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Senior Consultant jobs at Gallagher - 536 jobs

  • Senior Project Leader

    Blue Cross and Blue Shield Association 4.3company rating

    Philadelphia, PA jobs

    Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve. The Sr. Project Leader will be responsible for working with cross-functional teams and various levels to define and meet project requirements, deliverables related to operational readiness and optimization projects. Key areas of responsibility include planning, organizing, facilitating meetings and leading projects that support end-to-end operational readiness aligned with the business goals of Premier Client Operations as well as key functional areas within Independence. Key functional areas include but are not limited to Claims Operations, Appeals, Audit, Business Technology, Configuration, Operations Reporting, Informatics, Sales, etc. The Sr. Project Lead will also analyze current policies, procedures and processes to identify gaps and areas for improvement; develop work plans and timelines; create policies, procedures, control processes, and develop reporting; effectively work with managers and subject matter experts from multiple functional areas for workgroups and project teams; facilitate meetings and provide trouble-shooting and problem resolution support in support of identified projects. Responsibilities: Independently plan, manage and coordinate activities of individuals at both the management and staff levels. Ensure that key goals and objectives are accomplished in keeping with established priorities, timeframes and budgets. Identifies and effectively communicates risks and issues. Develops ongoing action plans to improve performance and outcomes. Identify key gaps for which formal action plans need to be developed. Collaborate with cross-functional areas in action plan development and implementation. Manage client facing claim impact reporting quality program, review claims reporting and collaborate with reporting analysts to refine criteria. Provide reviews and approvals on reports before client distribution to ensure reports meet the needs of the client. Coordinate the prioritization of the report backlog to align with client and leadership needs. Coordinate inter-departmental and intra-departmental teams to develop policies, procedures, processes and programs to meet key business objectives, performance goals and regulatory requirements. Develops and manages project plans, reports on progress weekly. Manages and coordinates every phase of the project Creates and maintains policies, desk procedures, program descriptions and training materials to ensure that programs and processes can be efficiently and effectively maintained. Organizes and leads meetings with cross functional areas. Creates presentations, agenda and minutes. Ensures timely distribution of meeting minutes to team members as appropriate. Qualifications: An undergraduate degree. A minimum of 5 years progressive employment experience in a health insurance organization and demonstrated experience in project management is required. Ability to effectively utilize project management software and other Microsoft office applications (Access, Word, Excel, PowerPoint). Candidate must be able to work independently, manage multiple priorities effectively and have excellent analytical, organizational and problem solving skills. Proven ability to effectively interact and give direction to staff at all levels of the organization, including senior staff, is required. Excellent verbal and written communications skills are also required. Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania. IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability. Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app
    $83k-124k yearly est. 8d ago
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  • Senior Risk Consultant

    Venbrook 3.3company rating

    Los Angeles, CA jobs

    Senior Risk Control Consultant Reports to: EVP, Retail Insurance Venbrook Insurance Services is a national leader in insurance, reinsurance, and risk management solutions, serving a diverse client base across multiple industries. Our team of experts partners with clients to manage risk, foster security, and drive growth by delivering innovative insurance products and programs. Venbrook is committed to product innovation, market agility, and strong partnerships, enabling our clients to focus on advancing their business objective s.Venbrook's specialties include Property, Construction, Primary and Excess Liability, Directors & Officers/Management Liability, Professional Liability, Cyber Liability and Privacy, Crime, Employment Practices Liability, Workers' Compensation, Employee Benefits, Transportation, Ocean and Inland Marine, Personal Lines, and Surety Bonds. Headquartered in Woodland Hills, CA, Venbrook operates nationwide. Position Summary As a Senior Risk Control Consultant, you will be an integral part of Venbrook's Risk Control team, providing high-level loss prevention and risk management consulting services across a variety of industries. We are seeking a seasoned professional with expertise in core Property & Casualty (P&C) lines, including Property, General Liability, Workers' Compensation, and Automobile. This role is ideal for individuals with robust risk control experience-particularly in the Construction and Healthcare industries-as well as experience in sectors such as Warehousing, Retail, Hospitality, Restaurant, Bakery, Transportation, Habitational, and Manufacturing. These industries represent the core of our client base and require a nuanced and consultative approach to risk mitigation. Key Responsibilities Deliver tailored loss prevention consulting to reduce client risk across core P&C lines (Property, GL, WC, Auto) Conduct on-site and remote risk assessments to identify hazards, evaluate controls, and provide actionable recommendations. Analyze client loss history to develop and implement risk-reduction strategies Evaluate and enhance safety programs and training materials; assist in policy development and implementation. Advise on compliance with OSHA, NFPA, and other relevant regulatory standards Develop and deliver industry-specific safety training and client-facing educational content Collaborate with clients, underwriters, producers, and internal teams to support effective risk management and client satisfaction. Prepare service plans focused on measurable outcomes and sustained risk improvement Support new business opportunities and renewals by participating in client and carrier presentations Manage external vendors and oversee delivery of outsourced risk control services Maintain regular status updates with leadership on project progress and workload Stay informed on industry-specific trends and contribute to thought leadership efforts Qualifications Bachelor's degree preferred Minimum 5 years of risk control, loss control, or risk management experience in a broker or carrier environment Proven success managing risk in Construction and Healthcare settings is required; additional experience in Warehousing, Retail, Hospitality, Restaurant, Bakery, Transportation, Habitational, and Manufacturing is highly preferred Strong knowledge of OSHA and NFPA standards; ability to guide clients through audits and compliance procedures. Designations such as CSP, CHST, OHST, ARM are a strong plus Ability to travel up to 50% across the U.S. as ne Strong communication and presentation skills with the ability to explain complex risk concepts clearly Highly organized, self-driven, and collaboration Bilingual in Spanish, must be able to read, write and conduct business Why Join Venbrook? Flexible hybrid work environment with room to grow professionally. Competitive benefits package including health, dental, vision, PTO, and 401(k)match Join a dynamic and collaborative culture where your expertise makes a real impact.
    $88k-117k yearly est. 2d ago
  • Senior Project Manager - Ground up

    Hays 4.8company rating

    San Jose, CA jobs

    Senior Project Manager with Ground up project experience required in San Jose Your new company Our client, a leading national developer-builder, is advancing Phase 2 of a multiphase master-planned community in North San Jose. The first phase-a 400-unit, 6-story wrap-style multifamily project-is already underway. Phase 2 will build on this momentum as part of a larger plan to deliver over 1,000 market-rate apartments. We're seeking a Senior Project Manager to lead this next high-profile phase from day one. Your new role As the Senior Project Manager, you'll lead the buyout and budgeting process, oversee documentation workflows (RFIs, submittals, change orders), and partner closely with the Lead Superintendent to drive the project to successful completion-on time and on budget. You'll also mentor junior team members and play a key role in maintaining relationships with subcontractors, consultants, and internal stakeholders. What you'll need to succeed 10+ years of experience in ground-up multifamily or commercial construction Proven success managing large-scale projects from preconstruction to closeout Strong technical knowledge and document control experience Proficiency in Procore, Bluebeam, and PlanGrid Assertive leadership style with humility and team-first mindset What you'll get in return This is a career-defining opportunity to join a premier developer-builder with a robust pipeline and a clear path to executive leadership. In addition to a competitive salary, the benefits include: Base Salary: Up to $220k Auto Allowance: $10K annually Full benefits: Health, Dental, Vision, Life, Disability PTO + 401K + Highly Competitive guaranteed Annual Bonus What you need to do now If you're interested in this role, click 'apply now' to forward an up-to-date copy of your resume, or call ************ now to discuss. If this job isn't quite right for you, but you are looking for a new position, please contact us for a confidential discussion about your career.
    $220k yearly 3d ago
  • Senior Architect, Platform Resilience & Governance

