Post job

MES Solutions jobs

- 46 jobs
  • Retail Associate

    Seven Corners Va 4.7company rating

    Falls Church, VA job

    GENERAL PURPOSE\: The Retail Associate is responsible for ensuring our Customers have a positive shopping experience. The Associate makes eye contact, smiles, and greets all Customers in a courteous and friendly manner, treats fellow Associates with respect, efficiently follows all company best practice standards as outlined in all work centers, and ensures proper merchandise presentation. The Retail Associate is expected to be engaged in these tasks as assigned during all working hours, and will be expected to perform a range of functions in all areas of the Store as business needs require. The Associate may be requested to perform additional tasks in specific situations, if performance of these tasks will help achieve our Customer service and operational goals. ESSENTIAL FUNCTIONS: Understands that safety is the number one priority and practices safe behaviors in everything they do. Maintains a high level of awareness on the sales floor to create a safe and secure shopping environment for everyone. Maintains clutter free, clear egress to emergency exits. Immediately corrects or reports any unsafe conditions or practices to Store Leadership. Treats all Customers and Associates with respect and courtesy; is friendly and professional at all times. Recognizes fellow Associates using Company recognition programs. Assists Customers in any way necessary - is register-trained, assists Customers with merchandise, and answers Customer questions in a polite and knowledgeable manner. Greets all Customers by making eye contact, smiling and saying “hello” throughout the Store as well as saying “thank you” with every register transaction. Provides prompt and efficient responses to Customers at all times. Responds to Customer Service calls immediately. Handles all Customer issues in a courteous and helpful way, calling a member of the Store Leadership when needed. Represents and supports the Company brand at all times. Maintains a professional appearance, and adheres to the Company dress code at all times. Performs daily assigned sizing and recovery per company best practice to ensure a neat, clean and organized store that is well-maintained and efficiently merchandised to standards. Expedites newly received merchandise receipts to the sales floor with a sense of urgency, merchandising all items per company best practice to the monthly presentation guidelines and maintaining merchandise/brand name familiarity within departments to assist Customers. Understands the Loss Prevention Awareness program, the Shortage Highway, the Store Protection Specialist (SPS) position (where applicable), and merchandise protection standards. As a representative of Ross Inc., demonstrates integrity and honesty in all interactions with Associates and Customers. Safeguards confidential information, cash and credit card information, and merchandise. Follows all Mark-Out-of-Stock (MOS) policies, including the identification of MOS merchandise, proper processing of each piece and the notification of Store Leadership to review and approve all disposals. Follows all policies and procedures concerning cash, check, charge card and refund transactions, voids and offline procedures. Maintains a high level of awareness and accuracy when handling bankable tenders. Demonstrates a sense of urgency to efficiently perform their role. Maximizes productivity by executing all Store best practices and minimizing steps and touches in their work flow. COMPETENCIES: Manages Work Processes Business Acumen Plans, Aligns & Prioritizes Builds Talent Collaborates Leading by Example Communicates Effectively Ensures Accountability & Execution QUALIFICATIONS AND SPECIAL SKILLS REQUIRED: Effectively communicate with Customers, Associates and Store Leadership in a friendly, respectful, cooperative and pleasant manner. Ability to perform basic mathematical calculations commonly used in retail environments. PHYSICAL REQUIREMENTS/ADA: Ability to use all Store equipment, including PDTs, registers and PC as required. Ability to spend up to 100% of working time standing, walking, and moving around the Store. Ability to regularly bend at the waist, squat, kneel, climb, carry, reach, and stoop. Ability to occasionally push, pull and lift more than 25 pounds. Ability to use janitorial equipment, rolling racks, ladders and other assigned supplies. Certain assignments may require other qualifications and skills. Associates who work Stockroom shifts\: Ability to regularly push, pull and lift more than 20 pounds. SUPERVISORY RESPONSIBILITIES: None DISCLAIMER This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at management's discretion. Ross is an equal employment opportunity employer. We consider individuals for employment or promotion according to their skills, abilities and experience. We believe that it is an essential part of the Company's overall commitment to attract, hire and develop a strong, talented and diverse workforce. Ross is committed to complying with all applicable laws prohibiting discrimination based on race, color, religious creed, age, national origin, ancestry, physical, mental or developmental disability, sex (which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy, childbirth or breastfeeding), veteran status, military status, marital or registered domestic partnership status, medical condition (including cancer or genetic characteristics), genetic information, gender, gender identity, gender expression, sexual orientation, as well as any other category protected by federal, state or local laws.
    $23k-29k yearly est. Auto-Apply 60d+ ago
  • Care Coordinator

    Viva Health 3.9company rating

    Remote or Dothan, AL job

    Nurses and Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Care Coordinator in Dothan, AL! VIVA HEALTH knows that nursing and social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. GENERAL CARE COORDINATION REQUIRED: * Licensed BSN/ADN * Licensed BSW PREFERRED: * Licensed MSW and/or Certified Case Manager (CCM) designation * Experience in case management, human services, public health, or experience with the underinsured population Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.
    $30k-37k yearly est. 22d ago
  • Medicare Member Advocate I

