Post job

Provider Enrollment Specialist remote jobs - 513 jobs

  • Benefits Advisor - Work From Home (69k+ per year)

    HMG Careers 4.5company rating

    Remote job

    This full-time position offers flexible work hours and ample opportunities for advancement into management roles. You will work remotely to serve clients and offer valuable advice and protection to individuals and their families. What We Offer: · Remote, work from home career. · Average first-year earnings of $69K commission + bonuses. · Life-long residual income through renewals. · Unionized position with stock options. · Excellent benefits package - medical, dental, and prescription coverage. · Exceptional training with experienced managers. · High-quality leads provided: no calling family or friends. · Flexible hours: this is a fulltime career, but you can choose when you work. · Opportunities for advancement and recognition as we promote from within. · Dynamic Team Environment: Our virtual workplace thrives on a vibrant team. atmosphere. While this position is remote, you will have lots of support. Qualities We Value: · Willingness to learn and be coached as we provide comprehensive training. · Outgoing and Friendly Personality: a positive and approachable demeanor. · A strong desire to help others: provide valuable advice and services. · Effective Communication Skills: your ability to connect with others is crucial. · Sales or customer service experience is advantageous but not mandatory. Your Qualifications: · Laptop or computer with camera is required. · Possession of, or willingness to obtain an insurance license. · Basic computer literacy is essential. · Primary residence in Canada or USA: you must reside in North America to be eligible. Your Job Responsibilities: · Contact the leads we provide to schedule virtual meetings with clients. · Present benefit programs to enroll new clients and cultivate relationships with them. · Collaborate with your manager to define clear objectives and goals, then achieve them through dedicated effort and determination.
    $69k yearly 2d ago
  • Job icon imageJob icon image 2

    Looking for a job?

    Let Zippia find it for you.

  • Workers Comp Claims Oversight Specialist

    Samuel Hale 4.6company rating

    Remote job

    Join Our Dynamic Team as a Workers' Comp Claims Oversight Specialist! Claims Oversight Specialist Job Type: Full-time Exempt Salary: $71,000 - $95,000 Who We Are: EmployInsure LLC delivers Engineered Employment Products designed to eliminate gaps from antiquated practices and enable Frictionless Employment for customers across the employment value chain. Our Mission is to inspire and redefine the relationship between industry and individual by transparently connecting all buyers and sellers of talent to create maximum value . Our diverse team is powered by forward-thinkers, innovators, and rapid problem-solvers. We are committed to making a significant impact to scale the company. We believe in fostering a collaborative and inclusive work environment where every voice is heard and valued. EmployInsure is the parent company of its brands; Samuel Hale and Evoove, in exclusive partnership with the PACT. To learn more about us and our family of companies, check out our websites! Home - Samuel Hale - California Workers' Comp Fraud Savings Evoove | Centralized Staffing Solutions The PACT Life - Welcome to The PACT Our Core Values: Entrepreneurial Spirit: A mindset that involves seeking out change, taking risks, and pursuing new opportunities. Quest for a Deeper Understanding: A true professional never stops getting better at their craft. They practice and measure, and debate over their understanding of the truth, embodying a growth mindset. The Stockdale Paradox: We confront the brutal honesty of our current reality while always maintaining an unwavering faith in our ability to overcome all challenges that get in our way. We have toughness, determination, and passionate belief! Job Description: We seek to hire an experienced Claims Oversight Specialist to join our claims oversight team. The ideal candidate will have experience in California workers' compensation, denying, settling, or authorizing payments to workers' comp claims. In this role, you will be responsible for corresponding with policyholders, claimants, witnesses, attorneys, etc., to gather important information to support contested claims. Investigating claims and compiling reports within the given timeframe after receipt of the first injury report Preparing and delivering claims updates and reviews to internal stakeholders and clients Strategically handle investigations and tactically tackle issues Requesting records as required Notifying the employer of his or her claim determination based on findings Collecting and evaluating claims and authorizing payments Keeping in contact with the injured worker and the medical professionals concerning the status of the injury and plans for treatment Contacting the claimant's employers or doctors for additional information if the claim is questionable Assessing settlement decisions and opportunities Being present at mediations, either by phone or in person Ensuring that injured workers are taken care of appropriately and on time Basic Qualifications: 2+ years of direct workers' comp claims experience 1+ years of California workers' comp experience Good time management skills Adequate knowledge of relevant regulations Skilled customer service skills and attention to detail Demonstrated experience investigating workers' comp claims Excellent customer support Extensive claim review experience Prior claim settlement experience Insurance claims management software experience and technical proficiency We Offer a Best-in-Class Professional Benefits Package to Support our Employees: Comprehensive premium Healthcare Coverage: Medical, dental, and vision plans: Employees 100% covered by the company. Low deductibles for spouse/partner and dependents Generous Paid Time Off: Unlimited paid time off policy and paid holidays Profit Sharing Plan: Share in the success of the company Retirement Savings Plans: 401(k) with 5% company match to help you secure your financial future Lifetime pension plan: Vest into our pension plan for a lifetime income Wellness Support: Access to wellness programs, mental health resources, financial counseling, legal support, and employee assistance programs. Professional Growth Opportunities: Learning resources to help you thrive. Death Benefits: Company-paid to protect you and your loved ones. Flexible Work Options: Hybrid or remote work arrangements (where applicable). Exclusive Perks: Employee discounts, commuter benefits, and more. Join us and experience a benefits package designed to empower your well-being, career growth, and personal goals! Samuel Hale is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. Samuel Hale is an E-Verify company. For more information, please review our Participation and Your Right to Work. California Privacy Notice for Job Applicants If you are a California resident, we collect and use the personal information you provide in your application for recruiting, hiring, and compliance purposes in accordance with the CCPA/CPRA. We do not sell or share applicant personal information as those terms are defined by law. For details about what we collect, how we use it, and your privacy rights, please review our California Applicant & Employee Privacy Notice at ********************************* or contact us at ****************************.
    $71k-95k yearly 5d ago
  • Benefits Representative

