Mountain West Farm Bureau Mutual Insurance jobs - 121 jobs

The Manager, Medicare Claims, oversees end-to-end claims services for provider segments, meeting business goals. This role sets performance targets, manages claims processing and financials, handles submissions, refunds, and recoveries, and ensures claims accounting and reporting. Collaboration with claims leadership ensures alignment with customer needs and contracts. What You'll Do Streamline shared processing to reduce management by exception Set operational process to address market trends, BCBSNC capabilities and customer demand Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards. Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions. Manage financial recovery activities including refunds and collections Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality Design and develop tools and techniques for improvements. Identifies needed process and procedural changes which will result in improved customer satisfaction. Serve as Medicare Claims Subject Matter Expert and single point of contact for performance monitoring and troubleshooting. Represent Claims Operations on monthly CMS calls with CMS Account manager answering questions, providing status updates and expertise routinely and on demand. Ability to engage as requested by Compliance with regulatory entities, especially CMS on monthly calls and serve as an internal point of contact to prepare feedback on issues under CMS review. Use good judgement in understanding issues and work with compliance to prepare for discussions. Ability to represent claims as a knowledgeable SME. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 1-2 years of Medicare and Medicaid experience or a highly regulated operational environment - highly preferred Strong analytical skills with the ability to drive change and manage operations Ensure risks associated with business activities are effectively identified, measured, monitored and controlled within accordance with compliance policies and procedures What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Accounts Receivable (AR), Claims Analysis, Claims Management, Claims Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare Advantage, People Management, Recruiting

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

Big O Tires of Jackson is the leader in our industry in beautiful Jackson Hole, WY. We are looking for an experienced Sales leader to join our existing top-notch team. If you're a passionate self-starter with great leadership qualities, Big O Tires of Jackson is a perfect company for you! Join us today! POSITION SUMMARYAs an Automotive Service Writer/Salesperson for Big O Tires, you will focus on enhancing the customer experience, building loyalty, and maximizing sales. If you have a service sales background, a proven track record in sales, and are highly committed to delivering the best service experience to our guests, we would like to talk with you. This is a high-volume, fast-paced environment that requires the ability to multi-task, maintain a friendly and professional demeanor, with superb customer service and communication skills. ESSENTIAL DUTIES AND RESPONSIBILITIES Build customer satisfaction and loyalty by providing the best guest experience Achieve a thorough knowledge of all products, services, warranties and maintenance issues Keep up to date through training and vendor publications Adhere to the Big O Tire policies and procedures Assist other sales or service associates as needed in an effort to exceed our customers' expectations Help maintain the appearance and cleanliness of the building and perimeter areas Assist in receiving or transferring goods and maintenance of the inventory including unloading trucks and warehouse stocking Maintain showroom merchandise Follow all safety practices as outlined in policy and procedures Sales of tires and service-related needs QUALIFICATIONS 1-2-year minimum tire & auto service sales experience REQUIRED Strong auto service & tire sales knowledge Good leadership abilities and team building Excellent customer service and communication skills Strong organizational skills Proficient at preventive maintenance sales Maintain professional appearance at all times Have problem solving abilities and be a self-starter Multi-tasking abilities Pay DEPENDING ON EXPERIENCE We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, creed, color, age, sex, religion or national origin. We are committed to building a culturally diverse faculty. Compensation: $60,000.00 - $80,000.00 per year From flat tires and oil changes to rotor resurfacing and that weird clunking sound you've been hearing for a week, there are a lot of Big Oh Nos for your car. Luckily, Big O Tires has the Big O Yes for all of them. For over 50 years, our customers have trusted us to offer straight answers and reliable service. Big O Tires offers a wide range of diagnostic, repair and routine maintenance services, backed by one of the best national services warranties in the business. Most Big O Tires stores are individually owned and operated by franchisees, and each franchisee makes the staffing and hiring decisions for the individual location(s). However, the Big O franchisees are always looking for new faces with experience and desire to serve Big O Tires store customers. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to Big O Tires Corporate.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. **Note: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.** **Welcome!** To be considered for this Associate Actuary role, candidates must have an ASA or FSA designation, a bachelor's degree, and at least 2 years of actuarial experience. **Location:** Applicants for this role will have the flexibility to work remote from home anywhere in the Continental United States. Due to the needs of the business, the ideal work schedule is 9am-5pm Central Time, yet flexible. **Position Purpose:** Create ACA exchange rate filings, with a focus on state-specific regulatory requirements. Conduct analysis, pricing and risk assessment to estimate financial outcomes. **In this Associate Actuary role, you will:** + Develop and maintain automated solutions to create documents for rate filings of ACA exchange health plans + Identify drivers of rate changes and communicate effectively to internal stakeholders and state regulators + Collaborate with team members to develop assumptions informing rates + Work directly with claims and membership data to create reports as needed + Apply knowledge of mathematics, probability, statistics, principles of finance and business to calculate financial outcomes + Analyze and evaluate required premium rates + Create and update actuarial reports **Highly preferred:** + Experience in pricing healthcare insurance + Experience with Excel VBA, R, and/or SQL + Adaptability to learning new processes and programming languages **Why This Role Stands Out:** + **Make a visible impact:** As the modeling lead, you will play a key role in the success of our filings in both new and existing markets, directly influencing strategy and supporting key decisions. + **Grow with support and flexibility:** From working with claims and membership data to developing automated solutions in Excel VBA, R, or SQL, this role offers continuous learning and variety. + **Shape your own path:** Members of the team are encouraged to identify projects that interest them, whether that's maintaining existing processes, implementing improvements, or serving a key role on cross‑functional teams. We assign work that reflects your personal interests and builds real ownership. **Education/Experience:** Bachelor's degree in related field or equivalent experience. 2+ years of actuarial experience. **License/Certification:** Associate of the Society of Actuaries (ASA) (or equivalent international certification) Eligibility Reminder: To ensure your application is considered, please review the minimum qualifications listed above. Applications from candidates who meet these requirements will be reviewed. Pay Range: $86,000.00 - $154,700.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Join Our Growing Team as a Loss Prevention Consultant - Design Impactful Solutions That Drive Client Success! Are you a strategic thinker with a passion for solving complex challenges and delivering innovative solutions? We're looking for a forward-thinking and client-focused Loss Prevention Consultant to join our dynamic insurance and financial services team. In this role, you'll collaborate with clients and internal teams to design tailored solutions that meet client needs and fuel long-term success. Why You'll Love This Role: 💼 Comprehensive Training & Support - Whether you're experienced or transitioning into a solutions-focused role, we provide the tools and mentorship you need to succeed. ⏰ Flexible Work Options - Choose from full-time, part-time, or remote work arrangements that support your lifestyle. 📈 Growth Opportunities - Clear career pathways into leadership, consulting, or enterprise architecture roles. 💰 Competitive Compensation - Base income with performance-based bonuses and incentives. What You'll Do: Engage with clients to understand their goals, challenges, and business needs. Design and present strategic solution architectures aligned with client objectives. Collaborate with cross-functional teams to ensure successful implementation and integration. Translate client requirements into actionable plans, using a consultative and solution-driven approach. Continuously evaluate and refine solution strategies based on performance metrics and client feedback. Serve as a trusted advisor, providing technical insight and strategic recommendations. Ideal Candidate Profile: ✔ Strong communication and consultative skills ✔ Analytical problem-solver with a customer-first mindset ✔ Comfortable working across departments and managing multiple projects ✔ Self-driven and detail-oriented with a passion for solution design ✔ Experience in architecture, consulting, client services, or solution delivery is a plus (but not required) Perks & Benefits: ✅ Paid training and continuous professional development ✅ Health insurance and retirement options ✅ Performance incentives and recognition programs ✅ Advancement opportunities into senior strategic and architecture roles 🚀 Ready to Build Tailored Solutions That Make an Impact? If you're ready to take on a strategic, solutions-driven role where your expertise helps clients achieve real results, this is your opportunity. 👉 Apply now to join us as a Loss Prevention Consultant-where strategy meets innovation, and client success drives growth.