    Geico 4.1company rating

    Palo Alto, CA jobs

    A leading insurance company is seeking an experienced Distinguished Engineer to drive their enterprise transformation. This role focuses on site reliability, risk management, and technical governance. The ideal candidate should have a strong background in SRE, cloud technologies, and incident management, with more than 12 years of experience in software development. Offers competitive benefits and flexibility in location. #J-18808-Ljbffr
    $132k-167k yearly est. 2d ago
  • Senior Project Manager

    Hays 4.8company rating

    Temple, TX jobs

    If you are a Senior Project Manager who has worked on build-out projects for a General Contractor I want to hear from you. This role would be to start asap and will be working on a healthcare project for an established GC in Temple, Tx. Experience Healthcare project experience would be ideal Build-out experience is essential Able to work in temple Effective management of a team Responsibilities Direct and oversee completion of project Develop plan of action including schedule, budgeting & forecasting Manage work and inputs from variety of stakeholders Team management The salary will be dependent on experience but will be very competitive. Other benefits are of course included.
    $86k-114k yearly est. 2d ago
  • Senior Project Manager

    Hays 4.8company rating

    Dallas, TX jobs

    About the company An award-winning commercial general contractor that has been building the state of Texas since 1967. From preconstruction to final close-out, this firm operates on the basis of safety, integrity, leadership, and excellence in every project it builds. The company is a major player in the ground-up market in the K12, retail, and industrial sectors. Come join an organization that truly values their employees while delivering award-winning projects to repeat clients in the DFW Metroplex. About the role The senior project manager will be responsible for delivering a new $300M high school project to completion. Working hand-in-hand with the superintendent, you will be tasked with crafting the master build schedule, RFIs, budgets, vendor and trade partner coordination, and client communication. The ideal candidate will have 10+ years of project management experience leading projects over $80M in valuation. You will report to the business unit leader in the DFW market. Qualifications A minimum of 10 years of lead project management experience Experience managing new construction projects valued at $80M+ The ability to lead and direct an entire project team of supers, assistants, and project engineers Excellent problem solving and client communication skills Financial analysis, budgeting, and construction project scheduling skills Proficiency in Procore Compensation & Benefits $140k-$160k base salary Monthly vehicle allowance Company iPad and phone Health and life insurance coverage Vacation and 401k match Annual bonus program To be considered for this role, apply today with your updated resume and projects list!
    $140k-160k yearly 3d ago
  • Placement Consultant

    Marsh McLennan Agency 4.9company rating

    Dallas, TX jobs

    ESSENTIAL DUTIES & RESPONSIBILITIES: Collaborate with the Service Team to ensure the following processes are completed Oversee and Manage the Process: Ensure you have a clear understanding of the new business and renewal accounts assigned to you. Keep track of all accounts and their respective timelines to ensure timely processing. Primary Contact with Service Team: Act as the main point of contact for the Service Team during the insurance placement process to ensure smooth communication and coordination. Review Submissions to the Insurance Market: Thoroughly review submissions to ensure accuracy and completeness. Familiarize yourself with account details to negotiate effectively. Facilitate Insurance Placement Strategy Calls: Schedule and conduct strategy calls with the Service Team and/or Advisor to align on goals and strategies for each account Submit submissions to market Prepare and submit all necessary documentation to the insurance market. Follow up with markets in a timely manner to ensure progress Negotiate Coverage, Terms, and Pricing: Engage with the insurance market to negotiate the best coverage, terms, and pricing for your clients. Explore creative solutions to meet client needs effectively Review Exposures, Forms, Terms, and Conditions: Carefully review all quoted exposures, forms, terms, and conditions as they are received to ensure they meet client needs. Provide Quote Comparisons and Proposals: Prepare and present quote comparisons to the Service Team and/or Advisor to support decision-making. Generate a professional final proposal with the best recommendation(s) for the client Create schematics for shared/layered programs Bind Orders: Finalize and complete bind orders once terms are agreed upon. Review binder and invoices for accuracy. Management Systems Understand Agency Management System and document the placement process Ongoing Communication: Maintain ongoing communication with the Service Team throughout the insurance placement process to address any issues or changes promptly. Teamwork Act as a collaborative member of the Agency to ensure superior service to all MMA clients. Responsibilities include, but are not limited to: Attend Insurance Placement Team meetings as appropriate Collaborate with producers/account managers and other placement colleagues on market strategy for accounts Communicate the status of the Insurance Placement process and daily correspondence between the company, account executive, client, and producer Build and maintain strong working relationships within the insurance market Participate in carrier meetings to stay informed about current market conditions and appetites Treat clients, prospects, and company employees with courtesy and respect. Contribute to development and education of colleagues Support other offices/regions as needed Technical Expertise Demonstrate the technical expertise required to maintain the Client Insurance Program and lead the insurance placement process, including, but not limited to: Analyze insurance quotes and recommend terms and conditions Communicate and negotiate with insurance markets through strategy Ability to pivot when faced with challenges Maintain and develop knowledge of policy forms and endorsements Design insurance program for client based on defined needs Identify and address any coverage gaps with account service teams and insurance markets Become a subject matter expert and resource in areas of interest or technical capability REQUIREMENTS: Must be licensed as a Texas P&C Agent or able to obtain Texas P&C license Minimum of 4-6 years of experience in middle market Business Insurance Demonstrate ability to multi-task, prioritize work effectively with little to no direction. Proficient at Sagitta, ImageRight, Word, Excel, and current internet technologies. Demonstrate proactive work style Ability to learn, analyze and comprehend various lines of insurance and communications Demonstrate ability to service clients effectively through problem solving, appropriate confidentiality, and exercising diplomacy, sensitivity and tactfulness We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: ****************************
    $72k-103k yearly est. 3d ago
  • OAR / Senior Project Manager - LAUSD

