree General Description of Available Benefits for Eligible Employees of Truist Financial Corporation: All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of Truist offering the position.
Truist offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays.
For more details on Truist's generous benefit plans, please visit our Benefits site. Depending on the position and division, this job may also be eligible for Truist's defined benefit pension plan, restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work. Mc Griff Insurance Services supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, interactionual orientation, gender identity, disability, veteran status or other classification protected by law.
Mc Griff Insurance Services is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify PDN-9abb990f-7dfe-4830-87ce-eb93d3b9c26b
territory to help develop Commercial Package new business opportunities along with Auto, Workers Compensation, and Umbrella. Identify and capture new business opportunities using consultative marketing and sales skills. Manage the profitability and growth of an assigned book of business.
Establish and maintain relationships with producers and customers to understand their needs and sell products that respond to their needs. Partner with the Commercial Sales Team in exceeding NJM's business growth, profitability, and retention targets. Negotiate renewal terms. Comply with all legal and regulatory requirements to ensure obligations are met. Assist in mentoring, training, and development
of existing underwriting staff. Participate in department projects and perform other duties as assigned. Required Qualifications and Experience: Property & Casualty Agent/Producer License is preferred or must be willing to obtain after hire.
Bachelor's degree is preferred. Middle Market experience. Typically has a minimum of 5-8 years' experience underwriting commercial package accounts. Extensive knowledge of Commercial Multi-line Package underwriting with a strong focus and thorough knowledge of Property and General Liability backssment, controls, rules, guidelines, pricing, rating, and coverage. Umbrella underwriting experience required. Working knowledge of Facultative Reinsurance.
Ability to review coverage requests and independently makes risk decisions based on company appetite, guidelines, risk characteristics and levels of authority.
Refers risks as required for additional review. Maintains thorough knowledge of applicable laws, regulations and governance, target industry and class trends, emerging market needs, issues, and competition as it related to Commercial Package. May support related product development ideas and intelligence. Experience developing broker relationships and profitable book of business for assigned local territories. Service-oriented self-starter possessing an excellent professional demeanor. Accountable for accurate and timely work products.
Strong communication, interpersonal, problem solving and team building skills. Ability to work with sales, loss prevention, premium audit, product development staff and the broker community. High level of motivation: self-starter, ability to quickly organize materials, prioritize and coordinate tasks. Must be detail oriented to ensure accuracy and quality of underwriting development. Strong analytical skills. Completion of general insurance courses such as CPCU, AU, ARM or CIC are a plus. Proficient in Microsoft Office Suite, including Word, Excel, and Power Point.
Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business. PDN-9abb77c4-8b86-48cd-abd0-b6b072c1a421
$55,000 - $70,000 annually Note: Candidates must have a valid Property and Casualty Insurance License - State of Minnesota Account Manager - Personal Lines Job Description This position is responsible for developing and maintaining relationships with personal lines accounts including homeowners, auto, personal umbrella, boat, and recreational vehicle insurance.
Some service staff may also be involved in servicing farm, health, and other coverages, depending on the individual office/agency's needs. Account managers will work independently to advise and service client accounts. What you'll do as the Account Manager - Personal Lines: Develop and maintain strong relationships with clients
through advising and responding to all correspondence in a quick and accurate manner Answer questions regarding all lines of coverage, and assist with plan and/or carrier changes, claims, requotes, and billing Collaborate with risk advisor to determine and meet client goals Support risk advisor by exercising independent judgment and discretion to communicate, evaluate, and resolve inquiries to ensure client's needs are met Develop and maintain positive and effective relationships with partner insurance carriers Attend and actively participate in agency service training meetings Enter activity and other relevant information into the company's software system(s) in accordance with company procedures
Travel as necessary for company or training events What you'll bring to the Account Manager - Personal Lines role: High school degree or equivalent is required Bachelor's degree preferred, but not required Minimum 2 years previous insurance experience in personal lines Valid Property and Casualty Insurance License - State of Minnesota Effective oral and written communication skills to effectively represent the company Ability to build strong, constructive relationships with a diverse range of clients, and organizational partners to discover common goals for a positive experience Strong attention to detail with excellent organizational skills Take the first step on your new career path!
