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American Fidelity Jobs

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  • Sales Representative- Salary plus Commission plus Company Car

    American Fidelity Sales Careers 4.7company rating

    American Fidelity Sales Careers Job In Bridgeport, WV

    Come Join the American Fidelity Educational Services Family Family Owned since 1960 We are seeking a Sales Representative to market our insurance products and provide client customer service statewide to the educational community in your area. Our salaried, career Sales Representatives are responsible for selling supplemental insurance products and services in a defined sales territory with an existing customer base and you will have the opportunity to help grow our customer accounts. You will build strong, long-term relationships with school districts and teaching associations and develop specific, needs-based sales recommendations for their employees, highlighting the benefits of American Fidelity's insurance products. We Offer · Base salary + uncapped commission + additional sales bonus potential · Company car · First year income potential between $82,500 to $122,600 · Paid travel expenses · Consistent six figure income opportunity within 3-5 years · 401k with company match up to 6% · Defined Sales Territory · Multiple Sales Career path options · Consistent, standardized training designed for new Sales Representatives · Comprehensive benefit package including multiple medical, dental, vision and supplemental insurance plans · International Sales Award Trips We Look For: Sales potential with demonstrated leadership qualities, sales awards and sales successes Two years sales, management, or leadership experience or as a recent college graduate, someone who has held leadership roles and demonstrated hard work ethics by working your way through college Candidates with no more than 2 jobs in the last 5 years preferred 60 hours of college education or associates degree preferred Ability to pass financial, criminal, and motor vehicle background checks Pattern of Success Demonstrated by Career Growth Primary Responsibilities · Focus on growing and maintaining existing K-12 School accounts by one-on-one sales of worksite insurance products and services to the educational community · Consult with our current customers to provide value and meet their financial needs · Build strong relationships with our customers and teaching association executives · Develop customized needs-based employee benefit packages through annual benefit enrollments and group presentations. Company Perks: · National Presence - American Fidelity conducts business within 49 states, employing salaried, career Sales Representatives located across the country. · Extended Training Program - Sales Representatives participate in a structured, comprehensive training program including on-the-job training within your territory, Product and Sales Schools and online training. · Tenure - More than Double the National Average with 30% of our salaried career Sales Representatives having been employed with American Fidelity for 10 years or more. Company Overview: Founded in 1960, American Fidelity Assurance Company has grown to become one of the largest, private, family-owned life insurance companies in the United States. Focused on our core business, including disability income insurance, life insurance, and supplemental health insurance, American Fidelity has seen rapid and continuous growth. For more information on our company, visit www.americanfidelity.com. At American Fidelity, we believe that creating a culture of diversity, equity and inclusion, where all Colleagues can be their best to provide the best service to our Customers, is vital to our success. This means cultivating a workforce with wide perspectives and creating opportunities for engagement, learning and listening. If you'd like more information about American Fidelity's privacy practices, please visit americanfidelity.com/privacy”.
    $34k-64k yearly est. 18d ago
  • Sales Representative- Salary plus Commission plus Company Car

    American Fidelity Sales Careers 4.7company rating

    American Fidelity Sales Careers Job In Clarksburg, WV

    Come Join the American Fidelity Educational Services Family Family Owned since 1960 We are seeking a Sales Representative to market our insurance products and provide client customer service statewide to the educational community in your area. Our salaried, career Sales Representatives are responsible for selling supplemental insurance products and services in a defined sales territory with an existing customer base and you will have the opportunity to help grow our customer accounts. You will build strong, long-term relationships with school districts and teaching associations and develop specific, needs-based sales recommendations for their employees, highlighting the benefits of American Fidelity's insurance products. We Offer · Base salary + uncapped commission + additional sales bonus potential · Company car · First year income potential between $82,500 to $122,600 · Paid travel expenses · Consistent six figure income opportunity within 3-5 years · 401k with company match up to 6% · Defined Sales Territory · Multiple Sales Career path options · Consistent, standardized training designed for new Sales Representatives · Comprehensive benefit package including multiple medical, dental, vision and supplemental insurance plans · International Sales Award Trips We Look For: Sales potential with demonstrated leadership qualities, sales awards and sales successes Two years sales, management, or leadership experience or as a recent college graduate, someone who has held leadership roles and demonstrated hard work ethics by working your way through college Candidates with no more than 2 jobs in the last 5 years preferred 60 hours of college education or associates degree preferred Ability to pass financial, criminal, and motor vehicle background checks Pattern of Success Demonstrated by Career Growth Primary Responsibilities · Focus on growing and maintaining existing K-12 School accounts by one-on-one sales of worksite insurance products and services to the educational community · Consult with our current customers to provide value and meet their financial needs · Build strong relationships with our customers and teaching association executives · Develop customized needs-based employee benefit packages through annual benefit enrollments and group presentations. Company Perks: · National Presence - American Fidelity conducts business within 49 states, employing salaried, career Sales Representatives located across the country. · Extended Training Program - Sales Representatives participate in a structured, comprehensive training program including on-the-job training within your territory, Product and Sales Schools and online training. · Tenure - More than Double the National Average with 30% of our salaried career Sales Representatives having been employed with American Fidelity for 10 years or more. Company Overview: Founded in 1960, American Fidelity Assurance Company has grown to become one of the largest, private, family-owned life insurance companies in the United States. Focused on our core business, including disability income insurance, life insurance, and supplemental health insurance, American Fidelity has seen rapid and continuous growth. For more information on our company, visit www.americanfidelity.com. At American Fidelity, we believe that creating a culture of diversity, equity and inclusion, where all Colleagues can be their best to provide the best service to our Customers, is vital to our success. This means cultivating a workforce with wide perspectives and creating opportunities for engagement, learning and listening. If you'd like more information about American Fidelity's privacy practices, please visit americanfidelity.com/privacy”.
    $33k-64k yearly est. 3d ago
  • Inpatient Care Management Medical Director - Remote

