yet? Attend a live info session by clicking here to ask questions about the NCLEX and our Nurse Residency Program! BAYADA Home Health Care was founded on the principle that health care gets better when clients get better care at home—the place they most want to be.
Delivering care is our highest priority and greatest joy. The BAYADA Nurse Residency Program is a transition to practice program for new graduate nurses who would like a meaningful and exciting career in home care. The program focuses on creating a collaborative professional development environment where new graduate nurses can safely develop their critical thinking and nursing skills while working with children and adults
in the home. BAYADA offers: One on one care Flexible schedules Electronic charting using Alaya Care In-house education and training programs Award-winning adult and pediatric Simulation labs Short commute times – we match you with cases near your home Around the clock clinical support by phone Our employees are our greatest asset: Recognition through HERO program, BAYADA Bucks and clinician contests Presidential Scholarship offered yearly for education Talent development and mentoring programs $500-$1200 referral bonus Available shifts: 8, 10 or 12 hour shifts 1st, 2nd or 3rd shift Weekdays and Weekends Requirements: RN with a current valid nursing license Benefits include: Preventative Care
coverage for all employees Medical, Dental, and Vision options for PT (30 hrs/wk) or FT (36 hrs/wk) Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner Flexible Spending and Health Spending Accounts 401K PTO Weekly pay Our service promise to you: The BAYADA Way, our company philosophy, is at the heart of everything we do, and the ever-present guiding force in our daily work—in spirit and in action.
The mission, vision, beliefs, and core values it expresses define our culture and embody the essence of what we stand for, believe in, and value. Since 1975, BAYADA Home Health Care has had a special purpose to help people have a safe home life with comfort, independence, and dignity.
Apply now to join our team! SER-Charlotte As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws.
Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_mint-hill-c442021/new-nurse-rn-mint-hill_i1962301938
for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insured's, claimants, witnesses, physicians, attorneys, police officers, etc.
to secure necessary claim information. Arrange for surveys and experts where appropriate. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority
limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions.
Timely and appropriate management of litigation files. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims and expenses. Informs claimants, insured's/customers/ agents or attorney of denial of claim when applicable. May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements.
Continues efforts to settle claims before trial. Refers claims to subrogation as appropriate.
May participate in claim file reviews and audits with customer/insured and broker. Administers benefits timely and appropriately. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations i. e. agents, underwriters, insureds, experts Depending on line of business, other duties may include : Maintaining system logs Investigating compensability and benefit entitlement Reviewing and approving medical bill payments or forwarding for outside review as necessary. Managing vocational rehabilitation SCOPE INFORMATION : The position reports directly to a Claims Team Leader or other member of claims management.
The pay range for the role is $54,000 to $86,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. Requisition #: 2467tcv57hlu2
The information you verify and gather directly relates to determining whether the Company will decline or issue a policy. Summary Job Description: We're looking for outgoing, hardworking individuals who are self-starters, can work independently and are detail oriented.
As a Verification Call Center Representative you'll handle inbound and outbound telephone calls with potential customers and accurately document the information on the appropriate database. You must have a positive, helpful attitude with customers to quickly gather information and record it. There is no cold calling and no phone sales. Friendly, casual work environment with full-time and part-time positions available. Excellent
earning potential - hourly wage plus bonus based on performance. Primary duties & responsibilities: Daily Maneuver within the Quality Assurance database and conduct appropriate backssments on what additional information or verification is needed Ability to handle inbound/outbound calls to potential customers - verify and document required information to finalize applications for underwriting backssment.
Accurately document the information Properly document non-contact attempts within the Quality Assurance Database Be able to properly explain the application process to potential customers Accurately and thoroughly complete additional paperwork when needed Maintain appropriate levels
of communication with supervision regarding actions taken within the Quality Assurance database Transfer calls to appropriate department as needed Successfully meet the minimum expectation for departmental key performance indicators (K.
P. I's) Reliable and predictable attendance of your assigned shift Ability to work Full-Time and/or Part-Time based on the specific position for which you're applying Occasional Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. Required Skills Bilingual English and/or Spanish Preferred Minimum typing requirement of 35 wpm Excellent oral and written communication Superior customer service skills required - friendly, efficient, good listener Proficient use of the computer, keyboard functions and Microsoft Office Ability to multi-task Knowledge of medical terminology and spelling a plus Ability to work under pressure Excellent organization and time management skills Must be detail-oriented Have a desire to learn and grow within the Company Required Knowledge & Experience
information you verify and gather directly relates to determining whether the Company will decline or issue a policy. Summary Job Description: We're looking for outgoing, hardworking individuals who are self-starters, can work independently and are detail oriented.
