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AmeriHealth Caritas jobs in Washington, DC

- 11980 jobs
  • Manager Provider Network Management (Health DC Plan)

    Amerihealth Caritas 4.8company rating

    Amerihealth Caritas job in Washington, DC

    **Responsibilities:** Responsible for managing the day-to-day activities of the Health DC Plan Network Management department and staff. Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it relates to the Health DC Plan. Ensures that the department and staff remain current in all aspects of Federal and State rules, regulations, policies and procedures and creates or modifies departmental policies to reflect changes. Ensures department achieves annual goals and objectives. **Contracting** + Responsible for hospital and physician network development and management - Health DC Plan. + Develops and recommends policy changes related to provider recruitment and contracting. + Recruits and negotiates contracts with specific providers within operational and potential new counties to meet company requirements. + Oversees training and communication for network providers and acts as a liaison with the provider community. + Ensures compliance with pricing guidelines established by AMC and Plan. + Ensures provider contracting is consistent with claim payment methodologies. + Maintains familiarity with State Medicaid fee schedules and analyzes comparable Plan pricing guidelines. + Resolves difficult complex contract issues to ensure that provider contracts are in compliance with state, federal, national accrediting agencies and Plan contracting guidelines. + Ensures that non-standard contract elements are communicated to appropriate departments and obtains AmeriHealth Caritas Family of Plans and D.C. Plan approval prior to submission to provider. + Responsible for the accuracy and timely management of all provider contracts. + Responsible for implementation of electronic strategies for provider network to include increasing electronic claims submission and implementation of improved processes that result in increased auto-adjudication of claims. **Work Arrangement** This position is a hybrid position, working in the office 4 days / week. Office is located at 1201 Maine SW **Recruitment** + Responsible for compliance with State and accrediting agencies' network adequacy standards. + Ensures the provider network meets the health care needs of Plan members. + Establishes a recruitment plan, conducts recruiting activities and oversees the recruitment efforts of staff. + Establishes a priority list of new geographic locations and types of providers to be added to the Plan network in concert with Plan departments. + Works with Plan departments to retain network providers at risk for termination. + Augments and modifies the existing provider network to accommodate new products or clients as necessary. **General Administrative Activities** + Responsible for departmental staffing decisions and provides supervision to assigned staff, writes and performs annual reviews and monitors performance issues as they arise. + Leads team in a manner conducive to ongoing growth and expanded knowledge of associates. + Coach team members in the use of data and appropriate analytical tools that support improved quality. + Support team members in the identification and creative problem resolution for improved processes and expanded use of technology. + Support collaborative team efforts that produce effective working relationships and trust. + Systematically keeps staff informed of policy and procedural changes affecting program and administrative operations. + Regularly suggests innovative means of structuring operations in a fashion that helps alleviate backlogs and ensures the optimal utilization of resources. + Resolves individual provider complaints in a timely manner to ensure minimal disruption of the Plan's network. + Analyzes and monitors provider claim compliance with Plan policies and procedures and recommends solutions when problems occur. + Responsible for facilitating the department on system upgrades, regulatory directives (i.e., Medicaid Bulletins, etc.) and assigned corporate initiatives. + Monitors capitation, provider rosters, and RHC/FQHC reports and develops and implements strategies to address outliers. + Conducts and prepares reports on annual provider satisfaction surveys; develops plans to improve identified areas of concern; works with other departments to develop quality assurance initiatives based on survey results. + Supports the Quality Management Department and Company-wide Quality Initiatives such as HEDIS, CAHPS and NCQA/URAC: + Reviews Quality indicators and makes recommendations for improvement + Compiles documentation regarding quality Reports and provider utilization platforms. + Will partner with medical management team to identify and measure methods to improve process and workflows + Participates in Plan and physician committees as appropriate. **Education/Experience:** + Bachelor's Degree in business or health related discipline such as Healthcare Administration or Healthcare Management or equivalent education and business experience. + Master's Degree preferred. + 2 to 3 years Medicaid and/or Medicare experience preferred. + 1 to 3 years managing dual eligibility health insurance, ACA Exchange Business & DSNPs. + 5 years provider contracting/reimbursement experience in healthcare setting. + 3 years of supervisory/ management/ leadership experience, preferably in a managed care setting. + Valid driver's license and automobile insurance. The targeted hiring range for this role is expected to be between $102,700 and 140,000. Your career starts now. We're looking for the next generation of health care leaders. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care 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. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 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 ************************** . **Our Comprehensive Benefits Package** Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the D.C. office. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training. AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more. The targeted hiring range for this role is expected to be between $102,700 and 140,000. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
    $102.7k yearly 60d+ ago
  • Financial Representative Trainee (Sales) -Bloomington, MN

    Mutual of Omaha 4.7company rating

    Bloomington, MN job

    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: Step into a career with earnings from $36,000-$75,000 in your first year, plus uncapped incentives once you complete training - where your effort determines your earnings! $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. 401(k) plan with a 2% company contribution and 6% company match. Work-life balance with vacation, personal time and paid holidays. See our benefits and perks page for details. 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 *************************. Fair Chance Notices
    $36k-75k yearly 1d ago
  • Personal Injury Claims Examiner

    Geico 4.1company rating

    Marlton, NJ job

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Personal Injury Protection Claims Examiner - Marlton, NJ Salary: $27.47 per hour / $55,350 annually What sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Marlton, NJ office to deliver our promise to be there and assist our customers throughout the often complicated medical aspects of auto insurance claims. We're seeking outstanding associates who want to kickstart a fulfilling career with one of the fastest-growing auto insurers in the U.S. As a PIP Claims Examiner, you will investigate medical necessity and determine casualty. You will consult with involved parties, secure medical information and review insurance contracts, associated reports and billing documentation. We will rely on you to evaluate the validity of personal injury insurance claims and monitor case files over the course of treatment. This job is a great fit for people who are continuous life learners, as PIP Claims Examiners are consistently challenged to learn more and increase their knowledge of our industry and company. Plus, GEICO encourages a promote-from-within culture, so there is plenty of room to grow your career and be rewarded for your hard work and determination. Bring your passion for helping others and a desire to make impact and start a rewarding career with GEICO today! Qualifications & Skills: Bachelor's degree preferred Prior insurance claims experience preferred, but not required Personal injury, bodily injury or workers' compensation experience preferred Solid analytical, customer service and multi-tasking skills Strong attention to detail, time management and decision-making skills #geico200 Annual Salary $27.47 - $42.73 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate's work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $27.5-42.7 hourly Auto-Apply 1d ago
  • Operations Supervisor/Leader

