state of practice EKG certification is recommended and/or a special test may be required, NIHSS (stroke scale) is also recommended Specialty-related certifications are preferred and may be required for specific positions Experience as a Telemetry RN in a hospital setting Minimum of 2 years of experience as an RN Job Details Weekly Pay: $2,235 per week Location: Fresno, CA Shift Schedule: Nights Assignment Duration: 13 Weeks Weekly Hours: 36 Hours Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend: Facility Cancelled Shifts, JACHO Certified, Prestigious Facilities, PTO Program, Weekly Pay, Paid Compliance Cost, Referral Bonuses, Extra Shift Bonuses, 401(k) Plan For more details: jobs-search.
org/insurance_fresno-c426437/job_i1969869810
has been received. Investigate and complete open or pended claims. Meet production and quality standards. With approximately 9,000 physicians to serve our 260,000 members, Prospect Medical Systems is proud to be among the most innovative medical systems in California, Texas and Rhode Island.
Our extensive care services range from primary care and specialty physician services to acute care hospital and skilled nursing facilities to behavioral health and wellness services. Each of our Independent Physician Associations (IPAs) and networks support the use of advanced diagnostic and treatment tools to provide our members with convenient access to state-of-the-art healthcare. For 25+ years,
Prospect Medical has been focused on our mission of supporting independent physicians where, through risk arrangements, we work closely together with health plans, facilities and healthcare physicians for the benefit of every person who comes to us for care.
We provide quality healthcare services that are designed to offer our patients highly coordinated, personalized care and that help them live healthier lives. Prospect Medical Systems manages highly successful IPAs by leveraging our best-practices, results-driven administrative services to manage patients under risk arrangements with health plans/CMS. Minimum Education: High school diploma or equivalent required. Minimum Experience:
Three to five (3-5) years prior medical claims processing experience required.
Knowledge of general claims processing principles, CMS claims coding, and UB-04 claims coding, based on at least three to five (3-5) years experience in claims processing preferably in a managed care environment (IPA, MSO) Req. Certification/Licensure: None. Enter claims information from CMS 1500 (professional) and UB-04 (facility) claims into the IDX claims system. Process all level of claims including Professional, COB, surgery, skilled nursing, lab, Home Health, ER, hospital (in and outpatient), DME, shop and radiology claims by applying Prospect's policy and procedures and all claim payment criteria.
Analyze complex claim issues and handle all adjustments for corrected claims or when additional information previously requested is received. Identify and pend claims that require referrals to all support areas (eligibility, Medical management etc) for evaluation or correction of data, tracking these claims to ensure that they are returned and resolved within regulatory guidelines. Achieve stringent quality goals of 98% administrative accuracy and 99% financial accuracy to contribute to achieving client performance expectations. Achieve stringent productivity goals of 80/10 claims per day/hr.
Initiate recovery of overpaid claims. Also any other duties as requested. Enter claims information from CMS 1500 (professional) and UB-04 (facility) claims into the IDX claims system. Process all level of claims including Professional, COB, surgery, skilled nursing, lab, Home Health, ER, hospital (in and outpatient), DME, shop and radiology claims by applying Prospect's policy and procedures and all claim payment criteria. Analyze complex claim issues and handle all adjustments for corrected claims or when additional information previously requested is received.
Identify and pend claims that require referrals to all support areas (eligibility, Medical management etc) for evaluation or correction of data, tracking these claims to ensure that they are returned and resolved within regulatory guidelines. Achieve stringent quality goals of 98% administrative accuracy and 99% financial accuracy to contribute to achieving client performance expectations. Achieve stringent productivity goals of 80/10 claims per day/hr. Initiate recovery of overpaid claims. Also any other duties as requested.
help you launch a successful career as a professional truck driver. Dollar General offers a paid training program and benefits day 1 to put you on the fast track to success. BCBS health insurance, dental & vision insurance, short-term and long-term disability, and life insurance are available on day 1~ Pet policy - we love our furry family too (Paid job training - earn $200/day while you train - CDL-A required Employee assistance programs, college tuition discounts, DG stock purchase plan Zero-cost rider policy New equipment Paid weekly Valid Class A Commercial Driver’s License (CDL) Must have at least 1 year of commercial driving experience Paid unloading; unload freight and rolltainers at each delivery site in a safe and efficient manner For more details: jobs-search.