    Hays 4.8company rating

    Los Angeles, CA jobs

    We are seeking a highly skilled and experienced Owner's Authorized Representative (OAR) to oversee and manage construction bond programs for Los Angeles Unified School District (LAUSD) and LACCD (Los Angeles Community College District). The OAR will be responsible for ensuring that all LAUSD and LACCD construction projects are completed on time, within budget, and to the highest standards of quality. This role requires a strong background in construction management, excellent communication skills, and the ability to work collaboratively with various stakeholders. Key Responsibilities: Oversee and manage multiple construction projects under the bond programs for LAUSD and LACCD. Ensure projects are completed on time, within budget, and meet quality standards. Coordinate with architects, contractors, and other stakeholders to ensure project goals are met. Monitor project progress and provide regular updates to senior management. Review and approve project plans, specifications, and budgets. Conduct site inspections to ensure compliance with safety regulations and project specifications. Resolve any issues or conflicts that arise during the construction process. Prepare and present reports on project status, budget, and timelines. Qualifications: Bachelor's degree in Construction Management, Engineering, Architecture, or a related field. Minimum of 10 years of experience in construction management, with a focus on educational facilities. Proven track record of successfully managing large-scale construction projects. Strong knowledge of construction methods, materials, and regulations. Excellent communication and interpersonal skills. Ability to work effectively in a fast-paced, collaborative environment. Proficiency in project management software and tools. Strong problem-solving and decision-making abilities. Preferred Qualifications: Experience working with public sector clients, particularly in DSA settings. Certification in Project Management (PMP) or Construction Management (CCM). Familiarity with local building codes and regulations in Los Angeles. Working Conditions: Office-based role, five days per week. Occasional travel to construction sites within the LAUSD and LACCD districts.
    $109k-145k yearly est. 3d ago
  • Principal, Executive Rewards Consultant

    Marsh McLennan 4.9company rating

    Los Angeles, CA jobs

    Company:MercerDescription: We are seeking a talented individual to join our Career Consulting team at Mercer. This role offers a hybrid work arrangement, requiring a minimum of three days per week in our Mercer offices or with clients. Mercer is uniquely qualified to help organizations design and execute sophisticated workforce strategies, whether it's for a multinational organization or a local company attempting to grow within its market. We provide best-in-class consulting, rigorous analytics, and data-driven insights that help organizations make fact-based decisions. As a Principal Executive Rewards Consultant, you will manage delivery of large-scale projects, coach team members, and solve complex compensation challenges. In addition, you will support the business development process. This is a great opportunity to partner with senior executives, Board members, and HR leaders to develop and deliver executive compensation strategies that attract, retain, and motivate top leadership talent. What you will do: Structure, direct, review, and interpret analyses performed by project teams Develop executive compensation strategies, philosophies, and incentive programs that address clients' attraction and retention needs Provide consulting services to senior management and Compensation Committees on compensation issues including pay competitiveness, performance measurement, short- and long-term incentive plan design, governance, and regulatory implications Manage day-to-day client interactions, building and maintaining strong relationships with senior stakeholders Provide guidance and oversight to junior team members, supporting their development and ensuring quality deliverables Generate revenue by developing new client relationships, extending existing engagements, and identifying cross-selling opportunities What you need to have: Bachelor's degree in Business, Human Resources, Finance, or a related field Extensive (8+) years of experience in executive compensation consulting or related HR advisory roles, with demonstrated subject matter expertise Proven ability to manage multiple, large-scale projects and complex client engagements (e.g., public companies, private companies, family-owned companies, pre-IPO companies, PE-backed companies) Deep expertise in executive compensation practices and trends, as well as approaches to cash- and equity-based incentives Excellent communication and presentation skills, with the ability to engage and influence senior stakeholders, such as senior executives and Boards of Directors Proficiency in Microsoft Office, especially Excel and PowerPoint Intellectual curiosity and a proactive approach to learning and problem-solving What makes you stand out: Experience scoping and leading delivery of client engagements complex executive compensation challenges Demonstrated success in leading or supporting business development activities Advanced analytical skills and familiarity with equity administration tools Demonstrated leadership in developing innovative solutions and thought leadership content Why join Mercer: Professional development opportunities and supportive leadership to help you grow A vibrant, inclusive culture where you can collaborate with talented colleagues A broad range of career opportunities and comprehensive benefits to support your well-being A flexible hybrid work model balancing remote work with in-office collaboration Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.
    $126k-180k yearly est. Auto-Apply 60d+ ago
  • Sr. Risk Engineering Consultant (Multiline)

    MSIG Holdings 4.1company rating

    Los Angeles, CA jobs

    MSIG USA continues to grow! MSIG USA is the US-based subsidiary of MS&AD Insurance Group Holdings, Inc., one of the world's top P&C carriers and a global Class 15 insurer, with A+ ratings and a reach that spans 40+ countries and regions. Leveraging our 350-year heritage, MSIG USA brings the financial strength, expertise, and global footprint to offer commercial insurance solutions that address your business's unique risks. The Sr. Consultant is responsible to contribute to corporate goals of growth and profitability through the active participation in the account acquisition and retention process. Responsible to perform and complete risk evaluations of accounts and prospects to identify exposures, identify and address key loss sources, evaluate controls and active pursuit of recommendation submission and compliance. Establish focused risk improvement process through a consultative approach including the identification of client needs, establishing service plans that eliminate loss causes and actively assists clients with best practices focused on achieving their business goals and reduce overall loss costs.Essential Functions:Client Management Performs complete risk evaluations for Multinational and Domestic multi-line accounts to identify client exposures and evaluate controls. Creates written reports of risk evaluation and improvement activities on a timely basis and develops risk improvement recommendations to reduce client exposures to loss. Ensures timely compliance with risk improvement recommendations and communicates status to MSIG staff as needed. Effectively communicates technical regulations and safety protocols during the Risk Engineering Survey process and conveys the desirability of the risk to underwriting and ensures all customers receive high quality work products. Provides quality client management by identifying opportunities for risk improvement through an effective symptom questioning process Performs loss trend analysis to measure impact to the client and identify opportunities for improvement in risk. Develops risk improvement recommendations and performs required follow up to ensure timely and effective compliance. Ensure client needs are identified and satisfied by continuous interaction with Underwriting, Marketing, Claims, and other MSIG business units as needed. Consultative Service Develops and markets focused consultative service plans to improve client exposure to business loss through a Specific, Measurable, Attainable, Realistic and Timely (S.M.A.R.T) objective process to provide measure improvement through outcomes of services. Customer Service and Support Functions Participates with Claims in large loss investigations to identify and eliminate loss cause(s). Ensures all multi-location account sites receive consistent services that satisfy corporate client expectations. Act as a technical resource to Risk Engineering customers to provide quality risk management solutions. Promotes Risk Engineering services to the producer community and prospective accounts in order to write new business. Supervisory Responsibilities:This position has no supervisory responsibilities.Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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.Education and Experience Required: Diploma/Degree & Experience Bachelor of Science degree (B.S.) from a four year college or university is required. An academic focus on Occupational Safety and Health, or Risk Management is preferred. 5 years of strong experience in the insurance and/or general industry Minimum 3 years of loss prevention experience is required Loss Prevention engineering and fire safety technology proficiency. A commensurate level of knowledge of Occupational Safety and Health Administration (OSHA), National Fire Protection Association (NFPA) and other similar technical standards, along with a working knowledge of commercial property and casualty insurance coverage's, and risk evaluation techniques. In-depth understanding of moderate to large sized industrial or warehousing operations. SALARY: $135,000.00 - $175,000.00 It's an exciting time for our company and a great opportunity to join a financially sound and growing global insurance group! It is the policy of MSIG USA to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, MSIG USA will provide reasonable accommodations for qualified individuals with disabilities.
    $135k-175k yearly 13d ago
  • Senior Stop Loss Consultant