    Geico 4.1company rating

    Tampa, FL job

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Are you a dynamic leader with a passion for empowering teams and driving results? GEICO is seeking a forward-thinking and motivated Operations Leader / Supervisor to join our management team. This role offers the opportunity to lead and develop associates in our growing Sales organization. If you have at least two years' supervisory experience managing teams and a commitment to delivering exceptional customer experiences, we want to hear from you! Success in this role is built on the foundation of GEICO's core leadership behaviors: Ownership: You take responsibility for outcomes in all scenarios. Adaptability: You navigate dynamic environments with creativity and resilience. Leading People: You empower individuals and teams to achieve their best. Collaboration: You build and strengthen partnerships across organizational lines. Driving Value: You use data-driven insights to align actions with strategic goals. What You'll Do: Lead, mentor, and inspire a team of associates to deliver exceptional service that delights our customers and builds their trust. Leverage your prior leadership expertise to guide team members in resolving complex customer inquiries and claims. Personalize your leadership approach to develop team members' skills, fostering their growth and ensuring they consistently exceed customer expectations. Monitor and evaluate team performance using key performance indicators (KPIs) to enhance efficiency, customer satisfaction, and retention. Hold your team accountable for achieving results, maintaining compliance with insurance regulations, and delivering outstanding service. Address escalated customer concerns with professionalism and empathy, modeling GEICO's dedication to service excellence. Collaborate with leadership and cross-functional teams to identify and implement process improvements that enhance the customer experience. Serve as a resource for team members on insurance-related questions, providing mentorship and training to build their industry knowledge. What We're Looking For: Bachelor's or Associate's degree with 2+ years of supervisory experience or a minimum of 4 years of supervisory experience in lieu of a degree (high school diploma or equivalent required). Experience successfully managing teams in insurance, financial services, call center, retail or other industries. Ability to obtain and/or maintain an active Property & Casualty Insurance License or Personal Insurance License (required). Proven ability to motivate, inspire, and develop high-performing teams in a customer-centric environment. Strong results orientation, with a history of meeting or exceeding performance goals. Excellent interpersonal and communication skills, with the ability to adapt leadership styles to diverse individuals and situations. Ability to analyze data and metrics to inform decision-making and improve customer outcomes. Collaborative mindset with a commitment to fostering a culture of inclusivity and excellence. Why Join GEICO? Meaningful Impact: Make a real difference by resolving issues and enhancing customer satisfaction. Inclusive Culture: Join a company that values diversity, collaboration, and innovation. Workplace Flexibility: Benefit from a hybrid work model-80% in-office, 20% remote after training-and enjoy the GEICO Flex Program, allowing for additional flexibility throughout the year. Professional Growth: Access GEICO's industry-leading training programs and development opportunities: Licensing and continuing education at no cost to you. Leadership development programs and hundreds of eLearning courses to enhance your skills. Additional Perks: Health & Wellness: Comprehensive healthcare and well-being support available on Day 1. 401(k) Match: From day one, you'll be automatically enrolled in our 401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings, with employer contributions added to your account each paycheck and vesting immediately. Increased Earnings Potential: Pay Transparency: The starting salary for this position is between $60,270 and $115,825 annually. Incentives and Recognition - Corporate wide bonus programs are in place to reward top performers. #geico300 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $34k-41k yearly est. Auto-Apply 4d ago
  • Personal Injury Examiner

    Geico 4.1company rating

    Lakeland, FL job

    At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive through relentless innovation to exceed our customers' expectations while making a real impact for our company through our shared purpose. When you join our company, we want you to feel valued, supported and proud to work here. That's why we offer The GEICO Pledge: Great Company, Great Culture, Great Rewards and Great Careers. Personal Injury Protection Claims Examiner - Lakeland, FL Salary: $23.41-$29.41 per hour What sets GEICO apart from our competition? One key factor is our ability to provide outstanding customer service during the insurance claims process. We are looking for Personal Injury Protection (PIP) Claims Examiners in our Lakeland, FL office to deliver our promise to be there and assist our customers throughout the often complicated medical aspects of auto insurance claims. We're seeking outstanding associates who want to kickstart a fulfilling career with one of the fastest-growing auto insurers in the U.S. As a PIP Claims Examiner, you will investigate medical necessity and determine casualty. You will consult with involved parties, secure medical information and review insurance contracts, associated reports and billing documentation. We will rely on you to evaluate the validity of personal injury insurance claims and monitor case files over the course of treatment. This job is a great fit for people who are continuous life learners, as PIP Claims Examiners are consistently challenged to learn more and increase their knowledge of our industry and company. Plus, GEICO encourages a promote-from-within culture, so there is plenty of room to grow your career and be rewarded for your hard work and determination. Bring your passion for helping others and a desire to make impact and start a rewarding career with GEICO today! Qualifications & Skills: Bachelor's degree preferred Prior insurance claims experience preferred, but not required Personal injury, bodily injury or workers' compensation experience preferred Solid analytical, customer service and multi-tasking skills Strong attention to detail, time management and decision-making skills #geico200 At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: At GEICO, we help our customers through life's twists and turns. Our mission is to protect people when they need it most and we're constantly evolving to stay ahead of their needs. We're an iconic brand that thrives on innovation, exceeding our customers' expectations and enabling our collective success. From day one, you'll take on exciting challenges that help you grow and collaborate with dynamic teams who want to make a positive impact on people's lives. Great Careers: We offer a career where you can learn, grow, and thrive through personalized development programs, created with your career - and your potential - in mind. You'll have access to industry leading training, certification assistance, career mentorship and coaching with supportive leaders at all levels. Great Culture: We foster an inclusive culture of shared success, rooted in integrity, a bias for action and a winning mindset. Grounded by our core values, we have an an established culture of caring, inclusion, and belonging, that values different perspectives. Our teams are led by dynamic, multi-faceted teams led by supportive leaders, driven by performance excellence and unified under a shared purpose. As part of our culture, we also offer employee engagement and recognition programs that reward the positive impact our work makes on the lives of our customers. Great Rewards: We offer compensation and benefits built to enhance your physical well-being, mental and emotional health and financial future. Comprehensive Total Rewards program that offers personalized coverage tailor-made for you and your family's overall well-being. Financial benefits including market-competitive compensation; a 401K savings plan vested from day one that offers a 6% match; performance and recognition-based incentives; and tuition assistance. Access to additional benefits like mental healthcare as well as fertility and adoption assistance. Supports flexibility- We provide workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.
    $23.4-29.4 hourly Auto-Apply 3d ago
  • PHS Customer Service Representative

