Location: Boston, MA
Company: Elevance Health
complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regs, coordination of benefits, healthcare terminology and/or adjust claims. Good working knowledge of claims and products, including the grievance and/or re-consideration process.
Excellent knowledge of the various operations of the organization, products, and services. Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement. Researches and analyzes claims issues. Responds to inquiries, may involve customer/client contact. Minimum Qualifications: Requires a HS diploma or equivalent
and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.
); or any combination of education and experience which would provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding
history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health.
Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health.
We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance.
account solicitation, risk selection and analysis, pricing and sales of core commercial products and services for new and existing customers Participate in cross-sell initiatives within Commercial Insurance to expand product offerings to current clients Meet with new and renewal customers and agents/brokers to negotiate coverage, price, financial terms and service delivery Build relationship with agents/brokers to meet or exceed financial goals and create effective business plans for assigned agents/brokers and territory Work collaboratively and effectively with a team of underwriters, underwriting associates, customer service representatives, claims examiners, and loss control representatives Utilize agency travel and Salesforce to build a robust prospect pipeline.
Requisition #: 20096ahf9io63
design and propose appropriate program structures and pricing for said opportunities. Maintain and develop relationships with their brokers and clients. Develop a pipeline with our major trading partners, as well as engaging other business units for cross-selling opportunities.
Engage with National Brokers Learn in a fast-paced, dynamic environment Requisition #: 5976ahf9io63
to generate new business opportunities. Key Responsibilities: Operates under the dual underwriting structure to support the underwriting process by providing intelligent, well thought out recommendations through the use of financial and contract analysis as well as knowledge of industry trends and external economic factors.
Enhances Chubb's presence in assigned territories and works with others to generate new business opportunities via relationship building with both internal and external stakeholders. Markets and prospects for new business by travelling throughout the assigned territory. Expected travel for meetings with producers, customers, and industry events is 25-50%. Delivers
timely quality service to customers, by anticipating customer needs and demonstrating knowledge of the competitive environment. Exchanges information (written and oral) in a way that produces the desired effect or outcome. Requisition #: 1856ahf9io63
and risk analysis. Ability to analyze claims and quantify losses. Financial proficiency. Understanding of financial statements and ratios used in risk analysis. Understanding of insurance financial fundamentals; impact of underwriting decisions on company assets.
Ability to understand credit risk. Actuarial fundamentals. Ability to understand loss trends, loss triangles, and ratemaking. Ability to quantify risk based on experience history and forecasting methods. Marketing and Communications. Ability to sell and negotiate to achieve bottom line profitability for the Company. Ability to make presentations and communicate articulately. Ability to base communications on strategic thinking.
Ability to manage producer strategy. Systems and programs. Ability to use systems and software programs needed to conduct daily business. KEY OBJECTIVE: Under supervision, primary responsibility is to underwrite individual risks.
MAJOR DUTIES & RESPONSIBILITIES: Duties may include but are not limited to: Solicits new and renewal submissions from brokers Works within the broad limits - under direction - and exercises level of authority on assignments. Manages the underwriting process by utilizing a broad range of financial expertise, industry knowledge, and business acumen. Drives the dual underwriting process by providing intelligent, well thought out recommendations. Has an acute awareness
of industry trends and external economic factors, and extrapolates what the impact of such trends and factors will be on our business and our customers' business.
Establishes the Company's presence in assigned territories alongside manager and underwriting team via relationship building with both internal and external customers, and by providing superior service to both internal and external customers. Understanding of Chubb's appetite. Demonstrates independent decision making, and has demonstrated some level of leadership qualities. Uses discipline and available underwriting and pricing tools to reduce risk profileacross a wide spectrum of business, and to manage costs in order to meet targeted profitability metrics. Requisition #: 1866ahf9io63
do… Our Day Program RN will function as an active member of the clinical interdisciplinary team, providing healthcare services that assist individuals in attaining and maintaining an optimum level of wellness throughout their lifespan. The RN will be responsible for communicating health care information to families and/or residential providers.
The RN will train newly hired employees on unique protocols monthly and as needed. The rate of pay is $38.00 per hour Benefits offered. This is a full time, 40 hour position, Monday through Friday from 8:00am to 4:00pm. There is no on-call, nights or weekends required. Pay increase after 1 year of service, pending a performance evaluation. 4 weeks
of vacation, 1 week of sick time, 12 holidays. Employee Referral Bonus of up to $500! Longevity bonus for years of service. Medical, dental, & vision insurance, employer paid life Insurance, and long term disability insurance, 401(k) retirement plan You can make a difference by… Monitoring the health and well-being of individuals supported in the program.
Providing health care services that assist individuals in attaining and maintaining an optimum level of wellness throughout their lifespan. Administering medications and treatments as prescribed by the PCP, ensuring adherence to CARF, DDS, Medicaid and or DPH regulations. Ensuring daily management of medical needs and communication with
residences, administering first aid when necessary, making sound judgments about care needed with individual injuries and illnesses, and providing follow up, as necessary.
Providing direct support to individuals as needed. Maintaining medication books, appropriating sections of member medical files, etc. to ensure program compliance with all regulations established by DDS, DPH, CARF, and or Medicaid. Providing physical support, assisting with lifting, and transferring members who have physical challenges as needed. Qualifications and Skills Registered Nurse with current Massachusetts license. New Grads welcome to apply! The ability to communicate effectively, both verbally and in writing with individuals, families, physicians, service providers and case managers.
A valid driver's license, acceptable driving record and reliable transportation is required. Successful candidates will be required to complete a background check including references, CORI, and fingerprinting. Powered by Jazz HR Compensation details: 38-38 Hourly Wage PI81133e3e232b-26276-32495940For more details: jobs-search. org/insurance_beverly-c434631/registered-nurse-rn-beverly_i1969196205
contracts available • Possibility to go from temp to full time • License and certification reimbursements • Immediate enrollment in health insurance • 13-week contracts available • Possibility to go from temp to full time • License and certification reimbursements • Immediate enrollment in health insurance • Active LPN license • 1 year of experience within this specialty • BLS/ACLS Certification from the American Heart Association Ref ID: 311766 About Healthcare Support Health Care Support has developed a reputation as one of the country’s top healthcare employment partners.
Health Care Support is a trusted partner to many of the nation’s top healthcare organizations, providing national
healthcare and medical recruiting services with the highest degree of success. Our specific focus is in healthcare recruiting and we have developed an industry-leading approach that places the top healthcare professionals with the top companies.
For more details: jobs-search. org/insurance_beverly-c434631/job_i1971896612