To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we've reviewed your application details, a recruiter will reach out to you with the next steps! For questions or more information about this role, please call our office at (651) 772-xyz X. As an equal-opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply. If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you! PDN-9abbaa72-9b13-4117-b6d5-4a144a7847d4
focus, risk management, and striving for outcomes. This goal extends to how we hire and onboard our most valuable assets - our employees. Company Overview: Clear Spring Property and Casualty is a leading provider of property and casualty insurance. Our future-forward strategy is rooted in deep industry knowledge and a mastery of emerging technologies.
Clear Spring Property and Casualty Company is a subsidiary of Delaware Life Insurance Company and its parent company, Group1001. Our relationship with these organizations has yielded an innovative technology platform that provides smarter risk management solutions for property and casualty insurance brokers. Clear Spring is dedicated to
Group1001's mission: making insurance more useful, intuitive and accessible for everyone. We're confident in our forward-thinking products, and that you'll love working with us.
Group 1001, and its affiliated companies, is strongly committed to providing a supportive work environment where employee differences are valued. Diversity is an essential ingredient in making Group 1001 a welcoming place to work and is fundamental in building a high-performance team. Diversity embodies all the differences that make us unique individuals. All employees share the responsibility for maintaining a workplace culture of dignity, respect, understanding and appreciation of individual and group differences.
The Medical Claims Examiner: The Medical Claims Examiner will be responsible for working in combination with the Claims Consultant to provide claims service to policyholders.
This position is responsible for servicing accounts, which will include corresponding with insureds regarding claims topics. This role is responsible for securing medical documentation, processing and assisting the Claims Consultant's workflow. Also works in conjunction with the Claims Consultant making decisions concerning strategies for minimizing overall exposure of claims. Duties and responsibilities: Provide exceptional customer service consistent with the philosophy of Lackawanna Insurance Group.
Review incoming bills and treatment notes for causality. Process daily mail and payments. Maintain contact with claimant, insured, and medical provider on medical only files. Identify files that need to be transferred to the Claims Consultant when change in status to a " Lost Time" file is apparent. Make transfer in a timely manner. Complete any Bureau or other legal documents as appropriate. Request reserves and provide reasoning for increase on files when necessary. Work in tandem with Claims Consultant to provide claims knowledge to policyholders. Assist in providing phone coverage on a rotating basis.
Communicate verbally and in writing with stakeholders in an effective and professional manner. Ensure data submitted is accurate, timely, and in compliance with all requirements. Monitor and complete transactions in a timely and accurate method in required computer programs. Other duties as assigned that contribute to the overall productivity and well-being of the company, specifically to the Claims Department. Support workflow from remote employees, if applicable. The methods may vary based on work location of assigned Claims Consultants.
Experience requirements: Minimum of one-year experience in the insurance industry preferred. Medical terminology experience preferred. Strong time-management, communication, and PC skills. Proficiency in Microsoft Office required. Proven ability to build strong working relationships. Compensation: Our compensation reflects the cost of labor across several U. S. geographic markets. The base pay for this position ranges from $34,300/year in our lowest geographic market up to $72,000 in our highest geographic market. Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience.
Benefits Highlights: Employees (and their families) are eligible to participate in the Company's comprehensive health, dental, and vision insurance plan options. Employees are also eligible for Basic and Supplemental Life Insurance, Short and Long-Term Disability, and to enroll in the Company's Employee Assistance Program and other wellness initiatives. Employees may also participate in the Company's 401K plan, with matching contributions by the Company.
commercial litigation.
The ideal candidate will be an independent and business-savvy professional with a Juris Doctorate, licensed to practice law in the state of Washington. Job Details: Duties: Handle insurance bad faith and coverage litigation, as well as complex commercial litigation cases.
Independently manage cases in a fast-paced environment, providing practical, business-friendly advice. Take a hands-on leadership role in cases, with extensive 1st chair experience, rather than delegating. Requirements:10-15 years of legal experience, preferably in insurance bad faith and coverage litigation and complex commercial litigation. Licensed to practice law in the state of Washington.
Juris Doctorate (JD) required. Strong research, and writing skills, and an impressive academic record. Extensive deposition, oral argument, and trial experience are preferred.
