A leading insurance brokerage is seeking a Mergers and Acquisitions Analyst to support the M&A team in evaluating and acquiring insurance brokerages. The analyst will conduct financial analyses, assist in transaction execution, and coordinate projects with cross-functional teams. Candidates should have a background in finance or accounting, with relevant M&A experience preferred. This role offers competitive pay and career advancement opportunities in a dynamic environment.
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Sia is a next-generation, global management consulting group. Founded in 1999, we were born digital. Today our strategy and management capabilities are augmented by data science, enhanced by creativity and driven by responsibility. We're optimists for change and we help clients initiate, navigate and benefit from transformation. We believe optimism is a force multiplier, helping clients to mitigate downside and maximize opportunity. With expertise across a broad range of sectors and services, our 3,000 consultants serve clients worldwide from 48 locations in 19 countries. Our expertise delivers results. Our optimism transforms outcomes.
Sia's Strategy & Management Consulting global footprint and expertise in more than 40 sectors and services allow us to enhance our clients' businesses worldwide. We guide their projects and initiatives in strategy, business transformation, IT & digital strategy.
A digital leader or growing disruptor, everyone must transform themselves to maintain their advantage. OurTechnology Business Unit supports clients through digital, operations and organizational transformation adapted to their culture and working methods. We help clients strategize and scale leveraging deep expertise and solutions in compliance and risk management, strategic technology partnerships, data science, operations and business analysis and mergers and acquisitions.
Our rapidly growing Management consulting firm is seeking a highly skilled Senior Consultant with deep expertise in Financial Crimes, Anti-Money Laundering (AML), Know Your Customer (KYC), and Compliance Analytics. The ideal candidate will play a key role within our emerging Regulatory Technology (RegTech) practice, which partners closely with our Risk & Compliance Advisory team to design, test, and optimize cutting-edge regulatory and compliance solutions for clients across Technology and Fintech industries.
This role will focus on supporting clients in mitigating financial crime risk by leveraging data-driven insights, regulatory frameworks, and advanced analytical tools. Senior Consultants will work with large, complex datasets to identify trends and anomalies, enhance monitoring systems, and ensure that compliance programs are both effective and efficient.
You will have the opportunity to collaborate with top-tier Technology clients -helping them detect, prevent, and respond to financial crime risks using data, technology, and regulatory expertise.
Key Responsibilities
Partner with clients to assess and enhance their financial crime compliance frameworks, including AML, KYC, sanctions screening, transaction monitoring, and fraud prevention.
Develop and execute advanced SQL queries to extract, transform, and analyze large datasets related to customer due diligence, suspicious activity monitoring, and regulatory reporting.
Support model calibration, validation, and tuning for financial crime detection and compliance monitoring systems
Leverage data analytics tools (e.g., Python, Tableau, Power BI, Alteryx) to identify risk patterns, gaps, and control deficiencies across compliance programs
Design and implement data governance and quality control processes to ensure the integrity and consistency of compliance data
Collaborate with technology, legal, and compliance stakeholders to develop and enhance end-to-end financial crime management systems
Create and maintain methodologies, documentation, and dashboards for ongoing monitoring, reporting, and model performance assessment
Stay abreast of emerging regulations, typologies, and industry trends in financial crimes, AML, and RegTech innovation
Provide actionable recommendations to improve operational efficiency, risk mitigation, and regulatory compliance outcomes
Qualifications
Required
Bachelor's degree required; MBA or Master's preferred in Business, Finance, Data Analytics, or related field
Proficiency in data analytics tools and programming languages (SQL, Python, R, SAS)
Experience with data visualization platforms (Tableau, Power BI, Qlik)
Fintech, Technology, or Financial Services Consulting (required)
5+ years of experience in one or more of the following areas:
AML / Financial Crimes Compliance
KYC / Customer Due Diligence
Transaction Monitoring / Sanctions Screening
Regulatory Technology or Data Analytics in a compliance context
Deep understanding of financial crimes regulations (Bank Secrecy Act, USA PATRIOT Act, OFAC sanctions, FinCEN requirements and/or equivalent international standards)
Knowledge of typologies and red flags associated with money laundering, terrorist financing, and fraud
Proven ability to analyze complex datasets and translate findings into strategic recommendations
Strong communication skills, with the ability to work collaboratively across technical and non-technical teams
Preferred
Familiarity with transaction monitoring systems (Actimize, SAS AML, Fiserv, etc.)
Strong understanding of relational databases and data warehousing concepts
Experience with machine learning and predictive modeling techniques is a plus
Understanding of regulatory expectations for model risk management and model validation
Experience working with regulatory agencies
Knowledge of emerging technologies in financial crimes (AI/ML, blockchain analytics, network analysis)
Experience with cloud platforms (AWS, Azure, GCP)
Familiarity with Agile methodologies and DevOps practices
Additional information
We believe in supporting our team professionally and personally. Here's a snapshot of the comprehensive benefits you'll enjoy as part of Sia.
Annual base salary starting at $128,000, commensurate with experience and qualifications
Annual performance based discretionary bonus
Robust Health Coverage
3 Medical plans
Dental and Vision
Life, AD&DD and other voluntary insurance
Tax-Advantaged Accounts
401K retirement plan, 4% matching and 100% vested upon enrollment
Health Savings Account (HSA)
Flexible Spending Account (FSA)
Health, Dependent Care, Commuter
Family Friendly Benefits
100% paid parental leave for all new parents with eligible tenure
Building Healthy Families program if enrolled through Medical plan
Time Off to Recharge
Generous Paid Time Off (PTO) policy
Extras that Make Life Easier
College savings and student loan repayment assistance
Monthly cell phone stipend
Access to wellness programs at no cost if enrolled through Medical plan, including:
Gym membership reimbursement
LiveHealth Online virtual care
Personalized support from a Well-being Coach
Employee Assistance Program at no cost
Free confidential counseling and emotional support services
On-demand access to Emotional Well-being resources (ranging from relaxation techniques to stress management)
Diversity, Equity, Inclusion & Belonging
At Sia, we believe in fostering a diverse, equitable and inclusive culture where our employees and partners are valued and thrive in a sense of belonging. We are committed to recruiting and developing a diverse network of employees and investing in their growth by providing unique opportunities for professional and cultural immersion. Our commitment toward inclusion motivates dynamic collaboration with our clients, building trust by creating an inclusive environment of curiosity and learning which affects lasting impact. Please visit our website for more information.
Sia is an equal opportunity employer. All aspects of employment, including hiring, promotion, remuneration, or discipline, are based solely on performance, competence, conduct, or business needs.
Office Workplace Guidelines
Sia is committed to providing a flexible workplace environment that supports client, business, and market needs. Consultants located in our primary market office locations-New York City, Charlotte, Seattle, and San Francisco-are expected to live within a reasonable commuting distance and attend the office at least three days per week.
Work Authorization & Sponsorship
At this time, Sia does not intend to employ any applicant who will require, either now or in the future, employment visa sponsorship or sponsorship for work authorization (i.e., H1-B visa, F-1/OPT) or STEM OPT, TN, etc.
Sia is an equal opportunity employer. All aspects of employment, including hiring, promotion, remuneration, or discipline, are based solely on performance, competence, conduct, or business needs.