    Higginbotham 4.5company rating

    Dallas, TX jobs

    The Senior Stop Loss Consultant is a foundational member of our stop-loss consulting practice, responsible for leading day-to-day execution while contributing to the broader development of our team structure, workflows, and market positioning. This role combines individual execution and informal leadership responsibilities - including placement strategy, client consulting, team workflow oversight, and reimbursement resolution. The ideal candidate is a strong operator and subject matter expert, capable of managing a complex block of business while supporting the build-out of scalable stop-loss operations. Key Responsibilities: Placement & Renewal Management Lead or support the full stop-loss placement process: data collection, market submissions, quote analysis, and recommendation. Negotiate stop-loss contracts and renewals directly with carriers to ensure optimal pricing, terms, and coverage structures. Serve as a stop-loss lead on new business opportunities and client transitions from fully insured to self-funded arrangements. Implementation & Carrier Coordination Oversee the stop-loss implementation process in coordination with TPAs and carrier partners, ensuring policies are issued accurately and on time. Review and reconcile contracts, disclosures, ASO provisions, and reimbursement terms for alignment and accuracy. Track all open implementation steps and ensure timely resolution of outstanding items. Claims & Reimbursement Oversight Monitor large claims activity and work closely with TPAs and carriers to support timely reimbursement submissions and payments. Escalate and resolve reimbursement delays, gray-area claims, and negotiated settlements with carriers on behalf of clients. Maintain a reimbursement and claims resolution tracker and report out internally on status and risks. Client Consulting & Account Management Manage a portion of the stop-loss book, including strategic guidance on renewals, plan design, captives, lasers, and risk mitigation strategies. Support monthly and quarterly reviews with account teams and clients; prepare client-ready deliverables. Serve as a subject matter expert on stop-loss topics in client and prospect meetings alongside account executives or producers. Team Collaboration & Informal Leadership Help direct and manage workflow for junior team members or peers as assigned, ensuring timely, accurate delivery of client work. Provide training, coaching, and support on stop-loss fundamentals and best practices. Collaborate with internal teams (account management, actuarial, analytics, clinical) to ensure integrated service delivery. Practice Development & Process Improvement Contribute to the development of standardized templates, reporting tools, and documentation procedures to improve efficiency and scale. Support ongoing refinement of carrier evaluation metrics and market intelligence. Participate in team planning sessions, business reviews, and feedback loops with leadership. Qualifications Education: Bachelor's degree in Business Administration, Risk Management, Healthcare Administration, or related field. Equivalent experience may be considered. Experience: Minimum of 7 years in employee benefits, with at least 5 years of direct stop-loss consulting, underwriting, or carrier negotiation experience. Experience with a mix of fully insured, level-funded, and self-funded plans across multiple funding structures (ASO, minimum premium, captives). Familiarity with TPA models, ASO contract structures, and reimbursement mechanisms. Ability to interpret and explain stop-loss terms, underwriting decisions, and claim adjudication policies to internal and external stakeholders. Experience working with stop-loss platforms (e.g., Claros, Ringmaster) preferred. Proficiency in Excel, PowerPoint, and internal reporting tools. Excellent critical thinking, communication, and interpersonal skills. Current state insurance license (or ability to obtain within 90 days of hire). Benefits & Compensation: Higginbotham offers medical, dental, vision, prescription drug coverage, 401K, equity prescription incentive plan as well as multiple supplemental benefits for physical, emotional, and financial wellbeing. Company paid holidays, plus PTO Employee Wellness Program Notice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members. *Applications will be accepted until the position is filled
    $86k-116k yearly est. 60d+ ago
  • Associate Consultant, Employee Benefits, Private Equity Practice

    Marsh McLennan 4.9company rating

    Boston, MA jobs

    Company:Marsh McLennan AgencyDescription:Associate Consultant, Employee Benefits, Private Equity PracticeOur not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 15,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as an Associate Consultant at MMA. Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With over 300 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. The Associate Consultant on the Private Equity team supports the delivery of employee health and benefits solutions to private equity-backed portfolio companies. This role partners closely with Senior Consultants and Producers to execute day-to-day service needs, manage projects tied to transactions and growth events, and ensure a high level of client satisfaction. The Associate Consultant will gain exposure to complex benefits strategies, M&A activity, and fast-growing organizations in a collaborative, team-based environment. Client & Account Support Support Senior Consultants in managing a book of private equity-backed portfolio company clients Assist with onboarding new portfolio companies, including data collection, implementation support, and vendor coordination Respond to routine client inquiries related to employee health and welfare benefits with accuracy and timeliness Prepare client-ready materials such as renewal summaries, benchmarking reports, and presentation decks Private Equity & Transaction Support Assist with benefits due diligence for acquisitions, including data analysis and documentation review Support benefits integration and transition activities post-close Track key milestones and deliverables for PE-related projects and transactions Analytics & Reporting Compile and analyze benefits data, including claims, census, and plan design information Support benchmarking and market analysis to inform client recommendations Maintain accurate documentation and records within internal systems Carrier & Vendor Coordination Communicate with carriers, TPAs, and vendors to obtain quotes, resolve issues, and support renewals Assist with plan implementations and open enrollment activities Internal Collaboration Partner with Producers, Consultants, and Analysts across the MMA platform Participate in team meetings, training sessions, and professional development opportunities Adhere to MMA service standards, compliance requirements, and best practices Our future colleague. We'd love to meet you if your professional track record includes these skills: Prior experience working with employee benefits and knowledge of various lines of insurance coverage; medical, dental, life, STD, LTD, design, rate structures, etc. Excellent communication skills, both written and verbal, as well as the ability to present to a range of professionals at each client Knowledge of Health & Welfare compliance (i.e. HIPAA, FMLA, COBRA, 5500, ACA, DOL, etc.) Life & Health Licensure or commitment to achieving within 6 months of start date Ability to work effectively and collaboratively with all levels of internal staff & management, external clients, prospects and vendors Shared commitment to company values; Integrity, Collaboration Passion, Innovation, Accountability We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you. Valuable benefits. We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work. Some benefits included in this role are: Medical, dental and vision plans 401(k) match after one year Contribute toward student loan debt Generous paid time-off programs ensure you have time to recharge including vacation days, personal days, sick days, holidays, volunteer day, and days for learning & development Tuition reimbursement and professional development opportunities Charitable contribution match programs Stock purchase opportunities To learn more about a career at MMA, check us out online: *************************** or flip through our recruiting brochure: ********************** Follow us on social media to meet our colleagues and see what makes us tick: ************************************ ********************************** ***************************** ******************************************************* Who you are is who we are. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams. Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers. The applicable base salary range for this role is $64,700 to $120,400.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
    $64.7k-120.4k yearly Auto-Apply 13d ago
  • Associate Consultant