    American Income Life Ao 4.2company rating

    Remote job

    March 2024 marked a monumental milestone for AO, as we shattered records for the biggest weekly, monthly, and quarterly achievements in the history of our company. Now, as we continue this incredible growth, we are seeking to expand our team with even more talented individuals. Are you ready to be a part of this extraordinary journey? As an AO team member, you will have access to a world-class support staff, unparalleled mentorship programs, and boundless career opportunities at every level. This could be the transformative change you've been eagerly searching for! • Embrace stability with a work-from-home position that provides you with a solid foundation. • Expand your knowledge and skills with virtual workshops and trainings designed to enhance your professional growth. • Enjoy the satisfaction of weekly pay, supplemented by enticing bonuses that recognize your exceptional performance. • Rest easy with the assurance of a union contract and representation, ensuring your rights are protected. • Safeguard your future with a comprehensive life insurance policy, including accidental death benefits. • Prioritize your well-being with medical insurance reimbursement, putting your health first. • Propel your career forward with industry-leading training and state-of-the-art technology at your fingertips. • Immerse yourself in leadership conventions and conferences that will inspire and motivate you. • Experience the thrill of incentive trips and team bonding activities, forging lifelong connections with your colleagues. To be considered for this incredible opportunity, simply submit your compensation requirements and an updated resume for our review. In line with our commitment to community wellness, all interviews will be conducted via Zoom video conferencing, ensuring the safety and convenience of all applicants. Join AO and become part of an unstoppable force, where history is made and extraordinary growth is Powered by JazzHR
    $39k-50k yearly est. 2d ago
  • Verification Specialist: 1099

