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Farm Bureau Mutual Insurance Company of Idaho jobs in Pocatello, ID - 160 jobs

  • Commercial Lines Customer Service Representative

    Brown & Brown 4.6company rating

    Meridian, ID job

    Brown & Brown is seeking a Commercial Lines Customer Service Representative to join our growing team in Meridian, ID! The Commercial Lines Customer Service Representative is responsible for servicing Agency Bill and Direct Bill accounts, including invoicing, policy changes, coverage comparisons, and compliance documentation. This role supports client retention and growth through strong relationship management, identifying coverage gaps for upsell/cross-sell opportunities, and overseeing administrative tasks such as certificates, auto ID cards, and policy processing. How You Will Contribute: Provide service to existing clients via inbound calls, emails, and daily tasks Make outbound phone calls to provide customer service Quote and Bind insurance with various carriers for existing clients Respond to requests for certificates of insurance or auto ID cards Maintain a concern for timeliness and completeness on all service requests Utilize an electronic filing manager to maintain documentation and compliance Notate and file documents in our agency management system Licenses and Certifications: P&C Licensed in Idaho Skills & Experience to Be Successful: High school diploma or equivalent required Knowledge of Microsoft Office 365 (Outlook, Excel, OneNote, etc.) Strong oral and written communication skills Strong typing skills Exceptional customer service and interpersonal skills Demonstrated critical thinking and problem-solving skills 3+ years of Commercial Insurance experience P&C license required or able to obtain within 90 days of hire AMS360 experience Teammate Benefits & Total Well-Being We go beyond standard benefits, focusing on the total well-being of our teammates, including: Health Benefits : Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance Financial Benefits : ESPP; 401k; Student Loan Assistance; Tuition Reimbursement Mental Health & Wellness : Free Mental Health & Enhanced Advocacy Services Beyond Benefits : Paid Time Off, Holidays, Preferred Partner Discounts and more. Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations. The Power To Be Yourself As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.
    $28k-33k yearly est. 2d ago
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  • Manager, IT Category Management

    Blue Cross and Blue Shield of North Carolina 4.3company rating

    Boise, ID job

    The Manager, IT Category Management, is responsible for directing all sourcing and vendor contracting activities within the assigned categories. This role supervises staff engaged in the sourcing process for high-value and complex goods, services, or projects and initiatives. The incumbent focuses on reducing organizational costs by implementing effective sourcing strategies, tools, and processes. Coordination with third-party vendors, business owners, and the legal team is essential for the preparation, analysis, and negotiation of vendor contracts. Additionally, this position supports business owners across all functional areas in technology vendor selection and ensures that vendor obligations are documented in alignment with business requirements. What You'll Do Manage staff responsible for the development and execution of sourcing strategies in one or more technology categories. Direct and train staff in conducting sourcing events, including development of project work plan, category profile, category strategy, minimum requirements and evaluation criteria, solicitation Guide staff in the development and implementation assorted bid documents and requests (i.e. RFP, RFI, RFQ); and manage status reporting and performance metrics of sourcing and category management activities. Understand, analyze and forecast complex market and industry dynamics and share subject matter expertise and industry knowledge within the established portfolio of products and services Partner with stakeholders to develop business and sourcing strategy and source products and services using proven tools, processes, and analytics to drive and achieve business results. Coordinate the evaluation and analyses of sourcing results from a total cost of ownership perspective, and provide optimization recommendations Lead cross-functional teams responsible for complex vendor negotiations, including those that require specialized subject matter expertise, nonstandard risk mitigation solutions, and coordination of multiple arrangements. Proactively establish and foster successful, positive working relationships with vendor personnel. Drive vendor engagement through formal and informal transactions. Manage contract management function and facilitate effective collaboration with Corporate Compliance, Legal, Audit and Risk Management and other internal stakeholders for compliance activities to ensure regulatory conditions are met. Develop new procedures, training, initiatives, specifications and recommendations for process or policy changes and improvements, as appropriate. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 8+ years Technology procurement experience Highly Preferred Procurement experience at a healthcare company Highly Preferred Procurement experience with key vendors including IBM, Microsoft, Salesforce, ServiceNow, Cognizant, Accenture, NTT Data and HCL Technologies Experience purchasing hardware and software through Value Added Resellers What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Skills IT Procurement, Negotiation, Strategic Sourcing, Vendor Procurement
    $107.9k-172.6k yearly 4d ago
  • Underwriter / Account Executive - Loss Sensitive, Construction and Large Project

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **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** Underwriting **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** $99,100.00 - $163,400.00 **Target Openings** 1 **What Is the Opportunity?** The Account Executive (AE), Construction Loss Sensitive will partner with agents and brokers to provide coverage for new and renewal business based on customers' needs. As an AE, you are decisive, detail-oriented, and know how to build relationships internally and externally to drive results. Your ability to assess risk and sell our products will contribute to the profitability and success of Travelers. **What Will You Do?** + Manage the profitability, growth, and retention of an assigned book of business. + Underwrite and skillfully negotiate customer accounts to minimize risk and maximize profitability. + Cultivate and maintain relationships with internal partners within the business unit and across the enterprise to create sales plans and identify cross-selling opportunities. + Foster and maintain relationships with external partners by regularly meeting in person with agents and brokers to market and sell Travelers products with a goal of writing and retaining accounts consistent with our risk appetite. Must be able to travel to such meetings. + Identify and capture new business opportunities using consultative marketing and sales skills. + Develop and execute agency sales plans. Execute region/group sales plans. + Perform other duties as assigned. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's degree. + Three to five years of relevant underwriting experience with experience in construction loss sensitive. + Knowledge of construction loss sensitive products, the regulatory environment, and the local insurance market. + Strong critical thinking skills with the ability to proactively identify underwriting, marketing, or financial challenges and analyze available information to make timely decisions in alignment with our risk appetite. + Communication skills with the ability to successfully negotiate with agents and brokers. + CPCU designation. **What is a Must Have?** + Two years of underwriting, claim, operations, risk assessment, actuarial, sales, product, or finance experience. **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 ******************************************************** .
    $99.1k-163.4k yearly 60d+ ago
  • Risk Management, Modeling Analytics Lead