org/insurance_davis-c426329/class-a-cdl-truck-driverneed-drivers-asap-davis_i1968634827
our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position Summary This position requires full understanding and active participation in fulfilling the mission of Saddleback Medical Center. It is expected that the employee will demonstrate behavior consistent with our core values: Integrity, Accountability, Best Practices, Compassion and Synergy. The employee shall support Saddleback
Medical Center's strategic plan and participate in and advocate performance improvement/patient safety activities. The Insurance Verification Representatives is responsible for timely and accurate verification of medical insurance benefits for both admission and pre-admission visits.
The verifiers will be obtaining current eligibility, verifying benefit coverage, and ensuring accurate information is obtained (pre-certification, authorizations & tracking numbers) and documented into the registration system to secure reimbursement. The verifier must be knowledgeable with insurance contracts. Ability to work from workqueues and assist with training new staff. Multi-task oriented with the
ability to prioritize and coordinate the essential job functions.
Maintains effective working relations with coworkers, nurses, physicians, and other hospital staff members in order to insure workflow effectiveness. Greets and assists all customers and visitors, whether in person or by telephone, using guest relation techniques while professionally representing the visions and values of Memorial Care. Essential Functions and Responsibilities of the Job 1. Verify Insurance benefits for pre-admissions and admissions. 2. Ability to understand and advise patients of their financial responsibility (co-pay, co-insurance, deductible, etc). 3. Monitor/manages work queues.
4. Maintain effective patient flow and complete the insurance verification process. 5. Provide excellent customer service and maintain effective working relations with coworkers, office staff and hospital staff members. 6. Ability to be at work and be on time. 7. Ability to follow company policies, procedures and directives. 8. Ability to interact in a positive and constructive manner. 9. Ability to prioritize and multitask. Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities.
Health and wellness is our passion at Memorial Care-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more. Check out our Memorial Care Benefits for more information about our Benefits and Rewards. E xperience • A minimum of 2 years insurance verification experience in a hospital or office setting • Must have strong customer service and computer skills.
Education • High school diploma or GED preferred • Medical terminology course preferred • Bilingual (English/Spanish) preferred
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 Examiner Workers Compensation - Hybrid Are
you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? Apply your examiner knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional
development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial, and professional needs. OFFICE LOCATION Brea, CAHybrid Schedule ARE YOU AN IDEAL CANDIDATE? To analyze Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. PRIMARY PURPOSE OF THE ROLE: We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
ESSENTIAL RESPONSIBILITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS Education & Licensing: 5 years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing: SIPJurisdiction: California TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Opportunity to work in an agile environment. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
WORK ENVIRONMENT REQUIREMENTS Physical: Computer keyboarding Auditory/visual: Hearing, vision and talking Mental: Clear and conceptual thinking ability; excellent judgement and discretion; ability to meet deadlines. #claims #claiminteractionaminer As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. 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 jurisdiction noted in this job posting only, the range of starting pay for this role is from $75,000 up to $95,000 per year. 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 #: R44650tcv57hlu2
the placement/renewal process and update annual renewal exhibits as requested.
Set up / renew program, create submission, select approved markets, send submissions, download quotes, send FOTs, download authorizations/declinations, send signed lines, finalize in GCMP making sure all information is accurately reflected.
Track placement status of assigned accounts. Follow-up with broker for updates and information as necessary. Communicate with client and/or markets during the placement process as requested. In the absence of the broker, act as a liaison with reinsurers through phone calls and emails to obtain following lines on a placement and respond to routine questions. Using
Company templates and disclaimers, when applicable, draft and secure broker sign off of the initial request for renewal information, marketing list, placement process updates, final binding of the reinsurance program and post-placement client books/communications, as requested.
Provide the broker with assistance including researching financial statements, product lines, geographic exposures, and current reinsurance rmation using available resources as required. Interface with other Departments to provide client data to be used for modeling, research claim or premium issues and facilitate contract wording negotiation flow as necessary. Coordinate the research, processing and resolution
of difficult and complex client issues (i. e. accounting, claims, LOC, and contract wordings) including follow up and final resolution and provide information to brokers, as necessary.