As a Verification Call Center Representative you'll handle inbound and outbound telephone calls with potential customers and accurately document the information on the appropriate database. You must have a positive, helpful attitude with customers to quickly gather information and record it. There is no cold calling and no phone sales. Friendly, casual work environment with full-time and part-time positions available. Excellent
earning potential - hourly wage plus bonus based on performance. Primary duties & responsibilities: Daily Maneuver within the Quality Assurance database and conduct appropriate backssments on what additional information or verification is needed Ability to handle inbound/outbound calls to potential customers - verify and document required information to finalize applications for underwriting backssment.
Accurately document the information Properly document non-contact attempts within the Quality Assurance Database Be able to properly explain the application process to potential customers Accurately and thoroughly complete additional paperwork when needed Maintain appropriate levels
of communication with supervision regarding actions taken within the Quality Assurance database Transfer calls to appropriate department as needed Successfully meet the minimum expectation for departmental key performance indicators (K.
P. I's) Reliable and predictable attendance of your assigned shift Ability to work Full-Time and/or Part-Time based on the specific position for which you're applying Occasional Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. Required Skills Bilingual English and/or Spanish Preferred Minimum typing requirement of 35 wpm Excellent oral and written communication Superior customer service skills required - friendly, efficient, good listener Proficient use of the computer, keyboard functions and Microsoft Office Ability to multi-task Knowledge of medical terminology and spelling a plus Ability to work under pressure Excellent organization and time management skills Must be detail-oriented Have a desire to learn and grow within the Company Required Knowledge & Experience
to much higher retention and customer satisfaction! We are searching for talented people who will help us shake up the insurance world and guide the Nav Sav of tomorrow. Our people bring ambition, passion, and innovation to every dimension of our company. Every member of our team is adding to our rapid growth and bringing new perspectives to every corner of our success.
About the role: We are hyper focused on GROWTH and RETENTION. We feel that it is just as important to retain our loyal clients as it is to bring in new clients! We need a committed account manager like you to bring high energy and motivation to meet goals and initiatives. The ideal account manager would be enthusiastic
about this position and the part that you will play in providing best in class customer service to clients while helping them to prepare for the unexpected! If this sounds like you, we are ready for you!
Apply today! Key Responsibilities: Establish and develop exceptional customer relationships Provide prompt, accurate, and friendly customer service Discuss client coverage needs, gaps, billing concerns, policy changes, etc. and process any needed policy changes Promote additional lines of coverage to clients through cross selling initiatives based on their individual needs Providing policy reviews as appropriate and remarketing policy renewals as needed for clients Contribute to individual
goals and agency success by following our set growth and retention processes and identifying new business opportunities Benefits Included: Medical Insurance Retirement with 3% match Paid holidays Paid vacation Vision Insurance Supplemental Insurance Dental Insurance Competitive Base Salary Commissions Required skills and licensing: Property and Casualty license Pass background check Customer service experience Strong verbal/written communication skills Good operational computing/typing 50+ WPM (Microsoft Office Suites, Internet Browsers) Confident self-starter who works well independently Strong problem-solving capabilities Ability to multi-task If you feel that this position could be a great fit for your skillset, we encourage you to apply now!
Job Posted by Applicant Pro
CT After your initial six weeks of paid training, your regular shift hours offer some flexibility regarding when you start your day, however, your eight-hour shift must be completed by 6:00 PM ET. Location: FULLY REMOTE Note: This is not a call center or customer service job At Patriot RN, we pride ourselves on processing long-term care claims accurately and efficiently so we can provide important financial reimbursement to the people who need it most.
Working behind the scenes in the long-term care industry, our Claims Examiners provide deserving benefits to the aging and infirmed populations who depend on their claims to be accurately processed and ultimately paid. The Patriot RN TEAM
is unique. Each Claims Examiner starts their career the same way - with an opportunity for growth. Heather was promoted to Team Lead after one year as a Claims Examiner at Patriot RN.
