You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Pharmacy OperationsCoordinator I - Remote US
Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks.
Perform duties to support the development, coordination and maintenance of the pharmacy program.
Review benefit/formulary setup and testing (new and year over year).
Conduct claims analysis
Performs other duties as assigned
Complies with all policies and standards
Job Specific Details:
Various Claims Reports review and analysis.
Research and respond to various Pharmacy Benefit inquiries via shared email box.
Prescription Drug Event Error Research and correction
Patient Assistance Program related PA entry and related tasks
ESI PA Entry Audit/review
Working shift: 8am - 4:30pm (In your own time zone)
Education/Experience: High School Diploma or GED. 2+ years of pharmacy experience in managed care environment preferred
Desired Skills / Experience:
Medicare Billing
Retail Pharmacy
Pharmacy Insurance Billing
License/Certification: Current state's Pharmacy Technician license preferred
Pay Range: $19.43 - $32.98 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$19.4-33 hourly Auto-Apply 1d ago
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Sales Operations Coordinator
Centene 4.5
Operations coordinator job at Centene
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.
***NOTE: For this role we are seeking candidates who live in North Carolina***
Position Purpose: Primary contact for assigned market(s) for all Sales Operations functions to include onboarding new agents and supporting assigned market(s). Fully supports metric driven sales goal attainment. Thrives in a fast-paced environment, while striving toward quality support and problem resolution for our field sales teams. Supports communication efforts between internal shared services departments, field leadership and external partners to achieve enrollment goals. Accountable to create and utilize reporting to influence sales goal attainment. Supports key National strategic field retail partnerships. Supports relationships between external vendor partners and field sales.
Acts as the primary contact for assigned field sales markets/teams to support system access to sales and event support systems (Ascend, Salesforce, LiveVox, etc).
Support vendor invoice and contract submissions and requests through Coupa (or related systems)
Acts as the primary contact for assigned field sales markets/teams for ad-hoc questions, concerns and requests by monitoring and responding to inquiries received by email and/or phone.
Provides first level support for sales systems access issues; maintains user request log for system access requests
Acts as liaison between field sales teams and escalation teams in the Call Center and sales systems teams to research and resolve issues and escalates issues to Sales Operations Managers as necessary.
Tracks and reports back to Sales Operations Managers on local field marketing request submissions to ensure placement aligns with request.
Creates reporting to monitor activities across all channels to measure progress against sales goals.
Coordinates with the training team to identify new hire sales associates scheduled for training and notify Sales Support of training complete new hires
Provides problem resolution within targeted Service Level Agreements and serves as first line of contact for escalated field sales concerns and issues. Aims to provide first call resolution when able.
Conducts outreach to sales partners relating to certifications, applications, events, etc.
Education/Experience: High School or GED required. An Associate's Degree in a related field preferred. A minimal of 2 years of experience in customer service or office related area required. 2+ years of experience in health insurance, policy and procedures technical writing and/or agent certification preferred.
License/Certification: N/APay Range: $15.58 - $26.73 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
$15.6-26.7 hourly Auto-Apply 27d ago
Coordinator, Security Services - Security Department - Full Time
Guthrie 3.3
Binghamton, NY jobs
Coordinates training, scheduling and other aspects of the security staff while also fulfilling the normal duties of Security Officer. Education, License & Cert: High school graduate or GED required. Associates Degree or higher is preferred.
Experience:
Minimum five years of experience required in the Safety and Security field with at least two years in a lead or supervisor role.
Essential Functions:
Serve as a full time Security Officer for the hospital, fulfilling all normal duties and working assigned shift.
Oversee the schedule of security personnel, ensuring 24/7 coverage is provided.
Participate in the provision of Non‐Violent Crisis Intervention training for personnel; will assist other Guthrie entities when needed.
Serves as the lead in training new hire Security Officers and ensuring competencies are achieved.
Coordinate and conduct security investigations in conjunction with department managers, leaders, and law enforcement.
Serve as the departmental timekeeper/approver for automated time and attendance.
Other Duties:
It is understood that this description is not intended to be all‐inclusive and that other duties may be assigned as necessary in the performance of this position.
Pay Range min $17/hr max $25.80/hr
About Us
Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. In all areas and at all levels of Guthrie, you'll find staff members who have committed themselves to serving the community.
The Guthrie Clinic is an Equal Opportunity Employer.
The Guthrie Clinic is a non-profit, integrated, practicing physician-led organization in the Twin Tiers of New York and Pennsylvania. Our multi-specialty group practice of more than 500 physicians and 302 advanced practice providers offers 47 specialties through a regional office network providing primary and specialty care in 22 communities. Guthrie Medical Education Programs include General Surgery, Internal Medicine, Emergency Medicine, Family Medicine, Anesthesiology and Orthopedic Surgery Residency, as well as Cardiovascular, Gastroenterology and Pulmonary Critical Care Fellowship programs. Guthrie is also a clinical campus for the Geisinger Commonwealth School of Medicine.
$17-25.8 hourly 1d ago
Life & Health Operations Insights Specialist - Reinsurance / Hybrid
Swiss Re 4.8
Fort Wayne, IN jobs
Join Swiss Re's Life & Health Operations Insights team where role you will drives the optimization of Swiss Re's client data and industry insights to deliver a best-in-class client data analysis and review program that differentiates Swiss Re across the reinsurance landscape.
About the Role
As a Specialist on the Life & Health Operations Insights team, you will play a key role in supporting data analysis and maintaining high data quality standards. Your responsibilities include contributing to Client Support, Client Audits, Premium Validations, Quality Assurance, and Admin Re activities. You will collaborate within Operations and across the L&H value chain-including Market Units, Valuation, Finance, Experience Studies, Portfolio Management, and Data Management & Insights, ensure accurate and timely information flow.
You will assist in identifying early trends, anomalies, and other portfolio or market developments, while contributing to projects that leverage Swiss Re technology tools.
This role requires active participation in internal and external meetings and clear, precise communication with team members and stakeholders. A strong understanding of reinsurance administration processes and industry best practices is essential, with an emphasis on applying this knowledge to support team objectives rather than lead initiatives.
Key Responsibilities
* Understand complex treaty configurations and calculations
* Identify issues and propose effective solutions for clients and stakeholders
* Collaborate with Operations to develop and implement project plans
* Clearly and concisely document findings and solutions
* Build expertise with clients and stakeholders
* Excellent written and verbal skills
* Lead team projects with clients and stakeholders
* Fully engage in the work of Insights team, offering support and guidance for Client Support, Client Review, Quality Assurance, and Admin Re
* Understand Swiss Re's strategic direction in the marketplace
About the Team
The L&H Operations Insights team, part of L&H Operations, plays a critical role in driving agility and client-centric solutions. The team manages financial monitoring, ensures key financial controls are met, and performs quality assurance to mitigate and control risks. It monitors the performance of key portfolios and oversees complex data processing to deliver actionable business insights in response to growing market demands and the expanding L&H in-force book. Responsibilities include providing insights and reporting for risk management, tracking operational signals for the Portfolio Health Dashboard (Smart Circle), and delivering KPI inputs for operational and business review meetings with senior management and Market Units.