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$128k yearly 1d ago
Claims Consultant Corporate - Chicago, IL
PMA Companies 4.5
Chicago, IL jobs
Back Claims Consultant Corporate #4726 Multiple Locations Apply X Facebook LinkedIn Email Copy Job Description:
This is a senior level role focusing on claims brought against lawyers and law firms involving Lawyers Professional Liability (LPL) policies, from first notice to conclusion, with a range of severity and complexity from low to high.
Job Responsibilities
Review and document activity for assigned claims, including coverage evaluation, investigation, and consideration of multiple factors to assess potential liability and exposure
Develop working knowledge of policy forms, industry trends, and issues common to lawyers professional liability insurance and claims
Regularly identify and appropriately address relevant coverage issues
Draft insurance coverage correspondence and reports
Maintain professional relationships with internal and external audiences
Identify and refer files necessitating escalated review as appropriate to claims management
Develop action plans on assigned files to secure appropriate and timely resolution
Negotiate and settle claims with appropriate oversight by the claims management
Review, evaluate, request, and assign timely and appropriate reserves from file inception to resolution with appropriate oversight by claims management
Assign, coordinate, and manage outside counsel and vendors with appropriate claims management oversight
Review and audit attorney and vendor invoices consistent with Company guidelines
Independently conduct prompt and thorough investigation of low to high severity claims and evaluate coverage, liability, and damages throughout the life of a claim
Independent drafting of coverage related correspondence, internal reports, and reports to reinsurers
Participate in mediations and settlement negotiations to resolve claims, including higherseverity claims, with minimal oversight
Thoughtful, concise, and effective written and verbal communication with claims management and underwriting partners regarding significant claims, reserve recommendations, claim related trends, and industry developments with minimal oversight
Demonstrate leadership visibility and engagement with employees, claims management, underwriting partners through regular and meaningful interactions or meetings
May work with claims management and other internal and external partners to develop and implement procedures to improve claim workflow efficiency while preserving process controls
Demonstrate commitment to Company's Code of Business Conduct and Ethics, and apply knowledge of compliance policies and procedures, standards and laws applicable to job responsibilities in the performance of work.
Requirements:
Juris Doctor degree from an accredited law school
Minimum 10 years of relevant insurance, claims-related, or law firm experience preferred
Obtain adjuster license(s) or agree to obtain adjuster license(s) and additional training as necessary or required to complete claims handling responsibilities with moderate training, mentorship, and oversight by claims management
Exemplary analytical, interpretive, problem-solving, and critical thinking skills with ability tomake sound decisions and effectively evaluate and resolve complex or challenging business problems
Strong situational awareness, understanding the context and implications of a decision
Exemplary writing and presentation skills with ability to convey complex technical information
$114k-140k yearly est. 2d ago
Market Performance Lead Consultant
Blue Cross Blue Shield 4.8
Chicago, IL jobs
The role is a strategic leader accountable for driving insights that inform competitive positioning across government programs (ex. Medicare, Medicaid) market segments. Shapes business strategies by overseeing the design and analysis of custom research. Synthesizes findings and presents to executive audiences to inform decision making. Collaborates with BCBSA and Plan executives to share insights and support best practice sharing.* Designs and conducts in-depth market research to meet business needs, leveraging deep expertise, e.g. competitive intelligence, primary market research* Communicates insights to business stakeholders internally and to BCBS Plan forums. Fosters an environment of market insight and best practice sharing across the Blues System* Collaborates with business stakeholders across BCBSA and Plans to identify business questions and information requirements. Stays current of industry and line of business trends.* Extracts meaningful patterns and trends from the market research and synthesizes into actionable insights that inform strategic decisions. Integrates data from research with other analyses for a holistic view.* Leads vendor contracting and management for related market research activities**The posting range for this position is:** $112,443.00-$161,738.53 **Qualifications:** **Education*** Required Bachelor's Degree in analytic and research background or equivalent work experience* Preferred Master's Degree in market research methodologies and statistical analyses**Experience*** Required - 7+ Years experience in the field of market research and/or competitive intelligence within health insurance* Preferred - Experience working in and knowledge of Medicare Advantage, Medicare Supplement, and/ or Managed Medicaid health insurance markets.**Knowledge Skills and Abilities*** Strong business acumen* Skilled in data synthesis and analysis* Skilled in strategic decision support* Strong stakeholder communication skills#LI-HybridThe posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs. This job is also eligible for *annual bonus incentive* pay.We offer a comprehensive package of benefits *including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits* to eligible employees.Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.Begin your career at Blue Cross Blue Shield Association (BCBSA) by exploring currently opportunities and starting your application. It's easy! After reviewing our open positions, apply to the roles that meet your requirements and ours too. You can keep track your progress in the selection process and review new postings too. Thanks for interest in joining Team BCBSA!At Blue Cross Blue Shield Association , we are a national association of 33 independent, community-based and locally operated Blue Cross Blue Shield companies and we are driven by purpose. Join the team who supports the nation's largest healthcare network, providing coverage to nearly one in three Americans as we relentlessly pursue affordable healthcare and ensure peace of mind for the people we serve. Be part of our storied history of innovation as we advance well-being and health equity. Experience a culture that is built on our core values, connection, work-life flexibility, well-being, and a commitment to our community. If you thrive at a company that values inclusivity, accountability, courage, teamwork, and respect, we're glad you found us!
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$84k-104k yearly est. 4d ago
Corporate Strategy Consultant
Blue Cross Blue Shield Association 4.8
Chicago, IL jobs
The role leads mid-size projects and key workstreams within larger initiatives, collaborating with internal and external partners and stakeholders. They design, direct and execute primary research (qualitative and quantitative), conduct secondary research, and analyze and synthesize data to generate market insights and answer key business questions for the BCBS System to inform future strategic direction. The role develops and delivers insights by way of reports and presentations to senior leadership.
Responsibilities include but are not limited to:
Lead development and execution of qualitative and quantitative analytic frameworks to aid with developing market and competitive insights on business strategy, success capabilities, as well as forecasting market sizes, financial. projections, ROIs, and/or other market trends that are relevant for projects
Scope, develop, and lead projects; work collaboratively with leadership and with project staff through design, market research/analysis, insight distillation, and deliverable development across all deliverables.
Lead executive interviews (primary research) through detailed note taking and distillation of notes into relevant findings for projects.
Present project insights to leadership with confidence, conviction, and poise. Demonstrate strong communication skills.
The posting range for this position is:
$96,921.00-$110,000
Required Education, Certifications and Experience:
Education:
Required Bachelor's Degree in relevant discipline; or equivalent experience
Preferred Master's Degree
Experience:
Required 4+ Years related business experience; market intelligence and/or strategy consulting experience
Knowledge Skills and Abilities:
Familiarity with health insurance industry, knowledge of industry market segments (e.g., Large Group, Small Group & Individual, Medicare, Medicaid, Federal Employee Health Benefit Program); knowledge of Blue Cross and Blue Shield health plans a plus.
Familiarity with value-based care concepts and programs, including evolution in the marketplace.
Effective project management skills; demonstrated experience in preparing work plans and leading small to mid-sized projects, as well as portions of larger projects.
Effective oral and written communication skills.
Strong analytical and creative problem-solving skills to identify information gaps and implications, provide direction/support on data accuracy and use and ensure effective reporting.