Federal and state court experience is a plus. Experience in either a large or boutique law firm is preferred. Some portable business is a plus. Education: Juris Doctorate (JD) required. Certifications: Must be licensed to practice law in the state of Washington. Skills: Strong research and writing skills. Ability to work independently in a fast-paced environment. Practical and business-friendly legal advice. Extensive deposition, oral argument, and trial experience. Strong leadership skills in handling cases. Familiarity
with insurance bad faith and coverage litigation and complex commercial litigation.
Preferred Experience: Experience in a large or boutique law firm. Portable business is a plus. Job Location: Seattle, WA Associates at this prestigious firm applaud that they are given high-level work paired with ample resources; the result, they say, is that they receive interesting projects and valuable collaborations with senior associates and partners. They also praise its flexible face-time policies paired with market pay.
an accurate and expedient manner. Major Functions (Duties and Responsibilities) 1. Adjudicates complex professional and institutional claims. 2. Assist with training and mentoring of new team members. 3. Assist with the testing of new claim processing procedures or projects.
4. Responsible for meeting performance measurement standards for productivity and accuracy. 5. Adjudication of claim adjustments. 6. Review and correct claims involving data integrity issues. 7. Interface with other IEHP Departments, when necessary, regarding claims issues. 8. Participate in Claims Department Team Meetings, and other activities as needed. Major Functions (Duties and Responsibilities) Cont Supervisory
Responsibilities Leading: Self Experience Qualifications Three (3) years experience in adjudicating medical claims. Preferred Experience Experience in adjudicating medical claims: professional and institutional preferably in and HMO or Managed Care setting.
Medicare/Medi-Cal experience preferred. Education Qualifications High School Diploma or GED required. Preferred Education Professional Certification Professional Licenses Drivers License Required No Knowledge Requirement ICD-9 and CPT coding and general practices of claims processing. Skills Requirement Microcomputer skills, proficiency in Windows applications preferred. Eexcellent communication and interpersonal skills, strong organizational
skills required. Abilities Requirement Professional demeanor.
Commitment to Team Culture The IEHP Team environment requires a Team Member to participate in the IEHP Team Culture. A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization. Working Conditions Data entry involving computer keyboard and screens, filing and copying of records and/or correspondence. Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval.
All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership. Work Model Location Telecommute Physical Requirements Hearing: One-on-One - FREQUENTLY Communicate: Information/ideas verbally - FREQUENTLY Regular and reliable attendance - FREQUENTLY Memory - FREQUENTLY Understand and follow direction - FREQUENTLY Regular contacts: co-workers, supervisor - FREQUENTLY Keyboarding: 10-Key - FREQUENTLY Keyboarding: Touch-Screen - FREQUENTLY Keyboarding: Traditional - FREQUENTLY Sitting - CONSTANTLY Indoors - FREQUENTLY Lighting - CONSTANTLY Near Visual Acuity - FREQUENTLY A reasonable salary expectation is between $48,110.40 and $59,425.60, based upon experience and internal equity.
Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region, designated as “Great Place to Work. ” With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members.
And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award-winning workplace. As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.
and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture. This position could be based in the following alternate location: White Plains, NY (New York) The Senior Associate in the Corporate Compliance Department is responsible for managing the compliance oversight programs for our Group Membership Association Division (Group Affinity/Association) and Business Solutions Department (Group Employer).
Working closely with compliance management, business leaders and subject matter experts, as well as Legal, Government Affairs, Internal Audit and other stakeholders,
the Senior Associate will support the business in complying with all federal, state, local rules and regulations, and internal compliance requirements. Responsibilities Manage the compliance oversight programs for Group Membership Association Division (Group Affinity/Association) and Business Solutions Department (Group Employer) Collaborate with other departments to investigate and resolve compliance issues.
Including partnering with the business develop and implement corrective action plans to address known issues Provide timely and consistent compliance guidance to the business. Including partnering with the business in establishing compliance policies & procedures Collaborate with
the business to formulate and execute compliance reviews of the business, including identifying scope, reviewing procedures & documentation, identifying issues, and communicating findings Develop best practices and efficiencies in the oversight program Track laws and regulations and assist the business with identifying applicable regulatory requirements Host a quarterly meeting with key personnel from the business, legal, compliance, and risk to discuss compliance issues, requirements, tasks, projects, initiatives, etc.
that may impact the business Manage the Canadian group insurance compliance programs to ensure NYL’s compliance standards are met Periodically backss consumer complaints and review draft responses crafted by the business Engage with the business to assist with gathering information for regulatory reporting Review and validate data received from the business and TPAs in response to market conduct exams and regulatory inquiries Prepare reports for regulators, senior management and other NYL departments Identify, backss, and communicate current or emerging compliance trends, issues, and risks to management Support other group insurance business areas as needed, particularly our Group Benefits Solutions business that provides group employer solutions.