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **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** Data Analytics, Data Science **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** $169,400.00 - $279,600.00 **Target Openings** 1 **What Is the Opportunity?** The Travelers Catastrophe Risk Management Group is seeking a Cyber Peril Lead to join our PERILS team leading our research related to man-made perils with a focus on Cyber risk. You will be joining a group of dedicated professionals charged with leading Travelers to be in position to successfully endure catastrophic loss from natural and man-made perils. The PERILS team is a multi-discipline group focusing on peril research, the development of next generation analytics, and event response activities. As a member of this Team, you will be an active participant in the development and implementation of peril research and strategies. The team engages in enterprise-wide complex multi-disciplinary CAT research projects with various depths of focus. The position requires an individual who can strive in an analytical, innovation-driven environment, in tune with business needs. **What Will You Do?** We are seeking a candidate with a solid analytical base in cyber risk management or a scientific, engineering, or related quantitative discipline. The person will have effective self-organizational and time-management skills with the ability to work independently and formulate and execute project objectives. We seek problem solving and critical thinking skills in support of the team's efforts to provide best-in-class analyses to our business partners. Some of the specific duties include: + Provide thought leadership and strategy support related to portfolio cyber risk + Validate cyber aggregation risk models and technographic scores + Assist the Cyber Underwriting team with subject matter technical expertise and guidance + Identify, select, and extract relevant data from various internal and external sources. Complete analyses and present recommendations to team members, stakeholders, and Leadership + Stay abreast of the latest scientific research and summarize findings for the peril, including recent trends in threat actors, techniques and vectors of attack + Drive innovation through new tools/technologies and capabilities (e.g., develop custom tail scenarios) + Monitor the Company's exposures, aggregations, and peril-specific book mix changes + Support our Business Units Consulting and Actuarial functions with ad-hoc research and peril strategy development + Create and maintain collaborative relationships with business partners **What Will Our Ideal Candidate Have?** + Exposure to cyber catastrophe modeling and/or cyber hygiene technographic scanning tools is a plus + Proficiency with Microsoft Suite, SQL, statistical packages, or other programs used to retrieve and analyze data + Knowledge of insurance concepts, coverage, products, and operations preferred + Ability to apply emerging statistical procedures to large highly complex work + Working knowledge of a programming language such as Python/R/Matlab preferred + Works well both independently & within a team, strong organization, and time management + Demonstrated ability to convey technical concepts across professional fields of discipline **What is a Must Have?** + Master's degree in Statistics, Mathematics, Decision Sciences, Actuarial Science or related analytical STEM field plus six years of experience or any suitable and equivalent combination of education and work experience. + Heavy concentration in mathematics, including statistics and programming, business intelligence/analytics, as well as data science tools and research using large data sets. Additional verification of specific coursework will be required. **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 ******************************************************** .
    $62k-119k yearly est. 60d+ ago
  • Technical Claims Specialist, Workers Compensation - West Region

    Liberty Mutual 4.5company rating

    Meridian, ID job

    Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims. The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region. Responsibilities * Investigates claims to determine whether coverage is provided, establish compensability and verify exposure. * Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority. * Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management. * Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols. * Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely. * Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure. * Establishes and maintains accurate reserves on all assigned files. * Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority. * Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds. * Demonstrates the ability to understand new and unique exposures and coverages. * Demonstrates the ability to understand key data elements and claims related data analysis. * Confers directly with policyholders on coverage and resolution strategy issues. * Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff. Qualifications * A bachelor's degree or equivalent business experience is required * In addition, the candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims * Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco
    $56k-84k yearly est. Auto-Apply 13d ago
  • Aviation Screener Supervisor

    GAT 3.8company rating

    Boise, ID job

    GAT is seeking dynamic individuals to join its team of aviation professionals. Classification: Full Time, Non-Exempt The Aviation Screener Supervisor will be leading, directing, and coordinating the efforts of ground, line, and cabin service personnel and the timely delivery of all services for airlines as contracted. The Aviation Screener Supervisor will take accountability for safety, operation standards, policy implementation, client relations, and financial performance for the ramp operations. Job Responsibilities Establishing shift assignments for both fulltime and part-time employees; Complies with Department of Transportation Regulation and ensures Charter and Screening staff is in compliance Monitoring and responsibility for the safe and efficient operation of all airline ground support equipment Reporting discrepancies that may exist both functional and mechanical on the ground support equipment; Coordinating between each assigned carrier to ensure that service for cargo and baggage meet the needs of the carrier to ensure on time schedules are met Responsible for equipment and ensuring its safe and efficient operating status; Conferring with other supervisors and managers to coordinate activities with other departments; Determining manpower requirements; ensuring disciplinary procedures are conducted in a fair, timely, and consistent manner; Ability to comply with attendance/tardiness standards. Able to perform under pressure and within fixed time constraints Ensures necessary ground equipment is available in the ramp area and bag room for upcoming flights Read and interpret aircraft weight and balance loading instructions, hazardous materials identification labels, aircraft loading manifest, and baggage routing tags Follows and complies with all federal, state, municipal, airport authority, and carrier rules and regulations Provide security and protection of air travelers. Responsible for identifying dangerous objects in baggage or on passengers and preventing those objects from being transported onto aircraft. Duties include (but are not limited to) aircraft searches, passenger screening, baggage screening, and/or all. Ensure crews are being briefed before flights on positions to take and how flight will work Perform aviation screening and supervisor employees performing aviation screening Other duties as assigned Requirements: Must possess computer experience (6+ months) and knowledge of Microsoft Word and Excel Ability to navigate electronic devices (computers, fax machines, printers, timeclock, etc). A proven track record in supervising a business unit. Experience in operational planning and resource allocation. A working knowledge of GSE maintenance issues. Experience and understanding of the commercial issues in aviation. Must have a High School diploma, GED Must be at least 18 years of age Capable of processing information in a timely manner Must have and maintain a Valid Driver's License Able to proficiently speak, read, and write in English Basic computer literacy Previous ramp or airline experience Must successfully complete all training requirements and maintain certifications throughout employment Must clear a FBI fingerprint background check Physical Requirements Must be physically fit to perform duties of the job including but not limited to standing, lifting, bending, pushing, and pulling for extended periods of time Capable of repetitively lifting up to 70 pounds in confined spaces and repetitively Must be physically fit to perform the duties of the job Willing to work outside in all types of weather conditions with exposure to loud noises Specific Working Hours Must be able and flexible to work variable shifts, weekends, and holiday specific shifts to be determined Must be able to work extended hours on short notice during non-routine operations GAT Airline Ground Support, as an equal opportunity employer, makes hiring decisions based on business needs and the best-qualified candidates available and does not discriminate in its employment decisions on the basis of any protected category. GAT Airline Ground Support is a drug free workplace and conducts random drug test. Employment with GAT Airline Ground Support is contingent upon a clear driving record, 10-year criminal History records check, and drug screen as required. You must also have proof of high school or GED completion.
    $43k-57k yearly est. 11d ago
  • Airport Administrative Assistant