Demonstrated ability to work independently, with a bias toward action and a sense of urgency.
Exceptional organizational skills with strong detail and process management orientation.
Effective project management skills and demonstrated experience managing complex cross-functional projects and teams.
Demonstrated ability to make presentations to internal and external executive audiences.
Advanced relationship building and influence skills.
Additional Preferred Experience:
A minimum of four years related business experience; market intelligence and/or strategy consulting experience
Experienced in leading qualitative and quantitative assessments, as well as associated project teams.
Experienced in utilizing MS Word, PowerPoint, and Excel in the development, distribution, and presentation of strategic market insights to a wide range of stakeholders.
#LI_HYBRID
The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for
annual bonus incentive
pay.
We offer a comprehensive package of benefits
including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits
to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
$96.9k-110k yearly 1d ago
Senior Risk Consultant
Venbrook 3.3
Los Angeles, CA jobs
Senior Risk Control Consultant
Reports to: EVP, Retail Insurance
Venbrook Insurance Services is a national leader in insurance, reinsurance, and risk management solutions, serving a diverse client base across multiple industries. Our team of experts partners with clients to manage risk, foster security, and drive growth by delivering innovative insurance products and programs. Venbrook is committed to product innovation, market agility, and strong partnerships, enabling our clients to focus on advancing their business objective
s.Venbrook's specialties include Property, Construction, Primary and Excess Liability, Directors & Officers/Management Liability, Professional Liability, Cyber Liability and Privacy, Crime, Employment Practices Liability, Workers' Compensation, Employee Benefits, Transportation, Ocean and Inland Marine, Personal Lines, and Surety Bonds. Headquartered in Woodland Hills, CA, Venbrook operates nationwide.
Position Summary
As a Senior Risk Control Consultant, you will be an integral part of Venbrook's Risk Control team, providing high-level loss prevention and risk management consulting services across a variety of industries. We are seeking a seasoned professional with expertise in core Property & Casualty (P&C) lines, including Property, General Liability, Workers' Compensation, and Automobile. This role is ideal for individuals with robust risk control experience-particularly in the Construction and Healthcare industries-as well as experience in sectors such as Warehousing, Retail, Hospitality, Restaurant, Bakery, Transportation, Habitational, and Manufacturing. These industries represent the core of our client base and require a nuanced and consultative approach to risk mitigation.
Key Responsibilities
Deliver tailored loss prevention consulting to reduce client risk across core P&C lines (Property, GL, WC, Auto)
Conduct on-site and remote risk assessments to identify hazards, evaluate controls, and provide actionable recommendations.
Analyze client loss history to develop and implement risk-reduction strategies
Evaluate and enhance safety programs and training materials; assist in policy development and implementation.
Advise on compliance with OSHA, NFPA, and other relevant regulatory standards
Develop and deliver industry-specific safety training and client-facing educational content
Collaborate with clients, underwriters, producers, and internal teams to support effective risk management and client satisfaction.
Prepare service plans focused on measurable outcomes and sustained risk improvement
Support new business opportunities and renewals by participating in client and carrier presentations
Manage external vendors and oversee delivery of outsourced risk control services
Maintain regular status updates with leadership on project progress and workload
Stay informed on industry-specific trends and contribute to thought leadership efforts
Qualifications
Bachelor's degree preferred
Minimum 5 years of risk control, loss control, or risk management experience in a broker or carrier environment
Proven success managing risk in Construction and Healthcare settings is required; additional experience in Warehousing, Retail, Hospitality, Restaurant, Bakery, Transportation, Habitational, and Manufacturing is highly preferred
Strong knowledge of OSHA and NFPA standards; ability to guide clients through audits and compliance procedures.
Designations such as CSP, CHST, OHST, ARM are a strong plus
Ability to travel up to 50% across the U.S. as ne
Strong communication and presentation skills with the ability to explain complex risk concepts clearly
Highly organized, self-driven, and collaboration
Bilingual in Spanish, must be able to read, write and conduct business
Why Join Venbrook?
Flexible hybrid work environment with room to grow professionally.
Competitive benefits package including health, dental, vision, PTO, and 401(k)match
Join a dynamic and collaborative culture where your expertise makes a real impact.
$88k-117k yearly est. 4d ago
Placement Consultant
Marsh McLennan Agency 4.9
Dallas, TX jobs
ESSENTIAL DUTIES & RESPONSIBILITIES:
Collaborate with the Service Team to ensure the following processes are completed
Oversee and Manage the Process:
Ensure you have a clear understanding of the new business and renewal accounts assigned to you.
Keep track of all accounts and their respective timelines to ensure timely processing.
Primary Contact with Service Team:
Act as the main point of contact for the Service Team during the insurance placement process to ensure smooth communication and coordination.
Review Submissions to the Insurance Market:
Thoroughly review submissions to ensure accuracy and completeness.
Familiarize yourself with account details to negotiate effectively.
Facilitate Insurance Placement Strategy Calls:
Schedule and conduct strategy calls with the Service Team and/or Advisor to align on goals and strategies for each account
Submit submissions to market
Prepare and submit all necessary documentation to the insurance market.
Follow up with markets in a timely manner to ensure progress
Negotiate Coverage, Terms, and Pricing:
Engage with the insurance market to negotiate the best coverage, terms, and pricing for your clients.
Explore creative solutions to meet client needs effectively
Review Exposures, Forms, Terms, and Conditions:
Carefully review all quoted exposures, forms, terms, and conditions as they are received to ensure they meet client needs.
Provide Quote Comparisons and Proposals:
Prepare and present quote comparisons to the Service Team and/or Advisor to support decision-making.
Generate a professional final proposal with the best recommendation(s) for the client
Create schematics for shared/layered programs
Bind Orders:
Finalize and complete bind orders once terms are agreed upon.
Review binder and invoices for accuracy.
Management Systems
Understand Agency Management System and document the placement process
Ongoing Communication:
Maintain ongoing communication with the Service Team throughout the insurance placement process to address any issues or changes promptly.
Teamwork
Act as a collaborative member of the Agency to ensure superior service to all MMA clients. Responsibilities include, but are not limited to:
Attend Insurance Placement Team meetings as appropriate
Collaborate with producers/account managers and other placement colleagues on market strategy for accounts
Communicate the status of the Insurance Placement process and daily correspondence between the company, account executive, client, and producer
Build and maintain strong working relationships within the insurance market
Participate in carrier meetings to stay informed about current market conditions and appetites
Treat clients, prospects, and company employees with courtesy and respect.
Contribute to development and education of colleagues
Support other offices/regions as needed
Technical Expertise
Demonstrate the technical expertise required to maintain the Client Insurance Program and lead the insurance placement process, including, but not limited to:
Analyze insurance quotes and recommend terms and conditions
Communicate and negotiate with insurance markets through strategy
Ability to pivot when faced with challenges
Maintain and develop knowledge of policy forms and endorsements
Design insurance program for client based on defined needs
Identify and address any coverage gaps with account service teams and insurance markets
Become a subject matter expert and resource in areas of interest or technical capability
REQUIREMENTS:
Must be licensed as a Texas P&C Agent or able to obtain Texas P&C license
Minimum of 4-6 years of experience in middle market Business Insurance
Demonstrate ability to multi-task, prioritize work effectively with little to no direction.