Now she is a Supervisor. Megan was promoted to Team Lead after 14 months as a Claims Examiner at Patriot RN. Jared ascended to a Trainer with one of the client partners after two years as a Claims Examiner. Curious about where your journey will take you? Patriot RN's Claims Examiners are A-players and represent the top 10% of available talent in the market. Our ROCKSTAR Claims Examiners are smart, detail-oriented, natural problem solvers, and want to continuously grow and become more knowledgeable. Ideal
Candidate Characteristics: Recent college graduate with B. S. or B. A.
in Math, Actuarial Sciences, Economics, Statistics, Finance, Accounting, or a related field Detail-oriented and highly organized - a Hermione Granger at heart! Eager to take on any challenge Self-driven with the ability to work effectively from a home office You work best alone because it gives you the chance to focus Quick with math - you don't use a calculator to figure out the tip for a $10 meal It bothers you when your friends and family are not honest about even the smallest things You wish everyone used common sense. like. all the time Key Responsibilities and Measures of Success: Adjudicate routine home health and facility-based claims for long-term care 98% Financial Accuracy Review and pay claims according to the claimant's policy and prescribed plan of care.
Verify the provider of care is appropriate and in accordance with contract language and government regulations regarding healthcare providers and matches the plan of care for the associated dates of service 98% Procedural Accuracy Determine benefit eligibility and payable amounts based on policy language and the client's required procedures 42 Claims Processed per Day Learn more about working at Patriot RN: When a Long-Term Care Claims Examiner does their job well (with attention to detail and accuracy in determining reimbursement), a long-term care beneficiary has huge financial stress taken off their shoulders.
That is why our Claims Examiners share the following Core Values. PATRIOT RN CORE VALUES: LOVE A CHALLENGE If shows like CSI are one of your favorite shows, and/or you love solving puzzles then you could be a great fit for our team. Peeling back layers of claims history and really doing a thorough examination of the documentation is the crux of being a Patriot RN Claims Examiner HIGH ATTENTION TO DETAIL If you have a gift for organization, enjoy working from lists, prefer to maintain a routine, make quality a priority, and are super focused- then we may have the dream role for you CONSISTENT If you behave the same way, have the same attitudes towards people and things every day, and work diligently to hit the bar day-in and day-out, without drama, then pinch yourself - this role is perfect for your personality!
EAGER TO LEARN & GROW If you are a bit of a nerd and have a passion for lifelong learning coupled with the desire to grow professionally and personally. BONUS TRAIT: you " geek out" over process improvement - then WOW - consider yourself lucky for finding a genuine career field.
HONESTY Honesty is a virtue and the true foundational value of our team. We expect honesty about situations or events. Additionally, we also expect honest communication between colleagues and managers. Being honest allows us to take responsibility for our work, improve any areas where we may be lacking, and ask for help when necessary Benefits: Medical, Dental, Vision 401k w/matching PTO Paid Holidays PAY: $18.75/hour Application Process: Apply online Complete online backssment within 24 hours of application Set aside at least 35 minutes to complete the backssment, as it cannot be interrupted once it begins Initial Zoom interview (Approximately 15 minutes) Deep Dive Interview (Approximately one hour) :
and existing accounts including the renewal process, monitoring account activity, changes in exposure and revisions in coverage. Assist in ongoing risk evaluation of client exposures. Manage billing functions including invoicing, reviewing accounts receivable statements, reconciling account differences, and documenting collection issues.
Issue binders, EOP, ID Cards, insurance summaries, and handling related administrative functions. Participate in client/carrier meetings. Ability to mentor Account Manager Assistant. Job Requirements Ability to research, analyze and solve problems independently. Ability to work under minimal supervision. Strong interpersonal, written, and verbal communication
skills. Excellent customer service, organizational, and time management skills. Thorough knowledge of Microsoft product suite including Word, Excel, & Outlook.
Preferred Education/ Experience Working knowledge of agency standard operating procedures and management systems Experience working with Applied Systems- Epic platform a plus Active Property and Casualty License About Us Oakbridge Insurance Agency is a new kind of insurance and risk management agency with the mission to transform and elevate the way business is done in our industry. For over 100 years, the founding firms of Oakbridge worked alongside each other in small towns and cities throughout the Southeast, cultivating similar
company cultures and best practices, and earning each other's respect in the industry.