    Marsh McLennan 4.9company rating

    Boston, MA jobs

    Company:Marsh McLennan AgencyDescription:Associate Consultant, Employee Health & BenefitsOur not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 15,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as an Associate Consultant at MMA. Marsh McLennan Agency (MMA) provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With over 300 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. As an Associate Consultant on the Employee Health & Benefits team, you'll work closely with MMA clients to deliver exceptional customer service. You will provide employee benefit expertise to help clients understand how insurance solutions can enable them to achieve their long-term strategies. In this role, you will collaborate with sales professionals, Consultants, and insurance carrier partners to grow the success of the team and the client. Assist with all aspects of coordination, development and execution of Project plans and periodic presentations for clients Support the RFP process, renewal and implementation processes for client projects Pull and analyze benchmark survey data for client plans, summarize and validate reviewed information Develop and maintain strong vendor relationships Identify and understand negotiable elements of underwriting calculations for all lines of coverage. Manage post-implementation process for all lines of insurance coverage for a client Coordinate renewal process, census data, Schedule A requests and ERISA Wrap documents Respond to client inquiries through email, phone calls or other requests of information Review plans for design accuracy and discrepancies Conduct initial research for client projects and works with vendors in coordinating information and preparing presentations Assist with open enrollment communications and other employee related communications Coordinate billing and claim issues between client and vendor Our future colleague. We'd love to meet you if your professional track record includes these skills: Prior experience working with employee benefits and knowledge of various lines of insurance coverage; medical, dental, life, STD, LTD, design, rate structures, etc. Excellent communication skills, both written and verbal, as well as the ability to present to a range of professionals at each client Knowledge of Health & Welfare compliance (i.e. HIPAA, FMLA, COBRA, 5500, ACA, DOL, etc.) Life & Health Licensure or commitment to achieving within 6 months of start date Ability to work effectively and collaboratively with all levels of internal staff & management, external clients, prospects and vendors Shared commitment to company values; Integrity, Collaboration Passion, Innovation, Accountability We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you. Valuable benefits. We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work. Some benefits included in this role are: Medical, dental and vision plans 401(k) match after one year Contribute toward student loan debt Generous paid time-off programs ensure you have time to recharge including vacation days, personal days, sick days, holidays, volunteer day, and days for learning & development Tuition reimbursement and professional development opportunities Charitable contribution match programs Stock purchase opportunities To learn more about a career at MMA, check us out online: *************************** or flip through our recruiting brochure: ********************** Follow us on social media to meet our colleagues and see what makes us tick: ************************************ ********************************** ***************************** ******************************************************* Who you are is who we are. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams. Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers. The applicable base salary range for this role is $64,700 to $120,400.The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
    $64.7k-120.4k yearly Auto-Apply 7d ago
  • Senior Consultant, Third Party Risk Management (TPRM)

    CNA Financial Corp 4.6company rating

    Plano, TX jobs

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. The Senior Consultant, Third Party Risk Management (TPRM) is the front door for new third party engagements. This role co-leads the intake and review of net new vendors, serves as the liaison and "shepherd" across Business Leadership, Procurement, Legal, InfoSec and other stakeholders to create a seamless experience. The role is central to maintaining CNA's standards for vendor onboarding and risk control throughout the lifecycle. JOB DESCRIPTION: Core Responsibilities * Manage the intake and reviews for all net‑new vendors entering the organization; validate scope, data flows, service criticality, and inherent risk indicators at the point of request. * Operate the intake workflow across Workday Strategic Sourcing (WSS) and ProcessUnity (PU); ensure requests are properly classified and routed. * Collaborate with Procurement to align intake with sourcing milestones (RFP/RFI, contract negotiation) * Produce Reporting metrics on intake volumes, SLA adherence, inherent risk distribution, and critical third party supplier activities. * Apply a pragmatic triage model (e.g., exempt items; existing supplier/same scope; existing supplier/new scope; new supplier/new scope) to focus effort on where risk is highest and eliminate unnecessary reviews. * Function as the liaison across Procurement, Legal, InfoSec/Tech Risk, Privacy, Business/Operational Resiliency, and Finance to orchestrate TPRM activities within the contracting process, ensuring a seamless and efficient stakeholder experience. * Co-lead end‑to‑end risk assessments for high‑impact/new vendors: scoping, risk tiering (IRQ), due‑diligence review (DDQ), and control validation (remote or on‑site), with audit‑ready documentation. * Coordinate reviews with SMEs (InfoSec, Compliance, Resiliency, Finance); synthesize control gaps and propose remediation, acceptance, or compensating controls in line with the TPRM policy. * Provide coaching to business owners, managed service providers and vendors on completing questionnaires, evidence expectations, and timelines; handle escalations and sensitive assessments with discretion. * Lead incremental workflow improvements in WSS/PU and support roadmap initiatives (e.g, Intake Optimization, IRQ refresh, scaled issue management, and risk‑intelligence integrations). Qualifications * 5-7+ years of experience in third-party/vendor risk, technology risk, or related fields with direct ownership of new vendor onboarding and ‑due diligence‑ assessments. * Proven ability to operate at pace in a procurement‑driven environment, triaging high volumes and prioritizing new supplier/new scope engagements. * Demonstrated experience coordinating across InfoSec, Legal, Privacy, Resiliency, Finance, and business stakeholders, translating policy expectations into practical contract terms and controls. * Excellent written and verbal communication; executive‑caliber reporting and stakeholder management for high‑visibility vendors. Things that set you apart… * Certifications: CTPRP/CTPRA, CISA, CRISC, CISSP, or similar. * Experience with risk‑intelligence platforms (e.g., Supply Wisdom, Black Kite) and AI‑assisted control/evidence evaluation capabilities. * Background in insurance/financial services vendor governance or regulatory frameworks relevant to outsourcing, data protection, operational resilience * Intake mastery - ability to quickly classify requests, separate exempt/low‑risk from high‑impact cases, and keep pipelines flowing without bottlenecks. * Orchestration and influence: cross‑functional leadership and stakeholder alignment throughout contracting and onboarding; strong meeting facilitation. * Tool fluency - ProcessUnity administration/usage and WSS intake routing; comfort with dashboards, SLAs/KPIs, and audit trails. * Risk Judgment & Decisioning: Makes timely, defensible inherent risk determinations with clear rationale. * Process Excellence: Builds and enforces standardized intake workflows, SLAs, and data quality checks. * Stakeholder Partnership: Collaborates cross-functionally * Detail Orientation: Catches gaps in scope, data during risk reviews. * Systems & Data Literacy: Comfort with dashboards, forms, integrations, and vendor artifacts (SOC reports, SIG, CAIQ). * Communication: Clear, concise, and business-friendly briefings and guidance. #LI-Hybrid #Li-CP1 In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $72k-141k yearly Auto-Apply 49d ago
  • Senior Consultant, Third Party Risk Management (TPRM)