Proficient at Sagitta, ImageRight, Word, Excel, and current internet technologies.
Demonstrate proactive work style
Ability to learn, analyze and comprehend various lines of insurance and communications
Demonstrate ability to service clients effectively through problem solving, appropriate confidentiality, and exercising diplomacy, sensitivity and tactfulness
We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: ****************************
$72k-103k yearly est. 2d ago
EAP Management Consultant (Remote)
Unitedhealth Group 4.6
San Francisco, CA jobs
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The essential functions of the EAP Management Consultant clinical position include providing strategic management consultation and organizational support to all levels of a customer's organizational structure and the clinical case management of employer-based referrals. The Management Consultant acts as an external champion who is recognized as a content expert in the areas of EAP, Behavioral Health, and Work / Life issues, providing consultation to key customer functions including Human Resources, Management/Supervisors, Occupational Health, Safety / Security, Unions and Legal. The Consultant responds to crisis calls and coordinates urgent, emergent care and Fitness for Duty evaluations ensuring public and workplace safety.
Work Schedule: Full-Time: 40 HPW Work Location: San Francisco, CA (Remote)
The EAP Management Consultant is a strategic partner for client customers around critical workplace issues involving behavioral disturbances, violations of company drug free workplace policies, workplace violence and other risk issues impacting the individual employee, the workplace and/or the community/general public.
Primary Responsibilities:
Collaborates, consults and coaches client company HR, Occupational Health, and management leadership including senior executives, security and legal at all levels to address organizational, behavioral, and performance concerns, identify options and develop appropriate strategic action plans. Performs behavioral risk screenings for the organization and individual employee for a wide variety of workplace and individual behavioral issues impacting job performance Assures appropriate resources are engaged
Facilitates Federally mandated and regulatory Drug free Workplace and other safety sensitive initiatives such as DOT, NRC, Threats of Violence following pertinent regulatory and best practice guidelines
Conducts in-depth telephonic clinical assessment and referral, assesses members for risk factors when appropriate to ensure member's safety and intervenes appropriately on emergency calls while staying within the scope of EAP/MC services
Provides telephonic solution focused psychoeducation/consultation to management referred employees
Manage cases on referred employees using their clinical skills and judgment to identify underlying clinical issues that may impact on workplace performance, selecting providers with specific expertise to address the identified clinical concerns and / or determine the appropriate level of care
Reviews initial clinical assessment with providers and relays workplace and job performance concerns and expectations involving job performance, mental health, chemical dependency and other behavioral issues
Certifies and authorizes and/or coordinates necessary treatment or EAP services. Discusses treatment plans with provider and negotiates changes as per Level of Care guidelines and EAP best practices
Conduct organizational consultations to managers, supervisors, HRBP, and other organizational leaders to address any workplace concerns
Provides referrals to internal resources such as Work Life, Legal and Financial Services as well as Community Resources as appropriate
Provide backup support across workplace support teams and other EAP teams as needed
Coordinates care with emergency services, CIRS, care management team and other managed health organizations as clinically appropriate
Obtains supervision case consultation from supervisors on a regular basis regarding member care, high risk issues and protocols, policy and procedural changes and updates regarding existing, former, or new client groups
Quotes and explain benefit coverage to members and to providers. Follows appropriate benefit eligibility procedures
Follows internal ethical and regulatory privacy policies such as HIPPA, maintaining confidentiality and private health information of members. Follows state and federal licensing practices. Document necessary case information using same guidelines
Use UHG computer-based case management portals. Creates and maintains appropriate clinical records
Participate in staff meetings, case conferences, and in-service opportunities
Participates as directed in the Quality Assurance Program
Engages in projects and other activities as directed by the Management Consultant Supervisor Manager
Demonstrates a willingness to support and grow both the culture and mission of Optum and the UnitedHealth Group
Works cooperatively with MC team and other UHG departments
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Master's degree in counseling, Psychology, Social Work, or related field
Current, unrestricted, independent behavioral health license in the state of residence (LPC, LCSW, LMFT, PsyD / PhD Licensed Psychologist)
Active state of California independent license and must reside in the state of California
3+ years post masters direct clinical experience in settings such as: EAP, managed care, private or public clinics
3+ years of experience in mental health, chemical dependency, and workplace issues
Advanced knowledge of behavioral risk factors and have ability to assess a wide variety of workplace behavioral and performance issues
Demonstrated fluency in accessing appropriate referral within or outside the company
Solid interpersonal skills and the ability to work effectively among different levels of management and personnel
Preferred Qualifications:
Certified Employee Assistance Professional (CEAP)
Training or work experience in EAP, workplace, and organizational dynamics
Familiarity with regulatory knowledge including Department of Transportation, Nuclear Regulatory Commission and Department of Defense
Fluent in both Spanish and English (spoken and written)
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$28.9-51.6 hourly 2d ago
Healthcare Economics Consultant - Remote
Unitedhealth Group 4.6
Minnetonka, MN jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Support internal clinical, financial and quality data analysis to support value-based care agreements with various provider types at a national and local level
Create and support standard financial, utilization and quality reporting in accordance with contracting guidelines
Support ad-hoc analysis through gathering claims, financial, or membership data and summarizing key findings clearly with limited guidance
Support internal data analysis and other deliverables through data troubleshooting and data validation with guidance
Understand conceptual strategies and be able to present key deliverables, answer questions, participate in discussions, and make recommendations via meetings and emails
Lead projects to completion by contributing to the analysis and creation of financial reporting or the automation of reporting
Proactively manage routine processes and anticipating customer needs through independent prioritization
Serve as a resource to executive leadership in support of value based contracting strategy
Solve complex and ambiguous problems with broad impact on the business through critical thinking and resourcefulness
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
3+ years of experience in an analytics capacity with evidence of proactive critical thinking and creative problem solving
Experience in the healthcare insurance industry with exposure to medical claims data
Intermediate or higher level of proficiency in MS Excel and Pivot Tables
Beginner or higher level of proficiency with coding in Snowflake, Toad, Snowsight, SQL, or SAS
Demonstrated highly effective verbal and written communication skills for a variety of audiences
Demonstrated ability to effectively manage multiple priorities
Preferred Qualification:
Demonstrated familiarity with SMART or other claims platform
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
$72.8k-130k yearly 2d ago
Underwriting Analyst #11375
Munich Re 4.9
Princeton, NJ jobs
Underwriting Analyst
We're adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients. We will consider a range of experience for this role and the offer will be commensurate with that.
The Company
As a member of Munich Re's US operations, we offer the financial strength and stability that comes with being part of the world's preeminent insurance and reinsurance brand. Our risk experts work together to assemble the right mix of products and services to help our clients stay competitive - from traditional reinsurance coverages, to niche and specialty reinsurance and insurance products.
The Opportunity
Future focused and always one step ahead.
The Underwriting Analyst is responsible for providing support to MR F&C Corporate Engineering underwriters. Duties will include reviewing and handling submission requests, process new business, renewals through the company's financial system in a timely and accurate manner, researching property locations for prior coverage and losses using Munich Re Americas and Munich systems, assigning occupancies to locations, calculating total insured values and setting up quote/binder templates. Communicates with brokers/agencies, customers and internal departments and special projects as needed.
Responsibilities
Organize submission information:
Review and organize the submission or specification for new and renewal business and endorsements within the time standard and business hours set out by the department.