    Viva Health 3.9company rating

    Remote or Birmingham, AL job

    At VIVA HEALTH, we're known for providing our members with the care and excellent service they deserve. That is why we we're a top Medicare Advantage (MA) Plan and a nationally ranked Best Place to Work! This is the perfect time to join our team! We are currently seeking skilled and experienced call center individuals to join one of the most highly-rated Medicare plans in Alabama for 11 straight years! The Medicare Member Advocate I will assist members with questions and issues related to their coverage with VIVA Medicare - primarily via telephone in a call center environment. This position has work-from-home opportunities but requires occasional on-site work. We're currently seeking a Medicare Member Advocate I to work from home for VIVA HEALTH, a nationally ranked Best Place to Work! What's in it for you when you join VIVA HEALTH? Check out a few of the benefits: Hourly pay starting at $17.00 and up Strong incentive plan with an average of $7000/year (start earning as quickly as your 3rd month!) Employee and dependent tuition reimbursement Paid holidays Earn additional paid time off Community Service paid time off 401k with a 100% company match up to 4% of pay deferral Paid Parental Leave, and more! Bring your exceptional communication and interpersonal skills -- and your positive attitude -- to VIVA HEALTH and start a career with us! Check us out at *************************** REQUIRED: High school diploma or GED One year of experience in a call center Excellent oral and written communication skills Effective listening and reading comprehension skills Above-average data entry skills Knowledge of standard office practices and procedures, including the operation of office equipment, including personal computers and word processing, spreadsheets, and presentation programs Proper written and spoken English skills including spelling, punctuation, and grammar; basic business arithmetic Ability to work with minimal supervision Ability to work under pressure from deadlines and goals Ability to complete all company-required, job-specific, and departmental training PREFERRED: Some college Experience in health or insurance-related call center Experience working with the elderly population Working knowledge of Medicare, medical terminology, and HIPAA guidelines
    $17 hourly 8d ago
  • Claims Representative

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position can be performed remotely for candidates who reside in Iowa** Essential Functions: Analyzes coverage to ensure loss is covered by client policy Initiates contact within 24-hours for both clients and claimants for general liability claims as well as with employees, clients and medical providers for worker's compensation claims Takes statements over the phone from insureds, claimants, and/or witnesses and resolves questions on liability and the value of claims Sets timely, adequate reserves to cover probable company and client exposure Secures authorization to obtain medical bills and reports, as well as requests records from medical providers Reviews bills, invoices and receipts for accuracy Drafts information for state filings for workers' compensation claims, if requested Prepares excess carrier notifications as needed Investigates subrogation and recovery potential on every claim which includes review of police and fire department reports and pursues accordingly Notifies people leader of complex claims that require escalation for additional expertise in handling Anticipate customer needs, communicates decisions, defines expectations and fulfills commitments to involved parties Maintains active diaries and plans of action Promptly responds to all inquires Refers requests for account inquires to Claims Management Prepares claims summary reports for clients and participates in file reviews per client handling instructions Responds to questions from clients, agents, claimants, lawyers or coworkers Reviews questions of coverage, liability and the value of claims and losses, with supervisory approval Drafts and sends denial letters upon people leader approval Negotiates settlement amounts for damages claimed within assigned authority limits. Makes recommendations to management for settlement amounts outside of authority limits, and follows case to conclusion for training purposes as appropriate Issues payments within check authority limit Remains current on jurisdictional and industry related developments within the respective line of business through internal and external training opportunities Education & Experience: Associate degree or equivalent relevant experience One year of claims handling or insurance experience or related experience Bachelor's degree may be considered in lieu of the claim handling or insurance experience requirement AIC, INS or other insurance related certifications preferred Knowledge, Skills & Abilities: Basic knowledge of the claims adjusting process Basic knowledge of insurance contracts, medical terminology and legal aspects of court procedures affecting legal liability for all lines of insurance Good knowledge of computers, including claims systems Strong organizational and written and verbal communication skills, including documentation Good investigative and problem-solving abilities The hiring salary range for this position will vary based on geographic location, falling within either the $23-$31/hr. range or the $25-$35/hr. range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $25-35 hourly Auto-Apply 32d ago
  • Regional Underwriting Director

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position is eligible to work a hybrid schedule from the Twin City Metro** Essential Functions: Leads and directs the branch underwriting process. Enforces guidelines and procedures established by Corporate Office Underwriting. Develops and enforces underwriting guidelines and procedures specific to their branch territory. Models smart and effective underwriting practices for individual accounts, all lines of business, and different classes. Sets and implements strategies to address challenges to profit and communicates strategies throughout the underwriting department. Answers questions, shares recommendations for complex situations, such as difficult accounts, communication strategies or problematic agency relationships and explains the rationale for recommendations. Monitors business results to ensure that underwriters operate within authority limits, guidelines, and branch service directives while matching price to quality across the book of business and meeting rate goals. Serves as the subject matter expert for the branch and makes final decisions on complex or high-risk accounts. Reviews updates received from Corporate Office Underwriting and communicates changes to team. Oversees and directs the underwriting department team, focusing on both long-term and short-term success. Collaborates with team members to establish performance goals and monitors status, conducts reviews, and provides coaching. Interviews, hires, and recommends salary adjustments for team members. Directs existing and develops and fosters new agency relationships to grow profitable relationships and rehabilitate unprofitable and low growth relationships. Collaborates with Branch Vice President to determine underwriting strategy and practices and establishes short-term and long-term underwriting goals. Performs audits on new business and renewals for compliance with Sarbanes Oxley, letters of authority, and quality and completeness of the underwriting being done in the branch. Coordinates with underwriters, marketing and branch management in the agency management process including planning and agency review meetings. Education & Experience: Bachelor's degree, preferably in insurance or business administration or equivalent relevant experience Ten years of commercial lines underwriting experience Previous supervisory/leadership experience CPCU designation or other underwriting-related designation(s) preferred Knowledge, Skills, & Abilties: Superior knowledge of underwriting and risk analysis Exceptional problem-solving skills and the ability to make sound decisions Strong computer skills, including knowledge of Microsoft Office and social media Ability to oversee multiple projects at one time and make decisions under challenging circumstances Excellent ability to translate technical ideas into more general terms for business customers Ability to explore new and different processes, services, technologies, and partnerships to enhance EMC's business Superior written and verbal communication skills Excellent leadership skills and ability to motivate team Excellent ability to effectively communicate products, procedures, business planning and system information Exceptional customer service skills Ability to speak effectively before groups Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards will be required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $118,603 - $170,001 or $130,774 - $187,434 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $130.8k-187.4k yearly Auto-Apply 17d ago
  • Complex Casualty Claims Manager