    Unitedhealth Group 4.6company rating

    Remote or Anchorage, AK Job

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. We are currently seeking an Inpatient Care Management Medical Director to join our Optum team. This team is responsible for conducting acute level of care and length of stay reviews for medical necessity for our members being managed within the continuum of care. Our clients include local and national commercial employer, Medicare, and state Medicaid plans. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital, market, regional or national level. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Participate in telephonic outreach for collaboration with treating providers. This will include discussion of evidence - based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expenses Responsible to collaborate with operational and business partners on clinical and quality initiatives at the site and customer level to address customer expectations Is grounded in the use and application of evidence-based medicine (EBM) such as InterQual care guidelines and criteria review Occasionally, may participate in periodic market oversight meetings with the outward facing Chief Medical Officers, network contractors, nurse management and other internal managers Maintain proficiency in all required software and platforms Although the United Health Services ICM Medical Director's work is typically concentrated in a region, they are part of a national organization and team, and collaborate with peers, nurse managers, and non-clinical employees from across the country. In response to customer needs and expectations, Optum is continuously modifying its programs and approaches. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management. 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 medical license Current Board Certification in an ABMS or AOBMS specialty 3+ years of clinical practice experience post residency Private home office and access to high-speed Internet Technical proficiency in computer software and systems Preferred Qualifications: Licensure in either HI, AK, OR, ID, WA, UT a plus 2+ years of managed care, Quality Management experience and/or administrative leadership experience Prior UM experience Clinical experience within the past 2 years *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
    $328k-473k yearly est. 12h ago
  • Supervisor Service Coordinator (RN, LSW, LPC) NE Region

    Amerihealth Caritas 4.8company rating

    Scranton, PA Job

    Applicants must live in the Northeast region of Pennsylvania. Now Offering a $5,000 Sign-On Bonus for qualified candidates. Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you're going to make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at *************************** Responsibilities: The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care. Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.; Serves as a subject matter expert for LTSS training for internal care teams and external audiences.; Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.; Maintains operational processes, policies, and procedures to support LTSS care delivery Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement. Education/Experience: Bachelor's degree required. Pennsylvania licensed RN, LSW, or LPC required. 1 to 3 years of leadership and/or supervisory experience. 3 years working in social service or healthcare-related field. Experience working with people with disabilities or seniors in need of LTSS. Knowledge of the home and community-based service system and how to access and arrange for services. Experience conducting LTSS needs assessments and monitoring LTSS delivery. Ability to provide informed advocacy. Ability to interact with health care professionals professionally. Diversity, Equity, and Inclusion At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We implement these principles daily by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. Applicants must live in the Northeast region of Pennsylvania. #HM
    $39k-51k yearly est. 4d ago
  • Claims Adjuster II | IL, MO, KS

    Employers 4.7company rating

    Remote or Lees Summit, MO Job

    Claims Adjuster II | Workers' Compensation - IL, MO, KS - 100% Remote Opportunity! The Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. MUST have experience in two of the following states; Illinois, Missouri, Kansas Essential Duties and Responsibilities: Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Other duties may be assigned. Job Requirements: Excellent communication and customer service skills and knowledge of an imaged environment. Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. 2 to 5 years work comp claims adjusting experience. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. Must have High School Diploma or GED equivalent. Preferred but not required: Bachelor's degree or equivalent business experience preferred. WCCP, AIC, ARM, CPCU or other insurance certification a plus. An equivalent combination of education and experience may be substituted for the requirements listed above. Work Environment: Remote: This role is remote (WFH), and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary: $53,000- $75,000 + Comprehensive benefits package and bonus opportunity, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS ! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #HP22 #LI-Remote
    $53k-75k yearly 5d ago
  • Financial Representative Trainee - Starting at $16/hr