    BMI Companies 4.3company rating

    Miami, FL job

    BMI Companies, part of BMI Financial Group, Inc has nearly five decades of experience providing insurance and solutions for families worldwide. Specializing in high-quality Life Insurance, Health Insurance with global coverage, and Travel Assistance Plans, BMI is committed to innovating insurance products for the international community. About the Role: The PHS Customer Service Representative will be responsible for providing high-quality service and support to our life insurance policyholders. He/she will be handling inquiries, processing policy change service requests, resolving issues, and delivering accurate information efficiently and professionally. The PHS Customer Service Representative must be able to work in a high performance, customer-focused team environment, helping to maintain a positive customer experience while ensuring compliance with company standards and regulatory requirements. This is a 100% IN- OFFICE opportunity - Applying candidates MUST live in Miami, FL and be fluent in Spanish and English. Responsibilities: Respond to incoming emails, calls, and inquiries from policyholders, agents, and other stakeholders. Provide clear and accurate information regarding life plans, including billing, coverage details, and policy changes. Process policy service requests such as beneficiary updates, payment method changes, address changes, policy assignments, in-force illustrations, benefit payments, and other policy changes. Document all customer interactions and actions taken in the customer relationship management (CRM) system Assist with outbound calls or follow-ups as required. Provide limited customer service support to company local office affiliates. Assist with special projects as assigned. Contribute to team goals for service, accuracy, and customer satisfaction. Qualifications: Bilingual- Excellent written and verbal communication in Spanish and English a must. Associate or Bachelor's Business Degree Preferred Experience in customer service (minimum two years) preferably in the insurance or financial services sector. Previous customer service experience with LATAM customers a PLUS Knowledge of life insurance products and terminology. Customer focused mindset with empathy and patience. Ability to multi-task and manage time effectively. Attention to detail and high level of accuracy in data entry and documentation. Familiarity with CRM systems and Microsoft Office software Committed team player who actively supports colleagues and contributes to team goals.
    $26k-38k yearly est. 1d ago
  • Salesforce Marketing Cloud Manager

    Plymouth Rock Assurance 4.7company rating

    Woodbridge, NJ job

    We're looking for a Salesforce Marketing Cloud Manager to lead the strategy and execution of our Salesforce Marketing Cloud platform. As both a Technical Owner and Digital Product Manager, you will shape the roadmap, own platform optimization, and drive customer engagement through personalized, data-driven communication. You'll be at the intersection of technology, marketing, and innovation-helping us elevate our digital experience and drive measurable results. Essential Functions and Responsibilities: Platform Ownership Lead the administration, configuration, and optimization of Salesforce Marketing Cloud (SFMC). Architect solutions across SFMC modules (Journey Builder, Mobile Studio, Cloud Pages, etc.) for email, SMS, and mobile campaigns. Oversee system integrations, data structure, AMPscript and SSJS scripting, and API use cases. Maintain compliance with digital communication regulations (CAN-SPAM, TCPA). Drive Strategy Serve as the Product Owner for SFMC-manage the vision, roadmap, and backlog to align with broader marketing and business goals. Collaborate with stakeholders to turn customer insights into automation strategies that drive acquisition, retention, and conversion. Lead and Collaborate Manage and mentor a team of Marketing Cloud Developers - fostering professional growth and technical excellence. Partner with cross-functional teams in Marketing, IT, and Analytics to deliver seamless digital experiences. Execute High-Impact Campaigns Design and launch multichannel customer journeys using automation tools and advanced data segmentation tactics. Run A/B tests and optimize performance using tools like Einstein Recommendations, analytics, and personalization features. Measure and Optimize Build dashboards and reports to track KPIs-such as open rates, click-through rates, and conversion performance. Use insights and root cause analysis to drive continuous improvement and marketing efficiency. Innovate Stay ahead of industry trends, emerging technologies, and platform enhancements. Identify new opportunities to enhance customer experience and improve ROI. Bring artificial intelligence into the day-to-day workflow to further improve team outcomes. Qualifications and Education: 5+ years of hands-on experience with Salesforce Marketing Cloud (including Journey Builder, Mobile Studio, Automation Studio). Strong working knowledge of AMPscript, SQL, SSJS, and APIs. Proven success managing end-to-end marketing automation strategy and execution. Bachelor's degree in Marketing, Computer Science, Information Technology, or related field. Strong project management skills and ability to lead in a fast-paced environment. Experience using Jira to manage backlogs and organize work. Ability to communicate complex technical topics to business stakeholders. Experience with Salesforce Data Cloud and Agentforce is a plus. Salesforce Marketing Cloud Certifications are preferred. Perks and Benefits 4 weeks accrued paid time off + 9 paid national holidays per year Free onsite gym at our Boston Location Tuition Reimbursement Low cost and excellent coverage health insurance options that start on Day 1 (medical, dental, vision) Robust health and wellness program and fitness reimbursements Auto and home insurance discounts Matching gift opportunities Annual 401(k) Employer Contribution (up to 7.5% of your base salary) Various Paid Family leave options including Paid Parental Leave Resources to promote Professional Development (LinkedIn Learning and licensure assistance) Convenient location directly across from South Station and Pre-Tax Commuter Benefits Salary Range: $120,000-$166,500 a year. Actual compensation will vary based on multiple factors, including employee knowledge and experience, role scope, business needs, geographical location, and internal equity. About the Company The Plymouth Rock Company and its affiliated group of companies write and manage over $2 billion in personal and commercial auto and homeowner's insurance throughout the Northeast and mid-Atlantic, where we have built an unparalleled reputation for service. We continuously invest in technology, our employees thrive in our empowering environment, and our customers are among the most loyal in the industry. The Plymouth Rock group of companies employs more than 1,900 people and is headquartered in Boston, Massachusetts. Plymouth Rock Assurance Corporation holds an A.M. Best rating of “A-/Excellent”.
    $120k-166.5k yearly 1d ago
  • Executive Assistant to EVP of Sales and Marketing