    GAT 3.8company rating

    Boise, ID job

    GAT is seeking a dynamic, dependable, and capable individual to join its team of aviation professionals.GAT offers a wide range of employee benefits to include major medical, 401K Plan, Dental and Vision coverage. Classification: Variable Hour, Non-Exempt Job Summary: Report directly to the General Manager. The primary day to day purpose and focus of this position is largely dictated on the immediate needs of the company. Job Responsibilities: Staffing: Work with the General Manager and HR to ensure staffing levels are maintained and to minimize hourly turnover. Source, screen and interview applicants using the competency-based interview guidelines found in hiring a guide and through the interview process Review and maintain an applicant tracking system Assist management team with maintaining staffing Conduct on-board orientation of new team members. Ensure use, execution, maintenance and administration of the on-boarding process. Investigate the applicability of out-of-scope. Secure customer's approval on the Daily Out of Scope form Daily timekeeping monitoring; identifies and resolves exceptions and obtains appropriate approvals prior to closing payroll for the pay period to ensure accuracy Publish and post memos as requested by management. Maintain a “Read and Initial” communication system and ensure all employees periodically review. Ensure corporate reports are forwarded to Corporate Headquarters, such as payroll change notices, profile changes Assist management with recruiting efforts, which includes coordinating advertising mediums, scheduling and/or conducting interviews, processing new hires, and scheduling classes for training and SIDA training, coordinating drug testing and background clearance Ensure OJI's are properly documented and sent to Corporate Headquarters Assist with purchasing as directed by management. Ensure purchase orders and/or approvals are obtained as required Adheres to company policies and procedures Perform other duties as assigned Requirements: Must have a High School diploma, GED Must be at least 18 years of age Able to proficiently speak, read, and write in English Advanced Excellent computer skill Proficient in Microsoft Word, Excel, and Outlook Previous Administrative and payroll experience preferred Must successfully complete all training requirements and maintain certifications throughout employment Must clear an FBI fingerprint background check and obtain a custom seal Must pass a pre-employment drug screen Work Environment: Able to work and focus in a fast-paced environment Must be detail-oriented Must always be safety-minded while working Effectively communicates instructions, policies, and procedures others can follow Provide positive and constructive feedback Maintains an understanding of and follows all applicable federal, state, airport, and company regulations, policies and procedures GAT Airline Ground Support, as an equal opportunity employer, makes hiring decisions based on business needs and the best-qualified candidates available and does not discriminate in its employment decisions on the basis of any protected category. GAT Airline Ground Support is a drug-free workplace and conducts random drug tests. Employment with GAT Airline Ground Support is contingent upon a clean driving record, 10-year Criminal History records check, and drug screen as required. You must also have proof of high school or GED completion.
    $27k-35k yearly est. 52d ago
  • VP & Medical Director

    Travelers Insurance Company 4.4company rating

    Boise, ID job

    **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** $262,900.00 - $404,200.00 **Target Openings** 1 **What Is the Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader medical environment impact Property & Casualty product lines. This role will serve as a thought leader and help develop the following critical areas for Travelers: Develop strategies and direction to advance Travelers medical capabilities to keep Travelers at the leading edge of the P&C industry. Develop medical management strategies that help injured employees return to work as soon as medically appropriate. Ensure Travelers is prepared to incorporate new and emerging medical technology and practices into its strategies, practices and workflow where appropriate. Conduct research and analysis related to medical and healthcare trends. This includes the physical and psychological influences which can impact claim outcomes. Organize and coordinate Travelers' medical review functions. This includes interpreting Federal and State regulations and medical guidelines to establish medical review policies. Works in close collaboration with the Claim leaders and in partnership with other Medical and Pharmacy professionals. **What Will You Do?** + Provide overall program leadership as the organization's lead physician. Serve as the key enabler and facilitator for the Travelers medical strategies and represent the Travelers brand both internally and externally. + This position will oversee the following key areas: + Medical Claim Product Research, Strategy and Innovation: + Design and direct innovative, outcome focused strategies and business plans for medical related product development and enhancements. Strategies may influence design, marketing, best practices, system development, vendor management, policies and procedures and response to legislative and regulatory issues. + Conduct industry research and analysis related to medical, healthcare and group health trends and practices to keep Travelers at the leading edge of the P&C industry. + Partner with stakeholders to develop and design projects and proofs of concept to improve business results. + Stay connected to industry and relevant external bodies/associations to assess trends and coordinate Travelers medical position as appropriate. + Inform Product and Underwriting insights as appropriate to anticipate, respond to and manage trends. + Attend external forums representing Travelers. Function as a liaison and professional relations contact on a local and national level. + May provide input and support medical vendor strategies including vendor selection, negotiation and contracting. + Medical Direction and Oversight: + Participate in the design and development of organizational design and workflows that ensure effective implementation of medical strategies. + Oversee engagement of Regional Medical Directors, Medical Consortiums and other medical resources as appropriate. Train and evaluate physician and non-physician medical review personnel and activities. + Stay apprised of changes in medical technology and adjust review organizational design and workflows functions accordingly. + Interpret regulations, statutes and guidelines to establish medical policies as necessary. + Provide input into the investigation of new technology and the application for improving business process and increasing productivity. + Claim Practices & Support: + Provide Medical guidance, support and direction as needed to the Claim Field organization. + Provide input into to claim practices, marketing strategy and customer services as appropriate to anticipate, respond to and manage medical trends. + Partner with key stakeholders to assist in the review and monitoring of financial and qualitative operating results related to medical. Share accountability with business partners to achieve and sustain quality results. + Partner with other medical and pharmacy experts on the development and design of training strategies, programs and curriculum. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + Strong background in Occupational Medicine + Background in pain management or orthopedics a plus + Understanding of the psychological factors in achieving optimal medical outcomes a plus + Experience leading major projects or transformational initiatives from inception through implementation + Management experience preferred + Proven ability to work in a team environment and collaborate on innovative projects + Demonstrated thought leadership + Strong research and project management skills + Ability to analyze business problems thoughtfully and draw conclusions in uncertain situations + Ability to communicate complex issues and connect with all levels of the organization + Direct and/or indirect leadership skills + Financial management and analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical Specialties **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 ******************************************************** .
    $118k-167k yearly est. 60d+ ago
  • Field Rep - ID

    JMI Reports 3.4company rating

    State Line, ID job

    Join the JMI Reports national team of Field Reporters and start earning money this week! Now's your chance to choose your hours and workload while earning supplemental income from a national insurance services company. Plus, there are no selling or certifications required. We pay weekly for all jobs completed. In most cases, you can start earning money this week! JMI Reports has an immediate demand for field reporters nationwide to complete residential and commercial property insurance surveys as needed. Experience in insurance isn't essential to handle this role. All jobs are delivered on our easy-to-use mobile app, and you can accept or decline the order after seeing the location and fee. Our typical assessments are as easy as using your phone to take pictures of the property and answer a few basic property questions through our user-friendly BlueSkyVUE app (available for free on the App Stores). We'll combine the data you collect with many other data elements to produce the final comprehensive product for our customers.
    $65k-87k yearly est. Auto-Apply 60d+ ago
  • Aviation Security Screener

    GAT 3.8company rating

    Boise, ID job

    Security screener positions encompass providing security and protection for air travelers. ● Responsible for identifying dangerous objects in baggage or on passengers and preventing those objects from being transported onto aircraft. ● Duties include (but are not limited to) aircraft searches, passenger screening, baggage screening, and/or all. ● This position requires working in a fast-paced environment with time constraints and maintaining focus within a stressful environment that contains distractions, people, and noise. ● A professional and positive image must be consistently displayed by the employee. Requirements: ● Comply with the Department of Transportation Drug and Alcohol Regulation ● Experience and understanding of the commercial issues in aviation. ● Must have a High School diploma, GED ● Must be at least 18 years of age ● Capable of processing information promptly ● Must have and maintain a Valid Driver's License ● Able to proficiently speak, read, and write in English ● Basic computer literacy ● Previous ramp or airline experience ● Must complete all training requirements and maintain certifications throughout employment ● Must clear an FBI fingerprint background check ● Must be physically fit to perform duties of the job including but not limited to standing, lifting, bending, pushing, and pulling for extended periods ● Capable of repetitively lifting up to 70 pounds in confined spaces and repetitively ● Must be physically fit to perform the duties of the job ● Willing to work outside in all types of weather conditions with exposure to loud noises ● Must be able and flexible to work variable shifts, weekends, and holiday-specific shifts to be determined ● Must be able to work extended hours on short notice during non-routine operations
    $18k-29k yearly est. 11d ago
  • Financial Advisor - Meridian, ID