    Mutual of Omaha 4.7company rating

    West Dundee, IL Job

    Financial Representative Trainee (Sales) -- Chicago. IL Work Type: Full Time Regular Application Closes: Open Until Filled SHARE Are you driven, self-motivated, and eager to jumpstart your career in the financial services industry? We're seeking passionate individuals to join our Accelerator Program, a dynamic trainee experience designed to set you up for long-term success. As a Financial Representative Trainee, you'll embark on a comprehensive program that equips you with the skills and competencies necessary to excel in selling Individual Insurance products and building a sustainable, holistic financial practice. Through a combination of self-study, hands-on projects, and experienced mentorship, you'll receive the training and support you need to run your own business and build a rewarding career. WHAT WE CAN OFFER YOU: Hourly Wage: $16/hour during the trainee period, which lasts up to 30 days. Upon completion of the trainee period, promotion to a Financial Representative with a $36,000 annual base plus unlimited monthly sales incentive. $1000 bonus after successful completion of trainee period and promotion to a Financial Representative. An education-based Accelerator Program designed to successfully transition you to an independent Financial Advisor. Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match. Regular associates working 40 hours a week can earn up to 15 days of vacation each year. Regular associates receive 11 paid holidays in 2025, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion. Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2025, which is prorated based on the start date. Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. WHAT YOU'LL DO: You'll participate in a comprehensive program to develop the skills required to provide holistic financial advice to clients. You will actively contribute to classroom discussion, participate in goal setting sessions and progress evaluation meetings. You'll gain valuable direct sales experience in marketing Individual Insurance products to clients and pass a sales process competency test. You'll cultivate and sustain prospecting skills such as research, targeting, networking, communication and more through use of personal networks, community events, and social media. You'll acquire an in-depth understanding of our product offerings, demonstrating expertise in their features and benefits. You'll oversee completion of content, proposals and paperwork flow throughout the field and Home Office, ensuring a seamless application and underwriting process. WHAT YOU'LL BRING: Successfully meet all trainee program requirements, gaining the skills and knowledge needed to excel. Obtain the required insurance licenses prior to starting the job, with up to two attempts allowed for the Life and Health exam. Pass the CRD/FINRA background check at hire and ongoing, with securities licensing required within 24 months of entry into the program. Be highly self-motivated and results-oriented, working both independently and as part of a team. Be able to travel up to 50% of the time, hold and maintain a valid U.S. driver's license, and have access to reliable transportation for meetings and appointments. You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do. PREFERRED: Knowledge of the Insurance/Financial Services industry, products and marketing practices. Bachelor's degree or equivalent preferred but not required. We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! After applying, for inquiries about your application or the hiring process please email our Talent Acquisition area at *************************. Need help? Email Us Apply Now Great place to work Together we achieve greatness. Not only is this a core value, but it's also representative of the kind of place we are - built by the strength and integrity of our employees. It's why we're named a “Great Place to Work”. See All Awards An inclusive culture Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co‑workers. Discover Our Culture Related Job Openings Financial Representative Trainee (Sales)- Guaynabo, Puerto Rico Puerto Rico | 503248 Summer 2025 Environmental, Social, and Governance (ESG) Intern Nebraska | 503623 Renewal Executive - Nashville, TN Tennessee | 503588
    $36k yearly 4d ago
  • Optometrist (Joseph Audia, OD) - Harrisville and Salem, WV

    VSP Vision 4.0company rating

    Salem, WV Job

    Optometrist (Joseph Audia, OD) - Harrisville and Salem, WV page is loaded **Optometrist (Joseph Audia, OD) - Harrisville and Salem, WV** **Optometrist (Joseph Audia, OD) - Harrisville and Salem, WV** remote type Onsite locations Salem, WV time type Full time posted on Posted 30+ Days Ago job requisition idR-6824 Joseph Audia, OD, is dedicated to delivering top-notch eye care that is unparalleled in quality. With a mission centered on providing a level of service that combines advanced technology with a patient-centered approach, the practice prioritizes the well-being of every individual. Located in rural Harrisville and Salem, the business ensures accessibility and convenience by offering care three days a week in one office and two days a week in the other. This unique setup enables the Optometrists to practice full-scope optometry in a medical model setting. Each office is specially designed for eye care, featuring nine exam rooms, five rooms dedicated to special testing, and two pretest staging areas. The meticulous attention to detail ensures a comfortable and efficient experience for patients. **You'll enjoy a range of benefits, including** * Competitive base pay * Partnership opportunity * Medical insurance * Paid time off * Malpractice insurance * Relocation stipend * Continuing education allowance **What you'll do:** You'll provide individualized and personalized patient care to help ensure optimal vision for years to come. Working alongside a dedicated support staff of ten employees, a typical day consists of 20 to 30 appointments. Optometric Technicians perform patient screening, administer testing and tear labs, and assist within the exam room, enabling the doctors to focus on delivering excellent care. The practice prides itself on utilizing advanced technology, including the Maestro OCT/Retinal Camera, iCare and Goldmann Tonometers, LKC ERG, and being CLIA approved for Tear Lab and Inflammadry testing. The position offers 35 hours per week and one Saturday per month in Salem, with no evening shifts or Sundays-allowing you to fully dedicate your expertise and compassion to patients during regular business hours, 9:00 a.m. to 4:00 p.m. **Who we're seeking:** You're an enthusiastic and driven Optometrist passionate about the profession and excited to join a destination employer. Sharing the practice's core values of delivering excellence in patient care and establishing lasting relationships with patients is vital. This opportunity offers a unique chance to enhance clinical skills in ocular diseases through mentoring from senior doctors. The ideal candidate will be supportive of the practice's future goals, which include expanding care to additional days at each office and offering services on one Saturday per month in Harrisville. This is the perfect opportunity to grow professionally and make a meaningful impact on patients' lives. **Minimum Qualifications:** * Doctor of Optometry * License to practice in West Virginia **Preferred Specialties:** * Interest in ocular diseases **Why you'll love Harrisville and Salem:** Living in the Harrisville and Salem areas of West Virginia offers a multitude of benefits and many unique assets to embrace. Residents are greeted with ample outdoor recreational opportunities, allowing them to explore and enjoy the natural beauty. From hiking and camping to fishing and boating, there is something for everyone to appreciate. Another advantage is the lower cost of living, which is below the national average, making it an attractive place to settle down. Additionally, real estate in this area is highly affordable-offering residents the opportunity to find their dream home at a fraction of the cost compared to other regions. With abundant outdoor activities, a cost-effective lifestyle, and affordable real estate options, this area provides a wonderful and fulfilling place to call home. **Special Notice:** This is not a career opportunity with VSP Vision or its companies. VSP Vision is helping Premier Program providers recruit qualified applicants for their private practices. The hiring decision and acceptance of this position is solely between the hiring practice and the applicant. The above information in this description was provided by the hiring practice. It has been designed to indicate the general nature and level of work performed by an employee in this role. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities, and qualifications required of employees hired in this role. VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, gender identity, sexual orientation, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. **Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information.** We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. to learn about our application process and what to watch for regarding false job opportunities. As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies. When you become a VSPeep, you join a group of thinkers, doers, adventurers, risk-takers, and boundary pushers who think outside the peripheral to develop products, programs, and services that help create a world where everyone can bring their best vision to life. Our goal to be a diverse, equitable, and inclusive company isn't a fixed destination but rather a constant endeavor to learn, grow, and drive positive change. We strive continually to enhance the lives of each of our employees, members, stakeholders, and communities. Join the power of our purpose and check out job opportunities with VSP Vision and its strategic businesses, including: VSP Vision Care, Marchon Eyewear, Altair Eyewear, VSP Optics, Eyefinity EHR, VSP Retail, VSP Ventures, and Eyes of Hope (our charitable giving platform).
    $135k-230k yearly est. 33d ago
  • Optometrist (Dr. Larry W. Carr, P.C.) - St. Marys, WV