Provide internal processing and research support on complex submissions. Provide Underwriters with required reports and analysis.
Review the limits, deductibles and input terms and conditions into global and local systems.
Clear submissions for single risk and facultative certificate in the appropriate Munich global system.
Request information and follow up for any missing information using emails.
Prepare submissions for entry into the underwriting systems for rating purposes.
Set up folders electronically for submissions, new and renewal business, and endorsements. Clear any incoming mail/emails in the underwriting system, match up with appropriate file (s).
Perform quality control of system entries to ensure accurate financials and mitigate any resulting financial impacts; maximize the integrity, quality and usability of information which will minimize discrepancies encountered by local and global data consumers.
Collaborate with Underwriters, internal departments and clients to ensure all assumptions are properly included.
Run basic rating and pricing models.
Independently handle:
Preparation of quotes and binders
Policy Review, Policy Processing for both insurance single risk policies, endorsements and reinsurance certificates
Research loss information
Clear accounting discrepancies and assist claims with any information they may require
Recommend process improvements tool and enhancements, testing of systems and process changes
Participate on global or local projects as assigned
Qualifications
* Bachelor's degree or college level insurance coursework.
* Company experience 4+ years with emphasis on analytic functions in underwriting, accounting, or statistical disciplines. 2+ years' experience as an underwriting analyst.Experience with manuscript policy form preferred.
* Working knowledge of pricing models, insurance policies and reinsurance contracts for property engineering lines of business.
* Basic knowledge of primary and/or reinsurance underwriting process and coverage
* Excellent customer service skills with successful ability to take ownership of and resolve issues
* Intermediate to expert level computer skills - Microsoft Excel, Word, PowerPoint, SharePoint, and Outlook.
* Detail oriented and results driven
* Ability to Travel between Princeton and New York
The Company is open to considering candidates in numerous locations, including Princeton. The salary range posted below applies to the Company's Princeton location.
The base salary range anticipated for this position is $72,000 - $105,000 plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).
The salary estimate displayed represents the typical salary range for candidates hired in this position in Princeton. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range.
At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
#LI-JR1
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$72k-105k yearly 4d ago
Enrollment Analyst (42972)
Neighborhood Health Plan of Rhode Island 4.4
Smithfield, RI jobs
The Enrollment Analyst is responsible for all eligibility and enrollment functions related to membership enrollment and disenrollment including the processing of Electronic Data Interchange (EDI) files, analyzing error reports and trends ands and identifying solutions to ensure data accuracy and integrity.
This position presents an integrated view of enrollment with all levels of Management and external partners while supporting the mission, vision, and value of the organization.
Duties and Responsibilities:
Responsibilities include, but are not limited to, the following:
Processes enrollment data for membership with accuracy which may include researching membership eligibility through contract review and benefit criteria requirements.
Analyzes data on Electronic Data Interchange (EDI) files by converting files through EDI power reader or Map Force into excel, and running macros to identify which members require updates and ensure eligibility reconciliation.
Completes EDI reviews, identify discrepancies and research processing solutions.
Generates Cognos reports and recommend updates for additional Cognos reporting through Business Analytics team to increase department efficiencies.
Generates enrollment activity reports for both internal and external customers.
Analyzes error reports and trends from 834 files against delegated entity membership.
Provides FDR Eligibility oversight of delegated entities for EDI review through conversion of 834 files into readable format.
Communicates with Executive Office of Health & Human Services (EOHHS); Department of Children, Youth & Family Services (DCYF); Health Source RI (HSR) and HP on a daily basis to resolve enrollment issues.
Handles all functions related to Benefit Coordination, Outreach, Reporting and member disenrollment while identifying process improvement and workflow efficiencies.
Additional responsibilities include:
Perform quality audits for enrollment changes to maintain data integrity. This includes reporting births to EOHHA and COB
Train new staff members and non-enrollment staff as required
Performs other duties as assigned
Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhoods Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents
Qualifications
Qualifications
Required:
High School or GED
Minimum of 3-5 years Health Plan/HMO experience. Previous position in Enrollment strongly preferred
1 year experience with EDI process and 834 benefit enrollment strongly preferred
Excellent organizational, problem-solving and analytical skills
Strong verbal and written communications skills for interaction with internal and external clients.
Experience working independently, and as a team player while handling multiple responsibilities and meeting timelines
Previous experience analyzing data and developing reports
Proficiency in Microsoft Office Suite
Preferred:
Associates degree in Business or Health related area
Experience working with EDI and/or 834 files
Core Company-Wide Competencies:
Communicate Effectively
Respect Others & Value Diversity
Analyze Issues & Solve Problems
Drive for Customer Success
Manage Performance, Productivity & Results
Develop Flexibility & Achieve Change
Job Specific Competencies:
Collaborate & Foster Teamwork
Influence & Negotiate
Attend to Detail & Improve Quality
Exercise Sound Judgement & Decision Making
FDR Oversight:
Business Lead Level:
In the role of business lead for assigned FDR; incumbent is responsible to complete comprehensive oversight and monitoring of their vendor that incorporates the following elements: efficient and effective operations; compliance with laws, regulations, policies, procedures; and other company performance issues designed to reduce risk and add value to the company
Salary Grade: D
Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
$68k-94k yearly est. 1d ago
Safety Services Consultant Sr
Sentry Insurance 4.0
Chattanooga, TN jobs
As a Safety Services Consultant Senior, you will work with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as well as brokerage firms.
Sentry's dedication to customer service is embodied by our best employees. At Sentry, our associates take care of our customers with a passion for service and delivering business results. We are currently seeking an experienced, self-motivated and results driven individual to fill an open position in our National Accounts Risk Control Division.
As a Safety Services Consultant Senior, you will work with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as well as brokerage firms in Tennessee coordinating Safety and Industrial Hygiene Services for our causality line of business for our National Account customers (large deductible programs).
What You'll Do
The following are some of the responsibilities of the National Account Risk Control Consultant Senior that would reside in Tennessee (greater Nashville area)
Design, develop and manage Service Plans for large, multi-location National Accounts and coordinate service activities (casualty services) with other National Account consultants/staff specialists.
Plan and deliver Safety/Risk Management services to our National Account customers to include Safety Program Assessments/Gap Analysis, Leadership and Safety (Compliance) Training, Program Development, Loss Analysis & Benchmarking, Ergonomic and Machine Guarding Assessments, and assistance in Safety Culture Development.
Develop, coordinate, and conduct safety training programs and seminars for insured and non-insured customers to educate management and elevate their understanding and awareness of safety, OSHA, loss potential and injury reduction techniques.
Maintain proficient knowledge in all aspects of Safety Management Practices and demonstrate technical expertise in specialty area(s) such as Ergonomics, Machine Guarding, Behavior Based Safety, Accident Investigation Principles & Root Cause Analysis, Safety Culture Development, Metric Development, OSHA Compliance, Fleet Safety, and Product Liability.
Provide supplemental Industrial Hygiene Services to include noise and air quality surveys (i.e. welding fumes, dust, organics, oil mist, IAQ, etc.) to support our Industrial Hygiene team and provide ongoing customer support on a National Account level.
The National Account Risk Control Consultant Sr. enhances the client's technical knowledge and expertise through professional seminars and topic research as advances occur.