About You
You are a motivated professional with a solid background in reinsurance administration, willingness to learn new technologies and processes with strong analytical skills. You adapt to challenges and contribute effectively to team objectives.
Key Requirements:
* Experience: 3-5 years in insurance/reinsurance with exposure to client audits, premium validation, client accounting, and quality assurance.
* Reinsurance Knowledge: Good understanding of administration, treaty interpretation, and familiarity with industry best practices.
* Technical Skills: Working knowledge of Swiss Re Life & Health concepts and an understanding of the value chain.
* Analytical & Adaptability: Strong analytical skills and openness to learning and applying new tools and technologies.
* Autonomy: Ability to manage assigned validations and tasks independently, while providing timely updates and escalating issues when needed.
* Organizational Skills: Solid time management and prioritization capabilities.
* Collaboration: Ability to work effectively within a team and contribute to initiatives; may assist in mentoring but not lead projects.
Additional: Ability to travel as needed.
The estimated base salary range for this position is $80,000 to $132,000. The specific salary offered for this, or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.
Our company has a hybrid work model where the expectation is that you will be in the office at least three days per week
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. We cover both Property & Casualty and Life & Health. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.
Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.
During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.
Keywords:
Reference Code: 136046
Nearest Major Market: Fort Wayne
Job Segment: Operations Manager, Risk Management, Data Analyst, Data Management, HR, Operations, Finance, Data, Human Resources
$80k-132k yearly 52d ago
Variable Universal Life Insurance Operations Specialist
Penn Mutual 4.8
Remote
Our Variable Universal Life (VUL) Insurance Specialist is responsible for handling and processing a variety of transactions related to VUL Life Insurance policies with precision and compliance. This role involves managing end-to-end service requests and providing solutions, ensuring a high standard of quality, attention to detail, and adherence to company policies and procedures. The specialist must possess a thorough understanding of VUL products, enabling them to process simple to complex transactions and respond effectively to customer inquiries and escalations, including sensitive situations and complaints.
Responsibilities
Demonstrate an understanding on all facets of the VUL Life Insurance products sold to be able to handle and process simple to more complex transactions with a high caliber of quality and attention to detail
Processes transactions and documents records with consistent quality, attention to detail, and according to department policies and procedures.
Responds effectively and appropriately to sensitive events and/or situations as needed, including customer complaint handling and escalation.
Thoroughly and efficiently handles simple to complex correspondents from financial professionals, policyholders and others, answering questions regarding their VUL product and/or servicing needs, in conjunction with handling end-to-end service requests.
Uses problem-solving skills to address issues and escalates concerns when necessary
Possesses moderate knowledge of all facets of individual life Insurance or annuities and the products sold, with a deeper understanding of variable products.
Interprets each request and navigates multiple administration systems as well as our workflow and imaging tools to gain and document needed information.
Investigates and follows up on questions/issues to resolve concerns in an accurate and timely manner.
Provides solutions, recommendations and product information with a sense of urgency, positivity and empathy.
Seeks out opportunities to leverage best practices to meet requirements
Identify, recommend and implement ongoing process improvements adhering to regulatory requirements and improve the customer experience
Adheres to Service Level of Agreements (SLAs) and individual/team metrics
Complies with all company and site policies and procedures
Successfully completes regulatory and job training requirements
Work with internal departments to ensure company meets clients' expectations
Ability to work core business hours between 10:30 and 7:00 pm EST
Required Skills:
Ability to comprehend and articulate complex information
Ability to learn and adapt in ever changing and upgrading technology
Executes with urgency and professionalism
Excellent analytical and organizational skills with attention to detail
Possesses a great sense of self-awareness
Excellent communication skills, both verbal and written, required
Willingness and proven ability to work on multiple tasks and adapt to a changing work environment
Strong technical skills with the ability to navigate within multiple systems
Excellent problem-solving skills - the ability to see beyond the obvious into what may be intended
Willingness and ability to work under pressure and meet deadlines
Ability to make a positive contribution as demonstrated by learning new skills and making suggestions for process/procedure improvement
Ability to work with others in a collaborative team environment, while maintaining a self-driven mentality
Excellent communication skills, both verbal and written, required
Demonstrates a commitment to AI fluency by embracing AI tools and technologies to enhance individual and team performance, decision-making, and innovation
Educations and Experience
Minimum of 5 - 8 years of customer service experience
Experience with individual life insurance/annuity products required
High school diploma required
Bachelor's degree preferred
FINRA Series 6 license required within 180 days
Base Salary Range - $60,000 -$73,000
For over 175 years, Penn Mutual has empowered individuals, families and businesses on the journey to achieve their financial goals. Through our partnership with Financial Professionals across the U.S., we help instill the confidence and reliability that comes from a stronger financial future. Penn Mutual and its affiliates offer a comprehensive suite of competitive products and services to meet the unique needs of Financial Professionals and their clients, including life insurance, annuities, wealth management and institutional asset management. To learn more, including current financial strength ratings, visit *******************
Penn Mutual is committed to Equal Employment Opportunity (EEO). We provide employment and advancement opportunities to all qualified applicants and associates, according to applicable laws. This is reflected in our practices for hiring, placement, promotion, transfer, demotion, layoff, termination, recruitment, compensation, selection or training, and all other terms and conditions of employment. All employment-related decisions and practices are free from unlawful discrimination. This includes: race, creed, color, national origin, ancestry, citizenship age, gender (including pregnancy), sexual orientation, gender identity or expression, domestic partnership or civil union status, marital status, genetic information, disability, religious observance or practice, liability, veteran status or any other classification protected under applicable law.
$60k-73k yearly Auto-Apply 50d ago
Regional Operations Coordinator
Michigan Farm Bureau 4.1
Troy, MI jobs
OBJECTIVE
Regional OperationsCoordinator Objective
The Regional OperationsCoordinator (RECO) provides day-to-day assistance to the Managing Partner in the Southeast Region. The RECO will also provide operations support to the field force and be the bridge to the Home Office team, when necessary.
RESPONSIBILITIES
Regional OperationsCoordinator Responsibilities
· Assist in coordinating the Managing Partner's calendars with daily operation tasks
· Manage the recruiting pipeline database and communication
· Attend and participate in networking/recruiting events
· Participate in and execute new agent contracting
· Coordinate and plan regional meetings and events
· Assist with Terminations, Book Reassignments, and agent Office Moves
· Assist Managing Partners with managing Associate Regional Coordinator
· Communicate regional and company updates and news to the field force
· Assist agents in completing various required paperwork
· Communicate and delegate client issues and MP communications
· Complete policy transfers
· Assist with Solicitor onboarding, process, and paperwork
· Assist in Recruiting and Onboarding process
· Contribute to partnership marketing and branding strategies
· Send regional competition stats and data to the field force
· Manages social media pages, post updates, engages with audience.