    VSP Vision 4.0company rating

    West Virginia Job

    Optometrist (Dr. Larry W. Carr, P.C.) - St. Marys, WV page is loaded **Optometrist (Dr. Larry W. Carr, P.C.) - St. Marys, WV** **Optometrist (Dr. Larry W. Carr, P.C.) - St. Marys, WV** remote type Onsite locations St Marys, WV time type Full time posted on Posted 30+ Days Ago job requisition idR-6815 A full-time Optometrist opportunity is available at Dr. Larry W. Carr, P.C., located in St. Marys, West Virginia!**Why you should apply** Dr. Larry W. Carr, P.C. is a thriving practice that is dedicated to the highest level of vision care while exceeding patient expectations through good old-fashioned care and top-notch service. As a long-standing business in the St. Marys community, the practice continues to flourish, and a long-term opportunity is on the horizon for the right Optometrist. If you're a devoted professional inspired by a career focused on helping others, interested in expanding a well-established business while maintaining its world-class service with the possibility for a future partnership or ownership opportunity-this is your chance! Located along the Ohio River, St. Marys is a charming town that provides a unique, convenient, and relaxing way of life. Offering stunning natural surroundings, residents and visitors alike can easily explore the outdoors at the Wayne National Forrest and Monongahela National Forest and experience the area's best hiking, rock climbing, bouldering. Those who enjoy kayaking and white water rafting will have the opportunity to adventure out on the New River Gorge and the Gauley River, which also offers plenty of lodging for overnight stays. St. Marys also features plenty of annual events from the West Virginia Bass Festival to the Onion Festival-plus fishing, boating, and community events are available year-round. With everything this quaint town and welcoming community has to offer and its proximity to some of the East Coast's most visited destinations make it a wonderful place to work and call home. **You'll enjoy a range of benefits, including:** * Competitive pay of $600 per day * Health insurance * Paid vacation days * Potential for partnership opportunity **About Dr. Larry W. Carr, P.C.** Established in 1980, Dr. Larry W. Carr, P.C. provides full-service optometric care to residents and families in Pleasants County and surrounding communities. The practice is dedicated to preserving vision and eye health and specializes in comprehensive vision examinations, various eye diseases and conditions, surgical co-management, and specialty contact lenses. The business is centrally located in St. Marys off of South Pleasants Highway, making it easily accessible with excellent street visibility. To help support future business growth and preserve the gold-standard service, Dr. Carr is looking for an Optometrist to join the team of five staff members. The practice ensures optimal eye health through advanced technology to diagnose and treat a wide array of ocular diseases. The practice is well equipped with optometric technology and utilizes optical coherence tomography, fundus camera, and visual field technology. Customers enjoy a family-friendly shopping experience as they browse a wide selection of fashionable eyewear and designer frames-plus, the Optician works closely with the patients to select proper frames for cosmetic, lifestyle, and visual needs. **About the Optometrist Opening** Dr. Larry W. Carr, P.C. is seeking an Optometrist who genuinely cares about the patient experience and consistently provides personalized care to ensure excellent eye health. You'll practice full-scope optometry and medical eye care 4 days a week-approximately 20 patients are cared for daily. The practice is looking for a people-oriented team player committed to growing and expanding the business and preserving its solid reputation and the legacy it has built over the decades. For the right Optometrist, a future potential ownership or partnership opportunity may be available. All benefits are negotiable at this time. To be successful in this role, you must demonstrate leadership, excellent patient communication skills, interpersonal skills, and compassion for patient health and safety. The ideal candidate will want to develop skills through mentorship with experienced doctors and integrate new techniques and innovations that improve patient care and services. **Minimum qualifications include:** * Optometry license in the state of West Virginia **Special Notice** This is not a career opportunity with VSP Vision or its companies. VSP Vision is helping Premier Program providers recruit qualified applicants for their private practices. The hiring decision and acceptance of this position is solely between the hiring practice and the applicant. The above information in this description was provided by the hiring practice. It has been designed to indicate the general nature and level of work performed by an employee in this role. It is not designed to contain, or be interpreted as, a comprehensive inventory of all duties, responsibilities, and qualifications required of employees hired in this role. VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, gender identity, sexual orientation, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing. **Notice to Candidates: Fraud Alert - Fake Job Opportunity Solicitations Used to Collect Fees/Personal Information.** We have been made aware that fake job opportunities are being offered by individuals posing as VSP Vision and affiliate recruiters. to learn about our application process and what to watch for regarding false job opportunities. As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies. When you become a VSPeep, you join a group of thinkers, doers, adventurers, risk-takers, and boundary pushers who think outside the peripheral to develop products, programs, and services that help create a world where everyone can bring their best vision to life. Our goal to be a diverse, equitable, and inclusive company isn't a fixed destination but rather a constant endeavor to learn, grow, and drive positive change. We strive continually to enhance the lives of each of our employees, members, stakeholders, and communities. Join the power of our purpose and check out job opportunities with VSP Vision and its strategic businesses, including: VSP Vision Care, Marchon Eyewear, Altair Eyewear, VSP Optics, Eyefinity EHR, VSP Retail, VSP Ventures, and Eyes of Hope (our charitable giving platform).
    33d ago
  • Medical Director Radiation Oncology - Remote