They envisioned a way to impact the future of insurance and formed Oakbridge Insurance Agency on January 1, 2021. Since forging this different path, we are proud to have added additional partners to Oakbridge who reflect our vision, demonstrate our core values, and share our commitment to doing what is right for our friends and neighbors. Our most important asset is our people. We offer a friendly and flexible work environment and offer first-class benefits to meet the needs of you and your family. Benefits include a 401k plan with immediate participation, company match, and immediate 100% vesting.
Company-paid benefits include life insurance and short- and long-term disability. We have a strong health insurance plan and many supplemental, voluntary offerings. Oakbridge Insurance is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, interaction, religion, interactionual orientation, national origin, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, recall, leave of absence, compensation, benefits, training, and apprenticeship.
Oakbridge Insurance makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information visit our website Deeply Rooted Insurance Agency Oakbridge Insurance - Oakbridge Insurance
manner. This includes providing the necessary support to the overall production and profit objectives of the program. ESSENTIAL FUNCTIONS: Maintain up to date and adhere to all AURA and carrier's processing procedures. Maintain up to date knowledge of all items in AURA Underwriting Guidelines, including underwriting and rating changes.
Refer accounts to carriers when risk are " outside" the underwriting box Respond to all brokers inquiries in a professional and timely manner. Review and process all incoming mail for assigned accounts. Document all correspondence and phone calls in our agency management system. Underwrite accounts to ensure compliance with our guidelines and
discuss risks " outside the box" internally for possible referral to carrier(s). Market accounts when necessary, and monitor status of quotes to make sure " need by date" and deadlines are met.
Quote accounts and present timely proposals to brokers. Review bind requests and binding documents received from brokers, to assure adherence to the program requirements. Request policies issuance as requested by broker. Process legal notice of non-renewal or cancellation when necessary. Assist in training other employees at management's request. Maintain positive relationships with appropriate company representatives through proper contacts and effective communication. Provide
assistance to Technical Support team, Assistant Underwriters or company Underwriters as necessary, in preparation of policy or endorsement processing.
Share all new company information/changes with department. Adhere to all ethical and State Insurance Department guidelines and procedures. Participate in seminars and other training to maintain required licenses and for knowledge and skill development in a timely manner (minimum 45 days prior to expiration). Report to manager need for updates to websites, letters, training, etc. Willing and able to travel (1-2 times per year or as required by management). Perform other duties as requested at the direction of management.
QUALIFICATIONS: Education: College degree preferred; High School diploma or equivalent required Valid Florida Property & Casualty/General Lines insurance license preferred (FL 2-20) Minimum 5+ years insurance underwriting experience Experience wholesaling and/or underwriting real estate risks a plus Knowledge of commercial insurance and products essential Computer systems and operations knowledge and skills required Good listening/writing skills and overall good communication skills a must. Excellent attention to detail required Professional designation a plus
all documents are prepared and finalized in compliance with policies and procedures. Opens and processes files: Ordering credit reports, appraisals, and verifications; conducting regular follow-up with outside sources of outstanding documents. Reviews and verifies application information to prepare the application file for underwriting.
Notifying borrowers and applicable other sources of any underwriting decisions and reworking a file as needed. Provides excellent customer service to mortgage applicants, both verbal and written, maintaining an open line of communication with the applicant and professional partners throughout the processing period, assisting them with any questions and
notifying them of additional information required. Provides feedback to management on loan activities based on loan level reporting. Required Skills: Experience with Encompass required.
Excellent verbal and written communication skills. Excellent analytical skills. Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Basic personal computer skills including electronic mail, word processing, spreadsheet, graphics, etc. Knowledge of Desktop Underwriter and Loan Prospector or similar software is preferred. Must be able to work in a fast-paced environment. Must handle multiple tasks simultaneously. Must
have the ability to prioritize and organize competing assignments. Must be detail oriented.
Experience: Mortgage Underwriting: 5 years (Required) Encompass origination software: 2 years (Required) This Company Describes Its Culture as: Detail-oriented -- quality and precision-focused Outcome-oriented -- results-focused with strong performance culture Team-oriented -- cooperative and collaborative
a plus About the compensation: Generous base salary Paid vacation time Sick and personal days CMEHealth insurance Community/Location information: Located in western Connecticut in desirable Fairfield County35 miles from New Haven, one hour from Hartford, and 90 minutes from New York City This area boasts museums, nature and wildlife areas with hiking trails, a concert park, a sports dome, and a golf course Population of 86,000 people JV-9 For more details: jobs-search.
org/insurance_connecticut-r782048/pediatric-nurse-practitioner-sought-for-fairfield-county-connecticut-job_i1961358218
and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results.