What It Takes
Four-year degree within Safety Sciences is preferred, or equivalent work experience
5+ years of advanced knowledge in safety/industrial hygiene with a National Property & Casualty Insurance Carrier preferred
Extensive experience in coordinating and servicing large or multi-location National Accounts
Knowledge of OSHA, ANSI, NFPA Standards
Certified Safety Professional (CSP), or willingness to pursue is desired
An acceptable motor vehicle record and ability to perform extensive travel is required (50% travel)
What You'll Receive
At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
Generous Paid-Time Off plan for you to enjoy time out of the office.
Company vehicle with gas card
401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Extensive Work-Life Resources to lend a helping hand.
Sentry Foundation gift matching program to encourage charitable giving.
Continue your education and career development through Sentry University (SentryU).
About Sentry
We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.
Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.
Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.
Get ready to own your future at Sentry. Opportunities await!
Talent Acquisition Specialist
Esbeidy Guevara
Equal Employment Opportunity
Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.
$80k-96k yearly est. 17h ago
Safety Services Consultant Sr
Sentry Insurance 4.0
Memphis, TN jobs
As a Safety Services Consultant Senior, you will work with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as well as brokerage firms.
Sentry's dedication to customer service is embodied by our best employees. At Sentry, our associates take care of our customers with a passion for service and delivering business results. We are currently seeking an experienced, self-motivated and results driven individual to fill an open position in our National Accounts Risk Control Division.
As a Safety Services Consultant Senior, you will work with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as well as brokerage firms in Tennessee coordinating Safety and Industrial Hygiene Services for our causality line of business for our National Account customers (large deductible programs).
What You'll Do
The following are some of the responsibilities of the National Account Risk Control Consultant Senior that would reside in Tennessee (greater Nashville area)
Design, develop and manage Service Plans for large, multi-location National Accounts and coordinate service activities (casualty services) with other National Account consultants/staff specialists.
Plan and deliver Safety/Risk Management services to our National Account customers to include Safety Program Assessments/Gap Analysis, Leadership and Safety (Compliance) Training, Program Development, Loss Analysis & Benchmarking, Ergonomic and Machine Guarding Assessments, and assistance in Safety Culture Development.
Develop, coordinate, and conduct safety training programs and seminars for insured and non-insured customers to educate management and elevate their understanding and awareness of safety, OSHA, loss potential and injury reduction techniques.
Maintain proficient knowledge in all aspects of Safety Management Practices and demonstrate technical expertise in specialty area(s) such as Ergonomics, Machine Guarding, Behavior Based Safety, Accident Investigation Principles & Root Cause Analysis, Safety Culture Development, Metric Development, OSHA Compliance, Fleet Safety, and Product Liability.
Provide supplemental Industrial Hygiene Services to include noise and air quality surveys (i.e. welding fumes, dust, organics, oil mist, IAQ, etc.) to support our Industrial Hygiene team and provide ongoing customer support on a National Account level.
The National Account Risk Control Consultant Sr. enhances the client's technical knowledge and expertise through professional seminars and topic research as advances occur.
What It Takes
Four-year degree within Safety Sciences is preferred, or equivalent work experience
5+ years of advanced knowledge in safety/industrial hygiene with a National Property & Casualty Insurance Carrier preferred
Extensive experience in coordinating and servicing large or multi-location National Accounts
Knowledge of OSHA, ANSI, NFPA Standards
Certified Safety Professional (CSP), or willingness to pursue is desired
An acceptable motor vehicle record and ability to perform extensive travel is required (50% travel)
What You'll Receive
At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
Generous Paid-Time Off plan for you to enjoy time out of the office.
Company vehicle with gas card
401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Extensive Work-Life Resources to lend a helping hand.
Sentry Foundation gift matching program to encourage charitable giving.
Continue your education and career development through Sentry University (SentryU).
About Sentry
We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.
Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.
Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.
Get ready to own your future at Sentry. Opportunities await!
Talent Acquisition Specialist
Esbeidy Guevara
Equal Employment Opportunity
Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.
$80k-96k yearly est. 17h ago
Safety Services Consultant Sr
Sentry Insurance 4.0
Nashville, TN jobs
As a Safety Services Consultant Senior, you will work with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as well as brokerage firms.
Sentry's dedication to customer service is embodied by our best employees. At Sentry, our associates take care of our customers with a passion for service and delivering business results. We are currently seeking an experienced, self-motivated and results driven individual to fill an open position in our National Accounts Risk Control Division.
As a Safety Services Consultant Senior, you will work with Corporate Risk Management, Safety Management, and Plant/Facility Management contacts as well as brokerage firms in Tennessee coordinating Safety and Industrial Hygiene Services for our causality line of business for our National Account customers (large deductible programs).
What You'll Do
The following are some of the responsibilities of the National Account Risk Control Consultant Senior that would reside in Tennessee (greater Nashville area)
Design, develop and manage Service Plans for large, multi-location National Accounts and coordinate service activities (casualty services) with other National Account consultants/staff specialists.
Plan and deliver Safety/Risk Management services to our National Account customers to include Safety Program Assessments/Gap Analysis, Leadership and Safety (Compliance) Training, Program Development, Loss Analysis & Benchmarking, Ergonomic and Machine Guarding Assessments, and assistance in Safety Culture Development.
Develop, coordinate, and conduct safety training programs and seminars for insured and non-insured customers to educate management and elevate their understanding and awareness of safety, OSHA, loss potential and injury reduction techniques.
Maintain proficient knowledge in all aspects of Safety Management Practices and demonstrate technical expertise in specialty area(s) such as Ergonomics, Machine Guarding, Behavior Based Safety, Accident Investigation Principles & Root Cause Analysis, Safety Culture Development, Metric Development, OSHA Compliance, Fleet Safety, and Product Liability.
Provide supplemental Industrial Hygiene Services to include noise and air quality surveys (i.e. welding fumes, dust, organics, oil mist, IAQ, etc.) to support our Industrial Hygiene team and provide ongoing customer support on a National Account level.
The National Account Risk Control Consultant Sr. enhances the client's technical knowledge and expertise through professional seminars and topic research as advances occur.
What It Takes
Four-year degree within Safety Sciences is preferred, or equivalent work experience
5+ years of advanced knowledge in safety/industrial hygiene with a National Property & Casualty Insurance Carrier preferred
Extensive experience in coordinating and servicing large or multi-location National Accounts
Knowledge of OSHA, ANSI, NFPA Standards
Certified Safety Professional (CSP), or willingness to pursue is desired
An acceptable motor vehicle record and ability to perform extensive travel is required (50% travel)
What You'll Receive
At Sentry, your total rewards go beyond competitive compensation. Below are some benefits and perks that you'll receive.
Generous Paid-Time Off plan for you to enjoy time out of the office.
Company vehicle with gas card
401(K) plan with a dollar-for-dollar match on your first eight percent, plus immediate vesting to help strengthen your financial future.
Group Medical, Dental, Vision and Life insurance to encourage a healthy lifestyle.
Extensive Work-Life Resources to lend a helping hand.
Sentry Foundation gift matching program to encourage charitable giving.
Continue your education and career development through Sentry University (SentryU).
About Sentry
We take great pride in making Forbes' list of America's Best Midsize Employers. A lot of different factors go into that honor, many of which contribute to your job satisfaction.