    Country Financial 4.4company rating

    Meridian, ID job

    We're looking for ambitious and established candidates who want to own their business and help clients prepare for life's planned and unexpected moments with the right financial services and insurance products. Our financial advisors are contracted as COUNTRY Trust Bank Financial Advisors, Registered Representatives of COUNTRY Capital Management Company, and Insurance Agents of COUNTRY Life Insurance Company and COUNTRY Mutual Insurance Company and their subsidiaries. The Career COUNTRY Trust Bank Financial Advisors take a consultative approach to grow business with existing and prospective clients. As independent contractors, they are in business for themselves but not by themselves, and they: Diversify their income through multiple product lines beyond financial services. Leverage the portfolio of property and casualty, life and health, and annuities and investment products and services. Educate clients and prospects about our products and services. Collaborate with COUNTRY Financial Insurance Agents to secure business. Establish an office and build a staff. Conduct financial solution seminars. Have the flexibility to manage their schedules to balance their careers and personal interests. We Offer Our financial advisors have uncapped earning potential and: Opportunities to earn performance-based global trips and financial rewards. Access to continued learning and marketing resources. Corporate office support. Affiliation with our 100-year-old brand heritage and family-focused culture that values authenticity, integrity, and inclusivity. There is no buy-in required. Qualifications Successful COUNTRY Trust Bank Financial Advisors are: Entrepreneurial and self-motivated. Goal-driven with track records of business growth in the insurance and or financial services industry. Strong communicators with excellent business acumen. Committed to building and maintaining solid connections between their efforts and their rewards. Focused on achieving professional success through securing clients' trust. Passionate about making positive impacts in their communities. Required Qualifications Series 6/63 licenses Passed SIE Life/Health State Insurance License* Property/Casualty State Insurance License* Preferred Experience Accredited Asset Management Specialist (AAMS) Chartered Financial Analyst (CFA) Certified Public Accountant (CPA) Certified Financial Planner (CFP) Chartered Financial Consultant (ChFC) Bachelor's Degree 2+ years of experience in the insurance and or financial services industry 5+ years of business ownership or managerial experience About Us COUNTRY Financial is the trade name for a collective of affiliated insurance and financial services companies. This means we have an extended family of support and a large backing. Since 1925, COUNTRY Financial has been dedicated to helping others plan for their future while also protecting what matters most to them. What started long ago as a simple commitment on Midwest farmlands has expanded to become a FORTUNE 1000 insurance and financial services organization proudly serving 19 states. Our insurance agents, financial advisors, and employees remain dedicated to serving nearly one million households with our diverse range of personal and business insurance products as and financial services products. And our consistent AM Best A+ rating means we have the financial strength to keep the promises we make to our clients. *These licenses are not required to apply; however, the candidate's ability to obtain these licenses is essential when a contract decision is made. COUNTRY Financial is the marketing name for the COUNTRY Financial family of affiliated companies (collectively, COUNTRY), which include COUNTRY Life Insurance Company , COUNTRY Mutual Insurance Company , and their respective subsidiaries, located in Bloomington, Illinois. Investment management, retirement, trust, and planning services provided by COUNTRY Trust Bank . The investment objectives, risks, charges, and expenses of an investment company should be carefully considered before investing.
    $67k-100k yearly est. Auto-Apply 60d+ ago
  • PRN Database Administrator

    Heritage Health 3.9company rating

    Coeur dAlene, ID job

    What You'll Love About Working Here: Purpose-Driven Work: Be part of an organization dedicated to enhancing lives and building healthier communities. Supportive Culture: Experience a fun, collaborative, and encouraging team environment where your contributions are valued. Work-Life Balance: Enjoy a predictable schedule so you can focus on what matters most, both at work and at home. Growth & Collaboration: Work alongside talented professionals who are committed to delivering the best outcomes for our patients and community partners. Competitive Compensation: Receive a strong pay package and exceptional benefits that support your well-being and future. Summary: The Senior Database Administrator is responsible for coordination of all Heritage Health Databases. They oversee the development and implementation of all Data systems and applications. They guide the process of system implementation. The Senior Database Administrator identifies problems and solutions through coordination and collaboration among clinical, financial and ancillary departments. Requirements Bachelor's degree in related field and 10 years related experience; or 12-15 years related experience and/or training; or equivalent combination of education and experience. AWS or Oracle Certified Professional Key Success Factors: · Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public. · Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry. · Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form. · Strong interpersonal communication and relational skills, good organizational skills; sound judgment; initiative; flexibility; detail-oriented. · In-depth technical and administrative understanding of the following is required: networking and telecommunications (data), Office 365, Windows operating systems, Microsoft Office, Internet connectivity, HTTP, FTP, firewalls, Active Directory, SQL Databases, Power BI and virtualized environments. Essential Functions: · Provide hands-on support for routine database maintenance tasks, ensuring data integrity and availability. · Assist in troubleshooting and resolving basic database-related issues for end-users. · Lead efforts to optimize database structures, improving efficiency and scalability. · Implement advanced performance tuning strategies, including query optimization. · Lead the design and implementation of strategic, multi-discipline, and highly resilient database systems. · Evaluate and recommend new database technologies to meet organizational needs. · Collaborate with the team to identify opportunities for automation in database management tasks. · Contribute ideas for innovative solutions to enhance the user experience. · Develop and implement comprehensive backup and recovery strategies, ensuring data integrity. · Lead efforts in disaster recovery planning and testing. · Develop and enforce advanced database security policies and compliance measures. · Lead the execution of security updates, DISA STIG controls, and required security remediations. · Collaborate with internal and external partners to identify and recommend technical solutions for enterprise infrastructure. · Participate in strategic planning sessions, aligning database solutions with organizational goals. · Identify and address performance bottlenecks through advanced tuning techniques, especially at scale. · Collaborate with development and infrastructure teams to optimize overall system performance. · Monitors IT staff performance and reports metrics to IT Manager. · Communicates with vendors to resolve issues.
    $64k-79k yearly est. 60d+ ago
  • Receptionist