    American Integrity Insurance Company 4.4company rating

    Tampa, FL job

    About Us: American Integrity Insurance (NYSE: AII) is a leading provider of homeowners insurance, proudly serving over 400,000 policyholders across the Southeast. Comprised of more than 300 insurance professionals, most of whom work in our Tampa-area headquarters, and exclusively represented by more than 2,500 independent agents, we offer sound and comprehensive property and dwelling insurance to families throughout Florida, Georgia, and South Carolina. Our organization derives its Strength From IntegrityTM, and we are proud to have been recognized as a Top Place to Work in Tampa by the Tampa Bay Times and a Best Place to Work in Insurance by Business Insurance Magazine for the past twelve years. We have also rated among the Top Workplaces in the USA by USA Today for the past five years. A Day in the Life: Who knew Insurance could be this fun? From company picnics to charity events, no one can ever say American Integrity Insurance doesn't understand the importance of having fun, helping others, or giving back. Our company culture is priceless, and it's built around our six core values: Integrity, Commitment, Teamwork, Humility, Passion, and Fun. As a team working to provide home insurance solutions to our policyholders, together we aim to achieve greater heights each day and celebrate each other's accomplishments along the way. It is our mission to continue providing reliable, customer-centric homeowners insurance and paying claims in a timely manner when our customers suffer a loss - and to do so with Integrity. Learn more about American Integrity Insurance and our job opportunities at ************************ Complete a broad variety of administrative tasks for the EVP of Sales and Marketing including: managing an extremely active calendar of appointments; completing expense reports; composing and preparing correspondence that is sometimes confidential; arranging complex and detailed travel plans, itineraries, and agendas; and compiling documents for travel-related meetings. Plan, coordinate, and ensure the executives' schedules are followed and respected. Provides "gatekeeper" and "gateway" role, creating win-win situations for direct access to the executives' time and offices. Plan and manage logistics for agent trips and events. Research, prioritize, and follow up on incoming issues and concerns addressed to the executives, including those of a sensitive or confidential nature. Determine appropriate course of action, referral, or response. Provide a bridge for smooth communication between the executives' offices and internal departments; demonstrating leadership to maintain credibility, trust and support with senior management staff. Work closely and effectively with the executives to keep them well informed of upcoming commitments and responsibilities, following up appropriately. Act as a "barometer," having a sense for the issues taking place in the environment and keeping them updated. Provide leadership to build relationships crucial to the success of the organization, and manage a variety of special projects, some of which may have organizational impact. Successfully complete critical aspects of deliverables with a hands-on approach, including drafting acknowledgement letters, personal correspondence, and other tasks. Prioritize conflicting needs; handle matters expeditiously and proactively; and follows through on projects to successful completion, often with deadline pressures. Education: High School Diploma minimum requirement; Bachelor's degree or equivalent education experience preferred. Experience: Minimum of five (5) years of experience supporting executives (VP and above). Skills: Strong organizational skills that reflect ability to perform and prioritize multiple tasks seamlessly with excellent attention to detail. Very strong interpersonal skills and the ability to build relationships with stakeholders, including staff, board members, and external partners. Expert level written and verbal communication skills. Demonstrated proactive approaches to problem-solving with strong decision-making. Must possess strong business-savvy skills in being able to prepare PowerPoint presentations for agents and external parties.
    $38k-50k yearly est. 1d ago
  • Project Management Testing Coordinator

    Tapco Underwriters, Inc. 4.2company rating

    Burlington, NC job

    ESSENTIAL DUTIES AND RESPONSIBILITIES Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. 1. Test TAPSYS/New system updates for Underwriting Department, Account Services, Endorsements, Compliance and Breakdown in development environments and re-test subset in production environment post release, to ensure modifications work properly. 2. Test and approve new policy forms and carrier implementation for new carriers and states in TAPSYS for Policy Issuance in a development environment and re-test subset in production environment post release, to ensure modifications work properly. 3. Test Policy Output to ensure carrier and state compliance once pushed to production. 4. Act as liaison for Business Unit and IT Department for Testing/Implementation. 5. Correspond with third party vendors for set-up, testing and release of future policy issuance systems. 6. Work with Business Analyst on Docucorp/Formsmaker/VPI/Carrier Issuance System changes and releases (including testing and implementation). QUALIFICATIONS Required Qualifications: The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Bachelor's Degree or Equivalent Work Experience 2. Three years of insurance experience 3. Property & Casualty Licensing 4. Substantial knowledge of insurance processes, TAPCO carriers and statutory regulations 5. Ability to plan, organize and manage multiple priorities 6. Ability to work under time constraints and meet deadlines 7. Ability to review information, make decisions, and manage time effectively with minimal to no supervision 8. Working knowledge of TAPSYS system and Microsoft Office software 9. Ability to operate a Computer, calculator, multi-line phone, scanner, copier, and other office equipment 10. Ability to adhere to all organizational policies and procedures Preferred Qualifications: 1. Previous Underwriting, Policy Issuance and/or Auditing Experience CRC supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC is a Drug Free Workplace. EEO is the Law Pay Transparency Nondiscrimination Provision E-Verify
    $69k-97k yearly est. 2d ago
  • Director of Manufacturing Operations

    The Assurance Group 4.6company rating

    Wharton, NJ job

    Contract Manufacturer currently operating in a 250,000 square foot facility in the Morris County, NJ area is seeking a Director of Manufacturing Operations to join their team. Seeking a highly skilled and motivated Director of Operations to work with the Executive Management Team to oversee the rapid growth of this dynamic organization. This position has the primary responsibility of managing and developing the production and manufacturing teams to keep pace with growth and to maximize efficiencies in all areas of operational excellence. This is a role with P&L accountability and the overarching responsibility to continue the mission of evolving. SCOPE AND RESPONSIBLITIES · Directs, reviews, analyzes, approves adequate plans for the control of planned outputs, budgeted spending (to be developed) , labor efficiency, material efficiency with Purchasing/Planning/Inventory Departments, process engineering effectiveness, and human capital utilization, including but not limited to profit and loss statements for organization and specific departments. · Anticipates production/manufacturing/packaging needs and develops comprehensive, analytical proposals regarding capital investment, personnel, facilities and other areas of reporting to present to President and Executive Team. · Reviews performance against operating plans, master schedule and standards. · Develops and recommends operations policy within the Production and Manufacturing Departments. · Reviews and approves the implementation of production/manufacturing/ packaging plans in coordination with the Planning/Purchasing/Inventory Department Leaders. · Directs and appraises the performance of units immediately reporting and provides the necessary coordination of all activities. · Coordinates activities of the production and manufacturing departments with those of other departments. Seeks mutual agreement on problems involving coordination and collaboration. · Oversees and enforces compliance with all cGMPs, safety and regulatory requirements. Develops creative solutions to meet GMPS's when necessary by using rational. · Meets with customers as required and represents the company in a professional, ethical and honorable manner. The Director of Operations will have: · Bachelor's Degree in or equivalent in process engineering or production management related studies. · Minimum of Ten (10) years prior experience with successful Manufacturing/Packaging Companies. · Prior responsibility in managing production, manufacturing, inventory control, process engineering as well as shipping, receiving and warehousing. · Sound administrative skills, well developed management skills - principles and people. · Proven ability to recruit, train and motivate personnel in order to balance staffing strength with profitability and growth. · Strong conceptual understanding of operating systems and capabilities. · Experience with financial statement analysis. To discuss this exciting full-time permanent on-site role please send resume outlining your related operations experience working with a manufacturing/ packaging company.
    $113k-158k yearly est. 2d ago
  • Field Calibration Technician (PMEL/Metrology - AC/DC Low Frequency)