Review, package and transmit contract documents to Reinsurers according to procedure, upon instructions from Contract Analyst/Associate. Assist Contract drafters by having primary responsibility for obtaining properly signed contract documents from reinsurers and aggressively pursuing by phone, e-mail, letter, etc. until all executed documents have been received. Escalate in accordance with procedure and input contract status data on the document tracking system as required. Provide status reports according to procedure and upon request.
Scan/upload and name all contract documents as received from reinsurers, Clients and/or Analysts/Associates and transmit completed signatures. Utilize Contracts Dashboard and/other legacy tracking tools to manage contract performance. Assist with scheduling of reinsurer audits and visits with client, attending if requested. Business Knowledge Maintain broad understanding of the environment in which the client operates and the marketplace in which the transactions that Guy Carpenter handles take place. Using the Market Reference Guide, develop an understanding of the differences between the reinsurer who bears the risk on the contract versus the parent or group entity to ensure proper legal reinsurer name is entered in systems and correct financials and NAIC codes are accurately communicated to clients.
Participate in team meetings and activities to share opinions, ideas, knowledge and solutions; maintain strong working relationships and participate in initiatives and/or contribute where required to deliver outcomes. Seek opportunities to increase own understanding and improve the services provided. Compliance and Regulatory Review Ensure all records/forms for assigned accounts are properly completed and stored in accordance with policy.
Understand all best practice procedures and compliance policies. When new procedures are provided, understand, and adopt new procedures as rolled out, take required training and speak up with any question or concerns uncovered in your role at Guy Carpenter. Follow all best practice procedures and compliance requirements, including but not limited to building a complete placement file as the placement progresses to minimize errors & omissions. Client Services Provide client and broker with comprehensive meeting book for marketing trips and convention attendance.
Respond to client requests for information (reinsurer, financial reports, industry issues, etc. ), as directed by senior broker, coordinating with Market Information and other departments as necessary, and clearing with senior broker. Attend external client meetings as requested. Other Attend visiting reinsurer meetings, as necessary Provide assistance with training QUALIFICATIONS: Associate degree and applicable or transferrable experience preferred.3-5 years related experience in insurance/reinsurance industry.
Knowledge of insurance/reinsurance concepts and terms for developing submissions, reviewing contract wordings. Basic knowledge and understanding of insurance/reinsurance accounting and claims handling. Strong interpersonal skills for establishing and maintaining good internal relationships and interactions with clients and reinsurers. Strong verbal and writing skills for internal and external communications with clients, reinsurers, GC colleagues at various levels. Strong ability to prioritize workload according to volume, urgency, etc. Strong organizational skills and the ability to pay attention to detail and multi-task.
Good problem-solving skills to identify problems and to begin to formulate resolutions and recognize when to escalate to manager. Good computer skills. Proficient in Microsoft Products. is a leading global risk and reinsurance specialist with more than 3,100 professionals in over 60 offices around the world. Guy Carpenter delivers a powerful combination of broking expertise, trusted strategic advisory services and industry-leading analytics to help clients adapt to emerging opportunities and achieve profitable growth. Guy Carpenter is a business of Marsh Mc Lennan (NYSE: MMC), the worlds leading professional services firm in the areas of risk, strategy, and people.
The companys 75,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh Mc Lennan helps clients navigate an increasingly dynamic and complex environment through four market-leading companies including Marsh, Mercer, and Oliver Wyman.
finalize in GCMP making sure all information is accurately reflected. Track placement status of assigned accounts. Follow-up with broker for updates and information as necessary. Communicate with client and/or markets during the placement process as requested.
In the absence of the broker, act as a liaison with reinsurers through phone calls and emails to obtain following lines on a placement and respond to routine questions. Using Company templates and disclaimers, when applicable, draft and secure broker sign off of the initial request for renewal information, marketing list, placement process updates, final binding of the reinsurance program and post-placement client books/communications,
as requested. Provide the broker with assistance including researching financial statements, product lines, geographic exposures, and current reinsurance rmation using available resources as required.