Our bright future is built on a long track record of success. We got our start in 1904 and have been helping businesses succeed and protect their futures ever since. Because of the trust placed in us, we're one of the largest and financially strongest mutual insurance companies in the United States. We're rated A+ by A.M. Best, the industry's leading rating authority.
Our headquarters is in Stevens Point, Wisconsin, with offices located throughout the United States. From sales to claims, and information technology to marketing, we enjoy a rewarding and challenging work environment with opportunities for ongoing professional development and growth.
Get ready to own your future at Sentry. Opportunities await!
Talent Acquisition Specialist
Esbeidy Guevara
Equal Employment Opportunity
Sentry is an Equal Opportunity Employer. It is our policy that there be no discrimination in employment based on race, color, national origin, religion, sex, disability, age, marital status, or sexual orientation.
$80k-96k yearly est. 17h ago
Market Performance Lead Consultant
Blue Cross Blue Shield Association 4.8
Chicago, IL jobs
The role is a strategic leader accountable for driving insights that inform competitive positioning across government programs (ex. Medicare, Medicaid) market segments. Shapes business strategies by overseeing the design and analysis of custom research. Synthesizes findings and presents to executive audiences to inform decision making. Collaborates with BCBSA and Plan executives to share insights and support best practice sharing.
Designs and conducts in-depth market research to meet business needs, leveraging deep expertise, e.g. competitive intelligence, primary market research
Communicates insights to business stakeholders internally and to BCBS Plan forums. Fosters an environment of market insight and best practice sharing across the Blues System
Collaborates with business stakeholders across BCBSA and Plans to identify business questions and information requirements. Stays current of industry and line of business trends.
Extracts meaningful patterns and trends from the market research and synthesizes into actionable insights that inform strategic decisions. Integrates data from research with other analyses for a holistic view.
Leads vendor contracting and management for related market research activities
The posting range for this position is:
$112,443.00-$161,738.53
Qualifications:
Education
Required Bachelor's Degree in analytic and research background or equivalent work experience
Preferred Master's Degree in market research methodologies and statistical analyses
Experience
Required - 7+ Years experience in the field of market research and/or competitive intelligence within health insurance
Preferred - Experience working in and knowledge of Medicare Advantage, Medicare Supplement, and/ or Managed Medicaid health insurance markets.
Knowledge Skills and Abilities
Strong business acumen
Skilled in data synthesis and analysis
Skilled in strategic decision support
Strong stakeholder communication skills
#LI-Hybrid
The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for
annual bonus incentive
pay.
We offer a comprehensive package of benefits
including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits
to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
$112.4k-161.7k yearly 2d ago
Financial Consultant
Blue Cross Blue Shield Association 4.8
Chicago, IL jobs
This position is responsible for providing financial services for financial planning, budgeting, forecasting, monitoring, and analysis delivered to the customer groups. Serves a key role in the financial reporting process including monthly and custom revenue & expense reporting, resource tracking and time allocation reporting, invoice tracking & reconciliation reporting, vendor commitment reporting and monthly accruals. Provides analytical support to financial planning and analysis projects as assigned to help contribute to the successful operation of the various customer business units supported. Works collaboratively with members of finance, sourcing & vendor Management, and various levels of management within their assigned business units.Prepare and analyze various financial reports to support specific business units, fully comprehending underlying data. Complete monthly and custom financial reporting for certain business units. This could include expense and revenue variance reporting, vendor spend against contracts, vendor savings, resource modeling, monthly dashboard reporting including performance metrics, business metrics, core cost goals and benchmarks. Develop and support budgets, revenue/expense forecasts, and capital projections within assigned business units. Utilize effective financial modeling to collect, streamline, analyze, monitor, and communicate financial results to management for representation to senior leadership. Perform monthly and ad-hoc reporting, monitoring, and value-added analysis for various levels of staff and management. Respond to and resolve various ad-hoc financial requests and customer issues, such as resource modeling, trend reporting, project code setup, invoice reconciliation, and billing inquiries. Develop and maintain financial communications with multi-departmental management and the Finance team. Ensure the accuracy and integrity of all financial data by performing required cross-checks and supporting priority projects with ad-hoc analyses or financial modeling.
The posting range for this position is:
$73,655.00-$101,684.25
Qualifications:
Education
Required Bachelor's Degree in Finance, related business discipline or equivalent work experience
Experience
Required 4+ Years demonstrated work experience in financial planning & analysis or financial reporting
Knowledge Skills and Abilities
Competency in quality assurance with ability to perform required cross-checks to ensure the quality and accuracy of financial data
High level of competency with Microsoft Office software (Excel, Word, and PowerPoint).
Exemplary organizational skills and ability to manage multiple projects concurrently.
Intermediate customer service and relationship skills, including the ability to develop and maintain critical relationships.
Effective communication skills, good judgment and sense of urgency.
Presentation skills; ability to effectively present data/information and respond to questions from various constituents
Proficient analytical and financial reporting skills
Detail oriented
Extra Posting Information:
Work experience within similar environment experience using financial/accounting systems including Workday, Hyperion, and Tableau
The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for
annual bonus incentive
pay.
We offer a comprehensive package of benefits
including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits
to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
$73.7k-101.7k yearly 2d ago
TreasurySvcs and AcctsPayable Analyst
Munich Re 4.9
Princeton, NJ jobs
Treasury Services and A/P Analyst
We are adding to our diverse team of experts and are looking to hire those who are committed to building a culture that enables the creation of innovative solutions for our business units and clients.
The Company
Munich Re America Services (MRAS) is a shared service organization that delivers services to all Munich Re US P&C Companies and other group entities.
As a member of Munich Re's US operations, we offer the financial strength and stability that comes with being part of the world's preeminent insurance and reinsurance brand. Our risk experts work together to assemble the right mix of products and services to help our clients stay competitive - from traditional reinsurance coverages, to niche and specialty reinsurance and insurance products.
The Opportunity
Future focused and always one step ahead!
The Treasury Services and Accounts Payable Analyst will process disbursement requests for all outgoing payments. Support the maintenance of vendor information and onboard new vendors while adhering to established controls using the global procure-to-pay system. This role will also process invoices through an Optical Character Recognition (OCR) tool. In addition, the Treasury Services and Accounts payable analyst will record incoming receipts in the financial system (SAP).
Responsibilities
Collect required information for new vendor onboarding and provide bank verification for electronic payments.
Support change management for all vendors within the global procure to pay system.
Validate all incoming invoices through the OCR tool daily.
Process all incoming invoices through various global tools and systems.
Perform daily processing of cash receipts through SAP - Accounts Receivable and SAP systems.
Research and assign the proper tax type and jurisdiction of company expenses submitted for payment.
Reconcile disbursement activity with SAP and execute payment run activity daily. This includes the execution of check printing and verification of print quality. Confirm receipt of positive pay files submitted to various banks.
Performs payment adjustments and reviews the paid exceptions and payment clearance functions.
Responds to employee, vendor and client inquiries regarding payment requests or status.
Performs user acceptance testing of new system applications.
Qualifications
Successful candidates will possess the following skills/capabilities:
Bookkeeping and/or accounting experience
Ability to analyze and report on transactions
Microsoft Word/Excel skills
Time management and organizational skills
Preferred intermediate to advance SAP knowledge - Accounts Payable, Accounts Receivable, General Ledger
The Company is open to considering candidates in Princeton, NJ. The salary range posted below applies to the Company's Princeton location.
