Carrier Premium Payables
World Insurance Associates, LLC Job In Iselin, NJ Or Remote
Job Description
World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 210 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions.
Role and Responsibilities
The Carrier Payable Analyst is responsible for submitting timely and accurate payments to insurance carriers. Working closely with account teams and service leaders, this position will also be responsible for assisting in the review and resolution of billing discrepancies, unpaid items, and reconciliation problems. The Carrier Payable Analyst must communicate effectively with carriers and internal contacts to align with company guidelines and contract requirements, maintain payment documentation and exception reporting, and collaborate with other members of the Carrier Payables team and the Agency Bill Manager on World's accounting processes and procedures. This is a fully remote role with periodic travel as required.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned to meet business needs.
Verifies invoicing against carrier documents and initiates resolution of any differences.
Prepares, reconciles and initiates timely payment of selected company payables.
Ensures timely collection and recording of return premium from the carriers.
Builds relationships with carrier representatives and internal stakeholders
Maintains payment documentation thoroughly and accurately, in accordance with company policy and accepted accounting practices
Assists in providing documentation for carrier audits and acts as a resource during audits.
Research and responds to all carrier questions upon request.
Special projects and other duties as assigned.
Qualifications
EDUCATION, SKILLS, AND EXPERIENCE:
Insurance industry experience preferred
Bachelor of Science degree in Accounting or Finance or equivalent education/experience.
Proficiency in Excel
Strong analytical and problem-solving skills
Strong organizational skills with the ability to prioritize high volume and time sensitive transactions.
Ability to work independently and on a team
High degree of professional communication and tactful negotiation skills.
Knowledge of Applied Epic a plus
Position Summary
This position is located in New Jersey. The base salary for this position at the time of this posting may range from $60,000 to $65,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details.
Equal Employment Opportunity
At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES:
World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World’s property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World’s Human Resources Talent Department.
#LI-GP1
#-REMOTE
Powered by JazzHR
aOHlmLamXj
Compliance Specialist (Remote position)
World Insurance Associates Job In Santa Barbara, CA Or Remote
Objective, Typical Duties and Responsibilities We're currently seeking a Compliance Specialist to support the firm's Compliance Program. You will report to Manager-Compliance Operations
Develop and manage a Compliance Department activity reporting system.
Represent the compliance department in resolving issues involving new accounts set up with Operations and Accounting departments.
Monitor general department email inboxes and/or department ticketing system reports to assure timely response or escalation if necessary to inquiries and information received.
Provide support, education, and guidance to Financial Representatives and their staff as it relates to business processes, firm policies and procedures, industry rules, and other general inquiries.
Assist management and other compliance personnel with the completion of various projects and testing.
Other duties as assigned.
Position Requirements
Bachelor's degree (B.A./B.S.) in a related discipline required. Minimum two (2) years of Compliance and/or regulatory experience within both RIA and broker-dealer business segments.,
Series 7, 24 (or 26), 63, 65 (or 66), Series 53 (or 51), and Life, Health, & Variable Annuity Insurance Licenses (or the ability to obtain within 120 days of hire).
Strong working knowledge of both brokerage and investment advisory business concerning the regulatory framework in which they operate.
A deep understanding of industry rules governing supervision, suitability, and registrations.
Excellent technology and communication skills
Ability to work independently to manage time and prioritize tasks efficiently.
Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance.
The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes.
Preference Given to Candidates with the Following Qualifications:
Have previous experience with and a thorough understanding of regulatory requirements under Reg-BI and PTE 2020-02.
Already hold a Life, Health, & Variable Annuity license.
Compensation
The salary for this position generally ranges between $75,000-90,000. This range is an estimate, based on candidate qualifications and operational needs. The firm also has a bonus program.
Perks & Benefits
401(k) with Employer Match
Health Insurance (with HSA option)
Dental Insurance
Perks & Benefits (continued)
Vision Insurance
Life Insurance
Flexible Paid Time Off Policy
Flexible Spending Account (FSA)
Healthy Work/Life Balance
Maternity/Paternity Leave Policy
Remote Work Opportunity
Stimulating Environment
At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants.
Team-Oriented
Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities.
Why World?
Great company culture with an awesome team-oriented atmosphere!
Mentorship Opportunities
Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.)
Professional growth opportunities
Friendly and collaborative work environment
Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering
World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different.
To Executive Search Firms and Staffing Agencies:
World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department.
#LI-GP1
#LI-REMOTE
Appeals and Grievances Medical Director - Cardiology Required - Remote
Remote or Phoenix, AZ Job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
Provide clinical and strategic input when participating in organizational committees, projects, and task forces
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
MD or DO with an active, unrestricted license
Board Certified Cardiologist in an ABMS or AOBMS specialty
5+ years clinical practice experience
2+ years Quality Management experience
Intermediate or higher level of proficiency with managed care
Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
Proven excellent telephonic communication skills; excellent interpersonal communication skills
Proven excellent project management skills
Proven data analysis and interpretation skills
Proven excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices
Proven creative problem-solving skills
Proven solid team player and team building skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Health Care Sales Enroller
Clinton, NY Job
Job DescriptionHealth Care Sales Enroller Clinton County, NY, USA • Crown Point, NY 12928, USA • Lake Placid, NY 12946, USA • Plattsburgh, NY, USA Req #2627 Thursday, May 22, 2025 At MVP Health Care, we're on a mission to create a healthier future for everyone - which requires innovative thinking and continuous improvement. To achieve this, we're looking for a Health Care Sales Enroller to join #TeamMVP. This is the opportunity for you if you have a passion for health equity, your knack for strategic engagement, and your love for your community can flourish.
What's in it for you:
Growth opportunities to uplevel your career
A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
Competitive compensation and comprehensive benefits focused on well-being
An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
Qualifications you'll bring:
Two or more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company
The ability to speak more than one language (for example, English and Spanish)
An associate degree or equivalent combination of education and related experience
The availability to work full-time, virtual, with some travel including nights and weekend hours required
Must have a valid driver's license
Curiosity to foster innovation and pave the way for growth
Humility to play as a team
Commitment to being the difference for our customers in every interaction
Your key responsibilities:
Spearhead our membership growth initiatives in crucial target areas by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
Conduct both individual and group outreach activities to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen and felt. Your collaborative efforts alongside our Field Marketing and Community Engagement Representatives will be pivotal in driving growth and visibility in assigned territories.