    Unitedhealth Group 4.6company rating

    Remote or Cleveland, OH Job

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Optum Radiation Oncology Medical Director will provide clinical guidance to help implement a next-generation comprehensive Radiation Oncology solution which will successfully meet clinical, quality, and financial performance objectives. This solution will help ensure providers deliver high-quality, evidence-based and cost-efficient radiation oncology care for our clients. As such, this role requires an innovative, hands-on, action-oriented clinician. This position will serve as a member of the radiation oncology team dedicated to helping ensure high levels of quality, affordability, and member and provider satisfaction. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform utilization review determinations for radiation oncology populations, and support case and disease management teams to achieve optimal clinical outcomes Speak with providers by phone. This will include discussion of evidence-based guidelines, opportunities to close clinical quality / service gaps, and care plan changes that can impact health care expense Enhance clinical expertise of the radiation oncology team through education sessions with nursing teams, and serving as a thought leader and point of contact for relevant medical societies & stakeholders Deliver the Optum clinical value proposition focused on quality, affordability and service, in support of the sales and growth activities including conducting client presentations and participating in customer consultations Evaluate clinical and other data (e.g., quality metrics, claims & health record data, utilization data) to identify opportunities for improvement of clinical care and processes Collaborate with operational and business partners on enterprise-wide research, clinical and quality initiatives to enhance Optum impact in the Radiation oncology field This remote-work position will require the use of a company provided personal computer, internet access and familiarity with Microsoft Office applications Rotational weekend/ holiday on-call coverage as scheduled 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 medical license Current board certification in Radiation Oncology 5+ years of clinical practice experience (inclusive of radiation oncology) Proficiency with Microsoft Office applications Demonstrated accomplishments in the areas of medical care delivery systems, utilization management, case management, disease management, quality management, product development and/or peer review Proven ability to quickly gain credibility, influence and partner with staff and the clinical community Participate in rotational weekend/ holiday on-call coverage as scheduled Preferred Qualification: Experience in managed care, quality management or administrative leadership Experience working with payer guidelines Experience in client-facing customer relationship management *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. 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.
    $286.1k-397.7k yearly 12h ago
  • Supervisor Service Coordinator (RN, LSW, LPC) SE Region

    Amerihealth Caritas 4.8company rating

    Philadelphia, PA Job

    Applicants must live in the Greater Philadelphia area.; Now Offering a $5,000 Sign-On Bonus for qualified candidates. Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you're going to make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at *************************** Responsibilities: The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care. Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.; Serves as a subject matter expert for LTSS training for internal care teams and external audiences.; Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.; Maintains operational processes, policies, and procedures to support LTSS care delivery Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement. Education/Experience: Bachelor's degree required. Pennsylvania licensed RN, LSW, or LPC required. 1 to 3 years of leadership and/or supervisory experience. 3 years working in social service or healthcare-related field. Experience working with people with disabilities or seniors in need of LTSS. Knowledge of the home and community-based service system and how to access and arrange for services. Experience conducting LTSS needs assessments and monitoring LTSS delivery. Ability to provide informed advocacy. Ability to interact with health care professionals professionally. Diversity, Equity, and Inclusion At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We implement these principles daily by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. Applicants must live in the Greater Philadelphia area. #HM
    $38k-51k yearly est. 4d ago
  • Claims Adjuster II | IL, MO, KS

    Employers 4.7company rating

    Remote or North Chicago, IL Job

    Claims Adjuster II | Workers' Compensation - IL, MO, KS - 100% Remote Opportunity! The Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. MUST have experience in two of the following states; Illinois, Missouri, Kansas Essential Duties and Responsibilities: Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Other duties may be assigned. Job Requirements: Excellent communication and customer service skills and knowledge of an imaged environment. Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. 2 to 5 years work comp claims adjusting experience. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. Must have High School Diploma or GED equivalent. Preferred but not required: Bachelor's degree or equivalent business experience preferred. WCCP, AIC, ARM, CPCU or other insurance certification a plus. An equivalent combination of education and experience may be substituted for the requirements listed above. Work Environment: Remote: This role is remote (WFH), and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary: $53,000- $75,000 + Comprehensive benefits package and bonus opportunity, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS ! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #HP22 #LI-Remote
    $53k-75k yearly 5d ago
  • Financial Rep - Upcoming Grad