Apply Today - Classes Start February 2026! Are you prepared to embark on a fulfilling career in insurance sales? We invite enthusiastic, people-oriented candidates to submit their applications early for our Inside Sales Representative training programs starting in February 2026. Key Date: * Unlicensed Class Begins: February 23, 2026 * Licensed Class Begins: March 9, 2026 As an Inside Sales Representative at Liberty Mutual, you'll have the tools, training and support you need to succeed from day one. Plus, you'll enjoy: Generous earning potential Paid licensing and training opportunities Comprehensive benefits Flexible work arrangements Strong work-life balance And more! Why Liberty Mutual? Pay Details: * Starting base salary is $45K with opportunity for growth. * Average earnings range from $55K-$75K through a combination of base salary and generous commission. * Top Performing Agents in their second year and onward, can earn up to $85k+. Our Licensed Sales Representative, Inbound Remote position is available for candidates based in the states of Idaho, Montana, Wyoming and Georgia. Applicants must reside within these specified locations to be considered for this role. Positivity. Flexibility. Determination and a persuasive personality. Qualities like these cannot be taught. But they can be sharpened, strengthened, and appropriately compensated when you join Liberty Mutual Insurance as a part of our Contact Center Sales Organization. Bring your unique sales talent to our Fortune 100 company and receive paid-training, licensing in all 50 states, and a dynamic role that directs only warm leads your way (no cold calls) - because we believe in supporting your success, not holding it back. Join our sales team and realize the rewards of a career with unlimited earning potential, generous commissions, and a portfolio of benefits that start on day one. Job Details As an Inside Sales Agent you will be handling inbound calls and warm leads, consulting with customers on their insurance needs and match the correct coverages, products, and benefits to convert sales leads into policyholders. You'd be a great fit if you are: A Passionate Seller: When a lead comes in, you skillfully pick up the phone and use your sales expertise to turn prospects into happy, confident Liberty Mutual policyholders. A Front Lines Liaison: You rise to the role of representing the Liberty brand, you believe in what you're selling, and you enjoy connecting customers to the right products for their individual needs. A Reliable Teammate: Whether you work at the office or from home, you adapt well to different environments, schedules, and the varying needs of our policyholders. A Customer-Centric Closer: While sales is in your title, integrity is in your nature. That means you sincerely care that our customers get exactly the quality products and services they need to embrace today and confidently pursue tomorrow. Position Details: From day one you will begin paid training in a remote work environment. All insurance representatives need to hold a Property & Casualty Insurance license. If you do not have one, no worries, paid training also includes licensing! * Training extends over a period of 16 weeks for licensed hires and 18 weeks for unlicensed hires. * Comprehensive medical benefits from Day 1. * No cold calls, all incoming warm leads. * Opportunities for rewards and recognition. * Must be available to work a schedule of 4 weekdays and 1 weekend day with a mid-morning start time. Example 11am-8pm (CST). This schedule can be expected for a minimum of 12 months before consideration for another shift. * All computer equipment is provided. You must be able to maintain department. Work at home (W@H) requirements which include a professional workspace/room with a dedicated desk and wired (cable, fiber of DSL service) high-speed internet connection with a minimum 100 MBps download speed and 20 MBps upload speed. Liberty Mutual does not support satellite and mobile internet services. Qualifications * 2-3 years sales experience preferred. 2 years of sales/service-related work experience required. * Strong, engaging interpersonal and persuasion skills needed to close sales. * Ability to communicate well to both prospects and customers. * Excellent analytical, decision-making and organizational skills. * Strong typing capabilities and PC proficiency. * Property and Casualty Insurance License. Training will be provided if you do not currently hold a license. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