Foster positive relationships with community-based organizations, medical provider partners, and community contacts to develop a robust network within your territory.
Generate, track, and convert qualified leads and referrals into MVP customers.
Lead two monthly events that highlight our progressive health solutions directly to the communities we serve, strengthening ties and enhancing our brand's impact.
Navigate the local landscape with required travel , embracing the opportunity to bring MVP's customer-centric philosophy to life across our footprint.
Participate in necessary screenings and provide proof of immunization as part of our commitment to community well-being.
Demonstrate the dynamic capability to transport up to 30 lbs. of promotional materials, which play a key role in educating and empowering our customers about their health care choices.
Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing health care delivery and being the difference for the customer.
Where you'll be:
Remote with local travel in Clinton and Essex, NY, Counties.
#CS
Pay Transparency
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
MVP's Inclusion Statement
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at [email protected] .
Other details
Job Family Outreach
Pay Type Salary
Min Hiring Rate $51,395.00
Max Hiring Rate $57,000.00
Travel Required Yes
QUALITY CALIBRATION TECHNICIAN
Rochester, NY Job
Job Description
Celebrating over 50 years of excellence, Precise Tool & Manufacturing Inc. is a family-owned, Rochester-based leader in advanced CNC machining and custom manufacturing. Our 280,000 sq. ft. facility houses over 160 state-of-the-art CNC machines. With 50 high-speed 4-axis horizontal machines, we deliver exceptional efficiency and accuracy for intricate, multi-sided machining, allowing us to meet the most demanding production requirements with speed and precision. We are a trusted supplier across industries such as aerospace, defense, medical, energy, and power generation, recognized for our dedication to quality, safety, and innovation.
At Precise Tool, we foster a collaborative work environment where employees are valued and supported. We offer competitive compensation, comprehensive benefits, and opportunities for professional development. Join our team and be part of a company that combines cutting-edge technology with a commitment to excellence and employee success.
JOB SUMMARY
Under the direct supervision of the Quality Director, the Quality Calibration Technician calibrates Precise Tool’s inspection equipment and monitors and maintains the “Calibration” system and verifies first piece, in-process and final inspections utilizing metallurgy equipment to meet our customer requirements.
ESSENTIAL FUNCTIONS
Promote and support the requirements and principles of the Precise Quality Management System and AS9100.
Calibrate the company/personnel inspection equipment such as hand-held inspection equipment, gage pins, thread gages, indicators, gage blocks, etc.
Monitor and maintain the company’s calibration system.
Assist machine operators in first piece and in-process inspections.
Perform in-process and final inspections utilizing various metallurgy equipment.
KNOWLEDGE, SKILLS, AND ABILITIES
With limited supervision and quality work ethic, functions as a member of a customer-driven quality team whose goal is to ensure that product quality requirements established by the customer have been achieved.
Holds oneself accountable for doing whatever is needed to meet the commitments made around project outcomes.
Maintains adequate levels of performance and motivation despite job tasks that are routine or repetitive.
Attention to detail.
Customer focus.
Ability to understand and carry out oral and written directives.
Ability to work well under pressure, to adhere to deadlines and the ability to be flexible.
Thorough operational knowledge and skills of specific equipment to be operated, including inspection equipment.
Strong mechanical aptitude.
Ability to communicate effectively in writing as appropriate.
Ability to use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.
EDUCATION AND EXPERIENCE
High School Diploma or equivalent.
Minimum 3 years of relevant experience.
Technical school training or completion of in-company training program.
JOB BENEFITS
Vacation
Sick Days
Holidays
Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
401(k) Plan
According to the New York Pay Transparency law, pay range for this job is $21.00 - $25.00 / hour. The actual compensation will be determined based on experience and other factors permitted by law.
Precise Tool & Manufacturing Inc. is a Drug-Free Workplace. Employment is contingent upon the successful completion of a pre-employment drug screen.
ITAR Restricted: This position is restricted to US Citizens, Permanent Residents or Green Card Holders
EOE/AA Race/Color/Sex/Religion/National Origin/Disability/Veteran
Precise Tool & Manufacturing Inc. is committed to providing a work environment that is free from unlawful discrimination and harassment in any form and will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. If you are interested in applying for employment and feel you need a reasonable accommodation pursuant to the ADA, you are encouraged to contact Human Resources at ************** Ext. 203.
Customer Service Agent- P&C Insurance
Corning, NY Job
About Us:
InsureOne is part of Confie, one of the largest privately owned insurance agencies/brokers in the United States. Established over three decades ago, InsureOne has locations across the US to better serve our clients. Our knowledgeable team of insurance professionals is local agents who take pride in providing quality service, rates, and coverage options tailored to our clients' individual needs. Our agents specialize in crafting a special partnership with customers to ensure a white-glove experience.
Join the winning team at InsureOne Insurance Services America, part of Confie, which has been ranked as #1 on Insurance Journal's annual Top 50 Personal Lines Agencies for the eighth consecutive year, and the #2 spot in Insurance Journal's Top 100 Property/Casualty Agencies for 2023.
What We Offer:
Competitive hourly pay + performance-based bonus opportunities
Continuous on-going training and mentorship
Growth-oriented culture with internal promotion opportunities
Comprehensive Benefits package including medical, dental, vision, and life insurance
Comprehensive 401K plan with competitive employer match
Paid time off including holidays, vacation, and personal time
Annual incentive trip for top performers
Fitness perks: A corporate discount at 24-Hour Fitness makes staying active more accessible.
Employee Assistance Program: Confidential assistance to you or anyone in your household who is experiencing personal or professional problems - at no cost.
Extra Perks: Access to disability, hospital indemnity, universal life, critical illness, and accident insurance plans. We even offer pet insurance.
The pay range for a Customer Service Agent is $15.50 - $25 hourly (based on experience) + performance-based bonuses
What You Will Do:
The Customer Service Agent would focus on servicing and retaining an existing book of business, advising clients on coverages, as well as completing endorsements, and cancelations, managing retention, and policy issuance for our clients. This role also places a focus on service and sales, as we encourage our Service Agents to generate and sell cross-sell opportunities and analyze coverage to meet our client's needs.