    CNA Financial Corp 4.6company rating

    Pittsburgh, PA jobs

    You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. The Senior Consultant, Third Party Risk Management (TPRM) is the front door for new third party engagements. This role co-leads the intake and review of net new vendors, serves as the liaison and "shepherd" across Business Leadership, Procurement, Legal, InfoSec and other stakeholders to create a seamless experience. The role is central to maintaining CNA's standards for vendor onboarding and risk control throughout the lifecycle. JOB DESCRIPTION: Core Responsibilities * Manage the intake and reviews for all net‑new vendors entering the organization; validate scope, data flows, service criticality, and inherent risk indicators at the point of request. * Operate the intake workflow across Workday Strategic Sourcing (WSS) and ProcessUnity (PU); ensure requests are properly classified and routed. * Collaborate with Procurement to align intake with sourcing milestones (RFP/RFI, contract negotiation) * Produce Reporting metrics on intake volumes, SLA adherence, inherent risk distribution, and critical third party supplier activities. * Apply a pragmatic triage model (e.g., exempt items; existing supplier/same scope; existing supplier/new scope; new supplier/new scope) to focus effort on where risk is highest and eliminate unnecessary reviews. * Function as the liaison across Procurement, Legal, InfoSec/Tech Risk, Privacy, Business/Operational Resiliency, and Finance to orchestrate TPRM activities within the contracting process, ensuring a seamless and efficient stakeholder experience. * Co-lead end‑to‑end risk assessments for high‑impact/new vendors: scoping, risk tiering (IRQ), due‑diligence review (DDQ), and control validation (remote or on‑site), with audit‑ready documentation. * Coordinate reviews with SMEs (InfoSec, Compliance, Resiliency, Finance); synthesize control gaps and propose remediation, acceptance, or compensating controls in line with the TPRM policy. * Provide coaching to business owners, managed service providers and vendors on completing questionnaires, evidence expectations, and timelines; handle escalations and sensitive assessments with discretion. * Lead incremental workflow improvements in WSS/PU and support roadmap initiatives (e.g, Intake Optimization, IRQ refresh, scaled issue management, and risk‑intelligence integrations). Qualifications * 5-7+ years of experience in third-party/vendor risk, technology risk, or related fields with direct ownership of new vendor onboarding and ‑due diligence‑ assessments. * Proven ability to operate at pace in a procurement‑driven environment, triaging high volumes and prioritizing new supplier/new scope engagements. * Demonstrated experience coordinating across InfoSec, Legal, Privacy, Resiliency, Finance, and business stakeholders, translating policy expectations into practical contract terms and controls. * Excellent written and verbal communication; executive‑caliber reporting and stakeholder management for high‑visibility vendors. Things that set you apart… * Certifications: CTPRP/CTPRA, CISA, CRISC, CISSP, or similar. * Experience with risk‑intelligence platforms (e.g., Supply Wisdom, Black Kite) and AI‑assisted control/evidence evaluation capabilities. * Background in insurance/financial services vendor governance or regulatory frameworks relevant to outsourcing, data protection, operational resilience * Intake mastery - ability to quickly classify requests, separate exempt/low‑risk from high‑impact cases, and keep pipelines flowing without bottlenecks. * Orchestration and influence: cross‑functional leadership and stakeholder alignment throughout contracting and onboarding; strong meeting facilitation. * Tool fluency - ProcessUnity administration/usage and WSS intake routing; comfort with dashboards, SLAs/KPIs, and audit trails. * Risk Judgment & Decisioning: Makes timely, defensible inherent risk determinations with clear rationale. * Process Excellence: Builds and enforces standardized intake workflows, SLAs, and data quality checks. * Stakeholder Partnership: Collaborates cross-functionally * Detail Orientation: Catches gaps in scope, data during risk reviews. * Systems & Data Literacy: Comfort with dashboards, forms, integrations, and vendor artifacts (SOC reports, SIG, CAIQ). * Communication: Clear, concise, and business-friendly briefings and guidance. #LI-Hybrid #Li-CP1 In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
    $72k-141k yearly Auto-Apply 19d ago
  • Consulting Analyst (Insurance Risk Management)

    Strategic Risk Solutions 3.4company rating

    Concord, MA jobs

    Job DescriptionStrategic Risk Solutions Inc. (SRS), the world's leading independent captive insurance manager, is growing and looking for a Consulting Analyst to join our US Advisors consulting team. This in office position will provide essential analytical support and insights to help clients optimize their captive insurance programs. This role will involve detailed data analysis, risk assessment, and strategic recommendations to enhance clients' risk management and financial performance.Responsibilities and Duties Lead the collection, validation, and cleansing of client loss and exposure data, ensuring complete and accurate inputs for Total Cost of Risk (TCOR) analyses and feasibility studies. Conduct detailed analysis of client risk data including loss runs, exposure summaries, and insurance program structures to identify trends, risk drivers, and cost-saving opportunities. Evaluate and quantify risks associated with captive insurance programs, including modeling retention scenarios and interpreting actuarial results to inform strategic recommendations. Prepare comprehensive client deliverables, including reports, exhibits, and presentations that clearly communicate findings and support decision-making. Collaborate closely with clients to understand their risk appetite and strategic objectives, tailoring captive program designs and recommendations to meet their unique needs. Manage multiple client engagements simultaneously, prioritizing tasks and timelines to ensure timely and accurate delivery of all project components. Work closely with consultants, analysts, and actuaries to integrate analytical outputs into holistic solutions, and assist in developing proposals and research for new captive opportunities. Attributes and Skills Bachelor's Degree in Finance, Insurance, Risk Management, or a related field. Advanced degrees or professional certifications (e.g., CPCU, ARM) are a plus. Experience in risk management, insurance, or consulting, preferably within the captive insurance sector are a plus. Strong analytical and problem-solving skills, excellent written and verbal communication and presentation abilities, and proficiency in data analysis tools and software. Self-motivation with the ability to work effectively as part of a team or on individually assigned tasks in a fast-paced environment where exceptional attention to detail, time management and prioritization skills are essential. About Strategic Risk Solutions SRS is the world's largest independent insurance company manager. With over 25 years of experience, SRS provides management and consulting services to a wide range of insurance company entities, from single parent captives to complex commercial insurers and reinsurers. SRS has operations in the United States, Canada, Europe, Barbados, Bermuda, Cayman Islands, Latin America, and South Africa. Offering a competitive salary, bonus plan, and a generous benefits package, SRS strives to provide every employee with opportunities for rewarding growth and advancement in an environment of genuine equity and inclusion. The pace is fast and demanding, and SRS's dedication to its people has established a company-wide network of colleagues committed to each other's, as well as the Company's, success. EOE For more information on SRS, please visit *********************** Powered by JazzHR T2UfNYyDya
    $86k-114k yearly est. 26d ago
  • Manager, Application Development