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

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Client Concierge Specialist Sr - Remote **Job Description** The Senior Client Concierge Specialist is responsible for processing, communicating, documenting, and tracking more complex member cases for Pharmacy Concierge Services. This position is also responsible for interacting with members, pharmacies, prescribers, or plans to provide support and assistance with concierge program inquiries and other administrative functions. **Responsibilities** + Set up, track, and monitor daily workflow based on client needs + Analyze and trouble-shoot complex cases by researching, gathering and documenting relevant information relating to the case in both the claims processing system and case management systems within pre-determined timelines + Act as a point of escalation for inquiries that cannot be resolved by Client Concierge Specialists, and handle and resolve escalated inquiries or issues + Process Pharmacy Concierge case management cases, including entering, reviewing, and documenting requests in both the claims processing system and case management system + Handle phone, email, and fax communications related to the concierge program, including inbound and outbound functions, to members, pharmacies, prescribers, or plans + Manage work queues and volumes to meet client specific turnaround times + Other duties as assigned **Minimum Qualifications** + High school diploma from an accredited school or equivalent GED + 2 years of customer service experience, including 6 months of Client Concierge Specialist experience + 1 year of related work experience in Pharmacy Benefit Management (PBM) or health care + Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Strong attention to detail, accuracy, and quality + Ability to adapt and work collaboratively in a dynamic fast-paced production environment + Willingness and ability to learn internal systems/processes/programs; able to work proficiently in multiple systems and databases + Willingness to work a flexible schedule to accommodate business needs, including weekend shifts and holidays + Basic math skills and general PC knowledge including Microsoft Office, Internet, email + Strong verbal and written communication skills, and interpersonal skills + Demonstrated organizational and time-management skills, with ability to work independently **Preferred Qualifications** + Associate's degree in business, health care or related area of study + National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) + 2 years of related experience in PBM/health care + Demonstrated proficiency in the use of RxClaim and all necessary resources Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _ _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.

Hanover Specialty Insurance is seeking a motivated, results-driven Underwriting Specialist Specialty to join our dynamic and growing team. This role offers the chance to make a meaningful impact while advancing your career in a supportive, high-growth environment. At The Hanover, we are committed to fostering an inclusive workplace where every voice is heard and valued. We actively recruit top talent from all backgrounds and encourage qualified professionals to apply. We believe that diversity strengthens our organization and creates a more vibrant community. Recognizing the evolving nature of work, we proudly support flexible arrangements. This position can be hybrid or fully remote, with occasional travel to key specialty locations. While we prefer candidates based in the Midwest (OH, MO, MN, AZ, UT, NE, WY, IL, WI, ID, IA), we welcome applicants from across the country. This is more than a job-it's an opportunity to grow your expertise, expand your network, and build a long-term career with a company that invests in your success. Position Overview: Responsible for identifying, soliciting, underwriting, and selling new and renewal Specialty accounts that drive profitable growth and align with Industry Segments and LOB mix goals. Apply technical, sales and analytical skills to provide insurance solutions that help Hanover's customers manage risk. Demonstrates a thorough understanding of Hanover's strategies and appetites and will use internal and external data to make appropriate individual and portfolio risk decisions. Operates with limited daily supervision, seeks technical direction for matters outside one's authority and general expertise. Operates within a standard letter of authority for all underwriting decisions while managing a book of business, generally with moderate to high technical complexity and coordination. This is a full-time, exempt role. Please note that the designated job title and level will be determined based on the candidate's qualifications and professional experience (Underwriter or Senior Underwriting Specialist Specialist). In This Role, You Will: Technical Underwriting: Knows and applies underwriting concepts including risk selection, exposure and hazard identification and control, coverage implications, and loss analysis. Uses all appropriate underwriting tools, disciplines and strategies to ensure underwriting guidelines are followed. Understands pricing components and rating methodology and correlates pricing to exposures. When presented with minimal information on a risk, instinctively knows the key questions to ask to ascertain the full scope of operations and the key exposures and needed controls. Completes file documentation according to best practices guidelines and can clearly explain account decisions. Provides clear and concise rating instructions for quotes prior to generating proposal for presentation to the agent. Portfolio Management & Financial Acumen: Manages assigned portfolio to achieve gross written premium, profitability, rate, retention, product mix, new business, and portfolio management goals, by use of proven pipeline and marketing practices. Developing an understanding of various financial reporting information and insurance performance measures in the management of risk. Demonstrates an understanding of the market factors that can affect pricing and how it correlates to individuals book, agency's book, the region, and countrywide. Prepares or analyzes information on underwriting decisions, rate, underwriting requirements, company appetite, status, and declinations to drive results within the assigned territory. Familiarizes oneself with other Hanover departments for leveraging growth in areas of business where portfolio could be more balanced. Sales Management: Can identify, solicit, pipeline, negotiate, and close accounts aligned with business strategy. Ability to profile assigned agency plant and to strategically market our capabilities to agents. Keeps current on state/territory issues, regulations, and trends. Utilizes market and competitor information to enhance relationships and individual account decision making. Prioritizes and develops effective relationship management and producer activities to build trust, facilitate negotiation, and secure commitment in order to improve yield and retention ratios. Operates with a franchise perspective to identify additional sell opportunities to create growth within other LOB's and customer segments. Partners with other business units to deliver comprehensive insurance solutions. Demonstrates in-depth knowledge of Hanover's products and appetite while clearly communicating Hanover's position at the point of sale. Builds and maintains rigorous sales practices using all systems, sales tools and disciplines outlined in the sales best practices. Makes presentations to agents and customers. Utilize department and Specialty partners to augment sales process. Effectively utilize Claims and Loss Control to display service and/or technical expertise with present and future customers. What You Need To Apply: Bachelor's Degree or equivalent experience Generally, 3-7+ years Specialty or standard commercial lines experience. 3-4+ years' experience driving agency relationships resulting in profitable new and renewal business as well as complex accounts. Demonstrates ability to adapt quickly to change, identify, analyze, and solve problems and willingness to being open to new and different ways of thinking. Communication - ability to effectively interact and communicate with all levels of external and/or internal business partners within scope of responsibility, team, and/or matrix environment. Demonstrating ability to consult with internal and external parties on underwriting matters. Judgment and Decision Making - Ability to exercise judgment, negotiate and make sound business decisions effectively based on level of authority. Demonstrates confidence in own abilities and is comfortable taking informed risk. Agile and Adaptive - Strong ability to identify, analyze and solve problems as well as the ability to learn rapidly, adapt quickly to change, exercise influence, and manage and prioritize multiple concurrent projects. Teamwork and Collaboration - Openly encourages other team members to share ideas and voice concerns. Shows respect for differences and diversity in ideas and views. Involves other team members to achieve optimal performance. Prioritization and Desk Management - Understands and seeks ways to improve the quality and results of one's work. Monitors progress against agreed upon timeline and deliverables. Raises awareness if achievement of committed work may be compromised and actively engages in mitigating the situation.