We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best. -------------------- Great American's Strategic Comp division is currently seeking an Underwriting Assistant (Associate Underwriter) to support our growing Underwriting Team.
This is a full-time remote / work from home opportunity. Are you self-motivated, highly organized and driven by attention to detail? Do you enjoy multi-tasking and working in a fast paced environment?
Do you enjoy supporting a team and working independently? If so, this might be the right job for you! Here's who we are. Strategic Comp is part of Great American Insurance Group, which was established in 1872. Based in Cincinnati, Ohio, the operations of Great American Insurance Group are engaged primarily in property and casualty insurance, focusing on specialty commercial products for businesses and in the sale of annuities. Our employees at Strategic Comp make a difference and feel appreciated
for it. In fact we received 98% rating for overall job satisfaction from the participants in our last employee survey.
This clearly indicates the passion and energy our staff has for our company and for the job they do! Here's what we do. We insure workers' compensation coverage for large companies, using our deductible program. Our service is second to none. We've found that a large majority of our customers feel the way our employees do. Our renewal retention is 90+%, meaning our customers enjoy working with us too! Here's what you would be doing if hired for the position. The Underwriting Assistant (Associate Underwriter)will provide customer service and administrative support to the Underwriting department.
This position gathers data from several sources, including the clients, on new and renewal business for the underwriting decision process. The Underwriting Assistant organizes the data and provides it to the Underwriters to help speed decision making. (The Underwriting Assistant does not perform risk selection, rejection, pricing and retention -- those tasks are performed by the Underwriter. ) The Underwriting Assistant maintains effective business relationships with internal and external customers in relation to the underwriting process.
Responsibilities : (Training Will Be Provided) Performs a variety of policy administration tasks in support of the business within established production and quality guidelines. Tasks may include: Reviews instructions from agent, underwriter, insured, broker, etc. to understand / determine what is needed to provide quotes, issuances, renewals, endorsements, Crits etc. Enters information on quotes, issuances, renewals, audits, endorsements and / or cancellations / reinstatements based on rules and company procedures. Enters rate, premium and / or policy information into appropriate systems for policy updates / issuance.
Maintains file accuracy and completeness. Orders, prepares and / or updates reports (i. e. loss reports, financial reports, loss run requests, etc. ) and / or legal notices (i. e. Notice of Cancellation, non-renewal notice, etc. ). Researches and resolves and / or corrects errors and / or issues. Prepares, assembles and / or issues policy / endorsements and associated documentation. Researches and reconciles premium / billing accounting discrepancies. Responds to premium / billing questions. Utilizes computerized systems for research, tracking, information gathering and / or troubleshooting (i.
e. Excel / Word programs, legacy systems, internal systems, third party vendor delivered systems, etc. ). Shares and / or conveys routine information via telephone, e-mail, fax or regular mail to underwriters, agents, brokers, reinsurers and / or insureds maintaining a professional demeanor in all situations. Participates in other departmental processes / projects, such as changes / enhancements to forms and screens, user acceptance testing for systems and policies, and reviewing impact to current policies / practices. Acts as a liaison with other departments and facilitate interdepartmental communication.
May perform other tasks including support, imaging, mail, data entry, agent contracting support and / or supply functions. Builds working knowledge of policies and procedures, as well as the business (including products, coverages, etc. ) and organization. Complies with company and regulatory guidelines. Performs other duties as assigned. Qualifications : Bachelor's degree is required Underwriting assistant or internship experience with an insurance carrier or agency is preferred Workers' Compensation or Property & Casualty lines experience is preferred Hourly, non-exempt salary range is based on candidate experience and location.
Strategic Comp and Great American Insurance Group offer a comprehensive benefits package which includes, but is not limited to: Medical, Dental, Vision, Life, Paid Time Off, 401(k) Retirement and Savings Plan, Employee Stock Purchase Plan, Education Reimbursement Program #LI-REMOTE Business Unit: Strategic Comp Salary Range: $20.00 -$24.00 Benefits: We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees. Requisition #: R50286ahf9io63
and property and casualty operations, there are always opportunities here to learn and grow. At Great American, we value diversity and recognize the benefits gained when people from different cultures, backgrounds and experiences work collaboratively to achieve business results.