Manage an existing book of business, focusing on growth and retention while delivering exceptional customer service
Routinely conduct consultative conversations with our clients to ensure all coverage needs are addressed
Generate and sell cross-sell, referral, and up-sell opportunities
Work with customers to provide exceptional service while resolving customer requests/concerns such as, but not limited to, billing, endorsement, copies of insurance documents, etc.
Completes all required applications and documentation according to carrier and company guidelines
Meet personal/team qualitative and quantitative service and sales targets as assigned
Support all company initiatives as requested, guided by our company's WE CARE values, sales culture, and business needs
Maintain a professional demeanor in all interactions with both internal and external customers
Our Ideal Candidate:
We are actively seeking a motivated individual to join our high-performing customer agent team, offering unparalleled opportunities for professional growth. While prior experience in the insurance industry or agency setting is preferred, we are committed to training the right candidate.
Key Attributes:
High school or equivalent
Property & Casualty license
Effective and precise telephone etiquette
1+ years of customer service experience
Excellent attention to detail and organizational skills
Ability to work well independently and on a team
Precise verbal and written communication skills
Ability to work in a fast-paced environment
Ability to deliver a tailored, white-glove experience to all clients
Preferred Attributes:
Bachelor's Degree or 1+ year(s) of relevant sales experience
Fluency in Spanish is welcome but not required
Senior Technical Claims Specialist
Hoffman Estates, IL Job
The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role.
Description
The Senior Technical Claims Specialist determines coverage, investigates complex commercial casualty claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and resolves the claim. Demonstrates a high level of expertise and sound judgment in complex matters; may as a subject matter expert.
You will be required to go into the office twice a month if you reside within 50 miles of one of the following offices: Bala Cynwyd, PA; Boston, MA/Westborough, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Syracuse, NY; Tampa, FL; or Weatogue, CT. Please note this policy is subject to change.
The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region.
Responsibilities:
As the claim’s owner, determines coverage, investigates the claims, determines liability, sets and adjusts reserves, evaluates the claim, negotiates a settlement, authorizes and pays the claim; may deny claims.
Reviews lawsuit documentation and supporting documents, claims file, investigation, etc. Establish actions to be taken to resolve lawsuit.
Includes determining loss coverage, amounts owed, discovery plans, setting reserves and negotiations.
Establishes appropriate working team (Home Office Legal, Defense Counsel and Home Office Claims) based on allegations established in suit.
Responsible for managing the practices and billing activities of outside counsel.
Attend mediations, trials, customer reviews and other meetings.
Accountable for security of financial processing of claims, as well as security information contained in claims files.
Trains and mentors staff as appropriate; manages relationships and acts as liaison with various business partners (e.g., Underwriting, Reinsurance, Etc.).
Keeps abreast of existing and proposed legislation, court decisions and trends and experience pertaining to specialty coverage issues.
May analyze the impact upon claims policies and procedures and advises Claims.
Management so appropriate action can be taken where required.
Participates in special projects.
Qualifications
Bachelor’s degree and 5 to 7 years Commercial claims adjusting experience (not Property)
Experience with Commercial Specialty Claims and/or Energy claims strongly preferred.
Advanced knowledge of commercial casualty claims investigation, coverage evaluation, reserving & expense management, resolution strategy, negotiation, litigation management, claims evaluation as well as the insurance legal and regulatory environment.
Intermediate to advanced level of skill in the area of customer focus, problem solving, communications, gaining support, teamwork, and adaptability and demonstrated ability to work independently, achieve results and execute thoroughly
Must be willing and able to attend mediations, trials and customer meetings in person, which may include overnight travel.
About Us
As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally.
At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow.
We are proud to support a diverse, equitable and inclusive workplace, where all employees feel a sense of community, belonging and can do their best work. Our seven Employee Resource Groups (ERGs) offer a centralized, open space to bring employees and allies together to connect, learn and engage.
We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: ***********************
Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law.
Fair Chance Notices
California
Los Angeles Incorporated
Los Angeles Unincorporated
Philadelphia
San Francisco
Systems Engineer -Active TS/SCI w/Full-Scope Poly required [32221]
Fort Meade, MD Job
Current Active TS/SCI w/Full-Scope Poly - MD, Fort Meade
PLEASE DO NOT SUBMIT unless you have this Active FSP
Responsibilities:
Participate in an Integrated Product Team to design new capabilities based upon evaluation of all necessary development and operational considerations
Allocate real-time process budgets and error budgets to systems and subsystem components
Generate alternative system concepts, physical architectures, and design solutions
Define the methods, processes, and evaluation criteria by which the systems, subsystems and work products are verified against their requirements in a written plan
Develop system design solution that satisfies the system requirements and fulfills the functional analysis
Review and provide input to program and contract work breakdown structure (WBS), work packages and the integrated master plan (IMP)
Participate in interface definition, design, and changes to the configuration between affected groups and individuals throughout the life cycle
Derive from the system requirements an understanding of stakeholder needs, functions that may be logically inferred and implied as essential to system effectiveness
Derive lower-level requirements from higher-level allocated requirements that describe in detail the functions that a system component must fulfill, and ensure these requirements are complete, correct, unique, unambiguous, realizable, and verifiable
Participate in establishing and gaining approval of the definition of a system or component under development (requirements, designs, interfaces, test procedures, etc.) that provides a common reference point for hardware and software developers
Develop derived requirements for Information Assurance Services (Confidentiality, Integrity, Non repudiation, and Availability); Basic Information Assurance Mechanisms (e.g., Identification, Authentication, Access Control, Accountability); and Security Mechanism Technology (Passwords, cryptography, discretionary access control, mandatory access control, hashing, key management, etc.)
Experience/Qualifications:
For this role, related degrees/disciplines may include Graphic Design, Visual Arts, Human Behavior, Web Design, etc.
Experience conducting research and providing recommendations on current capabilities, requirements, systems, standards, and processes
Experience with data flows and diagraming workflows that focus on automation, collection, and correlation analytics of customer tools
Experience in UX/UI design
Skills
Linux / Unix command-line
Windows
Adobe Illustrator
Jira
Confluence
Executive Personal Assistant & Office Administrator
Orange, CA Job
We are seeking a proactive, resourceful, and detail-oriented Executive Personal Assistant & Office Administrator to support our CEO and contribute to the smooth operation of both our Irvine office and the CEO's personal residence. This hybrid role is vital for maintaining efficiency and organization across multiple environments, requiring someone who is equally comfortable in a fast-paced corporate setting and a dynamic personal household. The successful candidate will work closely with the Lead EPA and must exhibit discretion, initiative, and a high standard of service in all interactions.