Handle special projects as needed Qualifications and Job Requirements Bachelor’s Degree At least 8-10 years of experience in a compliance role within an insurance company. Experience with non-employer groups and affinity groups preferred Knowledge of state regulations governing group benefits, including regulations governing group disability insurance. Ability to interpret regulations and find applicability to the business Experience partnering with Third Party Administrators that perform services on behalf of the business Familiarity with second line of defense compliance strategies Possesses strong critical thinking skills, ability to backss complex problems, and develop innovating solutions Excellent written and oral communication skills with the ability to present information in differing degrees of detail and form depending on the audience Excellent organization skills, ability to prioritize multiple tasks and follow through to meet deadlines Analytical skills to identify possible solutions using experience, judgment, and precedents Self-starter, proactive and exercises good judgment Works independently as well as within a team environment Salary range: $90,000-$135,000 Overtime eligible: Exempt Discretionary bonus eligible: Yes Sales bonus eligible: No Click here to learn more about our benefits.
Starting salary is dependent upon several factors including previous work experience, specific industry experience, and/or skills required. Recognized as one of Fortune’s World’s Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation. We're proud that due to our mutuality, we operate in the best interests of our policy owners. We invite you to bring your talents to New York Life, so we can continue to help families and businesses “Be Good At Life.
” To learn more, please visit Linked In , our Newsroom and the Careers page of . Job Requisition ID: 89610
and adjudication. 2. Adjudicate all professional and outpatient facility claims including COB, denials, and reduction in service notifications 3. Interface with other IEHP Departments, when necessary, regarding claims issues. 4. Participate in Claims Department staff meetings, and other activities as needed 5.
Responsible for meeting the performance measurement standards for productivity and accuracy for one specific type of claim form, professional (HCFA) or institutional (UB. ) Major Functions (Duties and Responsibilities) Cont Supervisory Responsibilities Leading: Self Experience Qualifications Two (2) years experience in examining and processing medical claims; professional or institutional.
Preferred Experience Medicare/Medi-Cal experience preferred. Claim adjustments, provider appeals and/or disputes preferred. Education Qualifications High school diploma or GED required.
Preferred Education Professional Certification Professional Licenses Drivers License Required No Knowledge Requirement ICD-9 and CPT coding and general practices of claims processing. Prefer knowledge of capitated managed care environment. Skills Requirement Microcomputer skills, proficiency in Windows applications preferred. Excellent communication and interpersonal skills, strong organizational skills. Abilities Requirement Professional demeanor. Commitment to Team Culture The IEHP Team environment requires
a Team Member to participate in the IEHP Team Culture.
A Team Member demonstrates support of the Culture by developing professional and effective working relationships that include elements of respect and cooperation with Team Members, Members and associates outside of our organization. Working Conditions Data entry involving computer keyboard and screens, filing, and copying of records and/or correspondence. Position is eligible for telecommuting/remote work location upon completing the necessary steps and receiving HR approval. All IEHP positions approved for telecommute or hybrid work locations may periodically be required to report to IEHP’s main campus for mandatory in-person meetings or for other business needs as determined by IEHP leadership.
Work Model Location Telecommute Physical Requirements Hearing: One-on-One - FREQUENTLY Communicate: Information/ideas verbally - FREQUENTLY Near Visual Acuity - FREQUENTLY Regular contacts: co-workers, supervisor - FREQUENTLY Memory - FREQUENTLY Understand and follow direction - FREQUENTLY Regular and reliable attendance - CONSTANTLY Keyboarding: 10-Key - FREQUENTLY Keyboarding: Touch-Screen - FREQUENTLY Keyboarding: Traditional - FREQUENTLY Sitting - CONSTANTLY Indoors - FREQUENTLY Lighting - CONSTANTLY A reasonable salary expectation is between $45,884.80 and $55,993.60, based upon experience and internal equity.