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Provide coverage of telephone and front desk duties. Answer incoming calls in a prompt, courteous manner according to PacificSource customer service quality standards. Greet and assist visitors in a professional and efficient manner. Essential Responsibilities: Answer incoming calls in a prompt, courteous manner. Assist callers by quickly determining the caller's needs and accurately directing calls to the appropriate personnel and/or department. Communicate efficiently and effectively in obtaining, giving and exchanging information. Greet and direct visitors. Assure guests are identified and registered before allowing access to secured sections of the building Partner with building maintenance to ensure general office maintenance and cleanliness Coordinate office vendors to keep office operating efficiently Receive premium payments, prepare receipts, and secure premiums. Maintain the lobby as a professional first impression of PacificSource. Assist in developing and maintaining related policies and procedures. Complete all clerical duties such as address changes, documenting company survey results, preparing packets, and other general clerical duties as assigned. Maintain office supply inventory and order supplies as needed and/or requested. Attend to the safety of employees and guests to the extent that does not endanger self or others. Provide front line communication and relay information in urgent or emergency situations. Supporting Responsibilities: Assist with clerical tasks of other departments as needed. Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. Work Experience: One year of multiline phone experience and/or reception duties preferred. Education, Certificates, Licenses: High School Diploma or equivalent required. Knowledge: Typing, 10-key required. Computer skills preferred. Competencies: Building Customer Loyalty Building Strategic Work Relationships Contributing to Team Success Planning and Organizing Continuous Improvement Adaptability Building Trust Work Standards Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is not required. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $29,643.71 - $47,429.94Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $25k-31k yearly est. Auto-Apply 3d ago
  • Senior Director, Product & Regulatory Management

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Senior Director, Product and Regulatory Management is responsible for leading teams in three key domains: 1) the development, implementation, and management of the end-to-end product lifecycle for Medicare and commercial lines of business; 2) efficient and effective commercial business administration; and 3) compliant and effective regulatory communications. Working with company leadership, the Senior Director is responsible for developing and implementing products that achieve membership and profitability targets. In support of strategic business plans developed by the leaders responsible for profit and loss of the lines of business, this position ensures the product lifecycles, annual roadmaps, filings, and communications meet business needs. The Senior Director ensures the organization complies with product, filing, and communication-related processes and timelines, as well as manages major milestones, risk and mitigation planning, tracking and reporting, and communication across the organization. The Senior Director leads product strategy, development, the annual bid process, and corresponding initiatives. The product portfolio includes Medicare Advantage, Dual Special Needs Plan (DSNP), fully insured group business, and Individual offerings, on and off exchange, as well as corresponding regulated filings and materials. The communications portfolio supports regulated communications, predominantly for Medicare Advantage, DSNP, and Medicaid plans. The Senior Director manages a leadership team to deliver on this critical work. Essential Responsibilities: Lead the product portfolio development and execution strategy across segments and multiple plan years. Direct the Medicare and Commercial product strategy and portfolio management to ensure profitable growth consistent with business plans. Oversee each step of the work from development to assessment and implementation. Lead, coordinate, and communicate product and lifecycle activities with others in the organization. Oversee successful and timely annual bids, filings, related regulatory submissions, and go-to-market activities. Oversee development and deployment of regulatory communication materials and processes, including Annual Notice of Change, directories, Evidence of Coverage, handbooks, formulary materials, forms, letters, and other regulated materials. Oversee the preparation of all filings and compliant regulatory documents across the product portfolio, including health contracts, self-funded materials, and related documents. Oversee implementation of state and federal benefit mandates, including benefit changes and member communication requirements. Provide strategic advice for PacificSource teams to ensure plan information is accurate and available timely within required timeframes. Ensure proactive communication of new and revised plan designs and benefits to internal stakeholders. Develop and improve processes, driving administrative efficiencies and cost savings, including leading in a matrixed environment and emphasizing execution, market positioning, and operational tactics. Drive operational excellence, sustainability, and profitable growth. Generate local competitive market insights to drive innovation and decision making. Conduct market research, competitive analysis, and financial assessments to evaluate improvement opportunities and business strategies in concert with PacificSource's enterprise strategy. Implement strategies across segments and markets. Develop structures and processes to ensure compliance, including leading cross-functional teams. Collaborate with Marketing, Sales, Operations, Health Services, and Compliance. Develop strategic business partnerships with internal departments and leaders to ensure strong operating performance, high member satisfaction and quality performance, access, compliance and audit readiness, and sound financial performance. Work closely with Compliance and others to ensure policies, procedures, workflows, lifecycle strategies, product offerings, and success initiatives comply with state and federal regulations. Participate in compliance audits, activities, and planning. Negotiate business relationships with vendors and oversee the execution, implementation, and oversight of the contracts. Develop and monitor departmental budgets and take corrective action as necessary. Provide leadership and mentoring to the enterprise product team, the business administration team, and the regulatory communications team. Foster leadership development and advancement. Develop succession plans. Manage, coach, motivate, and guide employees. Support the organization's commitment to diversity, equity, inclusion, and belonging by fostering a culture of dignity, cultural awareness, compassion, and respect. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy HIPAA laws, and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Minimum of eight years of experience in product, portfolio, lifecycle management, and regulated communications, or substantially equivalent work in highly regulated functions. Exemplary work history with a proven record of success in positions of progressively greater responsibility managing people and achieving business goals and objectives. A solid grasp of the managed care field and insurance regulations is crucial for this role. Experience with strategic planning, communications, sales, product development, regulatory filings, and managing teams required. Leadership experience in a managed care organization requiring advanced knowledge of products, regulatory filings, and regulated communications. Experience with end-to-end product development and lifecycle management of Medicare Advantage, Individual, and group segments, on and off exchange. Experience providing oversight to ensure the successful regulatory filing of all required product materials. Demonstrated success working in a matrixed environment with the ability to set a path and inspire others to follow. Proven record of accomplishment as a driver of process improvement and identifier of efficiency opportunities and ability to lead change. Experience with federal and state regulatory compliance for health insurance plans. Proven ability to quickly assimilate information and make informed decisions; logical, analytical thinker with great influencing abilities; and ability to handle multiple priorities and deal with ambiguity. Education, Certificates, Licenses: Bachelor's degree required with a focus in health care administration, business, public policy, public health, or a related field. Master's degree or other advanced degree preferred. Knowledge: Advanced knowledge of Medicare Advantage, DSNP, fully insured group business, and Individual, on and off exchange, along with a deep understanding of the key attributes, competencies, and strategies for success. Advanced knowledge of state and federal regulations. Knowledge of self-funding arrangements is preferred but not required. Strong understanding of managed care and publicly financed or subsidized health care, including the intersection between retail Medicare Advantage, DSNP, and Medicaid. Demonstrated experience and success in working collaboratively in defining and achieving common goals. Ability to communicate, persuade, influence, and negotiate effectively. Comprehensive knowledge of business principles and administration, organization, and management activities, including knowledge of infrastructure and operational requirements needed to comply with regulatory mandates. Excellent verbal and written communication skills. Solid organizational and problem-solving skills with a keen eye for detail. Proficiency in analyzing market trends, conducting competitive research, and developing strategic product and portfolio roadmaps is essential for success. The ability to multitask, prioritize competing demands, and adapt to a changing regulatory environment is key. Competencies Authenticity Establishing strategic direction Customer focus Leading change Empowerment/delegation Building organizational talent Coaching and developing others Passion for results Cultivating networks Emotional intelligence Optimizing diversity Environment: Work remotely and inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time. Skills: Accountable leadership, Business & financial acumen, Empowerment, Influential Communications, Situational Leadership, Strategic Planning Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $128k-161k yearly est. Auto-Apply 52d ago
  • Appeals Clinical Team Lead