    Mutual of Omaha 4.7company rating

    North Chicago, IL Job

    Financial Representative Trainee (Sales) -- Chicago. IL Work Type: Full Time Regular Application Closes: Open Until Filled SHARE Are you driven, self-motivated, and eager to jumpstart your career in the financial services industry? We're seeking passionate individuals to join our Accelerator Program, a dynamic trainee experience designed to set you up for long-term success. As a Financial Representative Trainee, you'll embark on a comprehensive program that equips you with the skills and competencies necessary to excel in selling Individual Insurance products and building a sustainable, holistic financial practice. Through a combination of self-study, hands-on projects, and experienced mentorship, you'll receive the training and support you need to run your own business and build a rewarding career. WHAT WE CAN OFFER YOU: Hourly Wage: $16/hour during the trainee period, which lasts up to 30 days. Upon completion of the trainee period, promotion to a Financial Representative with a $36,000 annual base plus unlimited monthly sales incentive. $1000 bonus after successful completion of trainee period and promotion to a Financial Representative. An education-based Accelerator Program designed to successfully transition you to an independent Financial Advisor. Benefits and Perks, 401(k) plan with a 2% company contribution and 6% company match. Regular associates working 40 hours a week can earn up to 15 days of vacation each year. Regular associates receive 11 paid holidays in 2025, which includes 2 floating holidays that are added to your prorated personal time to be used at your discretion. Regular associates are provided sick leave through the use of personal time. Associates working 40 hours a week can receive up to 40 hours of personal time in 2025, which is prorated based on the start date. Applicants for this position must not now, nor at any point in the future, require sponsorship for employment. WHAT YOU'LL DO: You'll participate in a comprehensive program to develop the skills required to provide holistic financial advice to clients. You will actively contribute to classroom discussion, participate in goal setting sessions and progress evaluation meetings. You'll gain valuable direct sales experience in marketing Individual Insurance products to clients and pass a sales process competency test. You'll cultivate and sustain prospecting skills such as research, targeting, networking, communication and more through use of personal networks, community events, and social media. You'll acquire an in-depth understanding of our product offerings, demonstrating expertise in their features and benefits. You'll oversee completion of content, proposals and paperwork flow throughout the field and Home Office, ensuring a seamless application and underwriting process. WHAT YOU'LL BRING: Successfully meet all trainee program requirements, gaining the skills and knowledge needed to excel. Obtain the required insurance licenses prior to starting the job, with up to two attempts allowed for the Life and Health exam. Pass the CRD/FINRA background check at hire and ongoing, with securities licensing required within 24 months of entry into the program. Be highly self-motivated and results-oriented, working both independently and as part of a team. Be able to travel up to 50% of the time, hold and maintain a valid U.S. driver's license, and have access to reliable transportation for meetings and appointments. You promote a culture of diversity and inclusion, value different ideas and opinions, and listen courageously, remaining curious in all that you do. PREFERRED: Knowledge of the Insurance/Financial Services industry, products and marketing practices. Bachelor's degree or equivalent preferred but not required. We value diverse experience, skills, and passion for innovation. If your experience aligns with the listed requirements, please apply! After applying, for inquiries about your application or the hiring process please email our Talent Acquisition area at *************************. Need help? Email Us Apply Now Great place to work Together we achieve greatness. Not only is this a core value, but it's also representative of the kind of place we are - built by the strength and integrity of our employees. It's why we're named a “Great Place to Work”. See All Awards An inclusive culture Surround yourself with an authentic and inclusive culture. Your strengths and differences will be valued and celebrated by a diverse community of co‑workers. Discover Our Culture Related Job Openings Financial Representative Trainee (Sales)- Guaynabo, Puerto Rico Puerto Rico | 503248 Summer 2025 Environmental, Social, and Governance (ESG) Intern Nebraska | 503623 Renewal Executive - Nashville, TN Tennessee | 503588
    $36k yearly 4d ago
  • Medical Director - Orthopedic Surgery - Remote

    Unitedhealth Group 4.6company rating

    Remote or Denver, CO Job

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. As part of the Focus Claims Review team at Optum, the Medical Director provides leadership, organization, and direction for the claims review program. They are responsible for the overall quality, effectiveness and coordination of the medical services provided through Optum. The Medical Director will participate in all aspects of claim review services including provider telephonic discussions and provider appeals. In addition, the Medical Director may also be asked to assist in the direction and oversight in the development and implementation of policies and procedures and clinical criteria for all medical programs and services. The Medical Director will serve as a liaison between Optum, physicians, and other medical service providers in selected situations primarily related to medical claim reviews. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Reviews surgical and other professional claims for correct coding using clinical record Participation in Training regarding URAC, NCQA, Regulatory Compliance, Confidentiality, Conflict of Interest, HIPAA, and department specific training as applicable Discusses cases and clinical coding situations with treating providers telephonically during scheduled hours Participates in periodic clinical conferences / calls and in ongoing internal performance consistency reviews Composes, if needed, patient situation specific, clinical summaries and rationales for medical necessity decisions Is available for occasional, periodic weekend and holiday as needed telephonic and remote computer expedited clinical decisions Supports compliance with regulatory agency standards and requirements (e.g., CMS, NCQA, URAC, state / federal and third-party payers) Ability to travel to scheduled company meetings and activities in US Ability to assist in marketing presentations to clients and ongoing relationship management activities with existing clients if requested to do so Provide Clinical support for staff that conduct initial reviews Good understanding of professional performance measurement and related possible discussions/interventions with selected providers/groups/organizations 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: Current, active, and fully unrestricted medical license Current board certification in Orthopedic surgery 5+ years of clinical experience in Orthopedic surgery; specialized in spinal surgery post residency MS Office (MS Word, Excel, and Power Point) Preferred Qualifications: Experience in managed care Experience with professional claim coding / claim coding reviews Experience with integration of clinical and financial data, development of utilization and performance reporting tools, and communication of performance data to physicians and other health care providers Knowledge of claim coding resources and techniques Proficient computer skills and ability to learn to use clinical and claims software Proven excellent interpersonal skills and the ability to work over the telephone with other colleagues including physicians, nurses, PTs, OTs and other similar personnel *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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $269.5k-425.5k yearly 12h ago
  • Claims Adjuster II | IL, MO, KS