Responsibilities:
Office Administration (Corporate HQ):
Greet visitors and manage front desk operations with professionalism and warmth.
Manage office supplies, deliveries, vendor relationships, and facility maintenance.
Organize and maintain clean, functional office spaces including meeting rooms.
Support HR and Events team with new hire welcomes and company celebrations.
Maintain office protocols and assist in workplace safety efforts.
Executive Support (Corporate HQ):
Provide administrative support to the CEO, including calendar assistance, travel coordination, and confidential task handling.
Assist with ordering and delivery of CEO's meals and other personal needs during office hours.
Coordinate logistics for internal meetings and virtual calls.
Support with client gift purchasing, toll road account maintenance, and expense reconciliation.
Act as a secondary point of contact for the CEO in collaboration with the Lead EPA.
Personal Assistant Duties (CEO's Residence & Offsite):
Coordinate home maintenance schedules and serve as liaison with household vendors and staff.
Manage calendar and payment coordination for residential vendors and service providers.
Maintain organization in key areas of the home.
Run personal errands, including dry cleaning pick-up, grocery shopping, and miscellaneous offsite needs.
Assist with planning and executing 1-2 annual weekend events or celebrations at the CEO's residence.
Special Projects:
Oversee and execute special projects as assigned by the CEO or other executives, ensuring timely and high-quality delivery. Including, but not limited to: credit card reconciliation, toll roads account management, client gift purchases
Supporting culture-building initiatives, and creating a welcoming office atmosphere for employees and visitors alike.
Required Skills & Qualifications (must-haves):
3+ years of experience in personal assistance, executive assistance, or a similar hybrid role supporting C-level executives (PA experience is highly preferred).
White-glove service mentality and a willingness to take initiative and adapt.
Strong multitasking and organizational skills with a proactive mindset.
Exceptional discretion, integrity, and ability to handle confidential matters.
Excellent communication and interpersonal skills.
Highly proficient in Microsoft Office, Google Suite, and Slack.
Valid driver's license and reliable transportation for errands and home visits.
Working Environment & Compensation:
$70,000 - $80,000 annually (*DOE + evaluation for an increase after 90 days)
Gas and mileage reimbursement for all offsite duties and errands
Hybrid work environment (corporate office and CEO's residence)
Occasional evening or weekend support required (minimal)
Schedule:
In Office (Irvine):
o Mondays & Fridays: 6:00 AM - 12:00 PM
o Tuesdays - Thursdays: 6:00 AM - 3:00 PM (*occasional errands or offsite support as needed)
At CEO's Personal Residence:
o Mondays & Fridays: 1:00 PM - 3:00 PM
o (Other times as needed, including 1-2 weekends per year for special events)
Benefits:
PPO Healthcare Coverage
Vision and Dental Insurance
401(k) plan with a 4% match
Employee Assistance Program (EAP)
PTO+ sick pay + paid holidays
Paid Parental Leave
*We are an equal opportunity employer and do not discriminate on the basis of race, color, religion, sex, age, national origin, veteran status, disability, sexual orientation/gender identity, or any other characteristic protected by applicable law.*
Field Property Claim Representative
Austin, TX Job
Western Mutual Insurance Company provides homeowners insurance throughout the Southwestern United States. We have over 80 years of experience in providing excellent customer service and we continue to grow. We are rated A (Excellent) by A.M.Best Company and have been named among the Top 50 Property Casualty Insurers in the country by Ward's.
We have an immediate opening for a Field Property Claim Representative for the Austin area. This person must be located in the Austin area.
The claim representative will be responsible for inspecting, investigating, evaluating, and settling property claims from inception to close. Responsibilities include but are not limited to providing excellent and prompt customer service and customer response; knowing and effectively explaining policy coverage and claim processes; must understand and comply with company claim handling procedures as well as applicable department of insurance regulations; must present him/herself in a professional manner, must have a successful track record of working independently.
Candidate must have a minimum of 3 years' experience adjusting property insurance claims with an emphasis on homeowners claims. Experience with automated claim systems as well as thorough knowledge of Xactimate. Experience handling large losses, taking recorded statements and working with contractors, vendors and attorneys is a plus.
Candidate must possess excellent negotiation skills and professional written and verbal communication skills, be able to have the confidence and knowledge to make coverage decisions, and be able to work independently as well as within a team.
The position requires making roof and other property inspections which require carrying and setting up a ladder.
Texas Adjuster License.
Knowledge of and Experience with the Xactimate.
A Bachelors degree is preferred.
Bilingual - English/Spanish speaking a plus.
Must have a good driving record.
We offer a competitive salary and a full benefits package including a Company Car, 401k Plan, Profit Sharing Plan and Bonus Plan.
Please see our Privacy Notice For Job Applicants here:
*******************************************************************
Plumbing & Fire Protection Engineer | Junior / Intermediate | Based New England CT
Stamford, CT Job
Your New Company
Join an niche MEP Engineering firm focused mainly on high-end & Townhouse Residential new construction projects, with some additional industries supported.
A smaller firm with a positive office culture you will gain a broad cross-section of exposure in this role. Expect to break up your day with ad-hoc field trips into NYC for survey & inspection work - they are conveniently located close to the train station.
Your New Role
Support new construction engineering work across a diverse range of industry sectors spanning Residential, Commercial and more.
Collaborate closely with colleagues to enhance our existing team.
Be provided with ongoing professional development & mentoring.
What You'll Need to Succeed
Some professional or internship experience in Plumbing & Fire Protection Engineering.
A willingness to learn and adapt.
Strong problem-solving skills.
An understanding of industry standards and best practices.
Understanding of CAD.
What You'll Get in Return
5-days in office, with ad-hoc field visits
A competitive base salary, anticipated to be between $75,000 to $115,000 annually (depending on experience), plus total package.
Comprehensive medical and dental benefits.
Paid time off for work-life balance.
A 401k plan for long-term financial security.
What You Need to Do Now
If you're ready to take on exciting challenges and contribute to our team, please apply online for immediate consideration. We look forward to hearing from you!