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $72k-99k yearly est. Auto-Apply 45d ago
  • Senior Risk Adjustment Analyst

    Pacificsource Health Plans 3.9company rating

    Boise, ID job

    Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. The Senior Risk Adjustment (RA) Analyst assists in the accurate and comprehensive data submission to regulatory entities such as the Centers for Medicare & Medicaid Services (CMS) for all risk adjustable populations. This position leverages available tools and knowledge of the applicable risk models to optimize data submission as it pertains to Hierarchical Condition Categories (HCCs), HEDIS and Quality performance as well as other data within a given system. The Senior RA Analyst will collaborate and coordinate with internal and external partners to minimize submission and response errors, provide thorough oversight of vendor partners, accumulate, and report out on pertinent data sets, develop and improve processes related to risk adjustment and quality improvement, maintain required documentation, and ensure compliance to all applicable laws, guidance, and regulations. Assume lead role on specified projects. Projects are completed with cross-functional teams of peers and business partners. This includes interaction with provider partners with the intent of informing them on performance and educating on best practices in risk adjustment. The Senior RA Analyst will provide mentorship to less experienced team members. In addition, this position influences decision making by leadership and provides recommendations regarding potential improvements to risk adjustment processes and outcomes. Essential Responsibilities: Recommend and guide process improvements that will optimize risk adjustment factor increases while minimizing inaccurate capture of disease burden. Identify, analyze, interpret and communicate risk adjustment trends to be consumed by provider partners and related entities. Responsible for maintenance of existing reports, development of new reports to help ensure company goals are met, as well as other ad hoc requests as needed. Develop and maintain reporting capabilities to measure and forecast risk scores & quality metrics, monitor suspecting model performance, and identify areas of improvement Maximize risk adjustment revenue and quality bonus payments by driving data integration and analytics to properly capture and improve the health status of PacificSource members. Validate data integrity and collaborate with technical teams to improve data pipelines and business logic for identified areas of opportunity Identify and lead internal subject matter experts in regular meetings to identify and rectify various data submission and adjudication errors related to risk adjustment and quality data submission. Develop and maintain data sets leveraging internal data, response data from regulatory entities (including but not limited to: EDGE files, MMR, MOR, RAPS Response, MAO-004, PSV, PLD, etc.), and ancillary data sources to be consumed across the enterprise. Demonstrate mastery in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, and others as needed. Maintain strict oversight of vendor partners through analytic reconciliations to ensure regulatory compliance, optimal data submission and error resolution, and general accuracy. Assist with all pertinent audits, including RADV, through preparation activities and documentation. Perform root cause analysis to maintain high integrity data and processes to minimize discrepancies and gaps. Maintain a high level of familiarity of current CMS regulations and announcements affecting risk adjustment and CMS Star Ratings. This includes review of regulatory announcements, attending educational sessions and opportunities provided by regulatory entities or within the industry. Develop, maintain, and report out on actionable metrics related to risk adjustment and HEDIS to incorporate quality/health outcome metrics where applicable. Prepare new and review existing specifications, project plans, and other internal procedural documents. Ensure users and partners understand nature of work being performed, as well as timeframes and milestones. Provide regular status updates to supervisors and stakeholders. Provide support as needed for projecting annual receivable amounts, preparing projections related to pricing efforts, and predicting cost utilization as it relates to risk adjustment. Work with changing data, file specifications, and internally coordinate releases and modifications through approved procedures. Collaborate with internal and external partners to resolve data issues related to member, claim, provider and pharmacy data and processes. Work with internal teams, provider partners, and vendor partners as needed to support risk adjustment activities. Provide mentorship, leadership, and training to less experienced risk adjustment analysts. Supporting Responsibilities: Meet department and company performance and attendance expectations. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Participate in and support project teams led by other departments and provide necessary input to support the goals of colleagues. Perform other duties as assigned. SUCCESS PROFILE Work Experience: Five years' experience in data analytics or software development required, to include at least three years' experience in Health Plan required. In depth risk adjustment and/or HEDIS experience required, including risk models, CMS guidelines, regulatory data submissions, retrospective and prospective programs, interpreting health care regulatory/accreditation requirements and data validation audits. Expertise in Microsoft Excel and SAS/SQL is required. Experience in leading projects and project teams required. Familiarity with Medicaid risk adjustment and CMS 5-Star required. Familiarity with Risk Adjustment Documentation, Coding practices and NCQA quality metric experience preferred. Equivalent work and education experience will be considered. Education, Certificates, Licenses: Bachelor's degree in Mathematics, Statistics, Health Informatics or similar research related field required. Advanced degrees preferred. Knowledge: Expert-level analytical and problem-solving abilities are required. Mastery of theories and applications of computer programming required. Ability to keep current with changing technologies, work independently under limited supervision, exercise initiative within established procedural guidelines, and prioritize work to meet established deadlines a must. Excellent communication skills, both verbal and written, particularly the ability to convey technical information in an accessible and understandable manner. The ability to establish and maintain effective work relationships, exercise good judgement, and demonstrate decisiveness and creativity. Read, understand, and interpret documents of complex subject matter. Competencies: Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time with some overnight travel. Skills: Accountability, Collaboration, Communication (written/verbal), Flexibility, Listening (active), Organizational skills/Planning and Organization, Problem Solving, Teamwork Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $74,601.93 - $126,822.77Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.
    $72k-93k yearly est. Auto-Apply 16d ago
  • zOS Print Systems Programmer