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Data Analytics, Data Science **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $169,400.00 - $279,600.00 **Target Openings** 1 **What Is the Opportunity?** The Travelers Catastrophe Risk Management Group is seeking a Cyber Peril Lead to join our PERILS team leading our research related to man-made perils with a focus on Cyber risk. You will be joining a group of dedicated professionals charged with leading Travelers to be in position to successfully endure catastrophic loss from natural and man-made perils. The PERILS team is a multi-discipline group focusing on peril research, the development of next generation analytics, and event response activities. As a member of this Team, you will be an active participant in the development and implementation of peril research and strategies. The team engages in enterprise-wide complex multi-disciplinary CAT research projects with various depths of focus. The position requires an individual who can strive in an analytical, innovation-driven environment, in tune with business needs. **What Will You Do?** We are seeking a candidate with a solid analytical base in cyber risk management or a scientific, engineering, or related quantitative discipline. The person will have effective self-organizational and time-management skills with the ability to work independently and formulate and execute project objectives. We seek problem solving and critical thinking skills in support of the team's efforts to provide best-in-class analyses to our business partners. Some of the specific duties include: + Provide thought leadership and strategy support related to portfolio cyber risk + Validate cyber aggregation risk models and technographic scores + Assist the Cyber Underwriting team with subject matter technical expertise and guidance + Identify, select, and extract relevant data from various internal and external sources. Complete analyses and present recommendations to team members, stakeholders, and Leadership + Stay abreast of the latest scientific research and summarize findings for the peril, including recent trends in threat actors, techniques and vectors of attack + Drive innovation through new tools/technologies and capabilities (e.g., develop custom tail scenarios) + Monitor the Company's exposures, aggregations, and peril-specific book mix changes + Support our Business Units Consulting and Actuarial functions with ad-hoc research and peril strategy development + Create and maintain collaborative relationships with business partners **What Will Our Ideal Candidate Have?** + Exposure to cyber catastrophe modeling and/or cyber hygiene technographic scanning tools is a plus + Proficiency with Microsoft Suite, SQL, statistical packages, or other programs used to retrieve and analyze data + Knowledge of insurance concepts, coverage, products, and operations preferred + Ability to apply emerging statistical procedures to large highly complex work + Working knowledge of a programming language such as Python/R/Matlab preferred + Works well both independently & within a team, strong organization, and time management + Demonstrated ability to convey technical concepts across professional fields of discipline **What is a Must Have?** + Master's degree in Statistics, Mathematics, Decision Sciences, Actuarial Science or related analytical STEM field plus six years of experience or any suitable and equivalent combination of education and work experience. + Heavy concentration in mathematics, including statistics and programming, business intelligence/analytics, as well as data science tools and research using large data sets. Additional verification of specific coursework will be required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Job DescriptionSalary: $15-$17 DOE Join our compassionate team and be the crucial first point of contact for clients seeking life-changing behavioral health treatment. Under the direction of the Administrative and Clinical Directors, the Office Assistant plays a vital role in ensuring clients gain prompt and seamless access to care. This position requires exceptional communication skills to interact professionally with the public, combined with a high level of accuracy in recording and processing the information essential for patient care coordination and insurance billing. Hours Per Week - 40 hours Key Responsibilities & Essential Duties The ideal candidate will manage the administrative workflow and support the clinical team by performing the following essential functions: I. Client & Front Office Management First Impressions: Professionally, courteously, and warmly receive and greet all clients and caregivers during intake and throughout their visits. Workflow Coordination: Prioritize the daily schedule prep to maintain a productive workflow, ensuring clients' needs are addressed efficiently. Checkout & Scheduling: Assist patients during checkout, accurately collect co-payments, and ensure all follow-up treatment is properly scheduled. Space Management: Maintain a clean, tidy, and organized workspace, front office, and patient waiting areas throughout the day. II. Records, Billing, & Compliance Confidentiality: Strictly comply with HIPAA standards and maintain the highest level of confidentiality in all patient interactions. Data Integrity: Maintain accurate paper and electronic records, updating patient information promptly as needed. Financial Processing: Record and verify client insurance information, assist in insurance pre-approvals to secure billable services, and complete/update deposit spreadsheets for daily processing. III. Clinical & External Support Team Communication: Relay information efficiently between patients and clinical staff, providing timely updates as necessary. Referral Management: Collaborate with external agencies to facilitate smooth patient referrals. Medical Assistance (As Assigned): Assist the HCBH Medical team by helping with the collection of Urinalysis (UA), cheek swabs, blood draws, pregnancy tests, and injections, as assigned. Candidate Qualifications and Experience High School Diploma or Equivalent. Knowledge of state and federal regulations, policies, and procedures governing accounting, medical billing, and financial recordkeeping. Knowledge of general accounting principles and ability to produce, read and analyze financial reports. Proficient in Microsoft Office Products; knowledge and ability to operate various office equipment Ability to maintain confidentiality, professionalism, and customer service in all interactions Ability to solve practical problems and deal with a variety of variables Ability to accurately manage and prioritize multiple tasks in a fast-paced environment Successful completion of HCBH pre-employment screening and background check. Has the ability to communicate effectively orally and in writing. Benefits Medical, Dental, Vision, Life Insurance Competitive Salary Retirement Wyoming Retirement Plan (9.25% Employee/9.37% Employer) Who We Are Since 1986, our non-profit organization has been committed to providing rural communities in Wyoming and Idaho with affordable access to life-changing behavioral services. Our team of licensed professionals are devoted to the application of therapeutic methods that enhance the lives and well-being of our clientele through counseling, case management, medication management and crisis services. It is our Mission to effectively listen, guide, and teach those who are at a crossroad in their lives how to build healthy relationships, regulate emotions, and manage stress in order to reduce suffering and reach their potential for happiness and well-being. While performing the duties of this job, the employee is required to walk, stand, sit, and use their hands. Occasionally stoop, crouch, or kneel. The employee must occasionally exert or lift up to 25 pounds. High Country Behavioral Health is proud to be an equal opportunity employer. We are committed to cultivating an environment where equal employment opportunities are available to all employees and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability, or genetic information, in compliance with applicable federal, state, and local law. High Country Behavioral Health celebrates diversity and believes it is critical to our success. As such, we are committed to recruit, develop, and retain the most talented individuals to join our team.