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This role can be performed remotely anywhere in the US** Essential Functions: Oversees assigned complex casualty claims team. Reviews all complex claim files assigned to team and analyzes files for necessary facts, including reaching out to appropriate parties to gather any missing information. Assigns claims to the appropriate handler with the right skills and experience. Provides direction and recommendations for handling. Guides team through complex questions of coverage, compensability, liability, claim value and strategy for resolution. Handles complex commercial casualty claims. Reviews reservation of rights and denial letters and approves for sending to insureds. Assigns or assists in the selection of counsel and monitors litigated matters. Ensures that timely, adequate reserves have been established on claim files in compliance with the company's reserve guidelines and methodology. Ensures adjuster is handling claims in accordance with company's claims handling best practices and claims philosophy. Properly identifies files appropriate for claims committee, coverage counsel or subrogation. Ensures proper reserves and authorizes claim payments within authority. Controls claim and loss costs and adjustment expenses. Advances file review reports ensuring sufficient information is provided to support reservice increases above supervisory level. Oversees and monitors the workload and performance of the team. Guides team through complex work issues and answers questions. Routinely meets with team members to monitor business decisions made to ensure compliance with authority levels, good faith claim handling, and regulatory requirements. Ensures files are properly documented and monitors claims system productivity metrics. Collaborates with team members to establish performance goals and monitors status. Conducts performance reviews and provides coaching. Interviews, hires, and recommends salary adjustments for team members. Resolves disciplinary issues, reviews results, actions plans, and progress. Develops team expertise and assists with succession planning, including identifying talent and implementing development plans for critical positions. Supports diversity, equity, and inclusion initiatives. Fosters an innovative culture, including supporting new ideas and providing guidance on potential changes. Develops and fosters excellent customer relations as it relates to complex casualty claims. Monitors the customer service metrics and ensure that customer experience levels are being met. Collaborates with Underwriting, Marketing, and Claims Liaison to educate agents on EMC products and services to ensure agents and customers receive superior customer experiences and select EMC as their carrier of choice. Communicates with agents proactively and anticipates agents' and insureds' needs. Visits agencies to discuss accounts and losses. Collaborates and communicates with management on trends, opportunities and results. Develops and markets the claim brand and culture among EMC teams, and prospects in the industry. Education & Experience: Bachelor's degree or equivalent relevant experience Ten years of experience in casualty claims adjusting or related experience, including experience with large and complex claims Attainment of all applicable state licenses as required Prior leadership experience Insurance designations, such as INS, AIC, and CPCU preferred Knowledge, Skills & Abilities: Excellent understanding of casualty claims techniques and a current knowledge of knowledge of various jurisdictions, good faith claims handling requirements and legal environments Advanced knowledge of insurance terms and coverages in commercial lines Advanced knowledge of negotiation and alternative dispute resolution techniques Strong leadership qualities with the ability to motivate staff Excellent knowledge of computers and claims systems Excellent organizational, written and verbal communication skills Excellent ability to gather and analyze a variety of data points to appropriately triage claims handling Advanced investigative and problem-solving abilities Occasional travel nationwide, valid driver's license with an acceptable motor vehicle report per company standards will be required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $101,677 - $145,733 or $112,094 - $160,670 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $112.1k-160.7k yearly Auto-Apply 15d ago
  • Intern- User Experience Researcher

    EMC Insurance Group 4.6company rating

    Remote job

    Explore a variety of careers in insurance with EMC! By participating in our paid intern program, you'll develop industry-related knowledge, enhance skills that are transferable to any professional setting and do meaningful work to help achieve our goals. Your daily responsibilities, special projects and activities will provide both structured and unstructured opportunities to help you learn and grow as a professional. When you network with executives, connect with a mentor, explore other departments and volunteer in the community, you'll see your impact at EMC on a larger level. Plus, successful interns are invited to apply for regular full-time positions. Join us at EMC! You're going to love it here-you can count on it. **Ideal candidate will be located in Iowa.** Essential Functions: Summer 2026 paid internship working in our corporate marketing area Performs ad hoc UX research under direction of UX designers Performs light quantitative testing to validate UX hypotheses Semi-independently researches potential improvement to EMC applications or digital products and creates a journey map/mental map as an output for their final project Participates in project team meetings and helps determine new research opportunities Helps generate discussion/moderator guides for usability testing Assists in conducting moderated usability tests Writes summary of test findings to provide to UX Designers/project team Education & Experience: Major in User Experience, Human Computer Interaction, Interaction Design, Psychology, Computer Design, or a related field. Completion of junior year preferred Cumulative GPA of 3.00 or higher Related coursework required Experience with business-style writing preferred Knowledge, Skills & Abilities: Strong knowledge of standard qualitative and quantitative research techniques Desire and interest to work in using data to shape digital product designs Preference for candidates who have background and/or interest in accessibility and inclusion. Ability to multi-task and meet deadlines. Excellent verbal and written communication skills. Analytical ability. Strong organizational skills. Sound decision-making and problem-solving. Attention to detail. Good personal computer knowledge. Good working knowledge of Word, Excel, and PowerPoint. The hiring salary range for this position will vary based on geographic location, falling within either the $19.50-$23.00 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $34k-51k yearly est. Auto-Apply 2d ago
  • Social Worker, Care Coordinator