    Garber Metrology 3.3company rating

    Lititz, PA job

    Field Calibration Technician (PMEL / Metrology - AC/DC Low Frequency) Job Type: Full-Time | Pay: Competitive, Based on Experience About Us Garber Metrology is a trusted, family-owned calibration leader serving the Mid-Atlantic Region since 1975. We are ISO 9001:2015 Registered and ISO/IEC 17025 & ANSI/NCSL Z540-1994 Accredited (ANAB), providing calibration services across dimensional, mechanical, electromagnetic (DC/low frequency), and thermodynamic disciplines. Our customers include some of the largest and most innovative companies in the world across manufacturing, electronics, pharmaceutical, and government sectors. The Opportunity We're looking for an experienced Field Calibration Technician (PMEL or Technical School Equivalent) with strong AC/DC Low Frequency and Metrology experience. You'll work independently from home with a company vehicle, servicing customer sites throughout the region. Most travel is local with less than 25% overnight stays (per diem provided). If you value precision, professionalism, and autonomy, this is the career move for you. Key Responsibilities Perform calibration and testing of a wide range of electronic and mechanical instruments Utilize specialized calibration software for documentation and traceability Troubleshoot and resolve calibration issues Provide exceptional customer service in the field Maintain compliance with ISO/IEC 17025 standards What You'll Bring 2+ years' experience in metrology or PMEL calibration Proficiency with AC/DC Low Frequency instrumentation Strong attention to detail and critical thinking skills Excellent customer communication and technical documentation ability Clean driving record and valid driver's license Why Join Garber Metrology We invest in our people and reward performance: ✅ Health Insurance with company contribution ✅ Company-paid Dental, Vision & Life Insurance ✅ 401(k) with 30% company match on 10% contribution ✅ Profit Sharing & Year-End Bonuses ✅ Paid Time Off (PTO) ✅ Company vehicle, laptop, and phone ✅ Professional development & training ✅ Relocation assistance available Schedule Monday-Friday (8-10 hour shifts) Overtime or weekends only as needed Ready to Advance Your Career? Join a company where your expertise matters and your contributions are valued. Apply today and become part of a respected calibration team that's been setting the standard for precision since 1975. ***********************
    $33k-43k yearly est. 3d ago
  • Senior Commercial Lines Account Executive

    Keyes Coverage Insurance Services 3.9company rating

    Tamarac, FL job

    About Us The origins of Keyes Coverage go all the way back to the late 1950's, when it operated in New York. Keyes Coverage in South Florida was established in 1975 by the Keyes family. Since then, the agency has grown into one of the leading insurance agencies in South Florida. The agency specializes in three main areas of practice including Property & Casualty Lines Insurance, Personal Lines Insurance, and Employee Benefits Insurance. Senior Commercial Lines Account Executive Job Summary: The Senior Commercial Lines Account Executive is responsible for initiating client relationships, supporting producers by assisting with new business and providing excellent client service. Maintaining a high level of client service and satisfaction Marketing & placement of renewal accounts as appropriate Achieving agency account retention goals through proactive account rounding, up-selling of limits and coverages, and by providing extraordinary client service Responsibilities: Provide technical support and expertise for commercial property and casualty insurance accounts, assisting in account management and servicing. Collaborate with producers to develop insurance quotes, explain complex coverage matters, and support proposal presentations to clients. Communicate effectively with clients, prospects, carrier representatives, and internal teams through various channels (email, phone, in-person, etc.) to ensure timely and accurate exchange of information that supports successful sales outcomes. Prepare and compile comprehensive client submissions for insurance carriers, including detailed Construction, Occupancy, Protection, and Exposure (COPE) data, Loss Runs, Surveys, and Claims Analyses. Create and maintain accurate insurance applications and submission documents for carrier review. Negotiate optimal terms and conditions with carriers to secure the best possible outcomes for clients. Collaborate with producers in developing and presenting client proposals. Accurately document key conversations with clients and carriers regarding exposures, coverages, and recommendations. Maintain thorough and organized notes on client and producer interactions, in compliance with documentation standards, including details of inquiries, issues, feedback, and follow-up actions. Perform additional duties as assigned. Basic Requirements: Active Florida 2-20 General Lines License (Property & Casualty) required. Minimum of 3 years of experience working in the South Florida Commercial Lines insurance market. Thorough knowledge of brokerage operations and procedures, commercial lines rating, and applicable insurance laws/codes. Experience using agency management systems, with a preference for Vertafore AMS360 and ImageRight. Proficient in Microsoft Office Suite, document management tools, and carrier proprietary systems. Excellent verbal and written communication skills, along with strong organizational and time management abilities. Highly self-motivated and capable of working independently with minimal supervision. Demonstrates exceptional attention to detail and accuracy in all work. Committed to maintaining confidentiality of financial, employee, and client information. Preferred Requirements: Completion of CISR or ACSR designation; currently enrolled in INS and/or API programs favorable. Familiarity with risk assessment and risk management techniques. Extensive knowledge of all lines of insurance, including sophisticated and less common coverages, especially those products represented through agency. Hours: Monday-Friday, 8:30am-5:00pm (Hybrid Work Options Available) Office Location: 5900 Hiatus Road, Tamarac, FL 33321 Benefits: Competitive Salary Health Insurance Plans (PPO, HSA, Copay Options) Dental Insurance Vision Insurance Company Paid Disability Insurance Supplemental Insurance including Critical Illness, Accident, Legal, Pet Insurance 401(k) with Safe Harbor Match Paid Time Off Paid Holidays No Solicitation Notification to Agencies: Please note that Keystone Agency Partners and our Partner Agencies do not accept unsolicited resumes or calls from third-party recruiters or employment agencies. In the absence of a signed Master Service Agreement and approval from HR to submit resumes for a specific requisition, Keystone Agency Partners will not consider or approve payment to any third parties for hires made.
    $43k-65k yearly est. 13h ago
  • Technology Training Specialist