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Provider Relations Manager - Remote **Job Description** The Manager of Provider Relations plays a critical leadership role in developing, managing, and maintaining strong internal and external relationships. The role is responsible for overseeing pharmacy outreach, independent pharmacy contracting, compliance and issue resolution with pharmacies to ensure network integrity, service quality, and cost-effectiveness. The role is also responsible for leading and managing a Provider Relations team to ensure effective performance management of employees, departmental interaction, and process improvements. **Responsibilities** + Manage and mentor a team to achieve team and company goals, monitor performance and provide coaching and development opportunities + Manage team through independent pharmacy contract processes for retail networks; serve as the primary point of contact for key pharmacy providers, including pharmacy outreach and strategic partners to ensure quality outcomes; includes oversight where pharmacy termination from pharmacy networks may occur + Oversee and approve new key processes the team develops as part of continuous improvement and develop strategies to achieve world class status in operational effectiveness and pharmacy and client experience while ensuring compliance and adherence to all regulatory guidelines + Serve as liaison between Prime and pharmacies by supporting legal correspondence, addressing escalated provider concerns and disputes, and strengthening the interface between contact center operations and provider relations through effective pharmacy communications + Develop and maintain relationships with internal and external stakeholders regarding the management and development of Network Management strategies; actively oversee and support Peak Season activities, including pharmacy outreach and pharmacy communications + Other duties as assigned **Minimum Qualifications** + Bachelor's degree in healthcare, business or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required + 6 years of work experience in customer service or contracting experience within healthcare, PBM or highly regulated industry + 2 years of leadership/people management experience Must be eligible to work in the United States without the need for work visa or residency sponsorship **Additional Qualifications** + Ability to learn complex IT systems, both internal and web based and be able to train others to use systems and maintain best practices and quick reference guides + Above average knowledge of Microsoft Office Suite of products, including Excel and PowerPoint + Demonstrated business written and oral communication skills + Demonstrated ability to establish and rapport and build relationships at all levels within an organization + Strong attention to detail, follow through and root cause analysis of issues + Excellent organizational, time management, problem solving and analytical skills **Preferred Qualifications** + Previous experience in pharmacy network management, legal or compliance + Previous project management skills + Previous experience with RxClaim + Previous call center experience + Certified Pharmacy Technician (CPhT) + Previous work experience in the PBM or Healthcare Industry + Previous experience leading a team in a call center environment Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job. Potential pay for this position ranges from $81,000.00 - $138,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page (******************************************* and click on the "Benefits at a glance" button for more detail. _Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to_ _race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law._ _ _ _We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law._ _Prime Therapeutics LLC is a Tobacco-Free Workplace employer._ Positions will be posted for a minimum of five consecutive workdays. At Prime Therapeutics (Prime), we are a different kind of PBM. We're reimagining pharmacy solutions to provide the care we would want for our loved ones. That purpose energizes our team and creates limitless opportunities to make a difference. We know that people make all the difference. If you're ready for a purpose-driven career and are passionate about simplifying health care, let's build the future of pharmacy together. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. If you are an applicant with a disability and need a reasonable accommodation for any part of the employment process, please contact Human Resources at ************** or email *****************************.