    Viva Health 3.9company rating

    Remote or Birmingham, AL job

    Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a SW, Care Coordinator in Birmingham, AL! VIVA HEALTH knows that social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! The ideal candidate will be located in Jefferson or Shelby county. Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. GENERAL CARE COORDINATION Required: * Licensed BSW Preferred: * Licensed Master of Social Work (LMSW) designation and/or Certified Case Manager (CCM) designation * Experience in case management, human services, public health, or experience with the underinsured population Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.
    $42k-51k yearly est. 50d ago
  • Underwriting Product Manager - Casualty

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This role can be performed remotely anywhere in the US** Essential Functions: Serves as assigned line of business subject matter expert to provide strategic direction enterprise wide. Develops line of business strategies and plans, and ensures successful implementation enterprise wide. Leads the administration and development of products and programs for assigned line of business Leads the process of the developing of short- and long-term strategic product and underwriting strategies within LOB in support of enterprise-wide business and profitability goals Maintains primary oversight of the profit and loss for assigned LOB. Develops and maintains the business plan for assigned LOB Analyzes premium and loss data and other key reports on monthly and quarterly basis to ensure long-term profitable growth Analyzes underwriting and loss results and determines underlying trends that impact results. Recommends actions to drive profitable growth Analyzes for profit and loss for assigned LOB Develops new product ideas, reviews existing products, and drafts new coverage language. Leads and coordinates marketing of designed products Creates, maintains, and communicates best practices and underwriting guidance to all of EMC Acts as a strategic partner for branches and other corporate departments on LOB questions Proactively communicates and makes recommendations to management for improvements needed to meet company goals and improve underwriting results Evaluates the cost and benefit of market opportunities and product initiatives and recommends actions based on evaluation, including identifying product improvements for complex products Provides analysis for state and countrywide rate reviews as well as to aid branch partners in efforts at profitability improvement and profitable production by providing recommendations and support to drive profitable growth Reviews insurance publications and keeps current on issues by attending seminars and participating in continuing education Represents Corporate Underwriting and EMC on various committees and events as appropriate and approved Reviews and studies proposed changes in rules, rates, and forms for assigned LOBs for both EMC proprietary and those controlled by ISO or other bureaus Prepares any necessary changes and new information for company manuals, bureau and proprietary policy forms and statistical coding Assesses the impact of proposed changes and determines the need for and timing of filings. Prepares documentation needed to obtain approval and makes recommendations for needed action Writes and prepares new proprietary endorsements as needed Coordinates with other corporate office departments to implement and communicate changes and impacts Serves as assigned LOB subject matter expert by researching and reviewing state regulations, coverages, operational processes, underwriting criteria and system application and tools Serves on special projects with other strategic partners within the organization as a representative of assigned LOB Provides evaluation and input regarding effectiveness of departmental projects Works with third party vendors and manages consultant relationships with internal partners to integrate products based on enterprise needs Participates in the creation and execution of marketing material and strategies Partners with and provides underwriting expertise to departments within the company Initiates and assists in the preparation of underwriting workshops and seminars for underwriting branch team members Acts as a speaker or instructor for internal training exercises or meetings, and provides input or prepares articles, white papers, and underwriting bulletins on the most complex issues Partners with COUW Business Segment team on most complex and larger accounts that may be outside of their LOB authority Assesses coverage, limits, and pricing on complex accounts and provides branches with authorizations on accounts above branch authority. Determines the acceptability of risk by discussing underwriting philosophy, policy forms, rating approaches, underwriting and risk management techniques, including the largest and most complex risk submissions which require a specialized approach Participates in all aspects of quality control and audit assessments on new and renewal business Education & Experience: Bachelor's degree, preferably in a business or insurance related field, or equivalent relevant experience Ten years of experience with commercial property and casualty underwriting including at least three years of staff underwriting experience within specific line of business Insurance certifications, such as CPCU, AU or CIC preferred Knowledge, Skills & Abilities: Exceptional, proven knowledge of countrywide underwriting techniques, terminology, policies, and forms Exceptional underwriting judgment and decision-making skills Excellent knowledge of key performance indicators (KPIs) and ways to improve them Advanced written and verbal communication skills, including presentation skills Ability to work effectively with others, as well as independently and possess demonstrated problem-solving abilities Strong computer knowledge, Internet and keyboarding skills Excellent ability to advise, partner, influence and effectively consult with diverse internal and external stakeholders, including senior leaders, executives, and project owners Excellent ability to distill and communicate highly complex issues for technical and non-technical audiences Excellent ability to translate technical ideas into more general terms for business customers Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either the $109,818-$157,391 range or the $121,061-$173,534 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. The hiring salary range for this position will vary based on geographic location, falling within either of the following: $109,818 - $157,391 or $121,061 - $173,534 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $121.1k-173.5k yearly Auto-Apply 15d ago
  • Territory Management Consultant