Interface with other Departments to provide client data to be used for modeling, research claim or premium issues and facilitate contract wording negotiation flow as necessary. Coordinate the research, processing and resolution of difficult and complex client issues (i. e. accounting, claims, LOC, and contract wordings) including follow up and final resolution and provide information to brokers, as necessary. Review, package and transmit contract documents to Reinsurers according to procedure,
upon instructions from Contract Analyst/Associate. Assist Contract drafters by having primary responsibility for obtaining properly signed contract documents from reinsurers and aggressively pursuing by phone, e-mail, letter, etc.
until all executed documents have been received. Escalate in accordance with procedure and input contract status data on the document tracking system as required. Provide status reports according to procedure and upon request. Scan/upload and name all contract documents as received from reinsurers, Clients and/or Analysts/Associates and transmit completed signatures. Utilize Contracts Dashboard and/other legacy tracking tools to manage contract performance.
Assist with scheduling of reinsurer audits and visits with client, attending if requested. Business Knowledge Maintain broad understanding of the environment in which the client operates and the marketplace in which the transactions that Guy Carpenter handles take place. Using the Market Reference Guide, develop an understanding of the differences between the reinsurer who bears the risk on the contract versus the parent or group entity to ensure proper legal reinsurer name is entered in systems and correct financials and NAIC codes are accurately communicated to clients.
Participate in team meetings and activities to share opinions, ideas, knowledge and solutions; maintain strong working relationships and participate in initiatives and/or contribute where required to deliver outcomes. Seek opportunities to increase own understanding and improve the services provided. Compliance and Regulatory Review Ensure all records/forms for assigned accounts are properly completed and stored in accordance with policy. Understand all best practice procedures and compliance policies. When new procedures are provided, understand, and adopt new procedures as rolled out, take required training and speak up with any question or concerns uncovered in your role at Guy Carpenter.
Follow all best practice procedures and compliance requirements, including but not limited to building a complete placement file as the placement progresses to minimize errors & omissions. Client Services Provide client and broker with comprehensive meeting book for marketing trips and convention attendance. Respond to client requests for information (reinsurer, financial reports, industry issues, etc. ), as directed by senior broker, coordinating with Market Information and other departments as necessary, and clearing with senior broker.
Attend external client meetings as requested. Other Attend visiting reinsurer meetings, as necessary Provide assistance with training QUALIFICATIONS: Associate degree and applicable or transferrable experience preferred.3-5 years related experience in insurance/reinsurance industry. Knowledge of insurance/reinsurance concepts and terms for developing submissions, reviewing contract wordings. Basic knowledge and understanding of insurance/reinsurance accounting and claims handling. Strong interpersonal skills for establishing and maintaining good internal relationships and interactions with clients and reinsurers.
Strong verbal and writing skills for internal and external communications with clients, reinsurers, GC colleagues at various levels. Strong ability to prioritize workload according to volume, urgency, etc. Strong organizational skills and the ability to pay attention to detail and multi-task. Good problem-solving skills to identify problems and to begin to formulate resolutions and recognize when to escalate to manager. Good computer skills. Proficient in Microsoft Products. ABOUT is a leading global risk and reinsurance specialist with more than 3,100 professionals in over 60 offices around the world.
Guy Carpenter delivers a powerful combination of broking expertise, trusted strategic advisory services and industry-leading analytics to help clients adapt to emerging opportunities and achieve profitable growth. Guy Carpenter is a business of Marsh Mc Lennan (NYSE: MMC), the worlds leading professional services firm in the areas of risk, strategy, and people. The companys 75,000 colleagues advise clients in over 130 countries. With annualized revenue approaching $17 billion, Marsh Mc Lennan helps clients navigate an increasingly dynamic and complex environment through four market-leading companies including Marsh, Mercer, and Oliver Wyman.
& Responsibilities Process paperwork for new and renewal business to include: Applications and other documents required for a submission Binders Certificates of Insurance Policies Invoices Finance Agreements Endorsements Audits Perform account reconciliation.