128834 Zurich North America is seeking a results-driven **Strategic Acquisition Executive** to support the acquisition of new F&I Mega dealer accounts. You will be a critical part of our newly formed F&I Large Account Acquisition team, which is focused exclusively on signing new, high-value F&I relationships. Working closely with the Head of F&I Strategic Acquisition and Mega teams you will drive opportunities through the pipeline, deliver compelling proposals, and oversee a smooth transition to local teams post-signature. This position reports to the Head of F&I Strategic Acquisition and we are open to the location anywhere in the United States with travel expected. **Key Responsibilities:** + Collaborate with sales team colleagues (Divisional F&I Managers, F&I Executives, and Account Executives) to identify and qualify F&I Mega dealer prospects across the U.S. + Assist in crafting compelling proposals tailored to each prospect, including gathering relevant data, coordinating input from stakeholders, and supporting presentation delivery. + Act as a liaison between sales and underwriting to ensure alignment and consistency in messaging and strategy during the acquisition process. + Support the Head of F&I Strategic Acquisition in managing the signing process, ensuring all necessary documentation such as the Dealer Agreements are completed accurately and on time. + Work with local teams to ensure a smooth dealer kickoff and facilitate a seamless transition from acquisition through onboarding. + Maintain detailed records of acquisition activities, timelines, and outcomes using Salesforce and other internal tools. Required Qualifications: + Bachelors Degree and 4 or more years of experience in the Sales area OR + High School Diploma or Equivalent and 6 or more years of experience in the Sales area OR + Zurich Certified Insurance Apprentice including an Associate Degree and 4 or more years of experience in the Sales area Preferred Qualifications: + Demonstrated success acquiring accounts with a track record of sales success + Experience working within a team environment to exceed shared goals + Deep expertise in F&I and Automotive industry + High motivation to drive business growth + Exceptional presentation, collaboration, and communication skills Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us.The annual salary range, based on performance under the sales incentive plan for this role is $64,600.00 - $105,900.00. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .] **Why Zurich?** At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. **Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Remote Work (US), AM - Delaware Virtual Office Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-KJ1 #LI-REMOTE EOE Disability / Veterans

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

Looking for a way to make an impact and help people? Join PacificSource and help our members access quality, affordable care! PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths. Accountable for the effective management of appeals clinical staff. Responsible for hiring, training, coaching, counseling, and evaluating team member performance. May be called upon to perform routine day-to-day program functions. Actively participate in program development and implementation. Supervise and provide guidance to direct reports and other department staff regarding company policies, procedures, and operations. Manage the quality and productivity of team tasks and workflow as they relate to both assigned functions and the overall effectiveness of the Health Services team. Work to resolve issues and improve processes and outcomes. Essential Responsibilities: Take a leadership role in the development, implementation, and ongoing operation and maintenance of assigned programs, services, or functions. Improve the performance of the department through effective oversight and coaching of team members, managing team performance and improving processes and outcomes. Monitor daily workflow and caseloads and other work processes of team to assure appropriate distribution and processing of tasks. Responsible for the orientation and training of new hires. Provide ongoing supervision, training, evaluation, and leadership to assigned team members. This may include annual reviews, involvement in promotions and/or terminations of employees. Participate in hiring decisions in concert with Appeals and Grievance Director and HR. Monitor and evaluate team assignments relating to volumes, timelines, accuracy, customer service, and other quality and performance measures, and take actions as appropriate. Assist with process improvement and work with other departments to improve interdepartmental processes. Utilize LEAN methodologies for continuous improvement. Monitor key performance indicators and identify improvement opportunities. Serve as liaison with other PacificSource departments or community partners to coordinate optimal provision of service and information. Serve on various internal and external committees as required or designated. Document and report any pertinent communications back to the team or department. Utilize and promote use of evidence-based medical criteria. Maintain modified caseload consistent with assigned responsibilities. Facilitate investigation and resolution of process-related issues as needed. Facilitate conflict resolution, including interfacing with affected departments and individuals, as appropriate. Oversee and assist in providing exceptional service and information to members, providers, employers, agents, and other external and internal customers. Provide backup to other departmental teams or management staff, as needed. Supporting Responsibilities: Meet department and company performance and attendance expectations. Relate new or revised policies, procedures and/or processes to team members to ensure they have the most up‐to‐date and current information. Facilitate team operations by discussions through the sharing of information and knowledge, identification of teamwork issues, development of problem‐solving recommendations, and recommendations of standardizing Health Services operations. Represent the Appeals and Grievance Department, both internally and externally, as requested by Appeals and Grievance Manager and/or Director. Perform other duties as assigned. Work Experience: A minimum of five years clinical experience required. Minimum of three years direct health plan experience in the following areas: utilization management, grievance and appeal, or claims review strongly preferred. Prior supervisory experience preferred. Education, Certificates, Licenses: Registered Nurse/Licensed Social Worker with current appropriate unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho, Washington and/or other states as needed. Knowledge: Knowledge of health insurance and state mandated benefits. Thorough knowledge and understanding of medical procedures, diagnoses, care modalities, procedure codes (including ICD-10, HCPC CPT codes). Effective adult education/teaching and/or group leadership skills. Ability to deal effectively with people who have various health issues and concerns. Strong analytical and organizational skills with experience in using information systems and computer applications. Flexible to meet the departments changing needs Ability to develop, review, and evaluate utilization and case management reports. Good computer skills including experience with Word, Excel, and PowerPoint. Ability to use audio-visual equipment. Ability to work independently with minimal supervision. Competencies Building Trust Building a Successful Team Aligning Performance for Success Building Customer Loyalty Building Strategic Work Relationships Continuous Improvement Decision Making Facilitating Change Leveraging Diversity Driving for Results Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time. Skills: Accountable leadership, Collaboration, Communication (written/verbal), Critical Thinking, Decision Making, Influencing, Listening (active), Organizational skills/Planning and Organization Compensation Disclaimer The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range. Base Range: $83,212.29 - $137,300.29Our Values We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business: We are committed to doing the right thing. We are one team working toward a common goal. We are each responsible for customer service. We practice open communication at all levels of the company to foster individual, team and company growth. We actively participate in efforts to improve our many communities-internally and externally. We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community. We encourage creativity, innovation, and the pursuit of excellence. Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions. Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively. Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