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **The ideal candidate will reside in Northern Minnesota or Eastern North Dakota** Oversees an assigned territory with broad and challenging agency partners driving profitable premium growth to achieve financial and operational goals. Creates, implements and executes territory and agency strategies to achieve short term and long term goals utilizing all company programs, tools and resources in collaboration with internal business partners. Builds and cultivates complex agency partnerships in person with agency ownership, management and frontline team members. Establishes position as a subject matter expert while delivering product, underwriting philosophy, appetite and system training, and support retention and new business development to increase depth and maximize agency revenue. Builds and executes an effective agency management sales plan with broad and challenging agencies to achieve maximum production and profit goals in assigned territory. Essential Functions: Oversees an assigned territory with broad and challenging agency partners driving profitable premium growth to achieve financial and operational goals Creates, implements and executes territory and agency strategies to achieve short term and long term goals utilizing all company programs, tools and resources in collaboration with internal business partners Owns the business development process within assigned market area with heavy emphasis on developing a pipeline of profitable new business and renewal retention Continually identifies and evaluates prospects for new agencies within the territory. Surveys prospective agencies and obtains completed agency applications Builds and cultivates complex agency partnerships in person with agency ownership, management and frontline team members Creates, drives, and manages strong producer relationships through high visibility, clear knowledge of company strategy and joint sales planning Communicates with branch team about complex agency relationships and proactively coordinates actions to address potential issues, involving other departments as appropriate Builds and executes an effective agency management sales plan with broad and challenging agencies to achieve maximum production and profit goals in assigned territory Leads assigned geographical territory and agency management processes (e.g. agency prospecting, business planning, engagement, training, compensation, etc) Education & Experience: Bachelor's degree, preferably in marketing or business or equivalent relevant work experience Five years of experience in property and casualty underwriting, claims, sales territory development, or agency, or related experience Insurance designations, such as CPCU or CIC, or an agent license preferred Knowledge, Skills & Abilities: Excellent knowledge of property and casualty insurance industry Advanced knowledge of independent agency operations, market conditions and competitor information Exceptional problem-solving skills and the ability to make sound decisions Excellent sales and negotiating skills Excellent verbal and written communication skills, including presentation skills Excellent organizational, time management and planning skills Strong problem-solving abilities and interpersonal skills Ability to work independently Strong computer skills, including knowledge of Microsoft Office and social media Demonstrated leadership qualities Travel required; valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $83,925 - $115,647 or $92,509 - $127,495 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $92.5k-127.5k yearly Auto-Apply 12d ago
  • Intern- Claims (Worker's Compensation)

    EMC Insurance Group 4.6company rating

    Remote job

    Explore a variety of careers in insurance with EMC! By participating in our paid intern program, you'll develop industry-related knowledge, enhance skills that are transferable to any professional setting and do meaningful work to help achieve our goals. Your daily responsibilities, special projects and activities will provide both structured and unstructured opportunities to help you learn and grow as a professional. When you network with executives, connect with a mentor, explore other departments and volunteer in the community, you'll see your impact at EMC on a larger level. Plus, successful interns are invited to apply for regular full-time positions. Join us at EMC! You're going to love it here-you can count on it. **This position is eligible to work from home anywhere in the United States** Essential Functions: Summer 2026 paid internship working in EMC's corporate claims team Utilizes information to develop meaningful data insights using Business Intelligence (BI) tools Partners with key business stakeholders in Claims to gather information and requirements for data analysis and reporting Learns EMC culture, business processes and products Gains an understanding of the insurance claims process Education & Experience: Business major, preferably in business management, finance, or communications Completion of junior year preferred Interest in property casualty insurance career Cumulative GPA of 3.00 or higher Knowledge, Skills & Abilities: Excellent verbal and written communication skills Analytical ability Strong organizational skills Sound decision-making and problem-solving Attention to detail Good personal computer knowledge The hiring salary range for this position will vary based on geographic location, falling within either the $19.50-$23.00 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $33k-49k yearly est. Auto-Apply 52d ago
  • Rating Associate - CL

    EMC Insurance Group Inc. 4.6company rating

    Remote or Myrtle Point, OR job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. This position is eligible to work from home anywhere in the United States Essential Functions: * Collects, reviews, and enters rating information into the system to provide quotes to underwriters for new business, endorsements and renewals * Contacts the agent and follows up for missing information * Reviews the automated renewal quote document and makes necessary updates * Reviews and processes endorsements that fall within a specified list of requirements * Prepares and approves renewals within authority limit Education & Experience: * High school diploma or equivalency * One year of office support experience desired Knowledge, Skills & Abilities: * Keyboarding speed of 40 wpm * Accurate data entry skills * Good personal computer skills * Proficiency in Microsoft Word * Strong customer service skills and telephone etiquette * Knowledge of insurance terminology desired #DNP The hiring salary range for this position will vary based on geographic location, falling within either of the following: $37,116 - $51,159 or $40,925 - $56,406 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $40.9k-56.4k yearly Auto-Apply 12d ago
  • Care Coordinator

    Viva Health 3.9company rating

    Remote or Dothan, AL job

    Nurses and Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a Care Coordinator in Dothan, AL! VIVA HEALTH knows that nursing and social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. GENERAL CARE COORDINATION REQUIRED: Licensed BSN/ADN Licensed BSW PREFERRED: Licensed MSW and/or Certified Case Manager (CCM) designation Experience in case management, human services, public health, or experience with the underinsured population Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.
    $30k-38k yearly est. 22d ago
  • Sales Training Consultant