Software Engineer - Active TS/SCI w/Full-Scope Poly required [32220]
Fort Meade, MD Job
Current Active TS/SCI w/Full-Scope Poly - MD, Fort Meade
PLEASE DO NOT SUBMIT unless you have this Active FSP
Responsibilities:
Design or implement complex algorithms requiring adherence to strict timing, system resource, or interface constraints
Perform quality control on team products Implement recommendations for improving documentation and software development process standards
Oversee one or more software development teams and ensure the work is completed in accordance with the constraints of the software development process being used on any particular project
Confer with system engineers and hardware engineers to derive software requirements and to obtain information on project limitations and capabilities, performance requirements and interfaces
Coordinate software system installation and monitor equipment functioning to ensure operational specifications are met
Experience/Qualifications
Experience with Enterprise Java development
Experience with Python development; have implemented read/write of data structures for complex mathematics
Experience developing service-oriented architectures
Experience developing microservice solutions
Database experience
Skills
Linux / Unix command-line
Agile development
Java
Python
Kubernetes, Docker, or similar
Mongo, MySQL, or similar
Jira
Confluence, SharePoint, or similar
MEP Coordinator - Mission Critical Projects
Austin, TX Job
Responsibilities
Ensure construction meets industry standards.
Mitigate change orders and minimize risk during construction.
Monitor daily construction activities, including scheduling and equipment delivery.
Review submittals, drawings, and reports to prevent potential issues.
Report on work progress and schedule status to Owner and company leadership.
Review commissioning, quality assurance, and quality control work done by contractors.
Coordinate internal and external engineering support as needed.
Facilitate field visits and document reviews in anticipation of project completion.
Requirements
Bachelor's degree in Construction Management, Electrical Engineering, Mechanical Engineering, or related field.
5+ years of relevant work experience in a construction MEP Coordinator role.
Knowledge of construction practices and utility electricity generation.
Experience in building mission-critical data centers.
Understanding of building codes, plumbing, NFPA, mechanical, and life safety standards.
Working knowledge of architectural, structural, and civil documents.
Knowledge of air and water testing/adjusting/balancing procedures.
Strong general computing skills, particularly in Excel, MS Word, and Outlook.
Nice-to-haves
Experience with BIM modeling and MEP process oversight.
Strong problem-solving and decision-making skills.
Ability to motivate contractors and manage project teams effectively.
Automation Control Engineer (full relocation package)
Charleston, SC Job
The Automation Engineer / Controls Engineer - GMP Pharma is accountable for driving results in a fast-paced environment by being responsible for multiple capital and process improvement related projects. The Automation Engineer's primary responsibilities will center around:
Evaluating and implementing new ways to automate systems that drives efficiency and compliance.
Testing automation equipment and processes (driving FAT, SAT, and commissioning activities within the Engineering Department and aiding the Validation Department with qualification efforts).
Programming new automated components (i.e. door interlock systems, etc.).
Evaluating existing auto-generated reports for improvement and provide requirements for future auto-generated reports.
Maintain current automation systems to ensure all software is current and running on the appropriate platform.
On-Site Expectations:
100% on-site position.
1st Shift: Monday - Friday, 8:00am - 5:00pm.
Responsibilities:
Designs and/or implements manufacturing technology to automate production processes and equipment and supports production operations from an equipment and process troubleshooting standpoint as well as implement production efficiency improvements. Automation Engineers are expected to hold both a project management and production support workload.
Project Management: Engineering responsibilities include developing user and design requirements, selecting equipment vendors or completing the technology design and equipment build in-house, managing the installation of automation while ensuring safety, and supporting the validation of the automated system for adherence to requirements, CGMPs, and intended system operation.
Production Support: Support Maintenance Technicians in situations where troubleshooting or technology may fall outside of their area of expertise. Interact with production supervisors/managers to identify areas to improve equipment throughput, flexibility, quality, safety, and/or reliability. Implement automation solutions resulting from deviations, investigations and/or CAPA assignments.
Composes Functional Requirement Specifications (FRSs) for new or upgraded utilities systems, compounding processes, and filling equipment.
Designs and/or implements modifications to the existing manufacturing equipment that will improve the operational efficiencies.
Acts as engineering and technical lead for key plant projects.
Provides technical support for and leads safety and quality improvement initiatives.
Programs PLCs, HMIs, SCADA systems, and inspection systems.
Manages multiple capital projects concurrently.
Designs, installs, and supports the validation of the automated control system for new or upgraded utilities systems, compounding processes, and filling equipment.
Generates and revises standard operating procedures.
Leads Manufacturing Deviation investigations and applies good engineering practices to reduce the risk of repeat Non-Conformances.
Implements corrective and preventative actions to improve manufacturing's operational efficiencies.
Performs risk assessment and risk mitigation activities using systematic tools.
Participates in internal discussions with internal customers to determine timing for project execution and sequencing of various project milestones.
Requests bids from contractors and suppliers by working with procurement group, recommends best provider.
Formalizes CAPEX document preparation and submission.
Maintains company reputation by complying with applicable federal and state regulations. Demonstrates company loyalty in relations with company personnel.
Maintains a safe, clean, and organized work environment free of safety hazards.
Ensures timely completion and compliance with cGMP and all other relevant company training requirements.
Other duties as assigned.
Qualifications:
Minimum 4 years' experience in Automation / Controls Engineering.
Previous work experience in a sterile manufacturing environment preferred.
Experience with robotics, AI, and machine learning.
Experience with project management.
Prior pharmaceutical/industry GMP experience required.
Skills / Knowledge / Abilities:
Mastery of a variety of automation software applications. Software applications include but are not limited to the Allen-Bradley RSLogix portfolio, Allen-Bradley RSView, GE Proficy SCADA/HMI iFix. The following are highly desired:
Exemplary knowledge of discrete machine control; AB Safety PLCs, Gearboxes, Safety Circuits, Pneumatics, etc.
Mastery of Data Historian
Ability to perform assigned tasks carefully and on schedule according to standard operating procedures and supervisor's instructions.
Ability to work with people at all levels of the organization.
Ability to perform complex math functions, compute ratios, rates, and percentages.
Ability to draw and interpret graphs and charts.
Ability to solve practical problems and deal with a variety of concrete variables in situations where limited standardization exists.
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form.
Excellent verbal communication and presentation skills required.
Proficiency with Microsoft Office applications.