    Santaclara Family Health Plan 4.2company rating

    San Jose, CA jobs

    FLSA Status: Exempt Department: Information Technology Reports To: Director, Application and Product Development The Manager of Application Development is responsible for the supervision of the application development staff in the design, development, implementation and support of in-house and vendor applications and interfaces, including the accurate data exchange between trading partners in accordance with state and federal regulatory and contractual requirements and SCFHP policies and procedures as set forth for all lines of business. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty listed below satisfactorily. * Supervise and mentor personnel performing design, development, implementation, maintenance, and reporting from application databases, data warehouse and data cube environments. * Oversee the design, development, implementation, and maintenance of electronic data exchange in multiple formats, including EDI X 12 transaction sets specific to healthcare transactions. * Oversee the development and maintenance of enterprise data warehouse. * Exercise staff oversight to ensure new operations plans, policies, procedures and transition/migration plans are consistent with the overall company goals and objectives. * Define and modify IT development standards, policies and procedures to ensure they remain current with business and regulatory needs. * Participate in the project approval and prioritization process with other IT management and business leaders. * Contribute and participate in the strategic planning process and share in the development of SCFHP vision, goals and initiatives. * Develop positive relationships with managers, directors and leaders by understanding business priorities and information technology enablers. * Perform other related duties as required or assigned. SUPERVISORY/MANAGEMENT RESPONSBILITIES Carries out supervisory/management responsibilities in accordance with SCFHP's policies, procedures, applicable regulations and laws. Responsibilities include: * Recruiting, interviewing, and hiring. * Developing a high performing department culture and staff. This includes setting the standard for staff/peers and motivating employees to maximize organizational goals and objectives. * Effectively assimilating, training and mentoring staff and (when appropriate), cross training existing staff and initiating retraining. This includes coaching to help increase skills, knowledge and (if applicable) improve performance. * Setting goals and planning, assigning, and directing work consistent with said goals. This includes responding to employees' needs, ensuring they have the necessary resources to do their work. * Appraising performance, rewarding and disciplining employees, addressing complaints and resolving issues. This includes providing regular and effective feedback to employees and completing timely and objective performance reviews. REQUIREMENTS - Required (R) Desired (D) The requirements listed below are representative of the knowledge, skill, and/or ability required or desired. * Bachelor's Degree in Business Administration, Computer Science, Public Health, or related field, or equivalent training/experience. (R) * Minimum five years of experience in a lead or supervisory capacity. (R) * Minimum ten years of experience in application development. (R) * Minimum ten years of experience, with SQL programming, MS SQL database development, and T-SQL query generation. (R) * Minimum five years of experience with MS SQL Business Intelligence tools (SSRS, SSIS, SSAS) or other enterprise business intelligence software. (R) * Minimum five years of programming background in any of the following applicable languages/platforms; .NET, PERL, Java, SAS, VB, C++, C#, or other modern programming language or related software. (R) * Demonstrated knowledge of software development life cycle (SDLC), coding standardization, peer review and user acceptance testing. (R) * The ability to effectively manage multiple projects across multiple team members, including direct reports and other IT staff members. (R) * Excellent data analysis skills. (R) * Knowledge of and experience with healthcare management information systems. (R) * Good working knowledge of BizTalk, Sharepoint, ActiveBatch and other core integration tools and services. (D) * Working knowledge of and the ability to efficiently operate all applicable computer software including a working knowledge of computer applications such as Outlook, Word and Excel. (R) * Ability to use a keyboard with moderate speed and a high level of accuracy. (R) * Excellent communication skills including the ability to express oneself clearly and concisely when providing service to SCFHP internal departments, providers and outside entities over the telephone, in person or in writing. (R) * Ability to think and work effectively under pressure and accurately prioritize and complete tasks within established timeframes. (R) * Ability to assume responsibility and exercise good judgment when making decisions within the scope of the position. (R) * Ability to maintain confidentiality. (R) * Ability to comply with SCFHP's policies and procedures. (R) * Ability to perform the job safely with respect to others, to property, and to individual safety. (R) WORKING CONDITIONS Generally, duties are primarily performed in an office environment while sitting or standing at a desk. Incumbents are subject to regular contact with co-workers, managers, external partners, and vendors in person, by telephone and via work-related electronic communications. PHYSICAL REQUIREMENTS Incumbents must be able to perform the essential functions of this job, with or without reasonable accommodation: * Mobility Requirements: regular bending at the waist, and reaching overhead, above the shoulders and horizontally, to retrieve and store files and supplies and sit or stand for extended periods of time; (R) * Lifting Requirements: regularly lift and carry files, notebooks, and office supplies that may weigh up to 5 pounds; (R) * Visual Requirements: ability to read information in printed materials and on a computer screen; perform close-up work; clarity of vision is required at 20 inches or less; (R) * Dexterity Requirements: regular use of hands, wrists, and finger movements; ability to perform repetitive motion (keyboard); writing (note-taking); ability to operate a computer keyboard and other office equipment (R) * Hearing/Talking Requirements: ability to hear normal speech, hear and talk to exchange information in person and on telephone; (R) * Reasoning Requirements: ability to think and work effectively under pressure; ability to effectively serve customers; decision making, maintain a concentrated level of attention to information communicated in person and by telephone throughout a typical workday; attention to detail. (R) ENVIRONMENTAL CONDITIONS General office conditions. May be exposed to moderate noise levels.
    $140k-175k yearly est. 26d ago
  • North America Head of Infrastructure Investments

    Marsh McLennan Agency-Michigan 4.9company rating

    Philadelphia, PA jobs

    Company:MercerDescription: We are seeking a talented individual to join our Global Real Assets team at Mercer. This role will be based in one of our North America offices in the Central or Eastern Time Zones. This is a hybrid role that has a requirement of working at least three days a week in the office. The Head of North American Infrastructure will be a member of the Global Real Assets leadership team, sit on the global infrastructure investment committee, and join our client infrastructure portfolio construction groups. This role is pivotal in managing and growing Mercer's infrastructure investment strategies and client relationships across North America. We will count on you to: Serve as the key point person for current and future investment strategies focused on North America, including managing a large co-investment mandate with a US public pension and overseeing Mercer's flagship PIP US Infrastructure strategy, including the upcoming launch of Vintage 9 Oversee accountable coverage of major Infrastructure Investment managers in North America and globally, representing Mercer on several LPAC seats Lead the Infrastructure Fund Research and Ratings process in North America Source, diligence, and monitor approximately 5-10 co-investments annually in partnership with asset management partners and Mercer's Global and North American Infra investment teams Collaborate with Mercer's secondaries team to source and diligence 5-10 secondaries annually Lead a team of 3-5 people across Canada and the USA, working closely with global Infra and Real Assets teams Drive business development by working closely with Mercer's client, commercial, and OCIO teams to expand client and segment relationships What you need to have: Extensive experience in infrastructure investment management, including portfolio management and co-investment strategies Strong leadership skills with experience managing teams across multiple locations Proven ability to engage with top-tier infrastructure investment managers and represent the firm on LPACs Deep knowledge of infrastructure fund research, ratings, and due diligence processes What makes you stand out: Experience managing large co-investment mandates with public pension funds or similar institutional investors Demonstrated success in business development and client relationship expansion within infrastructure investments Ability to work effectively in a global team environment and lead cross-border initiatives Why join our team: We help you be your best through professional development opportunities, interesting work and supportive leaders. We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities. Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being. The applicable base salary range for this role is $275,000 to $325,000. The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs. Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.
    $83k-102k yearly est. Auto-Apply 41d ago
  • Multi-Line Claims Consultant