We are intentionally focused on fostering an inclusive culture and know valuing diversity is an essential leadership quality. Our goal is to create a workplace where all employees feel included, empowered and enabled to perform at their best. Accountable for countrywide and state specific product development initiatives, compliance, and general maintenance activities related to ISO and GAI Companies' Commercial
Insurance proprietary products for multiple lines of business including Commercial General Liability and Business Owners (BOP) products. Actively engages with stakeholders including Business Units, Underwriting, Claims, Actuarial, IT and external Commercial Insurance organizations.
Essential Job Functions and Responsibilities Responsible for the maintenance of Commercial General Liability and ISO BOP products including, but not limited to policy forms, policyholder notices and disclosures, advisories, manuscripts or other pertinent product materials. Recognized as the primary product support contact for business units and other staff. Interacts with relevant departments such as IT, Claims,
Underwriting, Sales/Marketing, and provides customer service support (i.
e. regulators and industry groups). Leads business unit, compliance, claims, program reviews, and audits (i. pliance audits, rate/pricing reviews). Develops product and coverage strategies and product development initiatives in conjunction with Business Units, Product Managers, Claims, Actuarial, Data and Legal. Ensures the review, approval and implementation of assigned filings and ensures compliance with statutory requirements. Including, but not limited to, creating filing documentation and coordinating responses for Departments of Insurance. Collaborates with Business Units, Legal, and Actuarial to resolve any issues relevant to securing state approval of forms and rates, or to revise products or procedures for compliance with new laws.
Develops and provides recommendations of product and rate revisions, underwriting guidelines, manuals, and procedures. Gathers and analyzes data from various sources specific to the products. Monitors product performance. Provides summary analysis, makes recommendations, and communicates to business units. Provides advanced coverage analysis expertise & direction for policy forms. Develops and executes action plans and strategic direction for functional areas and maintains alignment with other product managers to ensure successful development of entire product line.
Conducts competitor coverage analysis and makes recommendations for coverage and forms strategies. Accountable for and coordinates the development of new and revised insurance products, policies, and other required forms to ensure compliance with regulatory requirements and company guidelines. Monitors pertinent insurance publications, including ISO circulars, to determine impact on line of business. This may include: Identifying emerging coverage issues, state regulatory concerns, and business unit needs.
Developing action plans, implementing, and communicating changes when appropriate. Leads in the development of training and communication materials and providing training as necessary on product/rate changes for staff, field, and agency personnel. Partners with the IT department on prioritization, implementation, and enhancements of operational systems to ensure production capabilities are both effective and efficient. Knowledge of Duck Creek a plus. Resolves and/or assists with researching, documenting, communicating highly complex compliance related issues.
Provides technical advice, assistance and training to lower level positions, management, and other functional areas. Interacts with Underwriting and Claims regarding product trend issues. May have responsibility for performance and coaching of staff and may have a participatory role in decisions regarding talent selection, development, and performance management for direct reports. May have accountability for ensuring that the unit meets budget and performance objectives. Performs other duties as assigned. Job Requirements Education: Bachelor's Degree or equivalent experience.
Field of Study: Business, Liberal Arts or a related discipline. Experience: Generally, 10 or more years of related experience; 5 or more years of product experience. Certification in area of expertise may be required; appropriate certifications could include Associate in Underwriting (AU), Chartered Property Casualty Underwriter (CPCU), Certified Insurance Counselor (CIC), Program in General Insurance (INS), Associate of Risk Management (ARM), Certified Licensing Professional (CLP) or other applicable designations. Business Unit: Property & Casualty Product Data & Compliance Benefits: We offer competitive healthcare, retirement, and paid time off benefits for full-time and part-time benefit eligible employees.
Requisition #: R5262tcv57hlu2
strategies. Position Location: 100% remote Responsibilities include but are not limited to: Lead team consisting of claims adjusters, auditors, and administrators. Develop and maintain processes and guidelines for claim reviews. Provide expertise and guidance on complex and high cost claims.