    EMC Insurance Group Inc. 4.6company rating

    Remote or Myrtle Point, OR job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. This role can be performed remotely anywhere in the US Manages relationships with external training vendors and ensures the delivery of high-quality, customized sales training aligned with company goals, sales strategies, and compliance standards. Oversees the development and implementation of engaging training programs and materials across internal and external channels. Collaborates with cross-functional teams to assess training needs, identify performance gaps, and drive continuous improvement. Evaluates training effectiveness and recommends enhancements to maximize impact and return on investment (ROI). Essential Functions: * Leads the design and implementation of enterprise-wide sales training initiatives, ensuring alignment with long-term business objectives and evolving market demands. * Builds and maintains strategic partnerships with external vendors, industry associations, and thought leaders to bring innovative training solutions to the organization. * Manages external training vendors, including selection, contract negotiation, and performance oversight. * Customizes vendor-led training programs to align with insurance products, sales strategies, and compliance standards. * Coordinates logistics for vendor-led sessions, ensuring smooth scheduling and resource allocation. * Designs and delivers engaging sales training programs, maintaining consistency across internal and external offerings. * Develops training materials such as presentations, e-learning modules, videos, and job aids. * Updates training content regularly to reflect changes in products, market trends, and sales techniques. * Drives the adoption of new learning technologies and methodologies, evaluating emerging trends and integrating them into training programs. * Provides coaching and support to field sales, marketing, and underwriting teams to reinforce learning. Collaborates with cross-functional teams (Sales, Marketing, Underwriting, HR, Compliance) to assess training needs and define objectives. * Analyzes performance data and feedback to identify training gaps and opportunities for improvement. * Reviews and approves training content for accuracy, relevance, and alignment with business goals. * Tracks and reports training outcomes, including participation, effectiveness, and ROI. * Evaluates training impact and recommends enhancements based on assessments and industry best practices. * Presents findings and recommendations to leadership, influencing organizational sales training strategy and investment decisions. * Stays current with industry trends, learning technologies, and best practices through research and professional engagement. Education & Experience: * Bachelor's degree in business, insurance, education, or related field, or equivalent relevant experience * Eight years of experience in sales, sales training, learning and development, or related experience * Experience managing external training vendors or partners * Experience with training software and tools (e-learning platforms, virtual training delivery) * Familiarity with instructional design, adult learning theory, and training evaluation methodologies * Certifications in training, instructional design, or coaching preferred Knowledge, Skills & Abilities: * Proven track record of developing and delivering engaging and effective sales training programs * Excellent knowledge of sales strategies, techniques, and insurance industry practices * Excellent organizational and project management skills with strong follow-through * Exceptional communication, presentation, and relationship-building abilities * Ability to work collaboratively across teams and independently when needed * Excellent analytical skills to assess training effectiveness and vendor performance * Proficiency with learning management systems, virtual platforms, and authoring tools * Ability to explain concepts from both technical and business perspectives * Occasional travel; valid driver's license required if driving The hiring salary range for this position will vary based on geographic location, falling within either the $90,635-$124,914 range or the $99,924-$137,714 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $46k-60k yearly est. Auto-Apply 28d ago
  • Manager, Care Coordination

    Viva Health 3.9company rating

    Remote or Auburn, AL job

    VIVA HEALTH, ranked one of the Best Places to Work by Modern Healthcare, is currently seeking a Manager, Care Coordinator in Auburn, AL! The Manager, Care Coordination will supervise the day-to-day operations of a Care Coordination team, including program policies and procedures, documentation and records, and will work collaboratively with ACHN leadership to support overall quality goals. This position will work both internally and externally to ensure timely and efficient care is accessible to patients and to support delivering care providers. This position will also provide clear direction for achieving team goals and objectives. This position will travel to locations within the relevant service area through a reliable means of transportation insured in accordance with Company policy. This position will have work from home opportunities. REQUIRED: * BSN * Three years of experience in care coordination or case management in a medical or behavioral health setting * One year of experience in a supervisory or management role * Current RN license in good standing with the appropriate State of Alabama Board * Valid driver's license in good standing * May require significant face-to-face member contact, with duties regularly performed away from the principal place of business * Willing to submit to vaccine testing and screening * Excellent interview and telephone skills, as well as the ability to deal with providers and team members in a caring and helpful (assertive and tactful) manner * Working knowledge of health-related service delivery systems * Excellent communication and relationship skills * Ability to analyze varied environmental factors in relation to members' wellbeing * Organization and time management skills * Ability to be flexible, adaptable and work effectively in a variety of settings * Basic computer skills PREFERRED: * CCM Certification * Ability to utilize Microsoft Word and Excel
    $36k-54k yearly est. 6d ago
  • Senior Bond Underwriter

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position is eligible to work a remote schedule from the Houston metro area** Essential Functions: Underwrites accounts within an assigned underwriting authority level, and services existing bond accounts, including analysis of financial statements, work in progress reports, and overall credit worthiness. Gathers necessary information to make a decision on whether to approve or decline a bond request. Maintains current account files and visits accounts as needed. Serves as a technical expert to other bond underwriters, including assisting with training, on the underwriting process and best practices in marketing to existing and new agencies. Creates new and grows existing agency relationships. Meets with agents, contractors, clients, prospective and existing project owners, etc. Educates agents on the bond philosophy and services EMC provides its customers. Participates in industry functions, meetings, and seminars to network and increase knowledge on surety and fidelity issues. Communicates with agents proactively and anticipates agents and insured's needs. Plans and participates in events to establish new agency relationships and drive profitable growth opportunities for the department. Identifies opportunities and eliminates potential barriers within agency relationships. Underwrites new account submissions within an assigned underwriting authority level. Education & Experience: Candidates that exceed the minimum qualifications may be considered for a higher level position. Bachelor's degree, preferably in accounting, finance, or business, or related field, or equivalent relevant experience Six years of experience with bond underwriting, or related experience Associate in Fidelity and Surely Bonding (AFSB) designation preferred Knowledge, Skills & Abilities: Excellent bond underwriting knowledge Excellent analytical, financial, and problem-solving skills Excellent multitasking and organization skills Strong human relations skills, including written and verbal communication Good keyboarding skills and computer knowledge including knowledge of Microsoft Office Suite Ability to work effectively with others, as well as independently Travel required; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either the $90,635-$124,914 range or the $99,924-$137,714 range. A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $99.9k-137.7k yearly Auto-Apply 36d ago
  • Senior Statistical Analyst