Proficiency in maintaining automation equipment.
Solid understanding of computer programming and software development.
Ability to troubleshoot equipment and perform complex system tests.
Strong leadership and problem-solving skills.
Strong analytical skills.
Ability to keep up with the latest technologies.
Insurance Underwriter
Vancouver, WA Job
reports to the Underwriting Manager.
DUTIES AND RESPONSIBILITIES:
· Review new business submissions and make pricing recommendations in accordance with internal strategy and department goals
· Utilize analytical skills, problem-solving and critical thinking to reach business decisions
· Mentor less experienced team members and develop training materials for internal stakeholders
· Collaborate with external partners including carrier representatives
· Communicate and build relationships with insurance and benefits department team members
· Review and update benefit plan documents and procedures to ensure they align with current regulations
· Regulatory Updates for federal, state and local laws and regulations related to client benefits.
· Maintain accurate and up-to-date records of the client benefits products, ensuring compliance with data retention and privacy requirements
· Provide guidance and training to employees and managers supporting client benefits products to ensure compliant procedures, adequate training and record-keeping requirements.
· Prepare and submit timely reports to regulatory agencies and participate in any audits that occur both internally and outside of BBSI.
· Identify and address compliance issues, working with relevant departments to implement corrective actions.
· Complete assigned workflow in a timely and accurate manner
CORE TRAITS/COMPETENCIES:
· Advanced knowledge of health-care industry, benefit design, and underwriting strategies
· Excellent critical thinking and analytical skills
· Advanced communication, ability to simplify complex concepts
· Flexibility and organizational skills, able to prioritize workload as needed based on volume
· Strong interpersonal skills, can thrive as an individual contributor and in a team setting
QUALIFICATIONS:
· Bachelor's degree required in Business, Accounting, Finance, or related field preferred
· 5+ years of health insurance underwriting experience required
· Ability to collect, reconcile, analyze, and summarize data at an advanced level
· Exceptional attention to detail and an ability to produce accurate outputs
· Strong written and verbal communication skills
· Broad range of skills with technology including Microsoft Office Suite and Excel
Salary and Other Compensation:
The starting hourly rate for this position is between 70-85K per year. Factors which may affect starting pay within this range may include geography, skills, education, experience, certifications, and other qualifications of the candidate.
This position is also eligible for annual incentive pay equal to 8% of annual regular pay, prorated in the first year, in accordance with the terms of the Company's plan.
Benefits: The Company offers the following benefits for this position, subject to applicable eligibility requirements: medical insurance, health savings account, flexible savings account, dental insurance, vision insurance, 401(k) retirement plan, accidental death and dismemberment, life insurance, voluntary life insurance, voluntary disability insurance, voluntary accident, voluntary critical care, voluntary hospital indemnity, legal, identity & fraud protection, commuter benefits, pet insurance, employee stock purchase program, and an employee assistance program.
Paid Time Off: Accrued sick leave of 1 hour for every 40 hours of work, with maximum based on state or regional requirements; vacation accrues up to 80 hours in the first year, up to 120 hours in years 2-4, and up to 160 hours in the fifth year; 6 paid holidays annually, 4 paid volunteer days annually.
Diversity and Inclusion are critical parts of our corporate culture. BBSI strives to create a workplace where everyone feels included and empowered to bring their full, authentic selves to work, and is treated fairly. BBSI is an equal opportunity employer and makes employment decisions on the basis of merit.
If you meet the above requirements, we welcome the opportunity to learn more about you. For more information, visit us at www. bbsi.com Please apply via this posting and not by contacting our local or corporate offices.
Click here to review the BBSI Privacy Policy: ***********************************
Medicare Sales Executive - Coeur d'Alene (Remote)
Remote or Boise, ID Job
Looking for a way to make an impact and help people?
Join PacificSource and help our members access quality, affordable care!
PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.
Represent PacificSource in the marketplace and solicit clients for PacificSource's Medicare Advantage products and services via the broker distribution systems, group presentations. Build positive producer relationships through education of company products and services.
Essential Responsibilities:
Represent PacificSource Medicare Advantage sales solutions via alternate distribution channels and marketing efforts to brokers.
Establish and maintain relationships with producers. Qualify new producers for potential appointment with PacificSource.
Effectively maintain, manage and share territory data, including competitive intelligence reports.
Educate and train producers on Medicare Advantage products, compliance and processes. Provide producers with marketing tools and materials.
Maintain regular communications with producers to keep them current on information vital to appropriate representation and sale of Medicare Advantage products (i.e. trend, processes, and products).
Act as liaison for producers in communicating issues and opportunities to sales leadership.
Coordinate with and assist the Regional Manager Senior Products to determine broker needs and process improvements
Promote the Company's MA plans throughout the community via: group sales presentations, general Medicare information presentations, Member meetings, presentations with affiliated organizations (SHIBA, Sr Care Network, etc.), provider group referral channels, community based organizations (Rotary, Veterans organizations etc.), and community events.
Assist in development of sales, broker and member materials and presentations including: sales presentations, ANOC presentations, and producer training presentations.
Train internal staff on Medicare and the Company's Medicare products
Engage with external agency leadership and downline brokers as appropriate
Collaborate with internal departments as appropriate to support member retention efforts.
Meet or exceed production goals for: new applications, service area membership targets, compliance, and sales activities.
Monitor sales results and activities and report out to sales leadership on a regular basis: sales plan, weekly activities, and monthly results.
Supporting Responsibilities:
Work closely with brokers, and business partners (Medicare related). Interact with all departments and employees in the PacificSource offices in the course of business.
Meet department and company performance and attendance expectations.
Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
Operate in compliance with Medicare's Marketing Guidelines
Perform other duties as assigned.
SUCCESS PROFILE
Work Experience: Minimum three years healthcare industry experience. Two year of insurance experience preferred.
Education, Certificates, Licenses: Current Department of Insurance Health and Life Licenses, or eligible. Licensed driver. A BA/BS degree preferred or equivalent work experience.
Knowledge: Ability to gain a thorough understanding of PacificSource products, internal procedures, and the competitive environment. A working knowledge of underwriting and risk factors. Responsible to support the mission of PacificSource Health Plans, meeting departmental goals and performance standards. Timely and accurate response to client needs and requests. Responsible to represent the entire staff in the marketplace through expertise, reliability and professionalism. Prefer well developed relationships within the insurance community. Experience with office management and employee relations.