    The Phoenix Group 4.8company rating

    Hackensack, NJ job

    Technology Training Specialist - Professional Services Northern New Jersey (Hybrid) A leading professional services firm is seeking a Technology Training Specialist to join its IT team in the Northern New Jersey office. In this hybrid role, you'll help design and deliver engaging technology training programs, expand the firm's eLearning offerings, and support strategies to improve user adoption of internal tools and systems. Reporting to the Technology Training Lead, you'll play a key role in ensuring employees across all offices are aware of the available technology resources and confident in using them effectively. This position is ideal for someone who enjoys teaching, creating learning content, and helping others use technology more efficiently in a professional setting. Key Qualifications: Excellent written and verbal communication skills with strong interpersonal ability Quick learner with the ability to master new technologies and workflows Strong attention to detail and documentation discipline Comfortable working both independently and collaboratively Prior experience in a law firm or professional services environment required Associate's or Bachelor's degree in a related field (legal, technology, or similar) preferred Occasional travel to other office locations required The firm offers a competitive compensation package and comprehensive benefits, with salary commensurate with experience. The Phoenix Group Advisors is an equal opportunity employer. We are committed to creating a diverse and inclusive workplace and prohibit discrimination and harassment of any kind based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. We strive to attract talented individuals from all backgrounds and provide equal employment opportunities to all employees and applicants for employment.
    $71k-105k yearly est. 3d ago
  • Master Data Integration Specialist

    Hays 4.8company rating

    Tampa, FL job

    Master Data Integration Specialist - Contract - Tampa, FL - $35-50/hr. The final salary or hourly wage, as applicable, paid to each candidate/applicant for this position is ultimately dependent on a variety of factors, including, but not limited to, the candidate's/applicant's qualifications, skills, and level of experience as well as the geographical location of the position. Applicants must be legally authorized to work in the United States. Sponsorship not available. Our client is seeking a Master Data Integration Specialist in Tampa, FL. Responsibilities Import and integrate product master data into internal systems (SAP) Analyze large data sets to identify variances and reconcile discrepancies. Create and maintain new materials, including Bills of Materials (BOM). Apply governance rules during data merging and loading processes. Perform data transformation, cleansing, and manipulation to ensure quality. Collaborate with cross-functional teams to support integration projects. Document processes and maintain data integrity throughout the workflow. Skills & Requirements Master Data Management & Analysis (Master Data Experience in SAP) Data Transformation & Integration Experience with large data sets BOM and material master data experience Understanding of governance rules Benefits/Other Compensation This position is a contract/temporary role where Hays offers you the opportunity to enroll in full medical benefits, dental benefits, vision benefits, 401K and Life Insurance ($20,000 benefit). Why Hays? You will be working with a professional recruiter who has intimate knowledge of the industry and market trends. Your Hays recruiter will lead you through a thorough screening process in order to understand your skills, experience, needs, and drivers. You will also get support on resume writing, interview tips, and career planning, so when there's a position you really want, you're fully prepared to get it. Nervous about an upcoming interview? Unsure how to write a new resume? Visit the Hays Career Advice section to learn top tips to help you stand out from the crowd when job hunting. Hays is committed to building a thriving culture of diversity that embraces people with different backgrounds, perspectives, and experiences. We believe that the more inclusive we are, the better we serve our candidates, clients, and employees. We are an equal employment opportunity employer, and we comply with all applicable laws prohibiting discrimination based on race, color, creed, sex (including pregnancy, sexual orientation, or gender identity), age, national origin or ancestry, physical or mental disability, veteran status, marital status, genetic information, HIV-positive status, as well as any other characteristic protected by federal, state, or local law. One of Hays' guiding principles is ‘do the right thing'. We also believe that actions speak louder than words. In that regard, we train our staff on ensuring inclusivity throughout the entire recruitment process and counsel our clients on these principles. If you have any questions about Hays or any of our processes, please contact us. In accordance with applicable federal, state, and local law protecting qualified individuals with known disabilities, Hays will attempt to reasonably accommodate those individuals unless doing so would create an undue hardship on the company. Any qualified applicant or consultant with a disability who requires an accommodation in order to perform the essential functions of the job should call or text ************. Drug testing may be required; please contact a recruiter for more information.
    $35-50 hourly 1d ago
  • Risk Manager

    Metro One Security 4.1company rating

    West Palm Beach, FL job

    Risk Manager - Large-Scale Insurance Expertise Required (Onsite) 📍 Onsite | Palm Beach Gardens, FL About Us: Metro One LPSG is the U.S. leader in providing specialized security and loss prevention services to national clients. As a rapidly expanding organization, we are reshaping the contract security industry through dedicated service delivery and a best-in-class employee experience for thousands of security and LP officers nationwide. We are seeking talented, committed, and driven professionals to join our growing team-individuals who thrive in dynamic environments and are passionate about risk mitigation and operational excellence. Position Overview: We are hiring an experienced Claims & Risk Manager to lead our enterprise risk management efforts from our Palm Beach Gardens, FL location. The ideal candidate must have a proven background in risk management within a large-scale insurance company, with deep expertise in risk assessment, claims management, regulatory compliance, and loss control. This role is pivotal in developing strategies that safeguard company assets, enhance operational resilience, and protect our people and clients. You will collaborate across departments to identify and mitigate potential threats, while aligning risk strategy with business objectives. Key Responsibilities: Develop, implement, and manage enterprise-wide risk management strategies and frameworks. Evaluate and mitigate risk exposure across operations, financial performance, safety, legal, and regulatory compliance. Serve as primary liaison with insurance carriers, brokers, and legal counsel to optimize insurance programs, claims processing, and policy renewals. Lead the end-to-end claims management process-ensuring timely reporting, thorough documentation, investigation, and resolution of incidents. Conduct proactive risk assessments and on-site loss control evaluations across multiple client accounts and business units. Ensure ongoing compliance with federal, state, and local regulations, as well as adherence to internal risk policies and procedures. Advise executive leadership on risk exposures, insurance coverage, and contractual risk transfer obligations. Design and lead internal risk education, training, and awareness programs to foster a proactive risk management culture. Qualifications: Minimum 5 years of risk management experience within a large-scale insurance company is required. In-depth understanding of insurance structures, claims processes, compliance mandates, and loss control programs. Demonstrated success in designing and executing enterprise risk strategies with measurable outcomes. Strong analytical, communication, and negotiation skills-capable of influencing executive-level stakeholders. Highly organized, with the ability to manage multiple projects and priorities in a fast-paced, dynamic environment. Must be willing to participate in the Company's pre-employment screening process and continuously meet any applicable state, county, and municipal requirements. Metro One LPSG is an Equal Opportunity Employer committed to embracing diversity.
    $79k-117k yearly est. 4d ago
  • Client Concierge/Client Specialist