    Unum Group 4.4company rating

    Boise, ID job

    Our Fortune 500 company is driving a digital transformation and looking for forward-thinking innovators to disrupt how our industry thinks about and uses technology. As one of the world's leading employee benefits providers, we help millions of people gain affordable access to benefits that help them protect their families, their finances and their futures. Are you an asker of questions, a solver of problems, and a challenger of the status quo? Our mission is to provide a differentiated customer experience and exceed the expectations people have of technology at any company - not just insurers. We are seeking individuals to join our team of talented IT professionals who share never-ending passion and an unwavering focus on our customer experience. Team members comfortable working in an agile, fast-paced, and delivery-focused environment thrive in our environment where we value an entrepreneurial spirit and those who challenge the status-quo. Unum is changing, and we're excited about what's next. Join us. **General Summary:** UNUM is seeking an innovative z/OS Systems Programmer to support and modernize its mainframe environment, focusing on resiliency, future business needs, and emerging technologies. This role involves installing, configuring, customizing, and maintaining z/OS and related IBM and non-IBM software, while collaborating across teams. The position emphasizes working on proofs of concept (e.g., zCX, WAZI, data virtualization solutions), evaluating new and existing technologies, and preparing the mainframe for future initiatives. Responsibilities also include system monitoring, tuning, troubleshooting, and providing technical guidance to team members. **The z/OS Systems Programmer will:** + Bachelors degree in computer science, information systems, engineering, or the equivalent unique education, specialized experience, skills, knowledge or training + Install and customize IBM and third-party software using SMP/E or vendor specific installation + Provide leadership within the team + Provide mentoring to others inside and outside the team + Research and evaluate software products. + Ensure 24x7x365 Business reliability, availability, and scalability + Support of Capacity Planning, Disaster Recover, etc. **Required Skills** + 5+ years of z/OS operating experience. + Focus on Print products (CA-SPOOL, CA-Deliver, SystemWare, CA-VIEW, LRS, etc) + Comprehensive knowledge of z/Enterprise server technology, software technology, systems analysis, research techniques, systems development standards and quality and cost controls. + Advanced knowledge of components of z/OS operating system, SYSPLEX, CICS/TS, DB2, TSO, JES2, WLM and interaction. + Skilled at JCL and REXX + Knowledge of multiple software components SMPE, HCD/IOD, JES2, VTAM, TCP/IP, TSO/ISPF, SYNCSORT, SDSF, SMF, WLM, RACF, WebSphere MQ, z/OSMF, and various OEM system software such as MOBIUS, Tivoli SA, VPS, CA-VIEW, SAS + Strong communication, analytical, and organizational skills and multitasking. + Able to install and integrate third-party software. + Able to document troubleshoot problems and communicate with business and technical personnel at all levels. + Understanding/use of cloud technologies + RACF security components, concepts and understanding. \#LI-AS3 \#LI-Remote ~IN1 Our company is built on helping individuals and families, and this starts with our employees. We want employees to maintain a positive balance, which is why we provide access to the benefits and resources they need to invest in themselves. From our onsite fitness facilities and generous paid time off to employee professional development programs, we are committed to helping employees live and work their best - both inside and outside the office. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $89,400.00-$183,500.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Unum
    $89.4k-183.5k yearly 36d ago
  • AS - General Manager

    GAT 3.8company rating

    Boise, ID job

    GAT Airline Ground Support, a fast-growing airline service company, is actively seeking experienced Senior Manager. If you are looking for an opportunity to join a growing, fast paced, reputable airline service company then look no further. You will have the opportunity to help expand GAT's business portfolio through effective leadership that results in excellent quality service to our customers. The ideal candidate possesses skills necessary for taking advantage of growth opportunities. Successful General Managers earn rewards for their achievements. Company Description: GAT offers a broad portfolio of services at locations throughout the United States. Our mission is to provide high quality, regulatory compliant services to our aviation customers that maximize value and execution while ensuring a safe and productive environment for employees and our customers. This mission is only delivered through the commitment of our employees and industry leading programs to include “pay for production”. GAT has developed a reputation in the industry of providing the highest quality service to their customers. This begins with a culture of safety as a condition of employment meaning that safety will remain at the forefront of all services we perform. This number one value enables each and every employee to be actively involved in safety processes. GAT also maintains a dedicated training and compliance department to ensure full compliance with its customer's policies and procedures as well as any participating governmental agencies. Job Summary: General Manager positions have the responsibility for maintaining financial budgetary goals, safety policies, procedures and working conditions which affect the employee on the job. In addition to being responsible for immediate work environment he/she will develop their direct reports. Must effectively communicate all safety policies and procedures, GAT's core values, and GAT's Mission to all levels of the organization. Direct and coordinate activities to provide a safe environment for employees while maintaining fast and efficient services. This position requires working in a fast-paced environment with time constraints to meet arrival and departure goals overseeing a 24-hour operation. A professional and positive image must be consistently displayed by the employee. Must possess a sense of urgency and a passion for improving the delivery of services with a commitment to continuous improvement. Must have excellent working knowledge of business management principles and practices, financial concepts, and key drivers of profitability and operational performance. Job Duties: General Managers must be able to conduct monthly safety meetings for all employees (without exception). Responsible for managing all operation activities and multiple carrier contracts Must be able to conduct flight audits, station audits and "at risk" behavior audits. Participate in monthly company safety conference calls. Able to communicate and instill safety awareness in all employees including new hires. Work in conjunction with Customer to determine manpower requirements for group movements, peak travel holidays, out of scope and flight schedule changes. Oversee recruiting and placement efforts to ensure staffing levels meet requirements and exercise best possible effort to follow any instructions provided by Customer or their designee regarding standards, procedures and practices. Ensure compliance with all regulatory agencies including FAA, OSHA, EPA, US Dept. of Labor and EEOC. Investigate, report and implement corrective action for any incident of aircraft damage or employee injury and conduct/participate in employee coaching and counseling as necessary. Oversee any disciplinary action resulting or potentially leading to termination in order to ensure proper documentation and consistent application of policies. Coordinate purchases for operational necessities and ensure adequate supplies are available to meet customer standards. Review final payroll and daily hours to ensure salaries and wages remain within budgetary restraints. Monitor impact of operational irregularities on such costs and ensure out of scope is documented and approved accordingly. Conduct weekly Lead/Supervisor meetings, daily briefings with GSE mechanic for equipment updates and timely repair, participate in employee shift briefings and customer shift briefings or team meetings as required. Observe and ensure full compliance of uniform and appearance guidelines and inspect facility daily including supply rooms, storage rooms, storage, break rooms and office areas. Review all daily, weekly and monthly operational reports to ensure proper dissemination, including but not limited to, shift reports, disciplinary actions, incident reports, safety meeting minutes, monthly summary report, pay change notices, employee evaluations, work orders, or any other local reporting medium. Investigate all service failures including chargeable delays, baggage/cargo/mail mishandling. Administer station operational plans such as deicing, FOD, safety, winter operation and baggage plans. Complete personnel evaluations on supervisors, administrative assistants and GSE mechanics. Liaise with all customer service, airport, USPS and our customer. Respond to and/or investigate concerns reported by customer's supervisory personnel. Perform routine visits to the various authorities to discuss issues and concerns. Attend all local airport tenant, security and safety meetings. Other duties as assigned Qualifications: Bachelor's degree or appropriate combination of education and experience 5+ years of Airline industry 5+ years of Experience managing and leading people with financial responsibility Executive presence and understanding of a large corporate environment Large scale project management experience Experience managing multi-customer market Strong strategic skills and business acumen combined with the ability to motivate teams to deliver high quality standards Ability to establish and maintain positive, professional, internal and external work relationships with all stakeholders Strong analytical skills Must be a self-directed, highly motivated and proactive leader Strong communication skills; written and verbal Willing to rotate own schedule to be visible to all clients, team members as needed
    $40k-73k yearly est. 44d ago
  • Medical Billing Specialist |Full-Time|