Competencies:
Assignment Management
Becoming a Business Advisor
Building Trusting Relationships
Devising Sales Approaches and Solutions
Marshaling Resources
Sales Disposition
Sustaining Customer Satisfaction
Environment: Work inside in a general office setting with ergonomically configured equipment. Local travel is required approximately 50% of the time.
Skills:
Accountability, Business & financial acumen, Collaboration, Communication, Developing Networks, Flexibility, Listening (active), Strategic Thinking
Our Values
We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:
We are committed to doing the right thing.
We are one team working toward a common goal.
We are each responsible for customer service.
We practice open communication at all levels of the company to foster individual, team and company growth.
We actively participate in efforts to improve our many communities-internally and externally.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.
We encourage creativity, innovation, and the pursuit of excellence.
Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.
Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
Underwriting Assistant
Pleasanton, CA Job
At Coastal Brokers, we look for the best and brightest talent to join our team of professionals. We're united by the common purpose of delivering exceptional service to our clients.
Coastal Brokers Insurance Services, Inc.is a Pleasanton, CA based company. We are a top 50 CA surplus lines broker and are looking to continue growing our team in Pleasanton, CA. With over 40 years of operating experience, Coastal has become a trusted name for agents and carriers alike.
Reasons you should consider a career with Coastal Brokers:
Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm.
Career development: We offer robust internships and internal training programs for advancement within our organization.
Benefits: Not only do our benefits include up to 2 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Short- and Long-Term Disability, 401K, and EAP.
Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided with the resources needed to perform their job and staff are assigned manageable workloads.
Position Overview:
The role of Underwriting Assistant is targeted to candidates with 1-2 years of insurance experience who are looking for a long-term, career-development position within the insurance space. The role will involve working directly with senior underwriters to analyze and quote news risks as well as managing our existing renewal business.
Essential Duties and Responsibilities:
Review new business applications and contact brokers/agents for missing information to support new business growth.
Respond to requests from existing brokers or potential clients for new business, renewals, and endorsements to secure and enhance service.
Analyze submissions, application forms, and past claims to assess risk.
Prepare ratings for quotations with existing coverage and review new business quotations from brokers/agents.
Follow up on outstanding requests, such as change requests, and assist underwriters.
Manage service underwriting confirmations of coverage bound for renewals and new business
Utilize company underwriting criteria to evaluate risks for various lines of business
Ability to work independently
Insurance experience is a plus
Following carrier guidelines to rate/quote with in-house markets
Perform additional duties as assigned or required.
Commercial Lines Claims Processor
Orwigsburg, PA Job
About Us
Founded in 1948, Seltzer Group Partners offers businesses and people the best insurance programs available, delivers superior risk-management solutions and provides exceptional thought leadership. Our mission is to change the way our clients view insurance and manage risk. This enables us to deliver the highest-quality coverage that protects what they value most. Today, Seltzer Group Partners works with individuals and businesses in 11 different locations in eastern Pennsylvania, including Orwigsburg, Pottsville, Emmaus, Reading, Myerstown, Mount Penn, White Haven, Reading, Honey Brook, Lansford and Bethlehem. We also serve customers in Bradenton, FL. Seltzer Group Partners provides a team of people to help our clients with a wide range of specialized services. Every client is assigned a Client Advocate to quarterback and champion our client's specific business needs across our portfolio of different services. Each service area, whether it's business insurance, workers' compensation management, disaster recovery, safety, personal insurance or human resources management, has its own practice leader who also works directly with clients on those specific issues.
Commercial Lines Claims Processor
Position Summary:
The Commercial Lines Claims Processor will provide support to several aspects of commercial account servicing while adhering to agency procedures and standards as well as Seltzer core values.
Responsibilities:
Answer and direct phone calls appropriately.
Intake new claims reported by clients and team members.
Submit claims to carriers on behalf of the insured, per agency procedures.
Follow up with carriers for claims numbers, adjuster assignments, and status updates.
Provide support to the Claims Manager and team on special projects or urgent needs.
Any other duties, responsibilities or activities as assigned.
Qualifications:
High School diploma required
Minimum of 1 year of related experience within the insurance industry desired
Active Pennsylvania Property & Casualty license, or the willingness to obtain the license within 12 months of date of hire
Proficiency with Microsoft Office Suite
Experience with an agency management system, preferably Applied Epic
Ability to learn and use individual company software and programs to service accounts
Ability to work in a fast-paced office environment with significant telephone and interoffice activity
Basic knowledge of processes for providing customer service
Strong oral and written communication skills; ability to listen and speak effectively to others
Ability to take direction and work both independently and as part of a team
Ability to manage one's own time; organize, plan, and prioritize workload
Hours: Monday-Friday, 8:30am-5:00pm
Office Location: 609 Route 61 South, Orwigsburg, PA 17961
Benefits:
Competitive Compensation
Health Insurance Plans (PPO, HSA, Copay Options)
Dental Insurance
Vision Insurance
Company Paid Disability Insurance
Supplemental Insurance including Critical Illness, Accident, Legal, Pet Insurance
401(k) with Safe Harbor Match
Paid Time Off
Paid Holidays
No Solicitation Notification to Agencies: Please note that Keystone Agency Partners and our Partner Agencies do not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, Keystone Agency Partners will not consider or approve payment to any third parties for hires made.