    Brightway Insurance 4.4company rating

    Saint Augustine, FL job

    Brightway Insurance is hiring a Full-Time Client Concierge in Saint Augustine As a Client Concierge you will be the first point of contact for our clients, providing them with exceptional service and support. You will play a crucial role in maintaining our agency's reputation for excellence and ensuring client satisfaction. Key Responsibilities Greet and assist clients in person, via phone, email, and live chat, addressing inquiries and providing information on insurance products and services. Assist clients with policy changes, renewals, and claims, ensuring timely and accurate processing. Collaborate with the sales team to identify client needs and recommend appropriate insurance solutions. Maintain organized client records, process paperwork, and manage scheduling to support agency operations. Follow up with clients to ensure satisfaction and encourage policy renewals and referrals. Qualifications High school diploma or equivalent; college degree preferred. Previous experience in customer service, insurance, or administrative roles is advantageous. Strong communication, organizational, and multitasking abilities; proficiency in Microsoft Office Suite and CRM software. Possession of a 4-40 Customer Representative license is preferred or the willingness to obtain one. Established in 2008, Brightway Insurance has grown to become one of the largest privately-owned property and casualty insurance distribution companies in the U.S., with more than 350 agencies across 38 states and over $1.4 billion in annual premiums. Our unique franchise model offers agents the opportunity to focus on sales while we handle back-office operations, including carrier relations, licensing, and marketing support. This approach allows our agents to maximize their sales efforts and build lasting client relationships. If you're an ambitious and driven individual eager to advance in the thriving insurance industry, Brightway Insurance offers the perfect opportunity. Take the next step in your career as a Client Concierge-apply today!
    $34k-56k yearly est. 4d ago
  • Personal Lines Underwriter

    Burns & Wilcox 4.6company rating

    Pittsburgh, PA job

    Responsibilities When someone needs coverage for the unique, the unusual, or the unconventional, they come to Burns & Wilcox. Burns & Wilcox offers unparalleled resources and exposure for those looking to excel in the specialty insurance industry. Interested? Join our team! Job Duties: Build, maintain, and grow a book of business Manage agency relationships and serve as lead client contact Create and execute marketing plan to increase new and renewal business Rate, quote and bind each risk to determine acceptability, coverage, and pricing for large or complex renewals as well as new business Develop and submit underwriting referrals to company brokerage facilities and Burns & Wilcox management Monitor key metrics to formulate corrective action impacting new business hit, renewal retention, premium growth, and loss ratio Lead, train, and develop Assistant and Associate Underwriters Qualifications Bachelor's degree or equivalent combination of education and experience Minimum 3 years of personal lines underwriting experience required, excess & surplus experience preferred Demonstrated proficiency in sales and marketing Proven organization skills and ability with a strong attention to detail Interest in continued education and professional development Insurance license, CPCU, CIC or comparable designations preferred Benefits: Competitive compensation Health benefits & 401K with employer match Employer paid continuing education courses and designations Many opportunities for career advancement About our Company Burns & Wilcox, the flagship organization of H.W. Kaufman Group, is North America's leading wholesale insurance broker and underwriting manager. Burns & Wilcox offers wide ranging and comprehensive solutions to serve retail insurance brokers and agents of all sizes, from the large houses to the more than 30,000 independent brokers and agents worldwide. Fueled by its freedom from Wall Street and private equity, Burns & Wilcox is a privately owned company whose standards of service, depth of market relationships and outstanding talent are unsurpassed in the specialty insurance sector. Equal Opportunity Employer The H.W. Kaufman Group of companies is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate.
    $76k-111k yearly est. 4d ago
  • Actuarial Analyst

    Old Republic Specialty Insurance Underwriters 4.5company rating

    Yardley, PA job

    Title: Actuarial Analyst Reports To: VP, Actuary Department: Actuary Classification: Full-Time/Exempt Who We Are: Old Republic is a leading specialty insurer that operates diverse property & casualty and title insurance companies. Founded in 1923 and a member of the Fortune 500, we are a leader in underwriting and risk management services for business partners across the United States and Canada. Our specialized operating companies are experts in their fields, enabling us to provide tailored solutions that set us apart. Old Republic Specialty Insurance Underwriters (ORSIU) is part of Old Republic International Corporation. We offer insurance and reinsurance spanning most lines of business, and partner with specialists who are committed to providing the highest levels of service with the products necessary to meet the unique needs of the Alternative Risks, Specialty Programs and Excess Casualty marketplace. Position Overview: The Actuarial Analyst will assist in the completion of actuarial work products provided by the team, including insurance & reinsurance pricing, tool & model development and internal reporting. Essential Job Functions: Assist and complete individual account pricing and portfolio pricing analyses. Prepare monthly/quarterly management reports as required; work with senior leadership to improve and automate these reports. Maintain and improve existing pricing models and assist in the development of new models. Provide actuarial support for rate filings and data calls; prepare data and exhibits in response to objections from state insurance departments. Assist in the collection of internal and external data for rate monitoring and other projects as needed. Qualifications: Degree in Actuarial Science, Mathematics, Statistics, Economics, or other math-focused or programming field. Insurance industry experience preferred. Minimum 2-3 years of P/C actuarial experience preferred. Strong familiarity with Microsoft Excel required; experience with Access, SQL, VBA, Python or other programming languages. Completion of 2-4 CAS actuarial exams is preferred. ORI is an Equal Opportunity Employer. ORI provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
    $62k-72k yearly est. 1d ago
  • Utilization Management Reviewer