· Compile data and send monthly reports/stats to the field force
· Mine online sources for agent candidates and send interested prospects to MPs
· Maintain and update agent contact and office information
· Maintain and submit partnership annual expenses and budget
· Communicate agent departures/new agents to MFB and field force
QUALIFICATIONS
Regional OperationsCoordinator Qualifications
Required
High school diploma or equivalent required.
Minimum three years of administrative experience required.
Hold a State of Michigan Property & Casualty license.
Experienced usage and program development skills in Microsoft Office Suite (i.e., Word, Excel,
PowerPoint, Outlook, and Teams) required.
Keyboarding skills of 65 wpm with accuracy required.
Basic math aptitude required.
Willingness to pursue industry-related classes required.
Preferred:
Associate or bachelor's degree preferred.
Familiarity with terminology and operations of the agricultural and insurance industries preferred.
Note: Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.
$32k-39k yearly est. Auto-Apply 19d ago
Office & Operations/Facilities Manager
Swiss Re 4.8
Miami, FL jobs
Swiss Re is seeking an experienced and highly engaged Office & Operations/Facilities Manager to oversee five key locations-Miami, Alpharetta, Washington, D.C., Lansdale (PA), and Midlothian (VA). This role is ideal for a dynamic professional who excels at building strong relationships, driving operational excellence, and delivering exceptional workplace experiences. This person must be based in Miami, Florida.
About the Team:
This role is a part of the Corporate Real Estate & Services (CRES) Americas team. You will partner closely with the Head of CRES East Region and local business leaders to manage facility operations, guide capital and infrastructure projects, and foster a culture of continuous improvement across multiple sites. The CRES team is responsible for leading and managing third-party vendors and contractors - while representing Swiss Re with professionalism and confidence.
About the Role:
Stakeholder & Workplace Experience
* Serve as the primary point of contact for employees, executives, stakeholders, and tenants across all five locations.
* Build strong relationships with site leads and local business leaders to proactively address needs and provide best-in-class customer service.
* Coordinate onsite events, conferences, and large-scale meetings in partnership with the Events Management Team.
Facility Operations & Project Management
* Oversee day-to-day facility operations in Miami and Alpharetta, with governance oversight for the Washington, D.C., Lansdale, and Midlothian offices.
* Manage building maintenance, infrastructure, and all MEP systems (HVAC, lighting controls, plumbing, etc.).
* Partner with Head CRES East Region to lead construction, renovation, and fit-out projects, ensuring alignment with timelines, scope, and budget.
* Administer Integrated Workplace Management Systems (IWMS) including space allocation, office moves, onboarding/offboarding changes, lease data, and asset maintenance.
Financial Management
* Own budgeting, forecasting, and monitoring of all associated office expenses and investments.
* Process and review invoices, manage office supply inventory, and ensure adherence to annual budgets and savings goals.
* Prepare financial and business reports for the Head of CRES East Region.
Vendor & Contract Management
* Oversee external vendors and contractors, ensuring alignment with SLAs, KPIs, and contract requirements.
* Partner with Procurement to ensure all contracts comply with Swiss Re standards.
* Direct and evaluate the work of external staff (3 team members).
Risk, Safety & Compliance
* Manage site-level risk by identifying, assessing, and documenting risks; completing all required reports accurately and on schedule; providing clear risk-control assessments; and ensuring effective response and resolution of incidents or unexpected operational events.
* Lead Business Continuity Planning for the sites, including documentation, training, and annual safety/security reviews.
* Maintain a strong understanding of corporate office leases and ensure compliance with all lease provisions.
About You:
* Fluency in Spanish required. (Need to be English speaking and Spanish speaking)
* Bachelor's degree or a minimum of 10 years of real estate and facility management experience in a global, highly professional environment.
* Proven project management experience, including construction and fit-out oversight.
* Demonstrated ability to build trusted client and stakeholder relationships and deliver practical solutions.
* Strong knowledge of lease language and property standards.
* Exceptional verbal and written communication skills; ability to present to stakeholders and senior leadership.
* Advanced proficiency with MS Outlook, Word, Excel, PowerPoint, and Teams.
* Experience with Integrated Workplace Management Systems (IWMS).
* Strong networking and negotiation skills; comfortable engaging with new stakeholders at all levels.
* Swiss Re supports flexible working arrangements; however, due to the relationship-driven and operational nature of this role, consistent on-site presence is essential. This role is based in Miami, Florida.
The estimated base salary range for this position is $80,000 to $120,000. The specific salary offered for any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation.
About Swiss Re
Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world.
Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability.
If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience.
Swiss Re is an equal opportunity employer. It is our practice to recruit, hire and promote without regard to race, religion, color, national origin, sex, disability, age, pregnancy, sexual orientations, marital status, military status, or any other characteristic protected by law. Decisions on employment are solely based on an individual's qualifications for the position being filled.
During the recruitment process, reasonable accommodations for disabilities are available upon request. If contacted for an interview, please inform the Recruiter/HR Professional of the accommodation needed.
Keywords:
Reference Code: 136176
Nearest Major Market: Miami
Job Segment: Facilities, Operations Manager, Contract Manager, HR, Compliance, Operations, Legal, Human Resources
$80k-120k yearly 35d ago
Provider Operations Coordinator
Community Care Plan
Sunrise, FL jobs
Hybrid- Sunrise, Florida Perform day to day duties of assuring that providers (individual, group, ancillary, etc.) are set up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting and directories as well as claims payment resolution as it relates to provider set up.
Essential Duties and Responsibilities
* Conducts annual after-hours provider survey as mandated by the agency and Florida Healthy Kids Corporation
* Manages and maintains Customer Relations Management (CRM) Pool
* Abides by all compliance requirements for the Agency Health Care Administration, Department of Insurance, and Centers for Medicare and Medicaid Services as these apply to the Provider Operations Department activities
* Assist with out of network negotiations
* Assists in answering the Provider Hotline and provides optimal customer services to all callers
* Reports and maintains history of all telephone encounters and inquiries raised by providers
* Acts as inter-departmental liaison for Claims, Care Coordination, Customer Experience and Utilization Management departments among others
* Assist the Provider Operations Representatives and Provider Operations Contract Negotiators with investigation and resolution of provider issues
* Receive all provider related mail/email/fax, including address changes, claim reconsiderations, general inquiries and determine completion, accuracy, and route accordingly
* Assist in the coordination of completing the credentialing application for providers
* Complete internal directory audits
* Develop and distribute provider notices via fax/email blast
* Educate providers regarding policies and procedures related to referrals and claims submission; web site education, EDI solicitation and problem solving (Provider Hotline)
* Performs other duties as assigned.
This job description in no way states or implies that these are the only duties performed by the employee occupying this position. Employees will be required to perform any other job-related duties assigned by their supervisor or management.
Qualifications:
* Associates Degree or equivalent experience required.
* 2-3 years Customer Service experience preferred.
* Provider relations experience preferred.
* Knowledge of Word and Excel.
Skills and Abilities:
* Verbal and written communication skills.
* Ability to speak clearly and concise.
* Must be detail oriented and able to work independently in a fast-changing environment.
* Time management skills.
* Ability to manage multiple priorities in a fast-paced environment.
Work Schedule:
Community Care Plan is currently following a hybrid work schedule. The company reserves the right to change the work schedules based on the company needs
Physical Demands:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear. The employee is frequently required to stand, walk, and sit. The employee is occasionally required to stoop, kneel, crouch or crawl. The employee may occasionally lift and/or move up to 15 pounds.
Work Environment:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. The environment includes work inside/outside the office, travel to other offices, as well as domestic, travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.
We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique. We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion.
$35k-55k yearly est. 60d+ ago
Operations Coordinator
Relation Insurance, Inc. 4.2
Greensboro, NC jobs
WHO WE ARE
Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting-edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success.
WHAT WE'RE LOOKING FOR
The OperationsCoordinator provides comprehensive administrative and operational support to the organization, ensuring efficient day-to-day business operations, exceptional client service, and effective coordination across teams. The individual in this role must have strong interpersonal, organizational, and problem-solving skills, with a proactive and client-focused mindset. The OperationsCoordinator acts as an ambassador of company culture, supports leadership initiatives, and participates in a variety of projects to drive growth and operational excellence.
A GLIMPSE INTO YOUR DAY
Performs a variety of administrative duties including scheduling, document handling, and office support functions.
Manages the reception area, answers phone inquiries, directs calls, and maintains effective telephone and mail communications.
Provides first-class hospitality and customer service to internal and external clients, vendors, and team members; act as an ambassador of company culture.
Assists with project communication, documentation, and completion; assembles presentations, compose correspondence and reports, and peer reviews client materials.
Attends team meetings to take notes, document activities, and support the assembly and peer review of client presentations.
Performs other projects, duties, and tasks, as assigned.
WHAT SUCCESS LOOKS LIKE IN THIS ROLE
High School Diploma or equivalent required.
1+ year of customer service experience in a professional office or customer support environment preferred.
Basic knowledge of insurance markets, products, services insurance ratings and underwriting procedures is helpful.
Outstanding interpersonal and communication skills are required to maintain effective relationships with clients, co-workers, carriers, vendors and others.
Intermediate to advanced skills in Microsoft Office (primarily PowerPoint, Excel and Word). Must be computer literate with the ability to learn new software applications.
Must be able to understand written and oral communications and interpret information written within policies.
Ability to work independently with limited daily supervision and to work effectively in a team environment.
Ability to function effectively under tight time constraints, consistently meet strict deadlines, prioritize, and handle multiple tasks in a demanding work environment.
Excellent customer service skills are a must.
Valid Driver's License may be required depending on location.
WHY CHOOSE RELATION?
Competitive pay.
A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more.
Career advancement and development opportunities.
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Note: The above is not all encompassing of the full position description.
Relation Insurance Inc. 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 applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting.
You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance.
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$15.38 - $34.13
$29k-41k yearly est. Auto-Apply 60d+ ago
Digital Operations Coordinator
Hagerty Insurance 4.7
Traverse City, MI jobs
As a Digital OperationsCoordinator you'll be responsible for supporting the senior leadership of Hagerty's Digital team with an emphasis on strong organizational skills, clear communication, and the ability to manage details across multiple priorities. Central to helping the leadership team stay focused and effective, you'll coordinate meetings and travel, streamline workflows, and proactively keep projects moving. We're looking for someone who is highly organized and dependable but also takes initiative. We want someone who doesn't wait to be asked, spots gaps before they become issues, and enjoys helping the team stay a couple steps ahead of what's coming.
Ready to get in the driver's seat? Join us!
What you'll do
Executive Support & Strategic Partnership
Serve as the primary support to the Senior Vice President of Digital Marketplace (SVP), owning a wide range of operational and administrative duties.
Hold regular check-ins to align daily, weekly, and quarterly priorities.
Anticipate needs and proactively deliver information, resources, and context to increase executive productivity.
Manage the calendar, travel bookings, and meeting schedules to ensure smooth daily operations.
Act as a strategic partner by planning ahead, tracking key deliverables, and managing time around high-priority initiatives.
Handle confidential information with discretion, sound judgment, and professionalism.
Business Operations, Project Management & Process Improvement
Plan and administer all operational activities related to the SVP's role. Meet regularly to stay informed on business news and stay on top of business priorities and anticipate needs of the team.
Provide information and deliverables to help the SVP be more productive and effective in his role.
Maintain oversight of executive and departmental workflows, ensuring alignment to business goals.
Orchestrate projects and initiatives involving the SVP and their leadership team.
Track and report on the progress of strategic projects, ensuring milestones are met and roadblocks are escalated.
Collect input, gather data, and organize next steps to move projects requests forward
Review, update, edit, and deliver high-quality documents and presentations for leadership or cross-functional use.
Monitor and report on key performance indicators (KPIs), providing variance updates and alignment to goals.
Partner with business and functional leaders to align communications and follow-through on initiatives.
Drive continuous improvement by identifying inefficiencies and streamlining processes.
Proactively manage and complete multiple assignments on an ongoing basis and ensure deadlines are met
Support and cultivate key partner relationships.
Communication & Documentation
Provide weekly communications and business updates on behalf of the executive to key team members.
Draft and prepare high-impact PowerPoint presentations, Word documents, and Excel reports.
Attend leadership meetings, capturing notes, summarizing discussions, and tracking follow-up actions.
Support the creation and review of quarterly rollout materials and monthly updates for business partner calls.
Review documents and correspondence for accuracy and consistency before executive approval or distribution.
Collaborate with finance and operations to support complete, accurate, compliant monthly and quarterly reporting processes.
Maintain and manage dashboards and business reporting tools (e.g., One Page Plan, Monthly Scorecard, Board reports).
Meeting & Workflow Coordination
Manage meeting agendas and logistics, including scheduling, room/virtual setup, and attendee coordination.
Scribe meeting minutes, define clear action items, and ensure timely follow-up.
Align with the SVP on meeting goals, content, and post-meeting outcomes.
Coordinate and support off-site meetings and events, including lodging, transportation, and on-site logistics.
Prepare and review travel schedules and credit card reconciliations, ensuring timely and accurate processing.
This might describe you
Proven experience supporting C-level executives in a fast-paced, high-demand environment.
Proven track record of calendar management, including complex scheduling across multiple time zones.
Demonstrated ability to handle confidential information with the highest level of discretion and professionalism.
Experience with travel coordination, including international and multi-leg itineraries, lodging, and expense reconciliation.
Strong background in preparing executive-level communications, such as emails, reports, presentations, and meeting briefs.
Proficient in Microsoft Office Suite (Outlook, Word, Excel, PowerPoint) and collaboration tools Slack, Zoom and Dropbox.
History of organizing and supporting board meetings, leadership offsites, or cross-functional projects.
Experience with gatekeeping and prioritization, serving as a strategic partner in managing executive time and focus.
Ability to thrive in a high-pressure environment and juggle multiple priorities with a calm, proactive, and solution-oriented mindset.
Prior experience liaising with internal and external partners, including vendors, clients, and investors.
Ability to travel to onsite events quarterly (or more).
Other things to note
This hybrid role will be based in Hagerty's Traverse City office and will require working in office 3 to 5 days a week.
Familiarity with public company requirements, including Sarbanes Oxley and key regulations, if applicable. For SOX compliant roles, responsible for designing, executing, and documenting internal controls where they have been identified as owners to prevent errors in financial reporting, processes, and business operations. Including attestation to the completeness, accuracy, and compliance of all financial reporting data, where applicable.
Say hello to Hagerty
Hagerty is an automotive enthusiast brand and the world's largest membership organization. Along with being a best-in-class provider of specialty insurance for enthusiasts, Hagerty is also home to the Hagerty Drivers Foundation, Hagerty Drivers Club, Marketplace and so much more. Committed to saving driving for future generations, each and every thing Hagerty does is dedicated to the love of the automobile.
Hagerty is a rapidly growing company that values a winning culture. We provide meaningful work for and invest in every single team member.
At Hagerty, we share the road. We are an inclusive automotive community where all are welcomed, valued and belong regardless of race, gender, age, or car preference. We are united by our shared passion for driving, our commitment to preserve car culture for future generations and our desire to make a positive impact in the world.
If you reside in the following jurisdictions: Illinois, Colorado, California, District of Columbia, Hawaii, Maryland, Minnesota, Nevada, New York, or Jersey City, New Jersey, Cincinnati or Toledo, Ohio, Rhode Island, Washington, British Columbia, Canada please email ********************** for compensation, comprehensive benefits and the perks that set us apart.
#LI-Hybrid
EEO/AA
US Benefits Overview
Canada Benefits Overview
UK Benefits Overview
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
$37k-46k yearly est. Auto-Apply 16d ago
Operations Specialist
Corporate Synergies 3.9
Camden, NJ jobs
Foundation Risk Partners, one of the fastest growing insurance brokerage and consulting firms in the US, is adding an Operations Specialist to their Corporate Synergies team in Philly Metro Region.
We're looking for a BenefitsVIP Operations Specialist to help us keep our client experience seamless and accurate. In this full-time role, you'll work closely with our Operations Lead and Account Management team to ensure plan information is precise and up-to-date, empowering our BenefitsVIP Representatives to provide top-tier support. You'll also collaborate with our mobile app vendor to keep the BenefitsVIP Mobile platform current and user-friendly. This is a great opportunity to make a real impact on client experience.
Essential Functions:
Audit and maintain plan information for accuracy and completeness.
Create and update Client Servicing Notes and Carrier Contacts.
Partner with Account Management to verify and update plan details.
Coordinate with our mobile app vendor to ensure accurate plan data on BenefitsVIP Mobile.
Maintain data integrity through meticulous and efficient data entry.
Support additional BenefitsVIP Operations tasks as needed.
Competencies & Qualifications:
Strong verbal and written communication skills.
Exceptional attention to detail and accuracy in data entry.
Ability to prioritize, take initiative, and meet deadlines in a fast-paced environment.
Excellent organizational and time management skills.
Collaborative team player with effective communication skills.
Familiarity with benefits administration or employee benefits is a plus.
Proficiency in Microsoft Office Suite and comfort with digital platforms.
This range represents the estimated low and high end of the salary range for this position. Actual salaries will vary and may be above or below the range based on factors including but not limited to performance, location, and experience. The range listed is just one component of FRP's total compensation package for employees.
Pay Transparency Range$19-$21.50 USD
Disclaimer:
While this job description is intended to be an accurate reflection of the job requirements, management reserves the right to modify, add, or remove duties from particular jobs and to assign other duties as necessary.
Equal Employment Opportunity (EEO):
FRP provides equal employment opportunity to qualified persons regardless of race, color, sex, religion, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other classifications protected by law.
Benefits:
FRP offers a comprehensive range of health-related benefit options including medical, vision, and dental. We offer a 401(k) with company match, company paid life insurance, STD, LTD and a generous PTO policy starting at 18 days per year plus 10 paid holidays & 2 floating holidays!
$67k-100k yearly est. Auto-Apply 20d ago
Contracts Coordinator
VNS Health 4.1
New York, NY jobs
VNS Health - one of the nation's largest nonprofit home and community-based health care organizations - is seeking a detail-oriented, motivated Contracts Coordinator to support our contracting operations. This is an excellent opportunity for someone with foundational contract experience who's eager to deepen their knowledge and grow alongside an experienced Legal and Contract Management team.
What We Provide
* Referral bonus opportunities
* Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
* Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
* Employer-matched retirement saving funds
* Personal and financial wellness programs
* Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
* Generous tuition reimbursement for qualifying degrees
* Opportunities for professional growth and career advancement
* Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
What You Will Do
* As a key member of our Contracting team, you will help keep our contract lifecycle running smoothly and efficiently. Under general supervision, you will:
Contract Lifecycle Support
* Maintain and update the Contract Lifecycle Management (CLM) system, ensuring all contractual information is organized, accurate, and current.
* Review contracts and extract essential data for input into the CLM system.
* Assist VNS Health users with questions regarding contract documentation and follow up on outstanding items.
Collaboration & Process Improvement
* Work closely with the Contract Manager to update user guides, procedural documents, forms, and other tools that support the contracting process.
* Assist in creating and delivering training materials on contracting workflows and best practices.
Contract Drafting & Review
* Draft agreements - including NDAs, Business Associate Agreements, Independent Contractor Agreements, and amendments - using VNS Health templates.
* Conduct initial redlines prior to legal review.
Cross-Team Coordination
* Serve as a liaison between business owners and Legal, helping to move contracts forward and addressing questions from both sides.
* Join weekly meetings with Legal to review new and ongoing contract requests.
Administrative & Technical Responsibilities
* Review new contract requests in the CLM system and work with business owners to clarify details.
* Manage user access to the CLM and upload updated templates and documents to SharePoint.
* Support Legal with document production, audit requests, and basic litigation support.
Qualifications
Education:
* Bachelor's Degree in business, health administration, public policy, or a related discipline required
Work Experience:
* Minimum of one year business support/administrative experience, including contract administration required
* Demonstrated strong organizational, communication and problem-solving skills required
* Attention to detail required
* Proficiency working with databases, as well as with Microsoft Word, Excel, Outlook, and SharePoint required
* Ability to multitask in a fast-paced environment required
Pay Range
USD $23.17 - USD $28.96 /Hr.
About Us
VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
$23.2-29 hourly 60d+ ago
Operations Specialist
Financial Independence Group 3.7
Cornelius, NC jobs
FIG's Ops Team is unlike any other. We take passion and accountability to a whole new level. We see ourselves as an extension of the financial professionals we work with day in, day out and work to build strong relationships that help drive efficiencies and business processing.
FIG's Ops Team operates in a team-driven, agile manner. We work with one another and other departments to service and process new business applications. From surveying insurance company rules and checking funding status, to driving the cadence of a case forward, there's no end to the depths our team will go to provide the platinum standard of customer service. We partner closely with our in-house tech team to collaborate and constantly evolve the platform that we use every single day and that connects us to the financial professionals we serve. Problem solving and innovation is at the heart of everything we do, and we never stop thinking outside-of-the-box to focus and improve on the true outcome of the work in front of us. We value our positive, solution-oriented culture that drives business and the team forward. Our ops team has a passion for building relationships, speaking, and acting on behalf of FIG, the insurance company, the agent, and the clients' best interest. As our culture evolves, we remain transparent and collaborative through changes and remain accountable to our commitments.
YOUR ROLE:
Responsible for reviewing and tracking new business and inforce submissions through problem-solving and teamwork
Follow up and communicate with top insurance companies and financial institutions to drive forward the cases in your ownership
Manage open cases and requirements within FIG's customer relationship management (CRM) tool, constantly evaluating and proposing ideas to improve efficiencies and workflows
Work closely and in lockstep with the Sales Team to create a cohesive, evolving culture of one to drive stability and growth with the financial professionals we work with
Communicate and establish deep relationships with financial professionals to effectively convey status updates
Use creativity and out-of-the-box thinking to solve unique scenarios and problems
WHY YOU ARE THE RIGHT PERSON:
Keep a positive attitude in all aspects of your work
Outcome-driven problem solver
Fosters and builds relationships internally and externally
Ability to learn and grow within our CRM
Engage in collaboration with sales and other departments throughout the organization to increase efficiency
Bring forward ideas and remain creative for continuous improvement
Excel in a team-driven environment
Act as the advocate for the agent and client, where you remain empathetic and engaged in the process from start to finish
$52k-87k yearly est. 60d+ ago
Claim Operations Specialist
The Travelers Companies 4.4
Rancho Cordova, CA jobs
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
Job Category
Claim
Compensation Overview
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
Salary Range
$45,400.00 - $74,900.00
Target Openings
1
What Is the Opportunity?
Under moderate supervision, this position is responsible for partnering with claim professionals to assist customers. Responsibilities within the team include building customer relationships, completing financial transactions, updating and managing important business information, and handling numerous other duties and projects. This position does not manage others.
As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
What Will You Do?
* CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing customer questions and concerns, which may include: Triage and route callers to the appropriate department; Answers claim status and payment questions.
* CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims, and transitions closed files to and from off-site storage. Receives, sorts, scans, and uploads incoming mail, and processes out-going mail. Orders, receives and distributes supplies and/or equipment.
* CLAIM PAYMENTS AND EXPENSE PROCESSING: Ensures the proper handling of financial transactions to include: Processes and issues claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks and credits. Ensures timeliness and accuracy of all check processing.
* DATA AND INFORMATION MANAGEMENT: Maintains accurate records and information management, such as: Prepares, generates and reviews reports using the most effective technology. Updates data discrepancies identified in reports and systems. Uses management information data to prepare line of business or financial reports. Prepares operational reports for claim professionals and managers. Accurately documents pending and completed work activities using appropriate systems.
* FINANCIAL CONTROLS AND ASSESSMENTS: Assists with claim center financial standards, including: Performs underlying controls and effectively communicates findings. Assesses the reasonableness of data as well as identifying discrepancies, including reconciliations. Assesses the effectiveness of financial controls. Prepares data entries in accordance with established standards.
* May require lifting items up to 20 pounds (occasionally).
* Perform other duties as assigned.
What Will Our Ideal Candidate Have?
* Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software.
* ACCOUNTABILITY: Takes ownership and responsibility for actions and outcomes, performance and results.
* ANALYTICAL THINKING: Ability to analyze and compare information to understand issues and explore alternative solutions.
* CHANGE MANAGEMENT/RESILIENCE: Ability to remain energized and focused in the face of ambiguity, change or strenuous demands.
* COMMUNICATION SKILLS: Verbal and written communication skills.
* JUDGMENT/DECISION MAKING: Ability to exercise sound judgment and make decisions.
* RELATIONSHIP MANAGEMENT: Ability to seek out, build, foster and maintain productive working relationships to meet goals and achieve results.
What is a Must Have?
* High School Diploma or GED.
* 1 year of service-related work experience OR Bachelor's Degree.
What Is in It for You?
* Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
* Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
* Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
* Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
* Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
Employment Practices
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit *********************************************************
$45.4k-74.9k yearly 52d ago
Claim Operations Specialist
Travelers Insurance Company 4.4
Rancho Cordova, CA jobs
**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Claim
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$45,400.00 - $74,900.00
**Target Openings**
1
**What Is the Opportunity?**
Under moderate supervision, this position is responsible for partnering with claim professionals to assist customers. Responsibilities within the team include building customer relationships, completing financial transactions, updating and managing important business information, and handling numerous other duties and projects. This position does not manage others.
As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.
**What Will You Do?**
+ CUSTOMER ENGAGEMENT: Serves as a customer service representative for the claim department by promptly and professionally addressing customer questions and concerns, which may include: Triage and route callers to the appropriate department; Answers claim status and payment questions.
+ CLAIM OPERATIONAL SERVICE AND PARTNERSHIPS: Partners with claim professionals in multiple departments to assist with the timely resolution of claims, which may include: Properly documents claim files, including notes and diaries, Requests reports and records, and reviews medical bills, mail and wage statements. Prints and prepares claim documents for legal and medical reviews. Reports and assigns claims, and transitions closed files to and from off-site storage. Receives, sorts, scans, and uploads incoming mail, and processes out-going mail. Orders, receives and distributes supplies and/or equipment.
+ CLAIM PAYMENTS AND EXPENSE PROCESSING: Ensures the proper handling of financial transactions to include: Processes and issues claim payments including outside vendor invoices, attorney expenses, and medical processing fees. Processes and documents returned checks, voided checks and credits. Ensures timeliness and accuracy of all check processing.
+ DATA AND INFORMATION MANAGEMENT: Maintains accurate records and information management, such as: Prepares, generates and reviews reports using the most effective technology. Updates data discrepancies identified in reports and systems. Uses management information data to prepare line of business or financial reports. Prepares operational reports for claim professionals and managers. Accurately documents pending and completed work activities using appropriate systems.
+ FINANCIAL CONTROLS AND ASSESSMENTS: Assists with claim center financial standards, including: Performs underlying controls and effectively communicates findings. Assesses the reasonableness of data as well as identifying discrepancies, including reconciliations. Assesses the effectiveness of financial controls. Prepares data entries in accordance with established standards.
+ May require lifting items up to 20 pounds (occasionally).
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Experience utilizing computer technology such as Microsoft Office, e-mail, Web-enabled applications, and database software.
+ ACCOUNTABILITY: Takes ownership and responsibility for actions and outcomes, performance and results.
+ ANALYTICAL THINKING: Ability to analyze and compare information to understand issues and explore alternative solutions.
+ CHANGE MANAGEMENT/RESILIENCE: Ability to remain energized and focused in the face of ambiguity, change or strenuous demands.
+ COMMUNICATION SKILLS: Verbal and written communication skills.
+ JUDGMENT/DECISION MAKING: Ability to exercise sound judgment and make decisions.
+ RELATIONSHIP MANAGEMENT: Ability to seek out, build, foster and maintain productive working relationships to meet goals and achieve results.
**What is a Must Have?**
+ High School Diploma or GED.
+ 1 year of service-related work experience OR Bachelor's Degree.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit ******************************************************** .
$45.4k-74.9k yearly 56d ago
Sr Coordinator, Sales Support & Operations
Ameritas 4.7
Schaumburg, IL jobs
The Sr Coordinator, Sales Support & Operations supports delivery of support services to the organization's sales force to achieve sales objectives and drive revenue under limited supervision. The incumbent maintains positive relationships with internal and external contacts to achieve customer retention by processing support service-related tasks and making product recommendations.
• This is a hybrid role working partially in-office and partially from home. This role can be located at either our Lincoln, NE or Chicago office.
What you do:
Delivers service functions to support sales teams including timely and accurate preparation of materials, proposals, client data, and other sales information.
Communicates by phone or written correspondence with potential/current customers or field partners to answer questions, process transactions, and deliver service solutions.
Coordinates processes to maintain data, respond to inquiries, and deliver solutions to support the sales teams.
Monitors progress during the entire lifecycle of a case.
Provides recommendations to resolve procedural or system related problems.
Maintains a general understanding of various insurance products and their features and limitations.
Supports new or entry level associates by providing guidance and training and conducting analysis of problems that may arise.
What you bring:
S. Diploma or GED is required.
2-4 years of related experience is required.
Experience with Microsoft Excel and Salesforce is a plus.
Experience in insurance preferred.
What we offer:
A meaningful mission. Great benefits. A vibrant culture
Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't:
Ameritas Benefits
For your money:
• 401(k) Retirement Plan with company match and quarterly contribution.
• Tuition Reimbursement and Assistance.
• Incentive Program Bonuses.
• Competitive Pay.
For your time:
• Flexible Hybrid work.
• Thrive Days - Personal time off.
• Paid time off (PTO).
For your health and well-being:
• Health Benefits: Medical, Dental, Vision.
• Health Savings Account (HSA) with employer contribution.
• Well-being programs with financial rewards.
• Employee assistance program (EAP).
For your professional growth:
• Professional development programs.
• Leadership development programs.
• Employee resource groups.
• StrengthsFinder Program.
For your community:
• Matching donations program.
• Paid volunteer time- 8 hours per month.
For your family:
• Generous paid maternity leave and paternity leave.
• Fertility, surrogacy, and adoption assistance.
• Backup child, elder and pet care support.
An Equal Opportunity Employer
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
Application Deadline
This position will be open for a minimum of 3 business days or until filled.
This position is not open to individuals who are temporarily authorized to work in the U.S.
Licensing and Contracting Coordinator
Job Title: Licensing and Contracting Coordinator
Salary Range: $42,500 - $47,500
Reports to: Licensing Supervisor
About PFA:
About Premier Financial Alliance: Premier Financial Alliance (PFA) is a leader in the financial services industry, focusing on protecting the dreams of Middle America with our innovative life insurance products. Our proprietary life insurance product offers living benefits to serve the unique needs of our clients.
Why Join Us?
Work with a dynamic team dedicated to serving Middle America's financial needs through agent support
Professional growth opportunities in the financial services industry
Collaborative work environment focused on innovation and excellence
Comprehensive benefits package
Role Overview:
As the Licensing and Contracting Coordinator, you will accurately and timely process appointments, hierarchies and contracts in compliance with state and federal licensing rules and regulations. The candidate must be customer service oriented, contracting services to the agents and fellow employees of PFA, while supporting the company's growth and improvement of processes.
Essential Duties & Responsibilities:
Review and submit contracting online or via email to various carrier partners to appoint agents
Process and submit hierarchies for new agents and agent changes
Order and process Errors and Omissions certificates and upload for agent once certificate is received
Process agent resignations or terminations
Review requests for agent internal transfers and process once approved by the EFC
Work with the field to update AML training for carrier compliance requirements
Continually make adjustments for changes in workflow and demand for services.
Required Qualifications:
1-2 years experience in a home office or field office setting, preferably in the insurance or other regulated financial services industry
Familiarity in dealing with state insurance regulations and contracting
Intermediate proficiency in Microsoft Office Suite (Word, Excel)
Ability to utilize multiple monitors
Ability to work in a fast-paced environment
Strong interpersonal skills and attention to details
Establish and maintain effective working relationships with those contacted in the course of work
Successfully passing a background check
Preferred Qualifications:
Experience with Monday, Slack, Parabola, Pandadoc and Help Scout
Benefits (All benefits effective immediately upon hire):
HRA allowance for health insurance premiums and expenses
401(k) plan with 3% Safe Harbor company contribution
14 days paid time off plus holidays
Hybrid work arrangement (3 days in office weekly; minimum 90-day in-office training period required)
Office amenities including coffee and snacks
Company social and fitness challenges
Work Schedule:
Hybrid work model available after 90-day in-office training period
Core office hours: 8:30am - 5:30pm
Premier Financial Alliance is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Note: This position requires working from our Suwanee, GA office location, with hybrid flexibility after the initial 90-day training period. Candidates should live within reasonable commuting distance or be willing to relocate.
$42.5k-47.5k yearly 19d ago
Client Operations Specialist
Centivo 4.0
Buffalo, NY jobs
We exist for workers and their employers -- who are the backbone of our economy. That is where Centivo comes in -- our mission is to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills.
Summary of role:
The Client Operations Specialist plays a vital role in supporting our Client Success team with the end-to-end delivery of health insurance services for employer groups, brokers, and individual members. This position acts as a conduit between Client Success and the broader Centivo organization, helping to ensure that market facing needs and requirements are being accounted for in our day-to-day operations or broader projects that will impact the market facing team. The ultimate objective of the Client Ops team is to reduce the administrative & operational burden of our Client Success teams through standardization and process optimization.
Responsibilities Include:
Subject Matter Expertise:
Act as Subject Matter Expert, representing the voice of the customer and client success, on any product, network, vendor discussions and rollouts
Identify Client Success needs and requirements related to such rollouts, ensuring timely distribution of deliverables to Client Success
Support will be expected but not limited to Open Enrollment, Plan Renewals and any plan changes
Project management and system support for internal systems (Plan Manager, Portal) will be required of this role.
Data & Reporting:
Ensure accuracy and integrity of client data in internal systems.
Monitor KPIs related to client satisfaction, service level agreements (SLAs), and operational performance.