    EMC Insurance Companies 4.6company rating

    Remote or Des Moines, IA job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This role can be performed remotely anywhere in the US, with preference to work remotely in Des Moines, IA** Essential Functions: Reviews and analyzes highly complex data requests from within and outside EMC involving premium, loss, and accounting data. Analyzes requests and determines the most suitable way to submit the data Verifies data using available data extraction tools such as Excel and SQL Develops data quality audits for team to complete. Documents and reports discrepancies. Guides EMC teams in implementing changes identified in the audit process Reconciles statistical data to financial data and investigates and corrects discrepancies Analyzes errors and explains data irregularities to insurance reporting bureaus or states Reviews test data for accuracy and reasonableness. Notifies teams about discrepancies and works with them to correct issues Collaborates with third party administrators to obtain data, analyze the accuracy of the data, and provide direction Analyzes data requests and assigns them to the appropriate team member Leads special projects as assigned Performs highly complex data extractions using EMC data files Writes specifications to the Strategic Analytics Department or Regulatory Reporting Team to obtain data Extracts and analyzes data for market conduct exams from policy, claims, imaging systems, and external websites Gathers and submits financial call data for National Council in Compensation Insurance (NCCI) and independent states Extracts data using data extraction tools such as Excel and SQL Researches, determines needs, and writes specifications to the Strategic Analytics Department or Regulatory Reporting Team for multiple EMC teams Serves as a resource for Regulatory Compliance Manager regarding questions from the state Works with hired vendors/consultants to determine the process for submitting and correcting data Requests system changes Contacts bureaus, such as NCCI or Insurance Service Office (ISO) and states to ask questions related to reports Provides guidance to EMC teams on collecting, editing, handling, storing, and reporting statistical data to comply with reporting requirements Represents Statistical Compliance in corporate projects and as a member of the Product Model change team Represents the company for statistical matters involving reporting agencies and regulatory bodies Provides training to Statistical Compliance team members Monitors state websites for updates regarding industry changes, new reporting requirements, and data reporting deadlines Maintains documentation of data requests and logs of data submissions. Monitors systems to ensure that all submission guidelines are met Updates the Compliance website quarterly with updated manuals from reporting bureaus Provides backup support for team. Reviews and enters payments in the Accounts Payable System and Workday Education & Experience: Bachelor's degree, preferably in math, finance, accounting, business or related field, or equivalent relevant experience Seven years of data reporting or related experience Knowledge, Skills & Abilities: Excellent knowledge of insurance terminology Excellent quantitative abilities and math skills Excellent knowledge of insurance reporting bureaus' and state requirements Strong proficiency in Excel functions and formulas Excellent SQL abilities Strong attention to detail Leadership abilities Superior verbal and written communication skills Excellent analytical and problem-solving skills Ability to work independently and as part of a team The hiring salary range for this position will vary based on geographic location, falling within either of the following: $77,013 - $106,126 or $84,912 - $117,001 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $84.9k-117k yearly Auto-Apply 22d ago
  • Social Worker, Care Coordinator

    Viva Health 3.9company rating

    Remote or Birmingham, AL job

    Social Workers! VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, is currently seeking a SW, Care Coordinator in Birmingham, AL! VIVA HEALTH knows that social work is not just a job, it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights or weekends. This way you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package including tuition reimbursement for employees and dependents, paid parental leave, and paid day for community service, just to name a few! VIVA HEALTH employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team! The ideal candidate will be located in Jefferson or Shelby county. Care Coordinators use psychosocial and/or clinical knowledge to provide non-clinical services for Medicaid recipients to improve the medical compliance and health outcomes of the populations served. This position identifies barriers to medical compliance such as lack of transportation, illiteracy, or other social determinants that impact a member's health, and ensures services are delivered and continuity of care is maintained. The position analyzes the home and community environment and makes autonomous decisions regarding appropriate care plans and goals using a thorough knowledge of available community resources. These services are provided primarily in community and home settings via phone and/or in person. Local daytime travel is required via a reliable means of transportation insured following Company policy. This position will have work-from-home opportunities. GENERAL CARE COORDINATION Required: Licensed BSW Preferred: Licensed Master of Social Work (LMSW) designation and/or Certified Case Manager (CCM) designation Experience in case management, human services, public health, or experience with the underinsured population Also requires a valid driver's license in good standing, willingness to submit to vaccine testing and screening, and may require significant face-to-face member contact with duties performed away from the principal place of business. All positions require excellent interview and telephone skills as well as the ability to deal with recipients in a caring and helpful manner. The Care Coordinators should have a working knowledge of health-related service delivery systems and excellent communication and relationship skills. This position requires the ability to analyze varied environmental factors to members' well-being and work independently in an autonomous setting and the ability to locate, augment, and develop resources, including information on services offered by other agencies.
    $42k-51k yearly est. 50d ago
  • Physical Damage Appraiser I