    Employers 4.7company rating

    Remote or Kansas City, MO Job

    Claims Adjuster II | Workers' Compensation - IL, MO, KS - 100% Remote Opportunity! The Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. MUST have experience in two of the following states; Illinois, Missouri, Kansas Essential Duties and Responsibilities: Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Other duties may be assigned. Job Requirements: Excellent communication and customer service skills and knowledge of an imaged environment. Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. 2 to 5 years work comp claims adjusting experience. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. Must have High School Diploma or GED equivalent. Preferred but not required: Bachelor's degree or equivalent business experience preferred. WCCP, AIC, ARM, CPCU or other insurance certification a plus. An equivalent combination of education and experience may be substituted for the requirements listed above. Work Environment: Remote: This role is remote (WFH), and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary: $53,000- $75,000 + Comprehensive benefits package and bonus opportunity, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS ! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #HP22 #LI-Remote
    $53k-75k yearly 5d ago
  • Supervisor Service Coordinator (RN, LSW, LPC) Lehigh/Capital Region

    Amerihealth Caritas 4.8company rating

    Harrisburg, PA Job

    Applicants must live in the Lehigh/Capital area. Now Offering a $5,000 Sign-On Bonus for qualified candidates. Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. We want to connect with you if you're going to make a difference. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with over 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at *************************** Responsibilities: The Service Coordination Supervisor is responsible for overseeing the operational functions of the LTSS Service Coordination team using the AmeriHealth Caritas Pennsylvania Community Health Choices model of care. Oversees the day to day operations of the LTSS department, including the development of Person-Centered Service Plans, authorization and approval of services and the coordination of benefits for all LTSS Participants.; Serves as a subject matter expert for LTSS training for internal care teams and external audiences.; Supports coordination of LTSS with other clinical and social services across the continuum of care, striving to enhance the quality of Participant care and services.; Maintains operational processes, policies, and procedures to support LTSS care delivery Ensure quality and performance metrics are consistently met regarding LTSS, as specified in the agreement. Education/Experience: Bachelor's degree required. Pennsylvania licensed RN, LSW, or LPC required. 1 to 3 years of leadership and/or supervisory experience. 3 years working in social service or healthcare-related field. Experience working with people with disabilities or seniors in need of LTSS. Knowledge of the home and community-based service system and how to access and arrange for services. Experience conducting LTSS needs assessments and monitoring LTSS delivery. Ability to provide informed advocacy. Ability to interact with health care professionals professionally. Diversity, Equity, and Inclusion At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We implement these principles daily by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve. We keep our associates happy so they can focus on keeping our members healthy. Our Comprehensive Benefits Package Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more. Applicants must live in the Lehigh/Capital area. #HM
    $38k-50k yearly est. 8d ago
  • Sales Representative- Salary plus Commission plus Company Car

    American Fidelity Sales Careers 4.7company rating

    American Fidelity Sales Careers Job In Morgantown, WV

    Come Join the American Fidelity Educational Services Family Family Owned since 1960 We are seeking a Sales Representative to market our insurance products and provide client customer service statewide to the educational community in your area. Our salaried, career Sales Representatives are responsible for selling supplemental insurance products and services in a defined sales territory with an existing customer base and you will have the opportunity to help grow our customer accounts. You will build strong, long-term relationships with school districts and teaching associations and develop specific, needs-based sales recommendations for their employees, highlighting the benefits of American Fidelity's insurance products. We Offer · Base salary + uncapped commission + additional sales bonus potential · Company car · First year income potential between $82,500 to $122,600 · Paid travel expenses · Consistent six figure income opportunity within 3-5 years · 401k with company match up to 6% · Defined Sales Territory · Multiple Sales Career path options · Consistent, standardized training designed for new Sales Representatives · Comprehensive benefit package including multiple medical, dental, vision and supplemental insurance plans · International Sales Award Trips We Look For: Sales potential with demonstrated leadership qualities, sales awards and sales successes Two years sales, management, or leadership experience or as a recent college graduate, someone who has held leadership roles and demonstrated hard work ethics by working your way through college Candidates with no more than 2 jobs in the last 5 years preferred 60 hours of college education or associates degree preferred Ability to pass financial, criminal, and motor vehicle background checks Pattern of Success Demonstrated by Career Growth Primary Responsibilities · Focus on growing and maintaining existing K-12 School accounts by one-on-one sales of worksite insurance products and services to the educational community · Consult with our current customers to provide value and meet their financial needs · Build strong relationships with our customers and teaching association executives · Develop customized needs-based employee benefit packages through annual benefit enrollments and group presentations. Company Perks: · National Presence - American Fidelity conducts business within 49 states, employing salaried, career Sales Representatives located across the country. · Extended Training Program - Sales Representatives participate in a structured, comprehensive training program including on-the-job training within your territory, Product and Sales Schools and online training. · Tenure - More than Double the National Average with 30% of our salaried career Sales Representatives having been employed with American Fidelity for 10 years or more. Company Overview: Founded in 1960, American Fidelity Assurance Company has grown to become one of the largest, private, family-owned life insurance companies in the United States. Focused on our core business, including disability income insurance, life insurance, and supplemental health insurance, American Fidelity has seen rapid and continuous growth. For more information on our company, visit www.americanfidelity.com. At American Fidelity, we believe that creating a culture of diversity, equity and inclusion, where all Colleagues can be their best to provide the best service to our Customers, is vital to our success. This means cultivating a workforce with wide perspectives and creating opportunities for engagement, learning and listening. If you'd like more information about American Fidelity's privacy practices, please visit americanfidelity.com/privacy”.
    $34k-65k yearly est. 12d ago
  • Medical Director - Pulmonology - Remote