129891 Zurich North America is currently looking for a Product Specialists to join our Product Development Team. This role will report to the Product Development and Regulatory Certification Leader. Location is virtual with some office presence depending on your location. In this role you will have occasional travel opportunities but will not require travel on a regular basis. In this role you will use your expertise within Specialty Lines insurance as well as Commercial Property and Casualty lines of business to help construct policies, create coverage enhancements, write manuscript endorsements and provide product guidance to underwriters. You will also assist with competitive analyses, product updates for new regulations, and will work with and update our internal tools. Responsibilities for this role include: + Lead the development and implementation of underwriting solutions (e.g. product development) for Specialty, Commercial Property and Casualty Lines of Business + Identify market standard product opportunities based upon the latest product line, industry trends, and emerging risks + Maintain and promote existing strategic partnerships both internally and externally + Advise the Business Unit and Underwriters in responding to coverage requests and drafts language for specific transactions and portfolio coverage enhancements + Promote a consistent approach to coverage through adherence to an established coverage philosophy + Structure new endorsements consistently and maintain the endorsement library with relevant updates and modifications + Support underwriting strategy and product development by incorporating lessons learned from competitor forms and approaches to coverage in new products + Participate in compliance-related queries, including state regulatory exams and insurance department inquiries + Lead product refreshes (e.g. updating pre-existing coverages and endorsements) by managing form and endorsement drafting, leading reviews with Corporate Law and Claims Legal, and managing the filing process and Departments of Insurance review and approval process + Analyzes and develops solutions pertaining to Insurance Regulatory requirements with respect to product filings within scope of underwriting Basic Qualifications: + JD and 6 or more years of experience of law practice specializing in the insurance area Preferred Qualifications: + Specialty, Commercial Property and Casualty lines product experience, including product creation, drafting coverage enhancements and manuscript endorsements + Coverage experience + Experience working with state regulators + Strong organizational and analytical skills + Strong verbal and written communication skills Your pay at Zurich is based on your role, location, skills, and experience. We follow local laws to ensure fair compensation. You may also be eligible for bonuses and merit increases. If your expectations are above the listed range, we still encourage you to apply-your unique background matters to us. The pay range shown is a national average and may vary by location. The proposed Salary range for this position is $96,000.00 - $157,000.00, with short-term incentive bonus eligibility set at 15%. We offer competitive pay and comprehensive benefits for employees and their families. [Learn more about Total Rewards here .] **Why Zurich?** At Zurich, we value your ideas and experience. We offer growth, inclusion, and a supportive environment-so you can help shape the future of insurance. Zurich North America is a leader in risk management, with over 150 years of expertise and coverage across 25+ industries, including 90% of the Fortune 500 . Join us for a brighter future-for yourself and our customers. Zurich in North America does not discriminate based on race, ethnicity, color, religion, national origin, sex, gender expression, gender identity, genetic information, age, disability, protected veteran status, marital status, sexual orientation, pregnancy or other characteristics protected by applicable law. Equal Opportunity Employer disability/vets. Zurich complies with 18 U.S. Code § 1033. **Please note:** Zurich does not accept unsolicited CVs from agencies. Preferred vendors should use our Recruiting Agency Portal. Location(s): AM - Remote Work (US), AM - Schaumburg Remote Working: Yes Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-AW1 #LI-ASSOCIATE #LI-HYBRID EOE Disability / Veterans

128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in one of our Managed Care business units across the United States. If you're considering your next career move, Zurich offers you the opportunity to work for a globally recognized company known for its excellent benefits, flexible work arrangements, commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist, you will manage supplier performance and work product in area(s) of responsibility. Responsible for overall production, quality and timeliness of supplier. Will handle both complex transactional and procedural issue escalations. Conducts regular quality audits and/or reviews to ensure accuracy and completeness of work performed by supplier. Responsible for participating in continuous process and system enhancements to improve operational efficiencies, quality and/or timeliness. At Zurich North America Claims, we understand the importance of flexibility and work-life balance in your career decisions.This position is fully remote. Our hybrid work model is designed to meet our employees' needs, offering the flexibility to perform individual work remotely while encouraging in-person collaboration and connection when it adds value. While our model allows for significant autonomy, please note that occasional in-office attendance may be required. In this role you will be responsible for: + Administer, monitor and review process and supplier information for 24/7 Triage, Telemedicine and Alterative Return to Work programs. Includes identifying and escalating any anomalies or discrepancies which may have a financial impact to ensure management has access to up to date and accurate information. + Undertake investigations and inspections of data, processes and practice in accordance with established sourcing /procurement / vendor management procedures to identify potential or actual compliance issues and recommend appropriate action. + Independently collate, analyze and report on data using pre-determined tools, methods and formats and make recommendations to ensure vendor or supplier frameworks are managed effectively. + Assess and evaluate business processes to identify opportunities for improvement both internally and with vendors. + Analyze operational data, identify trends, and collaborate with the Claims and Admin Support teams to optimize vendor performance to mitigate risks and ensure compliance + Conduct regular training sessions and meetings with both vendors and customers to review, provide educational support, review, and drive results. + Participate in quarterly operational reviews with vendors, prioritizing improvement opportunities and implementing changes to drive positive outcomes + Maintain professional expertise by staying current with industry trends and contributing to medical management education + Manage data and tracking toolsto ensure archives, databases and evidence are maintained in line with key governance controls. Basic Qualifications: + Associate degree and 3 or more years of experience in the Nursing area AND + Licensed registered nurse in state of residence + 3 or more years of clinical experience + Experience with Microsoft Office + Experience leading operational initiatives and/or work streams Preferred Qualifications: + Licensed Registered Nurse (RN) in the state of residence + Bachelors Degree in nursing and 3 more years of experience in the nursing area + 3+ years of clinical experience + Knowledge of Workers Compensation and the insurance industry + Proficiency in Microsoft Office Suite + Proven experience in leading operational initiatives or workstreams + Experience in a transactional, operational or customer service environment + Quality auditing experience + Knowledge of the insurance industry and regulatory environment + Demonstrated ability to collaborate effectively across workgroups and/or organizations + Experience collaborating across work groups and/or companies + Ability to travel 5-10% At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere (****************************************** . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education. The compensation indicated represents a nationwide market range and has not been adjusted for geographic differentials pertaining to the location where the position may be filled.The proposed salary range for this position is $64,600.00 - 105,900.00, with short-term incentive bonus eligibility set at 10%. As an insurance company, Zurich is subject to 18 U.S. Code § 1033. A future with Zurich. What can go right when you apply at Zurich? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500 . Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (********************************* to learn more. Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission. Location(s): AM - Remote Work (US), AM - Illinois Virtual Office Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI-DIRECTOR #LI-HYBRID EOE Disability / Veterans