Review Loss Runs and Claim Status Reports. Order any missing loss runs or request updated loss runs as needed for marketing submission. Prepare Summary Of Insurance. Have good verbal and written communication skills for both client and internal communication. Maintain client files. File all documentation in Image Right per regions filing guidelines. Manage Tasks within Image Right. Participate in Errors & Omission audits. Establish
and maintain positive and effective working relations with other Associates and clients. Education and/or Experience A bachelor's degree is required, or a minimum of 2 - 5 years industry experience showing increasing responsibility directly related to the performance of the above duties A good understanding of insurance terminology, the general functions of an insurance broker, and the various lines of Business Insurance.
Demonstrated ability to successfully perform the duties of an Insurance Associate if currently employed at Marsh & Mc Lennan. Possess and maintain a valid unrestricted California Fire & Casualty Solicitors License. Currently hold or be in the process of obtaining an
insurance designation with a willingness to pursue advanced insurance designations and continuing education.
Proficiency with MS Office software (i. e. Word, Excel and Outlook). Prioritize tasks, and set and achieve goals, think logically in solving problems and present results neatly, with clarity and precision in both oral and written form. Strong attention to detail. Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods as well as use office machinery such as fax and copy machines, and telephones. Work is performed in a typical interior office environment. The applicable base salary range for this role is $17.57 to $37.42.
The hourly rate offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & Mc Lennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs.
For more information about our company, please visit us at: http: ///careers. Requisition #: R_2120176ahf9io63
resolution in a timely manner. Provide routine status updates to service team on open claims. Communicate with claims professionals, clients and internal staff, and achieve successful results. Essential Duties & Responsibilities Provide effective claims management.
Develop and maintain computer based task system of events and diary of routine status updates for P&C claims including dates critical to ensuring claims are properly set up, a timely coverage position is issued, a claims adjuster is assigned, defense counsel is assigned (when applicable), and status update of claims progress. Actively manage assigned claims independently. Participate and present successfully oral and written
P&C claims at client claim reviews in a professional manner and demonstrate B&B's added value and advocacy of claims. Review and summarize coverage positions, including evaluation of coverage denials and reservations of rights, as to appropriateness and present analysis and recommendations to client.
Report in a timely manner all new claims and establish claims files with appropriate tender documentation, adjuster contact information, and coverage positions. Review, strategize and make recommendations of next steps for disputed or denied claims as well as complex claims involving multiple carriers or layers and large loss claims. Identify when claims intervention is necessary and advocate
on behalf of clients to reduce reserves and successfully resolve disputed/denied claims.
Identify and address steps which can be taken to transfer risk and/or subrogate claims. Ensure key internal associates and clients are apprised of claim status. Develop working relationships with dedicated claim liaisons from insurance carriers to support the most effective way to handle claims successfully. Monitor claim files and obtain routine status updates, including providing regular status updates to service teams. Respond to requests for updates or questions from the service team or clients. Identify and notify producers and service teams of large complex claims, claims that have potential coverage obstacles, denied or disputed claims and your strategy to work with the adjuster to resolve issues.
Establish and develop client and company relationships to ensure good communication for the most effective claims handling. Take on assignments and duties as requested by the Director of Property & Casualty Claims or Property & Casualty Claims Supervisor. Education and/or Experience Successful candidate will be a service oriented individual with high personal standards and a hands-on work style. This position requires an individual who is comfortable working at a varying pace, managing multiple tasks and deadlines simultaneously, adjusting priorities often, and managing frequent interruptions.
This position interacts with and provides service to internal associates and has high levels of contact with external vendors. The Property and Casualty Claims Analyst must be positive and approachable, and work effectively with diverse personalities. In addition, the following is required unless otherwise noted: Successful work history to include 4 years of experience in a professional office setting directly related to job responsibilities specified above.
A Bachelor's Degree is highly desired. Obtain and maintain valid CPCU, CIC or ARM designations and meet continuing education requirements Maintain skills and knowledge through independent study, seminars and educational industry resources available for claims management or other job specific specialty areas. Proficiency with personal computers and Microsoft Office applications (i. e. Word, Excel and Power Point) with the ability to operate standard office equipment. Skill in organizing resources and establishing priorities. Demonstrated ability to resolve problems and present results neatly, with clarity and precision in oral and written form.