The base salary range anticipated for this position is $50,000- $55,000plus opportunity for company bonus based upon a percentage of eligible pay. In addition, the company makes available a variety of benefits to employees, including health insurance coverage, an employee wellness program, life and disability insurance, 401k match, retirement savings plan, paid holidays and paid time off (PTO).
The salary estimate displayed represents the typical salary range for candidates hired in this position in Princeton, NJ. Factors that may be used to determine your actual salary include your specific skills, how many years of experience you have and comparison to other employees already in this role. Most candidates will start in the bottom half of the range.
At Munich Re, we see Diversity, Equity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services.
We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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$50k-55k yearly 1d ago
Network Pricing Consultant - Remote
Unitedhealth Group 4.6
Cypress, CA jobs
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together
Can we all can agree that the quality of health care is marching forward and upward with great momentum? Yes. But it's not just quality of care. The entire system is becoming more efficient and effective thanks to companies like UnitedHealth Group and people like you. Here's your opportunity to use your expertise in new ways as you strike the balance between health care costs and resources. Performing unit cost and contract valuation analysis, you'll ensure that healthcare contracts are priced accurately and fairly for all involved. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.
This position supports and validates Provider Network (physicians, hospitals, pharmacies, ancillary facilities, shared/full risk delegation, etc.) contracting and unit cost management activities through financial modeling, analysis of utilization, and reporting. Conducts unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies. Manages unit cost budgets, target setting, performance reporting, and associated financial models.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
Support network pricing strategies and tactics, in collaboration with local network field leaders and network managers
Analyze financial impact of provider contracts (e.g., facility; physician; ancillary)
Analyze financial impact of corporate initiatives (e.g., policy changes; healthcare affordability) or external regulations (e.g., healthcare reform)
Analyze payment appendices to provide options for various contracting approaches and methodologies
Communicate results of financial impact and analysis to appropriate stakeholder groups (e.g., Network Management; Network Pricing leadership)
Conduct financial and network pricing modeling, analysis and reporting
Perform unit cost and contract valuation analysis in support of network contracting negotiations and unit cost management strategies
Lead large, complex projects to achieve key business objectives
Influence pricing strategies and rate development by highlighting opportunities for improvement or protecting favorable rate structures
Strategize rates or contract methodology with network management to create optimal contract
Review competitive analysis to identify appropriate pricing rate for provider
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
4+ years of analytical experience in financial analysis, healthcare pricing, network pricing, healthcare economics or related discipline
3+ years of experience with provider payment methodologies and healthcare products
3+ years of experience in creating and using financial modeling tools, spreadsheets and information acquisition tools
Experience with provider capitation, both diagnostic risk-adjustment and age/sex adjusted rate banding
Experience in interpreting and reviewing financial modeling results to evaluate the financial impact of contract changes and develop forecasts
Presentation experience to internal or external stakeholders or customers
Expert level proficiency in MS Excel
Proven expertise in financial impact analysis, risk management and data manipulation
Proven solid interpersonal, collaboration, negotiation and communication skills
Proven excellent communication skills, both written and verbal
Proven ability to manage multiple projects simultaneously and meet deliverable deadlines
Proven ability to research and solve problems independently
Preferred Qualifications:
Postgraduate degree in Math, Statistics, Finance, Economics or Actuarial Science
Experience in MS Access, SAS, SQL, R, or Python
Experience with advanced statistical functions for financial modeling
Experience with medical coding (CPT, MSDRG, REV, ICD-10, etc.)
Knowledge of Commercial, Medicare, and Medicaid PPO and HMO revenue and expense, as well as delegation financial modeling
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $71,200 to $127,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
$71.2k-127.2k yearly 17h ago
Provider Network Consultant II
Medica 4.7
Minnetonka, MN jobs
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
Provider Network Consultant develops and maintains assigned provider relationships. Reviews provider requests for inclusion in assigned territories and assists in analyzing impact to determine approval.
Manages on-going provider needs relative to program roll-outs and medical policy change communication. Provides onboarding education/outreach, handles provider appeals, and resolves escalated provider issues. Ensures that provider data is accurate.
Required Qualifications
Bachelor's degree or equivalent experience in related field
3 years of health plan or provider experience
Skills and Abilities
Advanced level Microsoft Excel skills
Experience with claims operations and various reimbursement methodologies strongly preferred
Experience managing and loading provider rosters preferred
Strong attention to detail
Aptitude to learn multiple systems
Strong written and verbal communication skills with a proven track record of follow-up
Problem solving and research skills
This position is an Office role, which requires an employee to work onsite at our Minnetonka, MN, St. Louis, MO, Madison, WI, or Omaha, NE office, on average, 3 days per week.
The full salary grade for this position is $50,800 - $87,000. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $50,800 - $76,125. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
$50.8k-87k yearly 1d ago
North America Head of Infrastructure Investments
Marsh McLennan 4.9
Boston, NY jobs
Company:MercerDescription:
We are seeking a talented individual to join our Global Real Assets team at Mercer. This role will be based in one of our North America offices in the Central or Eastern Time Zones. This is a hybrid role that has a requirement of working at least three days a week in the office.
The Head of North American Infrastructure will be a member of the Global Real Assets leadership team, sit on the global infrastructure investment committee, and join our client infrastructure portfolio construction groups. This role is pivotal in managing and growing Mercer's infrastructure investment strategies and client relationships across North America.
We will count on you to:
Serve as the key point person for current and future investment strategies focused on North America, including managing a large co-investment mandate with a US public pension and overseeing Mercer's flagship PIP US Infrastructure strategy, including the upcoming launch of Vintage 9
Oversee accountable coverage of major Infrastructure Investment managers in North America and globally, representing Mercer on several LPAC seats
Lead the Infrastructure Fund Research and Ratings process in North America
Source, diligence, and monitor approximately 5-10 co-investments annually in partnership with asset management partners and Mercer's Global and North American Infra investment teams
Collaborate with Mercer's secondaries team to source and diligence 5-10 secondaries annually
Lead a team of 3-5 people across Canada and the USA, working closely with global Infra and Real Assets teams
Drive business development by working closely with Mercer's client, commercial, and OCIO teams to expand client and segment relationships
What you need to have:
Extensive experience in infrastructure investment management, including portfolio management and co-investment strategies
Strong leadership skills with experience managing teams across multiple locations
Proven ability to engage with top-tier infrastructure investment managers and represent the firm on LPACs
Deep knowledge of infrastructure fund research, ratings, and due diligence processes
What makes you stand out:
Experience managing large co-investment mandates with public pension funds or similar institutional investors
Demonstrated success in business development and client relationship expansion within infrastructure investments
Ability to work effectively in a global team environment and lead cross-border initiatives
Why join our team:
We help you be your best through professional development opportunities, interesting work and supportive leaders.
We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
The applicable base salary range for this role is $275,000 to $325,000.
The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.
We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
Mercer, a business of Marsh McLennan (NYSE: MMC), is a global leader in helping clients realize their investment objectives, shape the future of work and enhance health and retirement outcomes for their people. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit mercer.com, or follow on LinkedIn and X.Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@mmc.com.Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.