Inland Empire Health Plan (IEHP) is the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire. We are also one of the largest employers in the region, designated as “Great Place to Work. ” With a provider network of more than 5,000 and a team of more than 3,000 employees, IEHP provides quality, accessible healthcare services to more than 1.5 million members. And our Mission, Vision, and Values help guide us in the development of innovative programs and the creation of an award-winning workplace.
As the healthcare landscape is transformed, we’re ready to make a difference today and in the years to come. Join our Team and make a difference with us! IEHP offers a competitive salary and stellar benefit package with a value estimated at 35% of the annual salary, including medical, dental, vision, team bonus, and state pension plan.
and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture. GBS Benefits offered: 401k, Medical, Dental, Vision, Tuition Reimbursement, Student Loan Repayment Job Description: The LTD Claim Manager will manage an assigned caseload of Long Term Disability cases.
This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex
benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys etc.
to gather the information to make the decision on the claim. As a Long-Term Disability Claims Examiner, you will: Proactively manage your block of claims by regularly talking with and knowing your customers, their level offunctioning, and having a command of case facts for each claim in your block. Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer
eligibility by reviewing contractual language and medical documentation, interpret informationand make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximumimpact Have discussions with customers and employers regarding return to work opportunities and communicate with anaction-oriented approach.
Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time ormodified duty basis Ask focused questions of internal resources (e. g. nurse, behavioral, doctor, vocational) and external resources(customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies Network with both customers and physicians to medically manage claims from initial medical requests to reviewingand evaluating ongoing medical information Execute on all client performance guarantees Respond to all communications within customer service protocols in a clear, concise and timely manner Make fair, accurate, timely, and quality claim decisions Adhere to standard timeframes for processing mail, tasks and outliers Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.
) Clearly articulate claim decisions both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives Qualifications High School Diploma or GED required. Bachelor's degree strongly preferred. Long Term Disability Claims experience preferred. Experience in hospital administration, medical office management, financial services and/ or business operations is a(+) Comfortable talking with customers and having thorough phone conversations.
Excellent organizational and time management skills. Strong critical thinker. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Ability to focus and excel at quality production Proficiency with MS Office applications is required (Word, Outlook, Excel). Strong written and verbal skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with customers.
Experience in effectively meeting/exceeding personal professional expectations and team goals. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. Comfortable giving and receiving feedback. Flexible to change. Demonstrated analytical and math skills. Critical Competencies: Decision Quality Communicate Effectively Action Oriented Manages Ambiguity Customer Focus This position can be offered as a full-time work from home position for candidates with appropriate experience. Technology Requirements: Functioning broadband (cable/DSL) should meet the following minimum requirements 50mb download/20mb upload speed Ability to hardwire into internet connection #LI-LS1#LI-REMOTE Salary range: $45,000 - $70,000 Overtime eligible: Nonexempt Discretionary bonus eligible: Yes Sales bonus eligible: No Click here to learn more about our benefits.
Starting salary is dependent upon several factors including previous work experience, specific industry experience, and/or skills required. Recognized as one of Fortune's World's Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation.
We're proud that due to our mutuality, we operate in the best interests of our policy owners. We invite you to bring your talents to New York Life, so we can continue to help families and businesses " Be Good At Life. " To learn more, please visit Linked In , our Newsroom and the Careers page of . Job Requisition ID:89590PDN-9ab9a34a-8777-477c-823f-d76631d3446e
and professionally through various resources and programs. New York Life is a relationship-based company and appreciates how both virtual and in-person interactions support our culture. GBS Benefits offered: 401k, Medical, Dental, Vision, Tuition Reimbursement, Student Loan Repayment Job Description: The LTD Claim Manager will manage an assigned caseload of Long Term Disability cases.
This includes management of claims with longer duration and evolving medical conditions. LTD Claim Managers will have meaningful and transparent conversations with their customers and clinical partners in order to gather the information that is most relevant to each claim. It also requires potentially complex
benefit calculations on a monthly basis. The candidate will also evaluate customer eligibility and interact with internal and external customers including, but not limited to, customers, employers, physicians, internal business matrix partners and attorneys etc.
to gather the information to make the decision on the claim. As a Long-Term Disability Claims Examiner, you will: Proactively manage your block of claims by regularly talking with and knowing your customers, their level of functioning, and having a command of case facts for each claim in your block. Develop and document Strategic Case Plans that focus on the future direction of the claim using a holistic viewpoint Find customer
eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented Leverage claim dashboard to manage claim inventory to find which claims to focus efforts on for maximum impact Have discussions with customers and employers regarding return to work opportunities and communicate with an action-oriented approach.