Appeals and Grievances Medical Director - Cardiology Required - Remote
Remote or Tampa, FL Job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
What makes your clinical career greater with UnitedHealth Group? You can improve the health of others and help heal the health care system. You can work with in an incredible team culture; a clinical and business collaboration that is learning and evolving every day. And, when you contribute, you'll open doors for yourself that simply do not exist in any other organization, anywhere.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
Perform individual case review for appeals and grievances for various health plan and insurance products, which may include PPO, ASO, HMO, MAPD, and PDP. The appeals are in response to adverse determinations for medical services related to benefit design and coverage and the application of clinical criteria of medical policies
Perform Department of Insurance/Department of Managed Healthcare, and CMS regulatory responses
Communicate with UnitedHealthcare medical directors regarding appeals decision rationales, and benefit interpretations
Communicate with UnitedHealthcare Regional and Plan medical directors and network management staff regarding access, availability, network, and quality issues
Actively participate in team meetings focused on communication, feedback, problem solving, process improvement, staff training and evaluation, and the sharing of program results
Provide clinical and strategic input when participating in organizational committees, projects, and task forces
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
MD or DO with an active, unrestricted license
Board Certified Cardiologist in an ABMS or AOBMS specialty
5+ years clinical practice experience
2+ years Quality Management experience
Intermediate or higher level of proficiency with managed care
Basic computer skills, typing, word processing, presentation, and spreadsheet applications skills. Internet researching skills
Proven excellent telephonic communication skills; excellent interpersonal communication skills
Proven excellent project management skills
Proven data analysis and interpretation skills
Proven excellent presentation skills for both clinical and non-clinical audiences. Familiarity with current medical issues and practices
Proven creative problem-solving skills
Proven solid team player and team building skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
The salary range for this role is $269,500 to $425,500 annually based on full-time employment. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Associate Actuary
Remote or Centennial, CO Job
The Associate Actuary position at Delta Dental of Colorado plays a key role in shaping the company's financial strategy and market competitiveness. This position focuses on developing pricing strategies aligned with organizational goals and analyzing dental utilization trends to enhance pricing models. It ensures compliance with Colorado DOI regulations and actuarial standards. Responsibilities also include optimizing monthly reserves, contributing to the annual budget, and uncovering data-driven insights to support the company's value proposition. The Associate Actuary helps maintain product financial viability and serves as a vital link between actuarial analysis and business strategy.
Qualifications:
Education and Experience:
A bachelor's or master's degree in actuarial science, Mathematics, Statistics, Economics, or a related field is required.
An Associate of the Society of Actuaries (ASA) certification is required. Must be a member of the American Academy of Actuaries. Pursuing FSA certification is strongly preferred.
4-7 years of actuarial experience in the insurance industry, preferably with some focus on dental or health insurance is required. Equivalent experience will be considered.
Skills and Abilities:
Advanced skills in Microsoft tools and applications and strong skills in data analysis tools and programming languages such as SQL, R, Python, or VBA.
Strong analytical and problem-solving abilities are required for analyzing data, creating claim probability distributions, forecasting trends, simulation/stochastic modeling, and making informed decisions based on disparate data sources.
Excellent written and verbal communication skills.
Demonstrated knowledge of the Colorado regulatory environment related to dental or health insurance, including knowledge of rate filings and compliance with state and federal regulations.
Must meet the Society of Actuaries (SOA) requirements of Section B, or one of the four alternative compliance methods.
Experience in managing projects, including coordinating with different teams, meeting deadlines, and delivering results that align with company objectives.
Ability to work effectively in a team environment, including leading and mentoring junior staff.
Excellent organizational and time management skills.
Exceptional organizational and multitasking abilities with a keen attention to detail.
High level of integrity and discretion in handling confidential information.
Strong problem-solving skills and the ability to adapt to changing priorities.
Proficient in Microsoft Office.
Essential Functions:
Evaluate the financial performance of Delta Dental of Colorado's insurance products to ensure pricing models are aligned with claim and clinical trends, business expense allocations, profit margin targets, and revenue growth.
Orchestrate the annual rate filing process for both Delta Dental of Colorado insurance products and Ember Assurance, Inc vision products. This requires collaboration with consulting actuaries at Milliman and a deep understanding of various data domains.
Identify ways to improve pricing models and methodologies to reduce administrative inefficiencies, increase initial quote and alternative plan/product pricing accuracy, and improve renewal pricing stability.
Prepare monthly reserve calculations and year end recasts to ensure Delta Dental of Colorado and Ember Assurance is booking an adequate amount. Analyze claim payment speeds and inventory to improve variability in calculation.
Stay informed on dental industry trends that may impact utilization and pricing, interpret proposed federal and Colorado regulatory changes with impact analysis, and be a resource for financial audit needs.
Own the annual provider fee review process. Contribute to the development of Delta Dental of Colorado's Provider Fee Strategy, by providing detailed analysis and forecasts on fee schedule/region changes.
Collaborate closely with Underwriting, Sales and Account Management, Provider Relations, and Claims to provide the necessary support in making informed decisions.
Provide insights backed by advanced analytics to help with the renewal or sale of strategic accounts. Present at a finalist presentation when needed and speak with actuarial resources at other organizations.
Create detailed actuarial reports, memos, and presentations for both internal and external stakeholders, ensuring that data-driven insights are effectively communicated.
Work with the Delta Dental of Colorado Data and Analytics team to query large datasets, to add business insight for optimal database architecture, and develop data visualization tools to better monitor trends and key results of initiatives.
Autonomy to develop and implement pricing strategies that align with the company's long-term financial goals. This includes peer review of draft pricing memos, incorporating business initiatives into pricing strategies, and their implementation.
Responsibility for ensuring that rate filing documents are filed on time and are compliant with Department of Insurance requirements.
Sign a range of actuarial documents and reports, depending on their area of expertise and the specific regulations or standards that govern.
Other Responsibilities:
Regularly participate in UW/BA process review, UW/BA team projects, and business improvement efforts to contribute to the continuous improvement and streamlining of Underwriting processes, procedures, approaches, and systems.
Working Conditions:
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, and photocopiers.
Ability to perform the essential functions of the job with or without a reasonable accommodation.
No physical effort beyond that is typically required in a normal office environment.
Requires flexible time schedule. The potential for tight deadlines or time periods of high workload might require additional hours.
This position can be fully remote or a hybrid role for Colorado applicants.
Benefits:
Delta Dental of Colorado offers a comprehensive compensation and benefits package. Some of the highlights of our benefits package include:
23 days of PTO
11 paid holidays
6 paid illness days
Three affordable medical health plans
Fantastic dental insurance plan
Vision and hearing plan
401(k) match with immediate vesting
Supplemental retirement savings plan
Company-paid life insurance, short-term disability, and long-term disability policies
Wellness program
Employee recognition program
Tuition reimbursement
ECO Passes for team members (we are near a light rail station!)
Paid volunteer time off
Compensation: This position is exempt, and the salary range is $108,285-$142,958 annually plus is eligible for an internet allowance.
Posting Close Date: 6/20/25.
Delta Dental of Colorado is proud to be an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity, genetic information, military or veteran status, national origin, race, religion, sex, sexual orientation, or any other applicable status protected by federal, state, or local law.