Ensure nursing staff provides cost projection support as needed by underwriting. Regular review of open claims and actuary guidance to establish claim reserves. Audit and process claims as needed. Execute cost mitigation strategies to eliminate erroneous charges and deliver better care outcomes. Coach team members to ensure the successful execution of their role responsibilities and professional development.
Responsible for managing strategic relationships with stop loss vendors, clients, and brokers. Required Experience / Education: Bachelor's Degree in related field 8+ years of experience in medical claims administration, with at least 5 years administering claims at a third-party administration or stop loss/health insurance carrier.
Experience managing a team. Prior management experience preferred. Experience in health care provider billing is a plus. Highly developed knowledge and understanding of healthcare payers, health plan administration and medical service providers. Familiarity with ICD-10 and revenue codes. What can Imagine360 offer you? Multiple Health Plan Options, including
a 100% employer paid premiums option 100% Company paid employee premiums for Dental, Vision, STA, & LTD, plus Life Insurance Parental Leave Policy 20 days PTO to start / 10 Paid Holidays Tuition reimbursement 401k Company contribution Professional development initiatives / continuous learning opportunities Opportunities to participate in and support the company's diversity and inclusion initiatives Want to see our latest job opportunities?
Follow us on Linked In Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, disability, or veteran status. RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable.
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assigned authority limit. Documents all activities and pertinent information in applicable claim system. Responsible for handling claims that require learning of basic claim skills relating to fact of loss investigations, compensability and damages such as material damage and medical bill processing.
Entry-level role for associates who are new to claims or who have limited insurance knowledge and/or customer service experience. This position will be located out of our Davenport, IA office. What You'll Do Verify that our customers have coverage Investigate and gather information about claims by contacting all parties involved Accurately document all decisions, correspondences, reports,
and discussions Gain experience in determining liability and setting reserves Evaluate your investigations to make decisions about the claims Learn about determining if subrogation exists and taking steps necessary for recovery Resolve claims in the best interests of the insured, the claimant, and Sentry What it Takes Bachelors Degree or equivalent experience0-2 years of related work experience Prior knowledge of underwriting systems and/or various software applications beneficial Completed insurance courses related to property and casualty insurance, such as IIA and CPCU beneficial Excellent verbal, written and interpersonal communication skills along with analytical and mathematical skills
What You'll Receive: At Sentry, your total rewards go beyond competitive compensation.
Below are some benefits and perks that you'll receive. Sentry is happy to offer flexibility through a scheduled Hybrid work model. Monday and Friday work from home if you choose to, Tuesday through Thursday in office. Generous Paid-Time Off plan for you to enjoy time out of the office.401(K) plan with a dollar for dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future. Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle. Extensive Work-Life Resources to lend a helping hand. Sentry Foundation gift matching program to encourage charitable giving.
Continue your education and career development through Sentry University (Sentry U). About Sentry: We take great pride in making Forbes' list of America's Best Midsize Employers since 2017. A lot of different factors go into that honor, many of which contribute to your job satisfaction. Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States.
We're rated A+ by A. M. Best, the industry's leading rating authority. Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth. Get ready to own your future at Sentry. Opportunities await! Joe Larsen Talent Acquisition Specialistxyz X@ Equal Employment Opportunity Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, interaction, disability, age, marital status, or interactionual orientation.
of MA is currently offering retention bonuses on a quarterly basis for nurses who work in the home care field. You could earn up to $3250 every three months in addition to your hourly wage! BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC)!
This opportunity is only open to nursing graduates with a passed NCLEX. Want to learn more about the program or haven't taken your NCLEX yet? Attend a live info session BAYADA Home Health Care was founded on the principle that health care gets better when clients get better care at home—the place they most
want to be. Delivering care is our highest priority and greatest joy. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your interests and put your skills to work.
Many clients require advanced care, such as tracheostomy and ventilator management. That’s why we offer a multitude of paid training! BAYADA offers: One on one care Flexible schedules Electronic charting using Care Connect In-house education and training programs Awarding-winning adult and pediatric Simulation labs Short commute times – we match you with cases near your home Around the clock clinical support by phone $1,200 nursing referral bonuses Requirements: Current valid nursing
license and graduation from a qualified nursing program Benefits include: Weekly pay every Thursday PTOMedical, Dental, and Vision benefits Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner401KPreventive Care Coverage for ALL employees (PRN included) NER-MA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws.
Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_massachusetts-r782063/registered-nurse-rn-new-grad-foxborough_i1961358079