Responsible for supporting the project management related to Alliant pharmacy practice's Mid-Market Pharmacy Benefits Manager (PBM) solution. Have a partnership with cross-functional teams within Alliant EB. Ensures overall project support and delivery performance meets internal and external customer expectations. ESSENTIAL DUTIES AND RESPONSIBILITIES Manage several key projects related to the Mid-Market PBM solution. Partner with internal resources to ensure project-related activities are carried out in accordance with requirement, specifications, schedules, and budgets. Maintain Pharmacy OneNote / Alliant.net with most current Mid-Market materials. Act as point person for project level communication that will keep EB's client teams informed on matters including, progress to plan, key milestones, integration efforts/needs across the program and/or project, risk, issues, etc. Create and manage project implementation plans for PBM vendor management, which includes but is not limited to, deliverables and milestones. Facilitate, coordinate, and manage client calls related to Mid-Market solution, which includes but not is not limited to, providing and capturing key notes and deliverables. Escalate issues and concerns to the Pharmacy Program Manager- as needed. Participate and contribute to the broader Alliant pharmacy practice through participation in weekly calls, researching pharmacy industry topics, assimilating information, and developing written summaries for review by the broader team, as needed. Interact with client teams to ensure pharmacy practice resources are used appropriately and increase efficiency by identifying ways to improve processes. Track project performance, specifically to analyze the successful completion of short and long term goals. Evaluate and assess the Mid-Market product materials, maintaining final versions and facilitating updates, as needed. Other duties as assigned. QUALIFICATIONS Bachelor's Degree from a four-year college or university or a combination of education and work experience. Healthcare related degree and/or MBA One (1) or more years of experience related to pharmacy such as a retail pharmacy setting, PBM or health plan. SKILLS Working knowledge of the commercial health insurance industry and project management Proficient in Microsoft Office (Excel, Word, PowerPoint) Ability to lead and work within the team to foster teamwork Ability to build strong relationships internally and collaborate on cross-functional teams Ability to work with large data sets in Excel, Access, or other large data manipulation software Strong ability to manage multiple projects simultaneously and adapt to rapidly changing priorities Effective verbal and written communication skills Effective organizational skills #LI-REMOTE#LI-LM1

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Corporate Services/Other, Finance and Accounting, Operations **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $70,000.00 - $70,000.00 **Target Openings** 1 **What Is the Opportunity?** The Performance Construction Advisors (PCA) is a wholly-owned subsidiary of Travelers. PCA facilitates executive peer groups which are exclusive gatherings of seven to ten CEOs where, with the assistance of a professional facilitator, non-competing leaders openly review their companies and share information in a focused effort to build breakthrough success for themselves, their families, their employees, and their customers. In addition, PCA offers consulting services that help family-owned and other closely held business owners and leaders make more money in less time with fewer headaches with a higher quality of life. Acting as a Peer Group Facilitator and Senior Consultant, the Business Consultant facilitates meetings of closely held business CEOs and executives and delivers one-on-one consulting services as assigned. The successful candidate will possess considerable business experience broadly applicable to executing PCA's peer group facilitation and one-on-one consulting programs while also having latitude to creatively address client needs. This is a fully-Commissioned role. Employees in this role will be paid a draw of $70,000 and have the opportunity to earn the majority of their pay through commission payments. **What Will You Do?** + Develop relationships and facilitate peer group meetings of commercial construction CEOs and executives. + Collect and analyze financials of peer group members. + Work closely with peer group host companies in preparation for peer group meetings. + Coordinate with other PCA staff for meeting preparation, logistics, and follow-through. + Conduct peer group meetings on time, on task, and with exceptional quality. + Hold peer group members accountable for follow-through on group recommendations. + Deliver limited one-on-one consulting to peer group members to assist in goal attainment. + Actively seek one-on-one consulting opportunities within the assigned peer groups. + Deliver additional one-on-one consulting as assigned. + Follow PCA's established processes and best practices for peer group facilitation and one-on-one consulting - and contribute to the continuous improvement of these processes and practices. + Maintain accurate member/client records. + Coordinate closely with other functions to maximize member experience and lifetime value. + Provide input into developing and maintaining the peer group program operations manual. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + 5 years experience consulting with closely held business owners. + Experience owning or operating a commercial construction business. + Proactive, entrepreneurial approach to recognizing needs, solving problems, anticipating issues and developing solutions. + Demonstrable delivery of high quality work/service within agreed upon timeframes. + Able to communicate as a peer to highly successful, strong-willed CEO members. + Equally exceptional team and individual performer. + Helpful and highly responsive. + Strong problem solving ability. + Strong organizational skills. + Strong, articulate communication skills. + Entrepreneurial. + Proficient in Microsoft Office (Word, Excel, PowerPoint, and Outlook). + Capable and comfortable with web-based applications integrated into PCA's established processes and best practices. **What is a Must Have?** + Bachelor's degree required. + 10 years of business experience required. + Ability to travel up to 75% of the time required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .