Physician Reviewer - Physical Medicine and Rehabilitation (Utilization Review)
Dane Street 4.2
Dane Street job in New York, NY
Dane Street, a nationally recognized Independent Review Organization (IRO), is expanding its panel of Physician Reviewers. We are currently seeking Board-Certified Physical Medicine and Rehabilitation provider with an active New York medical license and Workers' Compensation Board Certification to conduct Utilization Reviews.
This is a fully remote, non-clinical role offering supplemental income with flexible scheduling. Physicians provide objective, evidence-based opinions on the medical necessity of treatment requests and appeals. No patient contact, no treatment, and no doctor-patient relationship is established.
Key Responsibilities:
Review medical records to determine the medical necessity of services
Utilize state-specific workers' compensation guidelines and nationally recognized criteria
Submit clear, concise, and well-supported determinations
Complete reviews within required timeframes (typically 1-5 business days)
Participate in peer-to-peer calls as needed (coordinated by Dane Street)
Complete addenda when new information is provided
Role Highlights:
Independent contractor (1099) status
Average case takes 15 minutes or less
Flat rate per case - consistent, supplemental income
Fully remote - work from anywhere
You control volume and availability
No direct patient interaction or treatment
Chronological, pre-organized medical records provided
User-friendly portal and streamlined case management
Full onboarding and ongoing support included
Requirements:
Board Certification in Physical Medicine and Rehabilitation
Active, unrestricted New York medical license
Workers' Compensation Board Certification (New York)
Active clinical practice
About Dane Street:
Dane Street is a national leader in Utilization Review and Independent Medical Review services. We partner with highly qualified, actively practicing physicians to ensure high-quality, evidence-based clinical decisions that support better outcomes across the healthcare system.
Apply today to join our Physician Review Panel and start earning on your schedule.
$148k-222k yearly est. Auto-Apply 60d+ ago
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Licensed Field Social Worker Bronx ACT
VNS Health 4.1
New York, NY job
VNS Health Psychiatric Social Workers provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional. As a Psychiatric Social Worker, you will develop exceptional diagnostic skills and use behavioral intervention techniques to de-escalate crisis situations. You will provide vital social services and connect clients to resources that help them remain safely in the community. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 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
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Delivers outreach services to mentally ill individuals in the community, providing in-home mental health intervention to those experiencing or at risk of psychosocial difficulties
Collaborates with another team member to perform psychosocial evaluations and assess mental health service needs of clients and their families through observation and interviewing
Creates and execute short-term service plans for clients in collaboration with an interdisciplinary team
Responds promptly to dispatch calls, traveling from the office to the clients' homes within two hours
Ensures seamless program operations as a vital liaison to community agencies and stepping in for the Program Coordinator as needed
Ensures uninterrupted comprehensive care from counseling and care management to long-term supplemental treatment referrals and follow-up
Prepares case histories and prepares and maintains case records, in accordance with the Program record-keeping mechanism
Encourages resistant clients to accept mental health services through interventions with clients and/or family members and friends concerned with the client's welfare
May provide clinical supervision for Mental Health Technician, graduate Social Worker students or junior staff Social Workers
Qualifications
Current registration to practice as a Licensed Master Social Worker in New York State Required as determined by operational/regional needs
Valid driver's license may be required
Minimum of one year experience as a Social Worker in a health care setting required as determined by operational needs, bilingual skills may be required Must be able to walk up and down steps to access patient residences
Master's degree in social work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
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.
$63.8k-79.8k yearly Auto-Apply 3d ago
Wellness Care Manager
VNS Health 4.1
New York, NY job
Provides care management for clients in collaboration with the Wellness case management team consistent with WeCARE and the VNS Home Care policy and requirements of the Wellness Care Management program. Facilitates the coordination of services between the varying providers for clients with complex psychiatric and/or co-morbid medical conditions who are deemed to be temporarily unable to work. Ensures efficient and successful access and linkage to the full array of necessary physical and behavioral health services. Coordinates effective communication between all providers to the ultimate benefit of the patient. Works under close supervision.
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 401k retirement saving program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
Generous tuition reimbursement for qualifying degrees
Opportunities for professional growth and career advancement and CEU credits
What You Will Do
Reviews and utilizes completed medical and mental health assessments from the ResCARE clinical team when initiating the wellness plan for clients on the temporarily unable to work track. . Confirms acuity level of identified client and tailors services plan accordingly.
Develops and monitors wellness plan on behalf of clients with untreated or unstable medical and/or mental health conditions adversely affecting the level of employability. Coordinates and integrates a written, coordinated wellness plan in cooperation with the client the client's family, and/or other providers serving the client.
Performs and maintains effective care management for a caseload of clients, as assigned, from wellness initiation to wellness completion. Meets with assigned clients to monitor progress and compliance with the wellness plan. Tracks/ monitors client progress and produces/maintains detailed, accurate and timely case notes. Reviews cases for completeness of documentation.
Develops inventory of resources that will meet the clients' needs as identified in the assessment process. Becomes familiar with service providers in the community where the clients resides in order to mitigate barriers to wellness plan compliance such as transportation, childcare etc.
Provides linkage, coordination with, referral to and follow-up with appropriate ongoing service providers. Participates in meetings with service providers to coordinate service and follow up to ensure client's compliance with and timely completion of the wellness plans and required documentation.
Works collaboratively with team members to provide outreach (Via Phone calls, Emails, Texts and Field visits) to clients who have failed to comply with the process of the initiated wellness plan and wellness care management services.
Provides information and assistance through advocacy and education to client/family on availability and eligibility of entitlements and community services. Assists with arranging escorts and transportation for clients to appropriate facilities/agencies, as necessary.
Participates in initial and ongoing trainings as necessary to maintain basic level of knowledge related to serious physical ailments as defined by HRA. Collaborates with the wellness health team to develop psycho-educational plans for client's wellness plan process and medication compliance.
Maintains updated clients' case records through the WeCARE wellness care management and HRA platforms, and coordinates effective electronic communication throughout all provider databases, as needed. Maintains case records in accordance with the wellness care management policies/procedures, agency standards and regulatory requirements.
Participates and consults with team supervisor in case conferences, staff meetings, and discharge planning meetings to determine if client requires an alternate level of care or is appropriate for discharge.
Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
Valid driver's license may be required, as determined by operational/regional needs.
Education:
Bachelor's Degree in a human services or related field required Master's Degree program in human services or related field preferred
Work Experience:
Minimum of two years of experience providing direct services to seriously mentally ill patients/clients required Effective oral/written/interpersonal communication skills required Bilingual skills preferred, and may be required as determined by operational needs.Basic computer skills 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 Auto-Apply 3d ago
Physical Therapist, Home Care, Bronx
VNS Health 4.1
New York, NY job
VNS Health Physical Therapists help New Yorkers get back on their feet and out of the hospital so they can heal where they are most comfortable - in their homes and communities. Our Physical Therapists design and deliver personalized 1:1 rehabilitative therapy programs for patients recovering from a surgery, illness, or accident and can assess progress by being a part of their day-to-day life. Be part of our 130-year history and innovative Future of Care built by clinicians like you.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 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
Practice independently in the community as part of an interdisciplinary care team.
Conducts comprehensive assessment of patients by determining patient needs, develops courses of action including treatment plan and outcomes.
Deliver personalized rehabilitation therapy to patients in their home or care facilities.
Constantly evaluate evolving patient needs and respond with plan of care adjustments.
Qualifications
Minimum of one-year physical therapy experience or successful completion of probationary period as a VNS Health Rehab Intern
Licensure to practice as a Physical Therapist in New York State
Valid driver's license required for all areas outside the borough of Manhattan
Pay Range per Visit:
If you are applying for the per diem, per visit version of this position, the standard pay range is as follows per visit.
All areas except the Bronx and the following parts of Brooklyn (Downtown Brooklyn, Williamsburg, and Greenpoint): $70-$75 per visit
Bronx: Weekday visits - $95 | Weekend visits - $100
Brooklyn (Downtown Brooklyn, Williamsburg, and Greenpoint only): Weekday visits - $95 | Weekend visits - $100
Pay Range
USD $85,000.00 - USD $106,300.00 /Yr.
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.
$85k-106.3k yearly Auto-Apply 4d ago
Substance Abuse Specialist
VNS Health 4.1
New York, NY job
Licensed Behavioral Health Clinicians provide supportive counseling, advocacy, education, and care management to help patients and their families navigate mental illness, access community resources, and manage symptoms to help them remain safely in the community This is a senior, master's level, licensed social services role that provides direct care as part of a team. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs. VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional.
What We Provide
Attractive sign-on bonus and referral bonus opportunities
Generous paid time off (PTO), starting at 30 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, CEU credits, and advancement opportunities
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Utilizes approved assessments to identify clients/members needs and family needs; develops initial and ongoing clinical plan of care. Updates plan at specified intervals, and as needed based on changes in client/member condition or circumstances
Performs and maintains effective care management for assigned caseload of clients/members. Leads the care coordination for complex psychiatric clinical cases. Tracks and monitors progress; maintains detailed, accurate and timely progress notes and other documentation
Provides supportive counseling and/or supportive therapy as well as ongoing mental health services
Collaborates and refers to appropriate agencies as required. Addresses any client/member concerns to ensure satisfaction with overall services provided and uses motivational interviewing techniques to foster behavioral changes
Develops inventory of resources that meet the clients/members needs as identified in the assessment
Provides linkage, coordination with, referral to and follow-up with appropriate service providers and managed care plans. Facilitates periodic case record reviews and case conferences with all providers serving the clients/members
Provides information and assistance through advocacy and education to clients/members and family on availability and eligibility of entitlements and community services. Arranges transportation and accompanies clients/members to appointments as necessary
Assists clients/members and/or families in the development of a sustainable network of community-based supports, utilizing identified strengths and tools designed to prevent future participant crises and/or reduce the negative impact if a crisis does occur
Participates in initial and ongoing trainings as necessary to maintain and enhance clinical and professional skills
Maintains updated case records in program EMR. Maintains case records in accordance with program policies/procedures, VNS Health standards and regulatory requirements
Participates and consults with team supervisor in case conferences, staff meetings, utilization review and discharge planning meetings to determine if client/member requires an alternate level of care or is appropriate for discharge
Participates in 24/7 on-call coverage schedule and performs on-call duties, as required
Acts as liaison with other community agencies
Provides short term counseling (coping skills, trauma informed, decision making) and Risk Health Assessment/Safety Planning
Collects and reports data, as required while adhering to productivity standards
Leads and participates in “Network Meetings” with client, client/ member's personal support network and other team members using the Open Dialogue Model
Qualifications
Master's Degree in Social Work, Psychology, Mental Health Counseling, Family Therapy or related degree
Minimum of two years of mental health work experience providing direct services to clients/members with Serious Mental Illness (SMI), developmental disabilities, substance use disorders and/or chronic medical conditions required
Effective oral/written/interpersonal communication skills required
Bilingual skills may be required as determined by operational needs
License and current registration to practice as a Mental Health Counselor, Marriage and Family Therapist , Social Worker, Clinical Social Worker or related license in New York State
Valid NYS ID or NYS driver's license may be required as determined by operational needs.
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
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.
$63.8k-79.8k yearly Auto-Apply 4d ago
Outside Sales Representative
Platinum Supplemental Insurance 4.0
Rockford, IL job
Ready to jump-start your career and take charge of your earning potential? At Platinum Supplemental Insurance, we're looking for motivated individuals ready to learn, grow, and thrive in a fast-paced environment. Whether you're a recent grad or simply seeking a fresh challenge, this is your chance to earn like a highly educated professional-our proven products and systems are your roadmap to becoming a top earner in sales. If you're prepared to unlock your full potential, let us show you how to build a lucrative and rewarding future.
Why Join Platinum?
Four-Day Workweek
Travel Monday-Thursday to meet with farmers and small business owners, then enjoy your weekends off. Say goodbye to the daily grind and hello to a work-life balance that lets you recharge and spend time on what matters most.
Uncapped Earning Potential
This is a commission-based role, and many of our new reps earn $75,000 or more in their first year, with top performers exceeding $100,000. The sky truly is the limit when it comes to your income.
Ongoing Support & Resources
Focus on building relationships and closing deals while Platinum handles marketing, recruiting, back-office support, and customer service. You'll also benefit from generous bonuses, annual renewal income, and luxury travel incentives for high achievers.
Cutting-Edge AI Training
Get an edge on the competition with our new AI-driven training platform. You'll receive personalized feedback, interactive coaching, and real-time support to help you master Platinum's proven 10-step sales system-faster and more confidently than ever before.
Your Day-to-Day
1. Travel to Your Territory: Meet potential customers (farmers, small business owners, and families) face-to-face to build trust and educate them about Platinum's supplemental insurance solutions.
2. Leverage Our 10-Step Sales Process: Follow a time-tested system that helps you identify prospects, deliver compelling presentations, and close more sales-backed by our powerful AI training.
3. Stay Motivated & Collaborate: Work within a supportive, team-based culture that celebrates wins, shares best practices, and drives everyone to reach new heights.
What You'll Enjoy
High Earning Potential, No Caps: Earn based on your performance and ambition, without hitting a salary ceiling.
Residual Income: Benefit from ongoing earnings long after closing a sale, creating a steady income stream.
Advancement Opportunities: Rise quickly through the ranks and take on leadership roles as you prove your abilities.
Quarterly Vacations: Earn the chance to recharge on exciting getaways with fellow top performers.
Company Trips & Events: Enjoy travel and experiences on us-bring a significant other along, all expenses paid.
Weekends Off: A Monday-Thursday work schedule means you get every weekend free for family time or relaxation.
Who Thrives Here
Go-Getters: You bring the hunger, discipline, and drive needed to excel in a commission-based environment.
Clear Communicators: You can connect with people from various backgrounds, build trust, and explain concepts in a simple, relatable way.
Continuous Learners: You're excited to leverage AI-based training and mentorship to refine your skills and grow quickly.
Flexible Travelers: You're comfortable with overnight travel Monday-Thursday and are 18+ years old.
Ready to Take the Leap?
If the idea of earning what you're worth, mastering an innovative sales system, and enjoying a 4-day workweek excites you, we'd love to hear from you! Apply today and discover how Platinum can help you unlock a thriving career in sales.
About Platinum
Platinum Supplemental Insurance specializes in helping individuals, families, and businesses secure their financial futures through supplemental coverage. By bridging the gaps left by traditional health plans, Platinum's products offer peace of mind when unexpected health issues arise. With a people-first mentality, robust training programs, and a commitment to growth, Platinum provides the ideal environment for sales professionals to excel-no matter where they're starting from.
Join the Platinum team and see for yourself why so many have launched fulfilling, lucrative sales careers with us.
$75k-100k yearly 2d ago
Digital Protection CRM Product Engineer
Allstate 4.6
Florida City, FL job
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
As a Digital Protection Customer Relationship Management (CRM) team product engineer you will play a critical role leading Allstate in the building of enterprise class solutions. You will work closely with various departments to continuously ensure our CRM solutions meet business needs and drive customer satisfaction.
Key Responsibilities:
Collaborate with cross-functional teams to evaluate, scope, design, prioritize, and implement CRM solutions supporting organizational strategic goals.
Participate in daily scrum meetings, assist in defining user stories, identify and resolve gaps in functional user stories and business requirements.
Design, develop, and implement CRM solutions using configuration and customization, assessing the impact of new requirements on CRM as well as integrated applications.
Perform independent code reviews and ensure unit/integration test coverage.
Provide technical support and troubleshooting for CRM-related issues.
Stay updated with the latest CRM technologies and best practices and continuously seek opportunities to improve CRM processes and systems.
Need to be available on weekends and after shift hours when deployment or production issues arise.
Required Skills:
Understanding of Dynamics 365 modules (Sales, Customer Service, etc.).
Experience with Dynamics 365 integration tools and techniques.
Experience with CRM customization and configuration.
Solid understanding of environment management, release management, code versioning best practices, and deployment methodologies.
Strong understanding of development operations principles and best practices.
Excellent problem-solving and analytical skills.
Familiarity with database management and SQL.
Experience with establishing and supporting integrations.
Strong communication and interpersonal skills.
Ability to work independently and as part of a team.
Detail-oriented with a focus on quality and accuracy.
Preferred Skills:
In-depth knowledge of Microsoft Dynamics CRM architecture and components.
Familiarity with Microsoft Power Platform (Power Apps, Power Automate, Power BI).
Knowledge of Dynamics 365 security model and role-based access control.
Proficiency in programming languages such as C#, JavaScript, Java, or similar.
Experience migrating to Microsoft Dynamics.
Experience:
5+ years of experience scoping, designing, and implementing CRM solutions in Microsoft Dynamics
Preferred Microsoft Dynamics 365 certifications:
Dynamics 365 Fundamentals (CRM)
Power Platform App Maker
Power Platform Solution Architect
Supervisory Responsibilities:
This job does not have supervisory duties.
Skills
CRM Solutions, C Sharp (Programming Language), Customer Relationship Management (CRM), Customer Relationship Management (CRM) Software, Customer Relationships, Defect Resolution, Enterprise Solutions Architecture, ERP Applications, Functional Designs, Integration Testing, Issue Management, Java, JavaScript, Microsoft Dynamics 365 Customer Relationship Management (CRM), Microsoft Dynamics 365 ERP, Microsoft Dynamics Customer Relationship Management (CRM) Configuration, Microsoft Power Apps, Microsoft Power Platform, Product Engineering
Compensation
Base compensation offered for this role is $70,500.00 - $120,000.00 annually and is based on experience and qualifications.
*** Total compensation for this role is comprised of several factors, including the base compensation outlined above, plus incentive pay (i.e., commission, bonus, etc.) as applicable for the role.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
$70.5k-120k yearly 3d ago
Insurance Agent - Meadville, PA
Horace Mann 4.5
Meadville, PA job
Join Horace Mann and Unlock Your Financial Potential
Ready to take control of your financial future? At Horace Mann, we are here to support you in achieving your goals and making a meaningful difference in the lives of the educators who trust you. Join us and take the first step toward building a brighter, more prosperous future.
If you're ready to take the next step toward realizing your financial goals, we invite you to join our team as an Exclusive Agent. With Horace Mann's expertise and your ambition, together, we can help you unlock your full potential.
What We Offer:
Agency owner with an exclusive niche, defined territory - no overlap with other agents
Competitive, performance-based [1099] compensation with an industry-leading 48-month incentive package
Earning incentives tied to your activity and success during the first 48 months
Quarterly production incentives for the first 48 months, rewarding consistent performance
Dedicated Service Representative to handle client service work, allowing you to focus on building your business
Cutting-edge technology and ongoing training to support and grow your operations
A comprehensive multiline product portfolio to meet a variety of client needs
Market and relationship-building programs to help you establish and grow your network
Your Path to Success:
Several factors will contribute to your success in this role, including:
A commitment to identifying and implementing solutions that help educators achieve affordable insurance solutions and financial security
A focus on achieving market access and building strong relationships
The ability to confidently present products to both groups and individuals
Active engagement in networking, community, and industry events
A dedication to investing time and resources to ensure the long-term success of your business
What We're Looking For:
Strong interpersonal and business management skills to build and manage your agency
2-5 years of experience in the insurance and financial services industry (preferred)
Resident State General Lines Insurance Licenses:
Life and Health Insurance License
Property and Casualty Insurance License
Ability to obtain FINRA Series 6 & 63 licenses (if applicable in your region)
#LI-Ak1
#LI-CP1
#VIZI#
$37k-63k yearly est. 2d ago
Clinical Assessment Manager
VNS Health 4.1
New York, NY job
Conducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to maintain the member safe in the community. Identifies solutions that promote high quality and cost-effective health care services. Manages requests for services from providers, members, and care management team and renders clinical determinations in accordance with VNS Health Plans policies as well as applicable state and federal regulations. Works under general supervision.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 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
Conduct face-to-face or telehealth UAS-NY assessments according to state guidelines, policies, procedures, and protocols.
Utilize clinical skills to assess and document all aspects of the potential members long-term community-based needs.
Communicate with members, families, providers, and other parties as needed to complete an accurate comprehensive assessment.
Utilizes VNS Health and state-approved assessment questionnaire, guidelines, and documentation as well as interviews with members, family, and care providers in decision-making.
Performs in-home assessment for members who have identified significant changes in condition since last in-home assessment; provides comprehensive review and determination of member's needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans including upstate and downstate counties.
Performs in-home assessment on members to determine the appropriate service plan, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans.
Explains VNS Health Plan benefits, including an explanation of the member's handbook.
Ensures compliance with state and federal regulatory standards and VNS Health Plans policies and procedures.
Identifies opportunities for alternative care options and contributes to the development of a safe member centered service plan
Consult with supervisor and others in overcoming barriers in meeting goals and objectives.
Maintains current knowledge of organizational or state-wide trends that affect member eligibility.
Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed.
Participates in requests for out-of-network services when a member receives services outside of VNS Health Plans network services.
Keeps current with all health plan changes and updates through on-going training, coaching and educational materials.
Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
Current license to practice as a Registered Professional Nurse in New York State required Certified Case Manager preferred
Education:
Bachelor's Degree in nursing or equivalent work experience required Master's Degree in nursing or equivalent work experience preferred
Work Experience:
Minimum two years of clinical assessment, homecare or hospital experience required Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required Demonstrated strong relationship management skills, including a high degree of psychological sophistication and non-aggressive assertiveness required Demonstrated successful conflict management skills and negotiation of “win-win” solutions required Working knowledge of Microsoft Excel, Power-Point, and Word required Knowledge of Medicaid and/or Medicare regulations required Working Knowledge of UAS-NY preferred
Pay Range per Visit:
If you are applying to the per diem per visit version of this job, the hiring range is as follows: $80 per visit.
Pay Range
USD $85,000.00 - USD $106,300.00 /Yr.
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.
$85k-106.3k yearly Auto-Apply 1d ago
PT RN
VNS Health 4.1
New York, NY job
Behavioral Health RNs provide holistic nursing care through mental health assessment of and treatment to patients with psychiatric symptoms, cognitive and/or behavioral challenges. Our nurses provide the Future of Care by meeting clients where they are to deliver direct treatment and provide consultation, education, and support across VNS Health. They use agility to address evolving needs through consistent collaboration with interdisciplinary team members and ongoing care coordination. Be part of our 130-year history and innovative Future of Care built by visiting nurses like you. VNS Health Behavioral Health team members provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional.
What We Provide
Attractive sign-on bonus and referral bonus opportunities
Generous paid time off, starting at 31 days and 9 paid company holidays
Health insurance for you and your loved ones with no annual deductible or contribution cost (Medical, Dental, Vision); Life and Disability Insurance
Employer-matched retirement savings program
Personal and financial wellness programs
Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
Comprehensive training including 4-week paid clinical orientation, preceptorship, and ongoing skills development
Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
Opportunities to contribute to clinical research and other organizational projects
Industry leading technology to help you make informed decisions and deliver quality care
What You Will Do
Practices in the home and community to provide behavioral health treatment.
Conducts psychosocial assessments and living conditions of patients and social determinants of health and develops treatment recommendations.
Provides advocacy, psychoeducation, cognitive/behavioral interventions, monitoring of mental status, emotional support, brief psychotherapy, and/or family-based interventions.
Collaborates with interdisciplinary team members to achieve successful patient outcomes.
Qualifications
Licenses and Certifications:
Current license to practice as a Registered Nurse in New York State, required
NYS non-Driver photo ID card may be required
Education:
Bachelor's or Associates degree in nursing required, master's degree in psychiatric nursing, preferred
Work Experience:
Minimum of one year of recent inpatient, outpatient or home care psychiatric experience Valid driver's license or Strong clinical assessment and critical thinking skill
Excellent communication and interpersonal abilities
Ability to work independently and as part of a team
Pay Range per Visit:
If you are applying to the per diem per visit version of this job, the hiring range is as follows: $69.34- $110 per visit.
Pay Range
USD $112,209.00 - USD $138,409.00 /Yr.
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.
$60k-130k yearly est. Auto-Apply 2d ago
Software Engineer Senior Consultant II
Allstate 4.6
Texas City, TX job
At Allstate, great things happen when our people work together to protect families and their belongings from life's uncertainties. And for more than 90 years, our innovative drive has kept us a step ahead of our customers' evolving needs. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Job Description
• Participates in iteration planning meetings ensuring that the team has a common understanding of each story and chores in a team backlog
• Participates in daily site, cross-site, and product team standups
• Participates in retrospectives to gather feedback and derive actionable items to improve the team and the product
• Collaborates within the team in designing systems and apps
• Practices daily paired programming and test-driven development in writing software and building products
• Establishes continuous integration, continuous delivery, and continuous deployment pipelines and practices
• Provides support for software products in user environments
• Serves as an expert on a specific business domain and demonstrates leadership and accountability in all forums including ECC and SWAT calls
• Provides input into the design of the product, collaborating with the team in solving problems the right way
• Participates in knowledge sharing, and contributes to the overall growth of the collective knowledge of the team
• Coaches more junior team members around different technologies and XP practices
Hybrid role- 1 day a week in Dallas TX office, and remote 4 days a week Skills needed
Strong understanding of computer science concepts, object-oriented design principles
· Hands-on experience with developing software in Java and J2EE technologies such as Spring Boot
· Experience and knowledge in developing REST APIs, database (relational, NoSQL, caching), building complex queries, implementation and optimization
· Knowledge and experience utilizing continuous integration and DevOps methodologies, preferred tools such as IntelliJ IDEA, GitHub, Jenkins, SonarQube, Gradle, Maven, etc.
· Experience working in an Extreme Programming (XP); experienced working in a paired programming/engineering model
· Experience in Test Driven Development; including knowledge and experience in testing frameworks like JUnit, mockito and other like technologies
· Experience on API Testing via Postman,Bruno and SoapUI
· Utilize quality and security scan tools such as Sonar, Fortify and Contrast, or similar
· Ensure code and processes adhere to clean code practices and industry/application best practices
· Experience with messaging systems such as Kafka or similar tools
· Cloud knowledge with technologies such as AWS, Azure or other cloud technologies
Education and Experience:
· 4 years bachelor's degree (Preferred not required)
· 6 or more years of experience (Preferred)
#LI-TH1
Skills
Communication, Computer Science, Pair Programming, Software Development, Software Implementations, Spring Boot, Test Automation Framework
Compensation
Compensation offered for this role is 85,600.00 - 152,650.00 annually and is based on experience and qualifications.
The candidate(s) offered this position will be required to submit to a background investigation.
Joining our team isn't just a job - it's an opportunity. One that takes your skills and pushes them to the next level. One that encourages you to challenge the status quo. One where you can shape the future of protection while supporting causes that mean the most to you. Joining our team means being part of something bigger - a winning team making a meaningful impact.
Allstate generally does not sponsor individuals for employment-based visas for this position.
Effective July 1, 2014, under Indiana House Enrolled Act (HEA) 1242, it is against public policy of the State of Indiana and a discriminatory practice for an employer to discriminate against a prospective employee on the basis of status as a veteran by refusing to employ an applicant on the basis that they are a veteran of the armed forces of the United States, a member of the Indiana National Guard or a member of a reserve component.
For jobs in San Francisco, please click “here” for information regarding the San Francisco Fair Chance Ordinance.
For jobs in Los Angeles, please click “here” for information regarding the Los Angeles Fair Chance Initiative for Hiring Ordinance.
To view the “EEO Know Your Rights” poster click “here”. This poster provides information concerning the laws and procedures for filing complaints of violations of the laws with the Office of Federal Contract Compliance Programs.
To view the FMLA poster, click “here”. This poster summarizing the major provisions of the Family and Medical Leave Act (FMLA) and telling employees how to file a complaint.
It is the Company's policy to employ the best qualified individuals available for all jobs. Therefore, any discriminatory action taken on account of an employee's ancestry, age, color, disability, genetic information, gender, gender identity, gender expression, sexual and reproductive health decision, marital status, medical condition, military or veteran status, national origin, race (include traits historically associated with race, including, but not limited to, hair texture and protective hairstyles), religion (including religious dress), sex, or sexual orientation that adversely affects an employee's terms or conditions of employment is prohibited. This policy applies to all aspects of the employment relationship, including, but not limited to, hiring, training, salary administration, promotion, job assignment, benefits, discipline, and separation of employment.
$94k-118k yearly est. 3d ago
Psychiatric Social Worker-Children Mobile Crisis
VNS Health 4.1
Islandia, NY job
VNS Health Psychiatric Social Workers provide vital client-centered behavioral health care to New Yorkers most in need, across all stages of life and mental well-being. We deliver care wherever our clients are, including outpatient clinics, clients' homes, and the community. Our short- and long-term service models include acute, transitional, and intensive care management programs that impact the most vulnerable populations, from children, to adolescents, to aging adults. As part of our fast-growing Behavioral Health team, you'll have an opportunity to develop and advance your skills, whether you're early in your career or an experienced professional. As a Psychiatric Social Worker, you will develop exceptional diagnostic skills and use behavioral intervention techniques to de-escalate crisis situations. You will provide vital social services and connect clients to resources that help them remain safely in the community. Join us in building on our 130-year history and become a part of the Future of Care that is strengthening communities with high quality, integrated behavioral health programs.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 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
Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals
What You Will Do
Delivers outreach services to mentally ill individuals in the community, providing in-home mental health intervention to those experiencing or at risk of psychosocial difficulties
Collaborates with another team member to perform psychosocial evaluations and assess mental health service needs of clients and their families through observation and interviewing
Creates and execute short-term service plans for clients in collaboration with an interdisciplinary team
Responds promptly to dispatch calls, traveling from the office to the clients' homes within two hours
Ensures seamless program operations as a vital liaison to community agencies and stepping in for the Program Coordinator as needed
Ensures uninterrupted comprehensive care from counseling and care management to long-term supplemental treatment referrals and follow-up
Prepares case histories and prepares and maintains case records, in accordance with the Program record-keeping mechanism
Encourages resistant clients to accept mental health services through interventions with clients and/or family members and friends concerned with the client's welfare
May provide clinical supervision for Mental Health Technician, graduate Social Worker students or junior staff Social Workers
Qualifications
Current registration to practice as a Licensed Master Social Worker in New York State Required as determined by operational/regional needs
Valid driver's license may be required
Minimum of one year experience as a Social Worker in a health care setting required as determined by operational needs, bilingual skills may be required Must be able to walk up and down steps to access patient residences
Master's degree in social work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept
Pay Range
USD $63,800.00 - USD $79,800.00 /Yr.
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.
$63.8k-79.8k yearly Auto-Apply 5d ago
Physical Therapist
VNS Health 4.1
Islandia, NY job
VNS Health Physical Therapists help New Yorkers get back on their feet and out of the hospital so they can heal where they are most comfortable - in their homes and communities. Our Physical Therapists design and deliver personalized 1:1 rehabilitative therapy programs for patients recovering from a surgery, illness, or accident and can assess progress by being a part of their day-to-day life. Be part of our 130-year history and innovative Future of Care built by clinicians like you.
What We Provide
Referral bonus opportunities
Generous paid time off (PTO), starting at 30 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
Practice independently in the community as part of an interdisciplinary care team.
Conducts comprehensive assessment of patients by determining patient needs, develops courses of action including treatment plan and outcomes.
Deliver personalized rehabilitation therapy to patients in their home or care facilities.
Constantly evaluate evolving patient needs and respond with plan of care adjustments.
Qualifications
Minimum of one-year physical therapy experience or successful completion of probationary period as a VNS Health Rehab Intern
Licensure to practice as a Physical Therapist in New York State
Valid driver's license required for all areas outside the borough of Manhattan
Pay Range per Visit:
If you are applying for the per diem, per visit version of this position, the standard pay range is as follows per visit.
Location-Based Rates:
All areas except the Bronx and the following parts of Brooklyn (Downtown Brooklyn, Williamsburg, and Greenpoint): $70-$75 per visit
Bronx: Weekday visits - $95 | Weekend visits - $100
Brooklyn (Downtown Brooklyn, Williamsburg, and Greenpoint only): Weekday visits - $95 | Weekend visits - $100
Pay Range
USD $85,000.00 - USD $106,300.00 /Yr.
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.
$85k-106.3k yearly Auto-Apply 3d ago
Insurance Producer - Lafayette-New Iberia, LA
Horace Mann 4.5
New Iberia, LA job
Join Horace Mann: Empower Educators, Achieve Financial Success
Ready to Make a Difference?
Join Horace Mann today and take the first step toward achieving your career and financial goals while making a meaningful impact on the educators you serve. Together, we can help educators secure their future while empowering you to achieve your own.
As an Insurance Producer at Horace Mann, you'll receive mentorship from an experienced agent while gaining hands-on experience in the industry. Our insurance products are tailored to meet the unique needs of educators, and we provide outstanding training, competitive rates, and flexible work options. With an unparalleled compensation structure, exciting incentives, and bonus opportunities, top performers have the chance to earn all-expenses-paid trips to amazing destinations.
Why Join Us?
Performance-Based Compensation [1099] with a 36-month incentive plan and enhanced commissions
Monthly incentives based on sales volume for the first 36 months
Quarterly production bonuses for the first 36 months
No external office requirement-work from anywhere
Leverage established books of business while building your own practice
Access to a niche market that increases your potential for success
Value-added services to connect you with ideal clients
Simple, streamlined products and sales processes for quick success
Networking, community, and industry events to expand your connections
A comprehensive, multi-line product portfolio in a ‘One-Stop Shop' model
What You Will Do:
Solve financial challenges faced by educators through tailored solutions
Present with confidence-one-on-one or in large groups-to educate potential clients on products
Engage in community and networking events, expanding your professional connections
Stay current with industry trends and apply new knowledge to help clients
Cultivate strong market relationships and build a solid client base
Invest time and resources in ensuring the success and growth of your business
What We're Looking For:
A commitment to helping educators achieve financial prosperity
Strong interpersonal and presentation skills
Self-motivation and the ability to manage your own business
The ability to obtain or currently hold state licenses in Life & Health and Property & Casualty
Compensation and Benefits:
Sign-On Bonus
Uncapped Earnings/Commission
Structured Incentive & Bonus Pay to reward your hard work
Work Environment-work in-person, in the field, and/or from an office setting
Support and Accountability:
As an Insurance Producer, you'll be guided by a mentor agent who will support you every step of the way to ensure your success
Horace Mann Educators Corporation - Founded by Educators for Educators
Educators founded the Horace Mann Educator Corporation in 1945. We are the most comprehensive national multi-line insurance and financial services company dedicated to serving America's educators and families. We are an equal opportunity employer.
#vizi#
#LI-MN1
$52k-71k yearly est. 5d ago
Employee Benefits Counsel/ ERISA Attorney (Chicago area required)
USI Insurance Services 4.8
Chicago, IL job
General Description
Responsible for monitoring and communicating ongoing and changing laws affecting health and welfare plans, including ACA, ERISA, the Code, HIPAA, and COBRA. The individual in this role will be responsible for the development and presentation of materials on various health and welfare compliance related issues to internal sales teams, as well as external clients. We are looking for someone to be located in the Chicago area.
Responsibilities
Establish effective working relationships with internal partners, clients and carriers
Will function as part of a national team of Employee Benefit Attorneys to meet the overall objectives for the health and welfare compliance team
Research, read, evaluate and edit articles, alerts and other materials for publication or distribution to internal and external clients
Gathers material, performs research, and assists client service team in the formulation of strategy to solve client problems related to ERISA, ACA, the Code, HIPAA and state issues affecting health and welfare plans
Develop and maintain compliance education tools for health and welfare compliance
Create and deliver presentations to internal staff and to external clients and prospects.
Monitor and identify legal developments such as relevant statutes, regulations, case law and legal articles affecting employee benefit plans
Maintain and update compliance library resources, including cross checking and validating that information is up-to date
Knowledge, Skills and Abilities
Must be a self-starter, and demonstrate cooperation and collaboration in team settings.
Ability to work with a diverse set of individuals and personalities.
Keeps informed regarding industry information, new product information and technology to continuously improve knowledge and performance.
Ability to work in a fast paced environment with minimal instruction and a high degree of accuracy.
Sets priorities and manages workflow to ensure efficient, timely and accurate production of tools and materials.
Able to quickly assess and learn organizational roles, responsibilities and process flows.
Maintain a cordial and effective relationship with internal clients, team members and vendors
Interact with others effectively by utilizing good communication skills, cooperating purposefully and providing information and guidance, as needed, to achieve the business goals of the company.
College degree and J.D. required.
4 - 8 years experience in working on compliance issues of employer-sponsored welfare benefits plans. Prior experience in employee benefits law or experience in compliance consulting on these issues is required.
Must be proficient with computers and quickly competent with new technology tools. Specifically, must have full competence with MS Office Suite products and Adobe products
Must have background and thorough understanding of the various laws that impact health and welfare plans including ACA, ERISA, COBRA, HIPAA, FMLA, Internal Revenue Code and insurance laws that affect these programs.
Must portray strong leadership skills.
Must be comfortable in a public speaking environment and demonstrate ability to convey complex information in a simple and organized format to a wide variety of audiences.
Ability to communicate orally and in writing with others to explain complex issues and interpret complex information, and responds appropriately.
Strong research and writing skills and experience with interpreting statutes and regulations.
Remains informed regarding industry information and new product information.
Must have strong interpersonal and verbal skills.
Must have strong organizational and time management skills.
Some travel required 10-20%.
Why USI?
With approximately $3 billion in revenue and over 10,500 associates across approximately 200 offices nationwide, USI is one of the largest insurance brokerage and consulting firms in the world. At USI, we have created one of the most dynamic personal and professional development cultures in the industry. We invest heavily in our associates, and we take pride in celebrating their growth and success through our one-of-a-kind employee reward and recognition programs.
Unrivaled Resources and Support
What truly distinguishes USI as a premier insurance brokerage and consulting firm is the USI ONE Advantage , a game-changing value proposition that delivers to clients a robust set of risk management and benefit solutions with bottom-line financial impact. USI ONE represents Omni, Network, Enterprise-the three key elements that set USI apart from the competition. Through USI ONE, we develop strategic, timely, and effective risk management and benefit programs in terms that are easy to understand, and we demonstrate how the solutions can have a positive economic impact.
Industry-Leading Programs, Rewards, and Recognition
In addition to competitive pay, incentives, and benefits, USI recognizes associates through our Summit Awards program, rewarding excellence in those who build our brand each day. USI offers employee programs that recognize outstanding achievement and help our associates lead healthy, productive lives. We turn care into action with our award-winning wellness program, college scholarships for associates' children, and financial help in times of need.
Deep Community Engagement
We are committed to giving back to our local communities and supporting a culture of environmental sustainability. From sharing our time, talent, and resources to support local non-profit organizations, animal shelters, and environmental beautification and restoration projects - to partnering with eco-conscious vendors and taking steps to reduce our own environmental footprint - we're working together as ONE to build a better future.
Committed to a Diverse and Inclusive Workplace
Our award‑winning I'm With U diversity and inclusion program educates our associates to help them better understand and serve our clients, prospects, fellow team members, and local communities through curated education and training resources, employee support programs, and community outreach initiatives to build a more diverse, equitable, and inclusive culture.
Nationally Recognized as a Top Insurance Employer
Recognized as one of Insurance Business America's Top Insurance Employers eight consecutive years (2018-2025).
Named to Business Insurance's annual list of the Best Places to Work in Insurance six years in a row (2020-2025).
Named to Fortune's Best Workplaces in Financial Services & Insurance list for the last two years (2024-2025).
Certified as a Great Place To Work two years in a row (2024-2025).
USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare and financial benefits including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance and other unique employer-sponsored and voluntary programs. USI also offers a generous paid time off policy, paid family leave benefit as well as paid holiday time .
Actual salary is dependent on skill set and experience, with an opportunity for a monthly incentive bonus, commissions, and equity program. USI is committed to providing a full-suite of competitive benefits for our growing population and its diverse needs. We offer a wide range of health, welfare, and financial benefits, including medical, wellness, dental and vision, 401(k), flexible spending and health savings accounts, short and long-term disability, life insurance, and other unique employer-sponsored and voluntary programs. USI also offers paid family leave benefits as well as paid holiday time. $180,000- 190,000.
#J-18808-Ljbffr
$58k-85k yearly est. 4d ago
Underwriting Assistant, Fine Art
Tokio Marine Highland 4.5
Chicago, IL job
The Underwriting Assistant is tasked with the support of the Underwriting Department of the Fine Art Division. While providing administrative support, they will develop underwriting skills themselves, through working closely with senior underwriters and using the same guidelines, processes and systems.
This position will require the ability to handle a relatively high volume of transactions during the peak business cycles; therefore, it is essential that the candidate can multitask and work efficiently with a high degree of organizational skill.
Duties/Responsibilities:
Perform administrative duties regarding new and renewal accounts
New submission data entry and risk detail consolidation such as OFAC clearance, Risk Meter Reports, etc.
Manage status of existing new business and renewal accounts
Assist underwriters with risk assessment as directed, e.g. using CARTO and Ark platforms for accumulation control
Assist in managing aggregate reports for re-insurers
Follow up on outstanding quotes
Support processing team with outstanding balances
Support conversion of policies into the underwriting platform
Support monthly/quarterly operational report development to help manage division more efficiently
Required Skills/Abilities:
Excellent verbal and written communication skills
Tech-savvy with hands-on experience in leveraging digital tools to streamline workflows
Strong MS Office skills, particularly Excel
Strong analytical skills
Demonstrates adaptability in working independently with minimal supervision, while also building strong partnerships in a team environment
Ability to maintain a high level of confidentiality and professionalism
Ability successfully manage a high workload
Combines innovative thinking with strong organizational skills and a commitment to delivering high-impact results
Willingness and ability to travel occasionally
Education and Experience:
Bachelor's degree preferred
1-2 years of property insurance industry experience required
Art market background a plus
Must obtain P&C Producer license within a designated time-period if not currently licensed
About Tokio Marine Highland:
Tokio Marine Highland Insurance Services (TMH) is a leading property and casualty underwriting agency. We offer a broad suite of tailored specialty risk management solutions, including private flood, fine art and lender-placed products. At TMH, it's all about our clients. Nationwide, our customers rely on our trusted, industry-leading coverages, supported by compliance expertise, superior claims management and the highest caliber of service.
Founded in 1962, TMH is a wholly owned company of Tokio Marine Kiln, one of the largest carriers in the Lloyd's of London insurance market and a member of the Tokio Marine Group. TMH has operating centers in Chicago, Il, Frisco, Texas, Miami, Fla., and South Pasadena, Calif.
If you're looking to advance your career, TMH is the perfect professional home. At TMH, you'll have a chance to innovate with the world's leading businesses, put your expertise into action on major projects, and work on game-changing initiatives. You'll also make long-lasting professional connections through sharing different perspectives, and you'll be inspired by the best.
Tokio Marine Highland, LLC (TMH) is an Equal Opportunity Employer. TMH's success depends heavily on the effective utilization of qualified people, regardless of their race, ancestry, religion, color, sex, national origin, sexual orientation, gender identity and/or expression, disability, veteran status, or any characteristic protected by law. As a company, we adhere to and promote equal employment opportunities for all.
Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is TMH's policy to provide reasonable accommodation when requested by qualified individuals with disabilities during the recruitment process, unless such accommodation
would cause an undue hardship. To make an accommodation request, please contact *****************************.
$30k-36k yearly est. 4d ago
Professional Liability Claims Lead
BCS Financial Corporation 4.2
Oakbrook Terrace, IL job
P&C Claims Lead
Full Time
Oakbrook Terrace, IL, US
Salary Range:$107,000.00 To $134,000.00 Annually
BCS Financial is seeking an experienced claims leader to oversee Specialty Risk Solutions claim operations and strategy for Agent E&O, commercial cyber, excess cyber, and other complex products. This role is responsible for managing day-to-day claims functions, driving process improvement, and collaborating across departments to ensure optimal claim outcomes and compliance.
Essential Elements
Adjudicate claims from end to end including assessing coverage, establishing reserves, communicating with Insureds, TPAs, coverage counsel and reinsurers, establishing reserves and negotiating settlements.