    Amerihealth Caritas 4.8company rating

    Amerihealth Caritas job in Washington, DC

    **$5,000.00 SIGN ON BONUS** Our Utilization Management Reviewers evaluate medical necessity for inpatient and outpatient services, ensuring treatment aligns with clinical guidelines, regulatory requirements, and patient needs. This role requires reviewing provider requests, gathering necessary medical documentation, and making determinations based on clinical criteria. Using professional judgment, the Clinical Care Reviewer assesses the appropriateness of services, identifies care coordination opportunities, and ensures compliance with medical policies. When necessary, cases are escalated to the Medical Director for further review. The reviewer independently applies medical and behavioral health guidelines to authorize services, ensuring they meet the patient's needs in the least restrictive and most effective manner. The Utilization Management Reviewer must maintain a strong working knowledge of federal, state, and organizational regulations and consistently apply them in decision-making. Productivity expectations include meeting established turnaround times, quality benchmarks, and efficiency metrics in a fast-paced environment. **Work Arrangement** + Candidates are required to work 4 out of 5 days a week at our AmeriHealth Caritas DC office located at1201 Maine Avenue, S.W., Suite 1000, 10th Floor, Washington DC 20024 + Availability to work Monday through Friday, 8:00 AM to 5:00 PM, flexible for evenings, holidays, occasional overtime, and weekends based on business needs **Responsibilities** + Conduct utilization management reviews by assessing medical necessity, appropriateness of care, and adherence to clinical guidelines + Collaborate with healthcare providers to facilitate timely authorizations and optimize patient care + Analyze medical records and clinical data to ensure compliance with regulatory and payer guidelines + Communicate determinations effectively, providing clear, evidence-based rationales for approval or denial decisions + Identify and escalate complex cases requiring physician review or additional intervention + Ensure compliance with Medicaid industry standards + Maintain productivity and efficiency by meeting established performance metrics, turnaround times, and quality standards in a high-volume environment **Education and Experience** + Associate's Degree in Nursing (ASN) required; Bachelor's Degree in Nursing (BSN) preferred + Minimum of 3 years of diverse clinical experience as a Registered Nurse in an Intensive Care Unit (ICU), Emergency Department (ED), Medical-Surgical (Med-Surg), Skilled Nursing Facility (SNF), Rehabilitation, or Long-Term Acute Care (LTAC), home health care, or medical office setting + Experience conducting prior authorizations and/or concurrent reviews within a managed care organization preferred **Licensure** + Active and unencumbered Registered Nurse license in the District of Columbia + Valid and current driver's license required **Skills and Abilities** + Proficiency in Electronic Medical Record Systems to efficiently document and assess patient cases + Strong understanding of utilization review processes, including medical necessity criteria, care coordination, and regulatory compliance + Working knowledge of InterQual criteria + Demonstrated ability to meet productivity standards in a fast-paced, high-volume utilization review environment + Proficiency in MS Office to include Excel, Word, Outlook, and Teams. The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Washington DC area. Within the range, individual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training. AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more. The targeted hiring range for this role is expected to be between $84,400.00 or $40.10/hour and $113,600.00 or $54.62/hour. At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care 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. If you want to make a difference, we'd like to hear from you. Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 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 ************************** . **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. As a company, we support internal diversity through: Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.
    $84.4k-113.6k yearly 40d ago
  • Manager, Data Center & Infrastructure

    Pacific Life 4.5company rating

    Charlotte, NC job

    Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it's the right thing to do. Pacific Life is more than a job, it's a career with purpose. It's a career where you have the support, balance, and resources to make a positive impact on the future - including your own. We're actively seeking a talented Data Center & Infrastructure Manager to join our Cloud & Compute Platforms team in our Charlotte, North Carolina office. Relocation Assistance may be provided. As a Data Center & Infrastructure Manager you'll move Pacific Life, and your career, forward playing a critical role in supporting Pacific Life's growth and technology modernization. You will fill a new role that sits on a team of 29 people in the Pacific Life Technology division. Your colleagues will include fellow infrastructure professionals. Reporting directly to the Director, you will oversee the day-to-day operations of our data center, computing platform, server, storage, and cloud infrastructure. You will lead a team of professionals, ensuring high availability, efficiency, and security, while executing on the strategic vision set by the Director and executive leadership. How you'll help move us forward: Execute the operational roadmap for data center operations, ensuring alignment with business and IT objectives as defined by the Director. Lead and mentor a team of infrastructure platform engineering professionals, fostering a culture of excellence, collaboration, and continuous improvement. Oversee capacity planning, ensuring scalability and optimal resource utilization. Implement and maintain industry best practices for security, compliance, and operational efficiency. Ensure high levels of uptime and reliability through proactive maintenance and incident response strategies. Manage vendor relationships and support contract negotiations for facility management and hardware procurement, as delegated by the Director. Support the development and execution of disaster recovery and business continuity plans. Monitor industry trends and emerging technologies, providing recommendations to the Director for continuous improvement. Collaborate with other managers, directors, and stakeholders to ensure operational alignment with broader IT and business goals. Provide direct leadership to data center staff, including performance management, coaching, and professional development. Develop and implement departmental plans and priorities in coordination with the Director. The experience you bring: 8+ years of experience in data center management, IT infrastructure, or related fields. People leadership experience is . 4-year degree or equivalent experience Experience supporting global, multi-site data center operations in a large enterprise environment. Strong understanding of networking, server infrastructure, cloud technologies, and hybrid environments. Expertise in data center power and cooling systems, redundancy planning, and energy efficiency best practices. Familiarity with compliance and security frameworks such as ISO 27001, SOC 2, HIPAA, and GDPR. A demonstrated ability to build and lead high-performance teams. Experience with budgeting and cost optimization strategies, supporting the Director in financial management. Hands-on experience with disaster recovery planning, incident management, and operational risk mitigation. Familiarity with automation, monitoring, and management tools for optimizing data center performance. Experience working in regulated industries or high-availability environments (e.g., finance, healthcare, etc.). Strong communication and leadership skills, with the ability to engage both technical teams and management. What makes you stand out: The ability to manage hybrid cloud infrastructures and integrate on-premises data centers with public cloud providers. Experience leading people in multiple geographical regions and countries. Experience implementing automation or AI-driven optimization strategies for data centers. Strong industry relationships and awareness of emerging data center trends. Experience managing container platforms. Success in supporting major data center migrations, expansions, or consolidations. Relevant certifications (e.g., data center, cloud, or security). Experience with Infrastructure as Code and automated configuration management. Experience automating CMDB data updates for asset management. You can be who you are. We are committed to a culture of diversity and inclusion that embraces the authenticity of all employees, partners and communities. We support all employees to thrive and achieve their fullest potential. What's life like at Pacific Life? Visit Instagram.com/lifeatpacificlife #LI-KP1 Base Pay Range: The base pay range noted represents the company's good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay. $134,820.00 - $164,780.00 Your Benefits Start Day 1 Your wellbeing is important to Pacific Life, and we're committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we've got you covered. Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off Paid Parental Leave as well as an Adoption Assistance Program Competitive 401k savings plan with company match and an additional contribution regardless of participation EEO Statement: Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.
    $134.8k-164.8k yearly Auto-Apply 52d ago

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