    Ccmsi 4.0company rating

    Reading, MA jobs

    Multi-Line Claim Consultant Work Hours: Monday-Friday, 8:00 AM to 4:30 PM Salary Range: $65,000-$85,000 New York Adjuster's License is Required (CT, NH, ME, VT also considered) At CCMSI, we are dedicated to hiring the best and brightest talent to deliver exceptional service to our clients. As a leading Employee-Owned Third Party Administrator (TPA) specializing in self-insurance services, we value our team members through structured career development programs, recognition of achievements, and a culture certified as a Great Place to Work. Join our team and contribute to a workplace where employee satisfaction and retention rank in the 95th percentile, and your skills are recognized as key to our success. Position Overview The Multi-Line Claim Consultant will investigate, evaluate, and adjust multi-line claims while ensuring compliance with established standards, state laws, and client-specific handling instructions. This role offers the opportunity to manage complex claims, serve as a key point of contact for clients, and contribute to claim reviews and training sessions. This position may also serve as advanced training for future senior-level roles. Must be able to investigate, evaluate, and dispose of both auto and general liability. Bodily injury evaluation and settlement negotiation is a must. Responsibilities Investigate, evaluate, and adjust claims in accordance with CCMSI standards and laws. Establish reserves and provide recommendations within authority levels. Review and approve medical, legal, and damage-related invoices. Authorize claim payments and negotiate settlements within established guidelines. Coordinate communication with clients, claimants, and other parties throughout the claim process. Conduct claim reviews, training sessions, and participate in legal proceedings as needed. Monitor subrogation claims and prepare reports detailing claim status. Qualifications Position Requirements Education & Experience: 5-10 years of multi-line claims experience is required. Must be able to investigate, evaluate, and dispose of both auto and general liability. Bodily injury evaluation and settlement negotiation is a must. Licenses: NY, CT, NH, ME, VT, MD, MA Skills & Attributes: Strong analytical, negotiation, and communication skills. Detail-oriented, self-starter with excellent organizational abilities. Ability to adapt to a constantly changing environment and manage multiple priorities. Proficiency with Microsoft Office programs. Why Join CCMSI? Culture: We embrace a culture of integrity, passion, and enthusiasm, treating employees as valued partners. Career Development: CCMSI offers robust training programs and career advancement opportunities. Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a comprehensive benefits package including Medical, Dental, Vision, Life Insurance, Short- and Long-Term Disability, 401(k), and ESOP. Work Environment: Employees are supported with manageable caseloads and resources to succeed in their roles. Core Values & Principles: Employees are expected to uphold CCMSI's Core Values and Principles, which include performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Apply today to join a dynamic team focused on professional growth and delivering exceptional service! Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #ClaimsCareers #InsuranceJobs #CCMSI #HybridJobs #RemoteWork #AdjusterJobs #MultiLineClaims #HiringNow #NYAdjusters #CareerGrowth #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #LiabilityClaims #IND123 #LI-Remote
    $65k-85k yearly Auto-Apply 35d ago
  • Multi-Line Claims Consultant

    Cannon Cochran Management 4.0company rating

    Reading, MA jobs

    Multi-Line Claim Consultant Work Hours: Monday-Friday, 8:00 AM to 4:30 PM Salary Range: $65,000-$85,000 New York Adjuster's License is Required (CT, NH, ME, VT also considered) At CCMSI, we are dedicated to hiring the best and brightest talent to deliver exceptional service to our clients. As a leading Employee-Owned Third Party Administrator (TPA) specializing in self-insurance services, we value our team members through structured career development programs, recognition of achievements, and a culture certified as a Great Place to Work. Join our team and contribute to a workplace where employee satisfaction and retention rank in the 95th percentile, and your skills are recognized as key to our success. Position Overview The Multi-Line Claim Consultant will investigate, evaluate, and adjust multi-line claims while ensuring compliance with established standards, state laws, and client-specific handling instructions. This role offers the opportunity to manage complex claims, serve as a key point of contact for clients, and contribute to claim reviews and training sessions. This position may also serve as advanced training for future senior-level roles. Must be able to investigate, evaluate, and dispose of both auto and general liability. Bodily injury evaluation and settlement negotiation is a must. Responsibilities Investigate, evaluate, and adjust claims in accordance with CCMSI standards and laws. Establish reserves and provide recommendations within authority levels. Review and approve medical, legal, and damage-related invoices. Authorize claim payments and negotiate settlements within established guidelines. Coordinate communication with clients, claimants, and other parties throughout the claim process. Conduct claim reviews, training sessions, and participate in legal proceedings as needed. Monitor subrogation claims and prepare reports detailing claim status. Qualifications Position Requirements Education & Experience: 5-10 years of multi-line claims experience is required. Must be able to investigate, evaluate, and dispose of both auto and general liability. Bodily injury evaluation and settlement negotiation is a must. Licenses: NY, CT, NH, ME, VT, MD, MA Skills & Attributes: Strong analytical, negotiation, and communication skills. Detail-oriented, self-starter with excellent organizational abilities. Ability to adapt to a constantly changing environment and manage multiple priorities. Proficiency with Microsoft Office programs. Why Join CCMSI? Culture: We embrace a culture of integrity, passion, and enthusiasm, treating employees as valued partners. Career Development: CCMSI offers robust training programs and career advancement opportunities. Benefits: Enjoy 4 weeks of paid time off in your first year, 10 paid holidays, and a comprehensive benefits package including Medical, Dental, Vision, Life Insurance, Short- and Long-Term Disability, 401(k), and ESOP. Work Environment: Employees are supported with manageable caseloads and resources to succeed in their roles. Core Values & Principles: Employees are expected to uphold CCMSI's Core Values and Principles, which include performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Apply today to join a dynamic team focused on professional growth and delivering exceptional service! Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #ClaimsCareers #InsuranceJobs #CCMSI #HybridJobs #RemoteWork #AdjusterJobs #MultiLineClaims #HiringNow #NYAdjusters #CareerGrowth #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #LiabilityClaims #IND123 #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $65k-85k yearly Auto-Apply 36d ago

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