Establish and maintain early warning system to track and monitor Open claims (high-dollar, high risk exposure situations)
Facilitate Claims Committee, consisting of cross-functional areas with shared responsibility for positive claim outcomes and accurate financial reporting
Establish and report on key metrics (KPI and SLA performance management)
Analyze and report significant claim trends across programs (insourced and outsourced programs)
Coordinate and lead interdepartmental workflows and resources related to continuous process improvement efforts
Collaborate with underwriters to support policy construction and drafting, reporting claim trends, data analysis, and risk assessments
Participate and/or facilitate TPA audits, identify risks and work closely with Enterprise Risk Management and other internal teams to mitigate risks
Monitor reserves
Ensure great customer service experience for our Insureds
Perform similar work-related duties as assigned
Requirements
Education and Certifications
Bachelor's degree required; advanced degree or industry certifications (AIC, CPCU, RPLU) preferred.
Experience
10+ years of claims handling experience, with a focus on Agent E&O and Commercial Cyber claims.
Strong analytical, organizational, and process improvement skills.
Excellent verbal and written communication; able to present to senior management and in group settings.
Experience with claims management systems (e.g., Guidewire, ClaimCenter), data analytics, and reporting tools.
Knowledge of insurance industry claims process, legal/regulatory environment, and litigation/arbitration/trial processes.
Collaborative mindset and ability to influence others.
Travel Required
Local travel to main office
$107k-134k yearly 3d ago
Consultant III HPR Loss Control
Tokio Marine America 4.5
Fort Wayne, IN job
About Tokio Marine:
Tokio Marine has been conducting business in the U.S. market for over a century and we are licensed in all states, Puerto Rico and the District of Columbia, and write all major lines of Commercial Property and Casualty Insurance. We provide unique insurance and risk management tools from our experienced staff of account executives, underwriters and loss prevention engineers and fair and timely claim settlement from a skilled team of claim professionals. We work with major brokers and leading independent insurance agents throughout the United States to serve the world's largest and most distinguished organizations.
We are committed to creating value for our customers by providing ANSHIN (safety, security and peace of mind). We strive to be creative and passionate as we work towards our long-term success.
Tokio Marine Holdings is Japan's oldest, and one of the largest property and casualty insurers. Founded in 1879, TMNF operates worldwide in 47 countries. With annual revenues of approximately $50 billion and an A.M. Best rating of A++, one of the highest in the industry, we are one of the top 20 insurance providers worldwide.
Job Summary
Provide professional Highly Protected Risk (HPR) loss control services to Tokio Marine America clients and Tokio Marine Management, Inc. Coordinates and conducts loss control management evaluations, physical surveys, loss analysis and training to assist Tokio Marine clients to improve and maintain loss control activities. Coordinates and conducts loss control management evaluations, physical surveys and loss analysis to assist Tokio Marine Management Underwriting in their evaluation of risk. Provide loss control technical support to Tokio Marine departments such as underwriting, claims and coordination. Coordinate loss control activities on select accounts ensuring service plans are maintained and completed, responding to customer requests and needs and supporting underwriting and claims at renewal and during the policy period.
Essential Job Functions
Performs loss control surveys of prospects and clients on request for information underwriting and evaluation from a loss control viewpoint for desirability.
Coordinates loss control service to select clients requiring defined service standards.
Prepares reports for clients, Underwriting and Branch concerning the loss control in effect, including loss analysis, conditions noted, recommendations for improvement and future needs.
Assists in the development and presentation of programs and training seminars for clients and other departments in the Company.
Responds to special requests from Underwriting Department and clients with prior approval from Loss Control Department Management.
Develops and maintains Loss Control instructions for multi-location clients being coordinated by Loss Control.
Completes all work scheduled in regular service assignments or requests in a timely manner.
Maintains membership and actively participates in professional organizations approved by Departmental standards guidelines.
Utilizes PC programs (Taurus, Presentation Software, etc.) in preparing presentations for prospects and clients.
Plans and performs work scheduling in a timely and cost-effective manner.
Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at the Company.
Qualifications
Bachelor's degree in engineering / science or equivalent job experience preferred.
Five years' experience servicing major accounts preferred.
Possesses a specialty in HPR loss control or comparable property insurance background.
Good communication skills, both written and oral and capable of making presentations to a group.
Good computer skills to include the use of Microsoft software, and other software.
Valid driver's license free of any major violations.
Physically capable of performing the job requirements - walking, carrying and climbing.
Capable of significant amounts of travel.
Salary range $150,000 to $170,000. Ultimate salary offered will be based on factors such as applicant experience and geographic location. Our company offers a competitive benefits package and bonus eligibility on top of base.
TMA believes the perfect candidate is more than just a resume. If you don't meet every single requirement, but are still interested in the job, we encourage you to apply.
Benefits:
We offer a comprehensive benefit package, which includes a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities.
EEO Statement
Tokio Marine Management is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, or sexual orientation.
$150k-170k yearly 2d ago
Professional, Overpayment Recovery and Monitoring Analyst
MVP Healthcare 4.5
Schenectady, NY job
Join Us in Shaping the Future of Health CareAt MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. What's in it for you:
Growth opportunities to uplevel your career
A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
Competitive compensation and comprehensive benefits focused on well-being
An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.Qualifications you'll bring:
Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered.
Coding certification, such as AAPC CPC, CIC, COC, CCS is required.
The availability to work full-time, virtual in New York State
A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience.
Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies.
Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details.
Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable.
Curiosity to foster innovation and pave the way for growth
Humility to play as a team
Commitment to being the difference for our customers in every interaction
Your key responsibilities:
Manage recurring audit inventories, ensuring timely progression and completion of existing audits.
Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews.
Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types.
Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education.
Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization.
Assist in the reporting of monthly metrics and participate in cross-functional audit operations.
Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts.
Participate in training and development activities within the department and corporation.
Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy.
Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature.
Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
Where you'll be: Virtual within New York State Pay TransparencyMVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.We do not request current or historical salary information from candidates. $69,383.00-$92,279.00MVP's Inclusion StatementAt MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ...@mvphealthcare.com .
Dane Street is hiring licensed Orthopedic Surgeons with access to an ADA-compliant exam space to conduct Medical Disability Examinations for U.S. Veterans.
Partnering with the Department of Veterans Affairs, you will help clear the exam backlog and ensure Veterans receive their earned service-connected benefits.
Why Join Our Network?
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Join our panel to make a meaningful difference in the lives of our nation's heroes.