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position is eligible to work remotely in the Des Moines, IA area with some flexibility to work remotely in the Midwest** Essential Functions: Investigates and evaluates minor to moderately complex auto claims and losses through the following: Reviews the loss notice and policy to verify coverage, deductibles, loss payee/mortgagees and verify date of loss to policy periods Evaluates repair shop and independent appraiser estimates to determine accuracy. Writes accurate repair estimates. Determines cost of repairs. Drafts and issues payments Reviews bills, invoices, and receipts for accuracy and issues payments accordingly Evaluates photos to determine if damages are consistent with loss or prior unrelated damages and writes repair estimates Evaluates vehicle values and repair costs to establish repair ability versus total loss Evaluates supplemental requests for additional repairs and processes them according to EMC guidelines and issues payments based on review Assists in resolving questions of coverage, determination of liability, and the value of claims by the claims adjusting staff or underwriters Evaluates repair times to determine length and cost of rentals to control indemnity costs Provides prompt detailed responses to vehicle owners, agents, and claims adjusting staff to ensure a positive claim experience for our customers Negotiates, settles, and/or resolves minor to moderately complex auto claims and losses through the following: Analyzes and set adequate reserves to cover exposure based on EMC's reserving philosophy and the complexity of their claims to establish a dollar amount Prepares damage estimates using CCC estimating software and CCC photo link software Negotiates claim settlement with insureds, claimants, and attorneys Negotiates agreed repair price with repair facility Issues payments within check authority Requests police reports. Responds to questions from the insureds, claimants, and agents. Makes recommendations for vehicle inspections based on estimate and damages. Evaluates depreciation if applicable and assesses value. Authorizes supplemental repairs and payment. Evaluates and pays independent appraiser invoices. Assists and participates in recovery efforts to catastrophe storm situations. Performs special projects as requested. Reviews files for subrogation. Assists in small claim suits, mediations, and arbitrations. Education & Experience: High school diploma or equivalency Two years auto repair and/or property claims experience or related experience Multiple state insurance adjuster and appraiser licenses required within 6 months of hire Knowledge, Skills & Abilities: Current technical knowledge of auto collision repair techniques and standards Strong knowledge of state statutes Strong interpersonal skills, conflict resolution, and negotiation abilities Good knowledge of personal computers, electronic estimatics software, and the use of reference manuals relevant to this field of work Excellent customer service skills Strong organizational and written and verbal communication skills The hiring salary range for this position will vary based on geographic location, falling within either of the following: $50,073 - $68,995 or $55,191 - $76,061 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. For information relating to the benefits EMC Team Members receive as part of a comprehensive rewards package, please visit *********************** Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $55.2k-76.1k yearly Auto-Apply 5d ago
  • Underwriting Associate

    EMC Insurance Group 4.6company rating

    Remote job

    At EMC, we're all about working together to make an impact. As part of our team, you'll have the opportunity to grow, contribute, and gain experience that matters. We strive to be caring leaders, close partners, and responsive experts-always supporting each other to do our best work. Join us, and let's improve lives together. **This position can be performed remotely for candidates who reside in Virginia, North Carolina, or South Carolina ** Essential Functions: Prepares and approves renewals for accounts within authority limit with a focus on long term profitability, retention and achieving branch and company pricing goals. Based on branch established guidelines, leverages negotiation skills to obtain adequate rate. Reviews account information, including coverage details, claims history, and any relevant updates or changes. Evaluates the risk profile of each account and assess its eligibility for renewal based on established underwriting guidelines. For accounts outside authority, prepares information for underwriter to complete the renewal. Communicates with agents to ensure all renewal information has been requested and received. Regularly collaborates with underwriters throughout the renewal process ensuring a holistic approach to managing the agency book of business. Maintains proper file documentation. Develops relationships with agents by providing excellent customer service to promote renewal retention. Builds and nurtures relationships with agents by regularly engaging in meaningful interactions, such as face-to-face meetings, virtual meetings, phone conversations, and written communication. Responds to concerns or issues raised by agents regarding endorsements and renewals promptly and effectively, collaborating with internal teams to find solutions that meet the needs of both the carrier and agency. Reviews and approves endorsements that fall within a specified list of requirements and within authority. Underwrites and provides endorsement quotes to agents. Corresponds with agents for additional information. Assesses the potential risks associated with proposed endorsements, taking into account factors such as policy coverage, loss history and claims data to evaluate the overall impact on the policy. Determines if additional information or assessments are required for accurate decision-making. Reviews and approves reinstatements and cancellations. Assists agents with policy billing inquiries. Performs support duties for branch departments including but not limited to, ordering and analyzing reports as appropriate, reviewing drivers, and completing monthly projects. Collaborates with experienced underwriters and territory management team members to develop understanding of company and branch risk appetite, underwriting resources, and systems. Education & Experience: Associate's degree or equivalent work experience One year of insurance industry experience or related experience Bachelor's degree may be considered in lieu of the insurance industry experience requirement Knowledge, Skills & Abilities: Attention to detail and accurate data entry skills Good personal computer skills with proficiency in Microsoft products General knowledge of insurance terminology Good problem-solving and decision-making skills Excellent customer service and communication skills Strong organizational and time management skills Strong negotiation skills Ability to work in a team setting as well as independently Occasional travel; a valid driver's license with an acceptable motor vehicle report per company standards required if driving The hiring salary range for this position will vary based on geographic location, falling within either of the following: $45,942 - $63,324 or $50,657 - $69,820 A hiring range represents a subset of the full salary range. The actual salary will depend on several factors, including relevant education, skills, and experience of an applicant, geographic location, and business needs. Our employment practices are in accordance with the laws that prohibit discrimination due to race, color, creed, sex, sexual orientation, gender identity, genetic information, religion, age, national origin or ancestry, physical or mental disability, medical condition, veteran status, active military status, citizenship status, marital status or any other consideration made unlawful by federal, state, or local laws. All of our locations are tobacco free including in company vehicles.
    $50.7k-69.8k yearly Auto-Apply 17d ago

Learn more about MES Solutions jobs

Jobs from similar companies

Jobs from similar companies you might want to view.

Zippia gives an in-depth look into the details of MES Solutions, including salaries, political affiliations, employee data, and more, in order to inform job seekers about MES Solutions. The employee data is based on information from people who have self-reported their past or current employments at MES Solutions. The data on this page is also based on data sources collected from public and open data sources on the Internet and other locations, as well as proprietary data we licensed from other companies. Sources of data may include, but are not limited to, the BLS, company filings, estimates based on those filings, H1B filings, and other public and private datasets. While we have made attempts to ensure that the information displayed are correct, Zippia is not responsible for any errors or omissions or for the results obtained from the use of this information. None of the information on this page has been provided or approved by MES Solutions. The data presented on this page does not represent the view of MES Solutions and its employees or that of Zippia.

MES Solutions may also be known as or be related to MES Group Inc, MES Solutions, Mes Group, LLC and Mes Solutions.