    Unitedhealth Group 4.6company rating

    Remote or Portland, OR Job

    Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs. The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services. The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements Engage with requesting providers as needed in peer-to-peer discussions Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews. Participate in daily clinical rounds as requested Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy Communicate and collaborate with other internal partners Call coverage rotation 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: M.D or D.O. Board certification in Pulmonology Active unrestricted license to practice medicine 5+ years of clinical practice experience post residency Sound understanding of Evidence Based Medicine (EBM) Proven solid PC skills, specifically using MS Word, Outlook, and Excel Preferred Qualifications: Additional Board Certification in Internal Medicine Experience in utilization and clinical coverage review Proven excellent oral, written, and interpersonal communication skills, facilitation skills Proven data analysis and interpretation aptitude Proven innovative problem-solving skills Proven excellent presentation skills for both clinical and non-clinical audiences *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
    $286.1k-397.7k yearly 12h ago
  • Claims Adjuster II | IL, MO, KS

    Employers 4.7company rating

    Remote or New Douglas, IL Job

    Claims Adjuster II | Workers' Compensation - IL, MO, KS - 100% Remote Opportunity! The Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. MUST have experience in two of the following states; Illinois, Missouri, Kansas Essential Duties and Responsibilities: Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Other duties may be assigned. Job Requirements: Excellent communication and customer service skills and knowledge of an imaged environment. Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. 2 to 5 years work comp claims adjusting experience. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. Must have High School Diploma or GED equivalent. Preferred but not required: Bachelor's degree or equivalent business experience preferred. WCCP, AIC, ARM, CPCU or other insurance certification a plus. An equivalent combination of education and experience may be substituted for the requirements listed above. Work Environment: Remote: This role is remote (WFH), and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary: $53,000- $75,000 + Comprehensive benefits package and bonus opportunity, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS ! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #HP22 #LI-Remote
    $53k-75k yearly 5d ago
  • Appeals and Grievances Medical Director - Cardiology Specialty Required - Virtual

    Unitedhealthcare 4.4company rating

    Remote or Chicago, IL 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. Work at home! The Appeals and Grievances Medical Director is responsible for ongoing clinical review and adjudication of appeals and grievances cases for UnitedHealthcare associated companies. 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 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 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 nonclinical 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 California, Colorado, Connecticut, Hawaii, Maryland, Nevada, New Jersey, New York, Rhode Island, Washington, Washington, D.C. Residents Only: The salary range for this role is $286,104 to $397,743 annually. 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. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
    $286.1k-397.7k yearly 12h ago
  • Claims Adjuster II | IL, MO, KS

    Employers 4.7company rating

    Remote or Sidell, IL Job

    Claims Adjuster II | Workers' Compensation - IL, MO, KS - 100% Remote Opportunity! The Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with moderate medical and indemnity benefit exposure, including litigation. MUST have experience in two of the following states; Illinois, Missouri, Kansas Essential Duties and Responsibilities: Completes initial contacts to obtain necessary additional information, verify coverage, determine compensability and develop of plan of action. Completes and maintains accurate claim system data. Analyzes case facts to establish timely and accurate case reserves using knowledge of medical disabilities and related costs, as well as judgment of extent of disability. Provides timely and appropriate customer service within established best practices. Maintains ongoing professional communications with all internal and external customers. Accurately evaluates and pays benefits in compliance with statutory and company procedures and guidelines. Files appropriate state forms, as needed. Proactively coordinates and monitors medical treatment to continue to move the claim forward. Uses resources, internal and external, to contain costs and manage exposure. Reviews and analyzes legal exposures. Collaborates with defense attorneys to manage legal issues. Proactively mitigates exposure to litigation, prices up claims for settlement and works within authority to resolve claims. Regularly reviews caseload and proactively takes action to guide claims efficiently and effectively to closure. Other duties may be assigned. Job Requirements: Excellent communication and customer service skills and knowledge of an imaged environment. Demonstrated knowledge of workers' compensation laws and ability to adhere to statutes, regulations and company policies and practices, as well as related claim management procedures/protocols. 2 to 5 years work comp claims adjusting experience. Self-motivated with excellent analytical, problem solving and decision-making skills. Strong ability to multi-task and prioritize. If state certification or license is required, must meet requirements and obtain certification within state mandated timeframe and maintain any required license through continuing education. Must have High School Diploma or GED equivalent. Preferred but not required: Bachelor's degree or equivalent business experience preferred. WCCP, AIC, ARM, CPCU or other insurance certification a plus. An equivalent combination of education and experience may be substituted for the requirements listed above. Work Environment: Remote: This role is remote (WFH), and only open to candidates currently located in the United States and able to work without sponsorship. It requires a suitable space that provides a private and quiet workplace. Expected Work Hours: Schedules are set to accommodate the requirements of the position and the needs of the organization and may be adjusted as needed. Travel: May be required to travel to off-site location(s) to attend meetings, as necessary Salary: $53,000- $75,000 + Comprehensive benefits package and bonus opportunity, please follow the link to our benefits page for details! ********************************************************* About EMPLOYERS EMPLOYERS is a dynamic, fast-growing provider of workers' compensation insurance and services, we are seeking a goal-oriented individual willing to put their ideas to work! We offer a positive, challenging work environment, combined with an opportunity to build your career as you help us grow our business, in innovative and imaginative ways that are uniquely EMPLOYERS ! Headquartered in Nevada, EMPLOYERS attributes its long-standing success to its most valuable resource, our employees across the United States. EMPLOYERS is known for the quality service and expertise we provide to our clients, and the exemplary work environment we provide for our employees. We live and breathe our core values: Integrity, Customer Focus, Collaboration, Initiative, Accountability, Innovation, and Personal Fulfillment. These are the pillars that support how we do business with our clients as well as how we treat each other! At EMPLOYERS, you'll discover an energetic environment that inspires top achievement. As “America's small business insurance specialist”, we have the resources, a solid reputation and an expanding nationwide identity to enrich your work/life and enhance your career. #HP22 #LI-Remote
    $53k-75k yearly 5d ago

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