Demonstrated ability to develop, plan, and implement short- and long-range goals. Maintain a valid Driver's License & have reliable transportation. Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods. Work is performed in a typical interior/office work environment. 15% - 30% travel may be required. Travel consists of 1 - 2 overnight trips per year covering areas both in and out of state. In addition, 1 - 2 days per week are spent visiting clients in all of B&B's service area.
Extended work hours (10 - 12 hrs/day) required on occasion due to client meetings and industry functions that begin well before the workday, and may extend well into the evening. The applicable base salary range for this role is $56,400 to $120,500. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & Mc Lennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: http: ///careers. Requisition #: R_231747tcv57hlu2
assigned accounts preparing for and providing renewal and new business presentations. Essential Duties & Responsibilities Continue to perform all duties of a Client Administrator at an above average level while assisting Client Executive in analyzing coverages and claims data for new and renewal business.
Proactively prepare renewal specifications and rough draft proposals. Assist with and/or manage the marketing of renewal business as directed by Client Executive. Prepare experience modification projections using Intellicomp or other available software. Review accuracy of experience modification calculations published by state rating agencies/bureaus. Timely review policy checking notes
from policy checkers and make corrections to the policy as necessary. Review issues with Client Executive as necessary. As needed, check policies on your own as needed if time allows or a rush situation.
Manage the timely delivery of the policies to the client either via email, in person or via online portal. Assist Client Executives in completion of Stewardship Reports. Review loss run and claim status reports. Prepare Loss Summaries and Large Loss Reports. Periodic visits to clients with Client Executive, including active participation in new business and renewal preparation and presentation. Assist with collections of Accounts Receivables. Participate in E&O Audits. Establish and consistently
maintain effective and positive working relationships with Associates and clients.
Education and/or Experience Bachelor's degree plus 2-3 years of daily World Class Client service is required; or, a minimum of 3 years industry experience showing increasing responsibility directly related to the performance of the above duties including 2-3 years of daily World Class Client service. Maintain a valid unrestricted California Fire & Casualty Solicitors license. Advanced insurance designations applicable to the above duties strongly preferred as well as a willingness to pursue continuing education and professional development. Significantly exceed expectations in existing position if currently employed at Marsh & Mc Lennan Agency.
Excellent understanding of insurance terminology, the functions of an insurance brokerage agency and the various lines of commercial insurance. Proficiency with MS Office Software (Word, Excel, Outlook). Prioritize tasks, set and achieve goals, think logically in solving problems and present results neatly, with clarity and precision in both oral and written form. Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods as well as the use of office equipment such as fax and copy machines, and telephones.
Work is performed in a typical interior/office work environment. Occasional travel to client sites may be required. Travel may consist of an overnight stay. Individual shall not pose a direct threat to the health or safety of other individuals in the workplace. The applicable base salary range for this role is $60,000 to $128,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & Mc Lennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs.
For more information about our company, please visit us at: http: ///careers. Requisition #: R_2138806ahf9io63
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 Examiner - Workers Compensation Roseville,
CA (Hybrid)Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional
development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATIONS Roseville, CA PRIMARY PURPOSE OF THE ROLE: To analyze high-level California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: Active adjusters license and SIP Certification preferred. CA Workers Compensation jurisdiction experience required. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities.
A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. 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 jurisdiction noted in this job posting only, the range of starting pay for this role is ( 67,466.00 - 94,453.00 ). 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.
#claiminteractionaminer #claims 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 #: R45187tcv57hlu2
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(Hybrid 2 Days/Week) Claims Examiner - Workers Compensation
Roseville, CAAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional
development opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATION Roseville, CA - Hybrid PRIMARY PURPOSE OF THE ROLE: To analyze California Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
ESSENTIAL RESPONSIBLITIES MAY INCLUDE Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim. Negotiating settlement of claims within designated authority. Communicating claim activity and processing with the claimant and the client. Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
QUALIFICATIONS Education & Licensing: 4+ years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licensing / Jurisdiction Knowledge: Active adjusters license & SIP Certification preferred. TAKING CARE OF YOU Flexible work schedule. Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. 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 jurisdiction noted in this job posting only, the range of starting pay for this role is ( 67,466.00 - 94,453.00 ). 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.