Alert Client Success if KPI's are not meeting targets and make recommendations to improve performance
Process Optimization & Workflow Management:
Identify inefficiencies in client-facing processes and propose solutions.
Develop and maintain standard operating procedures (SOPs).
Partner with all areas of the organization, including but not limited to: Client Success, Account Management, Product, and IT, to ensure consistent delivery of outputs.
Claims & Benefit Administration Support and Client Communication
Assist with any broad claims issues when necessary.
Identify issue impact and communicate root causes and resolution steps clearly to client success, while also working with Communications on external communication if/when necessary
Handle client inquires by collaborating with Claims and Member Care departments to resolve and/or escalate member issues, including VIP member issues with internal Customer Advocacy team
Provide timely updates on system changes, process impacts, or service issues/outages.
Escalation Prioritization and Monitoring:
Own the intake, tracking, and resolution of broad operational client issues (e.g., file failures, processing delays, network changes, etc).
Log, track, and resolve escalations by coordinating with internal departments like claims, IT, eligibility, etc.
Identify issue impact and communicate root causes and resolution steps clearly to client success.
Vendor Integrations:
Support Client Success with integration of third-party vendors for clients (e.g., PBM, eligibility vendors, point solutions, etc).
Facilitate internal process including requirement gathering, ticket submission and monitoring
Qualifications:
Required Skills and Abilities:
Experience working work with health insurance products (HMO, PPO, HDHP, etc.), funding types (fully insured, ASO, Level Funded), and regulations (ACA, HIPAA).
Strong organizational and project management skills.
Proficiency with MS Office (Excel, Outlook, Word);
Excellent written and verbal communication skills; ability to speak clearly and concisely, conveying complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information form others
Holds high Customer Service standards and aims to be client-orientated with a drive for quality service
Education and Experience:
5 years of experience in health insurance, healthcare, or employee benefits, preferably in a client-facing or operational role
Must have worked in a TPA or direct carrier setting
Experience working in JIRA, SQL and Tableau
Preferred Qualifications:
Bachelor's Degree
Experience working with self-funded healthcare plans
Knowledge of claims administration, billing cycles, and eligibility system
Experience with CRM's and health plan administration systems
Work Location:
This position is remote
Occasional travel for client meetings or training may be required
Centivo Values:
Resilient - This is wicked hard. There is no easy button for healthcare affordability. Luckily, the mission makes it worth it and sustains us when things are tough. Being resilient ensures we don't give up.
Uncommon - The status quo stinks so we had to go out and build something better. We know the healthcare system. It isn't working for members, employers, and providers. So we're building it from scratch, from the ground up. Our focus is on making things better for them while also improving clinical results - which is bold and uncommon.
Positive - We care about each other. It takes energy to do hard stuff, build something better and to be resilient and unconventional while doing it. Because of that, we make sure we give kudos freely and feedback with care. When our tank gets low, a team member is there to be a source of new energy. We celebrate together. We are supportive, generous, humble, and positive.
Who we are:
Centivo is an innovative health plan for self-funded employers on a mission to bring affordable, high-quality healthcare to the millions who struggle to pay their healthcare bills. Anchored around a primary care based ACO model, Centivo saves employers 15 to 30 percent compared to traditional insurance carriers. Employees also realize significant savings through our free primary care (including virtual), predictable copay and no-deductible benefit plan design. Centivo works with employers ranging in size from 51 employees to Fortune 500 companies. For more information, visit centivo.com.
Headquartered in Buffalo, NY with offices in New York City and Buffalo, Centivo is backed by leading healthcare and technology investors, including a recent round of investment from Morgan Health, a business unit of JPMorgan Chase & Co.
$60k-93k yearly est. Auto-Apply 60d+ ago
Project Coordinator
Lockton 4.5
Kansas City, MO jobs
Responsibilities * Receives and responds to routine client and subcontractor inquiries, maintains documentation of communications, existing issues, and issue resolutions, referring complex inquiries to more senior staff * Responsible for the enrollment of sponsors and subcontractors into Lockton's CIP software program.
* Calculate and validate accuracy of enrollment forms; send copies of estimated deducts to sponsor and subcontractors.
* Responsible for entering gathered data from sponsor and subcontractors into the CIP software system. Coordinator will be responsible for notifying insurance carriers of subcontractor's enrollment and follow up of carrier issued policies.
* Collect and confirm subcontractor payroll and man-hour tracking information with subsequent data entry into the software system.
* Responsible for collection of subcontractor certificate of insurance and monitoring for accuracy and expiration of certificates with subsequent data entry into the software system.
* Verify accuracy and distribution of weekly enrollment reports to project management team.
* Other related duties as required and assigned.
* Examine certificates of insurance for completeness, deficiencies, and conformance to clients' requirements.
* Follow up with insurance agents/brokers to verify policy coverage and cancellations.
* Interface with clients to obtain policy verification, approvals and other inquiries about compliance matters.
* Follow established review process.
* Become proficient in the company certificate of insurance software.
* Process insurance documents into company software with accuracy and timeliness.
* Run reports and compliance metrics for clients.
* Ability to comprehend insurance policies, cancellations, reinstatements, endorsements, and other insurance related documents.
* Other related duties as required and assigned.
$40k-55k yearly est. 12d ago
Field Project Coordinator (55814)
A-Max Auto Insurance 3.6
Sacramento, CA jobs
Start Your Career at A-MAX Insurance! At A-MAX Insurance, we are growing fast, and we want YOU to be part of our success! For over 20 years, we have been helping our employees grow and reach their goals, and we are looking for motivated people ready to start their journey with us.
About A-MAX Insurance:
A-MAX is an industry leader that specializes in providing low-cost insurance to thousands of customers and businesses. We are dedicated to exceeding expectations by continuing to set forth our commitment of providing excellent service, affordable rates, and convenient locations. We believe that buying insurance should be quick, easy, and hassle-free; which is why we have made it our mission to simplify insurance by providing easy-to-understand, customized policies that best fit the needs and budgets of our customers.
A-MAX actively fosters the growth of our employees and company to maximize our positive impact on the community. Our motivation is to provide sustainable career opportunities for our employees and reward them for their dedication and commitment. A-MAX has aided in the economic growth of local communities by more than tripling our workforce and adding more jobs in low-to-middle-income neighborhoods.
Why Join Us?
Compensation
* Competitive Salary
* Annual Bonus
* Weekly Payroll
Comprehensive Benefits
* Medical, Dental, and Vision Insurance
* Voluntary Benefits
* FREE Basic Life Insurance & Long-Term Disability Coverage
Time Off & Work-Life Balance
* Paid Time Off (PTO)
* Hybrid work schedule
* Paid Holidays
Financial Security & Retirement
* 401(k) Retirement Savings Plan with up to a 4% Company Match
* Short Waiting Period for Retirement Benefits
Career Growth & Support
* Opportunities for Internal Advancement
* Opportunity to lead enterprise-wide initiatives in a rapidly growing company.
* Work in a dynamic, innovative, and collaborative environment.