    Heritage Health 3.9company rating

    Coeur dAlene, ID job

    Heritage Health is seeking a full-time (1.0 FTE) Billing Specialist to join our team in Coeur d'Alene, Idaho. Heritage Health is seeking a detail-oriented and proactive Billing Specialist to join our team. This role is essential to ensuring the accuracy and efficiency of our billing operations, supporting patient care through timely and precise financial processes. Why You Should Join our Dynamic Healthcare Team: Passionate Purpose: We're committed to enhancing lives, every day. Unmatched Support: We are committed to a fun and supportive team environment. Balanced Lifestyle: No weekends or holidays, ensuring a healthy work-life balance. Collaborative Care: Work with a dedicated team to provide the best patient outcomes in the right settings. Exceptional Rewards: Competitive pay, and benefits Benefits: Health Insurance: 100% employer-paid employee coverage for medical, dental, and vision plans for full-time employees. Life Insurance: Employer-paid for 1x annual salary (optional coverage available for additional cost). Disability Insurance: Short-term disability insurance based on age & salary. 100% employer-paid long-term disability insurance. Retirement: 403 (b) plan: Heritage Health matches up to 4% of employee contributions. Paid Time Off Benefits: 120 hours Paid Time Off (PTO) in your first year, 56 hours Extended Illness Bank (EIB) in your first year, 8 paid holidays for full-time employees, amounts are pro-rated for part-time employees who are .5 FTE or higher. Employee Assistance Program (EAP): Enjoy free telehealth visits for healthcare, counseling, and health and wellness coaching for all employees and their immediate household members. Schedule: Monday through Friday As a Billing Specialist, you will be responsible for managing patient accounts, processing claims, resolving denials, and supporting eligibility services. You'll work closely with internal teams and external payers to maintain smooth revenue cycle operations and contribute to our mission of delivering high-quality, accessible healthcare. Requirements High school graduate or equivalent Two (2) years' experience of medical billing or any equivalent combination of experience, training and/or education. Your Essential Duties: Knowledge of working AR (Account Receivable). Handle coding-related inquiries and denials, research, appeal, and provide solution recommendations. Manage held or rejected claims in a timely manner. Timely follow-up on insurance claim denials, exceptions or exclusions. Timely charge acceptance/processing and appending necessary modifiers. Verify the completeness and accuracy of all claims prior to submission. Knowledge of insurance company and patient payments posting for accuracy. Review credit balances and take action in a timely fashion. Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days. Respond to inquiries from insurance companies, patients and providers With working knowledge of Payer Websites. Timely communication to the Billing Supervisor regarding trends with payors/front desk and other issues that are potentially disruptive to cash flow. Heritage Health staff have an active role in our Patient Centered Medical Home model of care. This role is designated as part of the Heritage Health PCMH Care Team. Regular and predictable attendance is an essential function of this position. Performs miscellaneous job-related duties as assigned. Your Success Factors: Working knowledge of CPT and ICD10 codes and medical terminology. Up to date with health information technologies and applications. Skill in establishing and maintaining effective working relationships with other employees, patients, organizations and the public. Ability to read and interpret insurance explanation of benefits. Ability to communicate effectively in writing, over the phone, and in person. Proficient in Microsoft Office including Outlook, Word and Excel. Be service-oriented with the ability to pay attention to details in a fast-paced environment. Job Overview: Working Conditions: Work is normally performed in a typical interior, office work environment in an administrative building. Work may be demanding and chaotic at times. May be exposed to patient population that will present a variety of contagious diseases, physical injuries and emotional states of mind. Physical/Mental Requirements: Prolonged periods of sitting, and working on a computer. May lift up to 15 pounds at times. Must be able to access and navigate various departments of a given location. Must be able to complete tasks in a noisy or stressful environment. Must be able to adhere to process protocol. Safety: Heritage Health enforces a safety culture whereby all employees have the responsibility for continuously developing and maintaining a safe working environment. Each employee is responsible for completing all training requirements, participating in emergency response tasks as requested, and serving on safety committees and teams as requested. In addition, employees must accept the responsibility for maintaining the safety of themselves and others by adhering to all written and verbal instructions, promptly reporting and/or correcting all hazards or unsafe conditions and providing feedback to supervisors and management on all safety issues Salary Description $20.82 -29.64
    $32k-39k yearly est. 7d ago
  • Personal Lines Service Insurance Agent - Base Salary, Benefits + Uncapped Commissions

    Western Insurance Associates 4.0company rating

    Hayden, ID job

    Job Description Welcome to Western Insurance Associates We are passionate about helping people realize their hopes and dreams. We work relentlessly to help our customers protect the things they have, and plan for the future with insurance and financial services. As an Independent Insurance Agency representing over 75 of the top Insurance Companies in America, we provide our clients with professional advice and the power of choice to determine the best solution for their needs. The next professional who joins our Team will be a self-driven, customer service person with a desire to make a difference in people's lives. As an independent insurance professional you will collaborate with a dynamic team of sales agents with proven success who share your desire to win. This position pays a competitive base with a generous commission structure and advancement opportunity. Fill out the Apply Here field now so we can contact you for a phone interview. Here is a quick video of what our team says its like to work here: ***************************************** As a member of our team you will enjoy the following benefits: Reimbursement for Property and Casualty License 401K with Company Match Company Health, Dental, Vision and Life Insurance Plan Paid Holidays Off Vacation, Sick days and Personal Time Off Base Salary + Uncapped Commissions First Year Earning Potential of $50,000-$85,000+ *All applicants will receive an online personality assessment immediately after applying* *Only applicants that have completed the assessment will be considered for this position* Benefits Annual Base Salary + Commission + Bonus Opportunities Paid Time Off (PTO) Vision Insurance Health Insurance Dental Insurance Mon-Fri Schedule Career Growth Opportunities Retirement Plan Evenings Off Life Insurance Responsibilities You will be responsible for managing and servicing Western Insurance Associates personal insurance clients. This is done by: Client Relationship Management Building and maintaining strong relationships with existing clients by providing exceptional customer service, processing policy transactions, and ensuring clients receive optimal insurance coverage tailored to their needs. Communication with clients is a big part of this role. Answering the phone and promptly responding to emails is essential to providing excellent customer service. Policy Management Review insurance policies to ensure adequate coverage and recommend changes as needed. Process any policy change requests, including endorsements, policy cancellations, and reinstatements. Claims Assistance Guide clients through the claims process, helping them file claims and providing follow-up support. Liaise between clients and insurance carriers to ensure timely resolution of claims. Administrative Tasks Maintain accurate and up-to-date client records in the agency management system. Generate and distribute certificates of insurance, ID cards, and other policy documents. Track and ensure timely renewal of policies. Risk Management Ensure adherence to insurance regulations and agency policies. Educate clients on coverage options and help them manage risk effectively. Team Collaboration Work closely with agents, underwriters, and team members to provide seamless service to clients. Education & Development Stay current with industry trends, policy changes, and product offerings from insurance carriers. Obtain and maintain necessary licenses and certifications as required. Requirements You already have... A genuine willingness to learn, be intuitive and resourceful and be coachable An upbeat, positive, enthusiastic attitude and a core need to be part of a team A sense of urgency to succeed and you are a great self-starter The desire to overcome challenges and achieve goals A strong ability to use computers and technology
    $25k-30k yearly est. 8d ago

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