#claiminteractionaminer #claims 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 #: R42546tcv57hlu2
create a pipeline to bring in new business. Active California Property & Casualty Insurance License required. You must have : Ability to connect and build relationships with all types of people and roles. Excellent communication with an ability to adapt to each potential client's communication style, whether over a call or in person.
Ability to clearly explain coverage and policy information to prospects and clients. To be successful you must: Stay focused and organized while managing multiple tasks and requests. Be knowledgeable with different carriers and their policies and coverage limitations and preferred markets. Know underwriting guidelines for different carriers and industries.
Reside in CA. Tools provided for your success: We are appointed to write with multiple commercial, personal and group benefits carriers. We are a member of an aggregator that provides additional exposures to markets.
We provide lead generating tools (Mi Edge, Linked In Navigator, etc. ) Experience working with: Agency Management Systems Office 365 Proficient in Word, Excel, Outlook Slack and Zendesk a plus Benefits Package includes Medical and Dental Insurance, PTO and 401k Applicants only - No Recruiters Job Posted by Applicant Pro
risk management, and providing innovative solutions to complex insurance needs. We are currently looking for a Commercial Property & Liability Underwriter to join our team. The Underwriter will be responsible for risk selection, analysis, documentation, pricing, and sales of commercial property and liability new business.
The Underwriter will also oversee renewal retention and the ongoing management of their existing portfolio. We are seeking a candidate who has a demonstrated knowledge of commercial lines underwriting, including technical principles of rating and pricing commercial lines business based upon individual risk criteria to promote underwriting profitability. This position
requires a high level of communication and negotiation skills and an ability to build strong business relationships with internal and external clients. Underwriter Responsibilities : Evaluate submissions and make declination and quote decisions consistent with guidelines in a timely manner Maintain complete and well-organized electronic underwriting files according to guidelines, including clear documentation of the underwriting process Maintain a good relationship with assigned brokers by responding promptly to requests and clearly communicating underwriting decisions Review and evaluate upcoming renewals in a thorough and timely manner Effectively supervise Underwriting Assistant(s) to ensure
that nonrenewal notices and renewal quotes are issued accurately and in a timely manner Ongoing management of existing portfolio Education, Training, and Experience Requirements : Minimum of 5-7 years of commercial lines underwriting High School Diploma or equivalent Bachelor's degree preferred, but not required CPCU, AU or CIC, continuing insurance education desired, but not required P&C license preferred, but not required Qualifications : Demonstrated knowledge of commercial lines underwriting, including technical principles of rating and pricing commercial lines business based upon individual risk criteria to promote underwriting profitability Negotiation and sales skills with the ability to deliver a challenging message Effective written and verbal communication skills Ability to build and maintain strong internal and external business relationships Proficient computer skills, including Microsoft Excel and database rating Self-motivated with a strong work ethic Strong analytical skills BENEFITS OFFERED: HEALTH CIBA offers a comprehensive benefits package to its employees including medical, dental, vision, and life insurance.
We also offer a flexible spending account (FSA) to help our employees save on healthcare expenses. RETIREMENT To assist employees with retirement planning, we offer a 401(k) plan with a Roth option and employer-matching contributions.
PAID TIME OFF We offer paid meal breaks, paid holidays, vacation, and sick time. We also offer bereavement leave to support our employees during difficult times and paid volunteer time. CAREER DEVELOPMENT Our training, licensing, and tuition reimbursement programs help our employees grow in their careers. Our flexible work schedules, including telecommuting, allow our employees to balance their work and personal lives. COMPANY CULTURE We have a positive team culture and offer an employee referral program, company-wide employee recognition program, and anniversary recognition program to show our appreciation for our employees' hard work and dedication.
We also host various employee events throughout the year to foster a sense of community and fun in the workplace. Paid volunteer time is offered to support our employees' dedication to helping their local communities. COVID Policy : If hired, you will be required to be fully vaccinated for COVID-19 or present a qualified medical or religious exemption. Proof of vaccination or exemption forms will be requested with an offer letter and must be provided by the hire date.
We thank all applicants for their interest in this position; however, only those selected for an interview will be contacted. This organization participates in E-Verify.