Work directly with clients and Vocational Rehabilitation Counselors to facilitate return to work either on a full-time or modified duty basis Ask focused questions of internal resources (e. g. nurse, behavioral, doctor, vocational) and external resources (customer, employer, treating provider) in order to question discrepancies, close gaps and clarify inconsistencies Network with both customers and physicians to medically manage claims from initial medical requests to reviewing and evaluating ongoing medical information Execute on all client performance guarantees Respond to all communications within customer service protocols in a clear, concise and timely manner Make fair, accurate, timely, and quality claim decisions Adhere to standard timeframes for processing mail, tasks and outliers Support and promote all integration initiatives (including Family Medical Leave, Life Assistance Programs, Integrated Personal Health Team, Your Health First, Healthcare Connect, etc.
) Clearly articulate claim decisions both verbally and in written communications Understand Corporate Compliance, Policies and Procedures and best practices Stay abreast of ongoing trainings associated with role and business unit objectives Qualifications High School Diploma or GED required. Bachelor's degree strongly preferred. Long Term Disability Claims experience preferred. Experience in hospital administration, medical office management, financial services and/ or business operations is a (+) Comfortable talking with customers and having thorough phone conversations.
Excellent organizational and time management skills. Strong critical thinker. Must be technically savvy with the ability to toggle between multiple applications and/ or computer monitors simultaneously. Ability to focus and excel at quality production Proficiency with MS Office applications is required (Word, Outlook, Excel). Strong written and verbal skills demonstrated in previous work experience. Specific experience with collaborative negotiations. Proven skills in positive and effective interaction with customers.
Experience in effectively meeting/exceeding personal professional expectations and team goals. Must have the ability to work with a sense of urgency and be a self-starter with a customer focus mindset. Comfortable giving and receiving feedback. Flexible to change. Demonstrated analytical and math skills. Critical Competencies: Decision Quality Communicate Effectively Action Oriented Manages Ambiguity Customer Focus This position can be offered as a full-time work from home position for candidates with appropriate experience. Technology Requirements: Functioning broadband (cable/DSL) should meet the following minimum requirements 50mb download/20mb upload speed Ability to hardwire into internet connection #LI-LS1 #LI-REMOTE Salary range: $45,000 - $70,000 Overtime eligible: Nonexempt Discretionary bonus eligible: Yes Sales bonus eligible: No Click here to learn more about our benefits.
Starting salary is dependent upon several factors including previous work experience, specific industry experience, and/or skills required. Recognized as one of Fortune’s World’s Most Admired Companies, New York Life is committed to improving local communities through a culture of employee giving and volunteerism, supported by the Foundation.
We're proud that due to our mutuality, we operate in the best interests of our policy owners. We invite you to bring your talents to New York Life, so we can continue to help families and businesses “Be Good At Life. ” To learn more, please visit Linked In , our Newsroom and the Careers page of . Job Requisition ID: 89590
manage business requirements on the accounting standard IFRS17 or any other country specific local GAAPs for insurance industry. Required Skills Minimum 8 years of experience in finance and IT with at least 3 years in implementation of SAP, FPSL and SAP Insurance Analyzer in the areas of accounting for insurance contracts.
Experience in core insurance modules like Life Insurance, Collections & Disbursements, Claims, and Incentives. Commissions Re-Insurance is a plus. Well versed with GAAPs like IFRS17 or any other country specific local GAAP regulations etc. Proficiency with hands on experience in solution designing and configuration in SAP FPSL and SAP IA. Deeper understanding of FPSL
architectural components like DLL, PML, RDL, Analytics layer and CVPM. At least one end to end project implementation lifecycle experience in SAP FPSL and IA. Ability to work in onshore/offshore model.
Ability to communicate well with the business owners at the client side and translate them into tangible software. Good communication skills both written and verbal. Excellent problem solving and analytical skills Great teammate, who works well with technical and business resources Computer Science, Finance, Accounting or equivalent degree. Life at Capgemini Capgemini supports all aspects of your well-being throughout the changing stages of your life and career. For eligible employees,
we offer: Flexible work Healthcare including dental, vision, mental health, and well-being programs Financial well-being programs such as 401(k) and Employee Share Ownership Plan Paid time off and paid holidays Paid parental leave Family building benefits like adoption assistance, surrogacy, and cryopreservation Social well-being benefits like subsidized back-up child/elder care and tutoring Mentoring, coaching and learning programs Employee Resource Groups Disaster Relief About Capgemini Capgemini is a global leader in partnering with companies to transform and manage their business by harnessing the power of technology.
The Group is guided everyday by its purpose of unleashing human energy through technology for an inclusive and sustainable future.
It is a responsible and diverse organization of over 360,000 team members in more than 50 countries. With its strong 55-year heritage and deep industry expertise, Capgemini is trusted by its clients to address the entire breadth of their business needs, from strategy and design to operations, fueled by the fast evolving and innovative world of cloud, data, AI, connectivity, software, digital engineering and platforms. The Group reported in 2022 global revenues of €22 billion. Get The Future You Want Disclaimer Capgemini is an Equal Opportunity Employer encouraging diversity in the workplace.
All qualified applicants will receive consideration for employment without regard to race, national origin, gender identity/expression, age, religion, disability, interactionual orientation, genetics, veteran status, marital status or any other characteristic protected by law. This is a general description of the Duties, Responsibilities and Qualifications required for this position. Physical, mental, sensory or environmental demands may be referenced in an attempt to communicate the manner in which this position traditionally is performed.
Whenever necessary to provide individuals with disabilities an equal employment opportunity, Capgemini will consider reasonable accommodations that might involve varying job requirements and/or changing the way this job is performed, provided that such accommodations do not pose an undue hardship. Capgemini is committed to providing reasonable accommodations during our recruitment process. If you need assistance or accommodation, please reach out to your recruiting contact. Click the following link for more information on your rights as an Applicant http: ///resources/equal-employment-opportunity-is-the-law
in the world and start doing your life’s best work. (sm) $100,000 Sign On Incentive! Position Highlights Outpatient Primary Care Work life balance with flexible shifts- Part Time, Float and 4 Day work week options Call is light and shared Triage RN call What makes an Optum organization different?
Clinicians are supported to practice at the peak of their license Do you practice evidence-based medicine? Are you seeking a practice focused on patient-centered quality care, not volume? We are influencing change on a national scale while still maintaining the culture and community of our local care organizations Compensation/Benefits Highlights: Competitive pay and well-deserved incentive
bonuses CME reimbursement Comprehensive health, dental, vision 401k with matching Short and long term disability, company paid life insurance Company paid malpractice coverage Flexible Scheduling Upward career growth and professional development Supportive and appreciative culture Required Qualifications: Graduate of four-year U.
S. Medical School or equivalent. Residency completed in Family Medicine Unrestricted WA Physician License? Current WA DEA certificate required prior to start date? BE/BC Family Medicine? EMR Proficient? Excellent time management skills? About Optum: At Optum, we’ve found that putting clinicians at the center of care is the best way to improve lives. Our physician-led
organization is one of the most dynamic and progressive health care organizations in the world, serving almost 130 million people through more than 78,000 aligned physicians and advanced practice clinicians.
You will find our team working in local clinics, surgery centers and urgent care centers, within care models focused on managing risk, higher quality outcomes and driving change through collaboration and innovation. Learn more at. Would you thrive with Optum? Do you practice evidence-based medicine? Are you seeking a practice focused on patient-centered quality care, not volume? Are you a team player – comfortable delegating and empowering teams? Are you constantly seeking better ways to do things?
Do you want to be part of something better? Washington Residents Only: The salary range for Washington residents is $237,360 to $331,700. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, United Health Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with United Health Group, you’ll find a far-reaching choice of benefits and incentives. Diversity creates a healthier atmosphere: United Health Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, age, national origin, protected veteran status, disability status, interactionual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
United Health Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. For more details: jobs-search. org/insurance_everett-c434628/family-medicine-physician-silver-lake-everett_i1940606284