    Kentech Consulting 3.9company rating

    Remote job

    Responsive recruiter Benefits: Flex- Time Opportunity for advancement Training & development KENTECH Consulting Inc. is an award-winning background technology screening company. We are the creators of innovative projects such as eKnowID.com, the first consumer background checking system of its kind, and ClarityIQ, a high-tech and high-touch investigative case management system. MISSION We are on a mission to help the world make clear and informed hiring decisions. VALUE To achieve our mission, our team embodies the core values aligned with it: Customer Focused: We are customer-focused and results-driven. Growth Minded: We believe in collaborative learning and industry best practices to deliver excellence. Fact Finders: We are passionate investigators for discovery and truth. Community and Employee Partnerships: We believe there is no greater power for transformation than delivering on what communities and employees care about. IMPACT As a small, agile company, we seek high performers who appreciate that their efforts will directly impact our customers and help shape the next evolution of background investigations. KENTECH Consulting Inc. is seeking a detail-oriented, hardworking, and team-focused Verification Specialist / Call Center Representative to support accurate and timely background verifications. This role requires strong communication skills, professionalism, and the ability to manage a high volume of outreach efficiently. Key Responsibilities • Verification and Outreach, contact employers, educational institutions, and references to verify candidate information. • High-Volume Calls, conduct 70 or more clear and professional phone calls each day to collect required verification details. • Multi-Channel Communication, gather and confirm information by phone, fax, and email while ensuring accuracy. • Data Research and Accuracy, retrieve and verify data from various websites and databases to support background checks. • Client Updates and Reporting, provide timely updates on verification progress and maintain detailed records. • Team Collaboration, support team goals by assisting with additional tasks as assigned. Qualifications and Experience • Two or more years of experience in call center or customer service roles and one or more years in an office environment. • College Degree (preferred), Criminal Justice, Pre-Law, Paralegal, Journalism, or Political Science, or three or more years of relevant work experience. • Fast and Accurate Typing, minimum 50 words per minute with strong accuracy. • Security Clearance Requirement, must be able to pass background checks to obtain a Permanent Employee Registration Card (PERC). Soft Skills • Strong Communication, professional, clear, and client-focused verbal and written communication. • Organized and Detail-Oriented, able to manage multiple verifications and meet deadlines. • Quick Problem Solver, adaptable and resourceful when resolving verification challenges. • Team Player, comfortable working in a fast-paced, team-oriented environment with a customer-first approach. Why Join KENTECH? • Remote and Flexible, work from anywhere while supporting a global team. • Professional Growth, gain valuable experience in background verification and compliance. • Impactful Work, play a key role in helping organizations make informed hiring decisions. Apply Now If you are a detail-driven professional with strong communication and research skills, we would love to hear from you. KENTECH Consulting Inc. is an equal opportunity employer. We celebrate diversity and remain committed to fostering an inclusive workplace. This is a remote position. We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. 🌐 WHO WE ARE KENTECH Consulting, Inc. is a premier U.S.-based background investigation solutions firm and licensed Private Detective Agency. Our team of investigative experts blends cutting-edge technology with industry insight to deliver fast, accurate, and comprehensive reports. With deep cross-industry experience, we provide fully compliant investigative services that meet the high demands of today's business environment. 🔎 WHAT WE DO We offer customized background screening solutions tailored to meet the needs of diverse industries. Our advanced tools and digital platforms allow us to conduct background and security checks up to 75% faster than traditional methods. With real-time access to over 500 million records, KENTECH is a trusted authority in background checking technology across the U.S. 🌟 OUR VISION To help the world make clear and informed decisions. 🎯 OUR MISSION To deliver fast, accurate, and secure background investigations on a global scale-supporting safer hiring decisions and stronger communities. 🚀 CAREERS AT KENTECH We're building a team of remarkable individuals who are: ✅ Critical thinkers and problem solvers who see challenges as opportunities ✅ Driven professionals who create meaningful impact through their ideas and results ✅ Mission-driven collaborators who believe in the power of digital identity to create safer environments ✅ Naturally curious and eager to innovate in an ever-changing landscape ✅ Team players who believe in the value of camaraderie, laughter, and high standards 💼 WHO THRIVES HERE? People who never back down from a tough challenge Professionals who bring their best every day-and uplift others around them Individuals who value purpose, performance, and a good laugh Teammates who want to shape the future of digital security and identification You, if you're reading this and thinking: “This sounds like my kind of place.” 🎉 YOUR NEXT CHAPTER STARTS HERE Ready to do work that matters with people who care? Explore our current openings-your future team is waiting.
    $25k-32k yearly est. Auto-Apply 60d+ ago
  • Viral - Content Claiming Specialist

    Create Music Group 3.7company rating

    Remote job

    Create Music Group is currently looking for self-described viral internet culture enthusiasts to join our Viral Department. Viral Content Claiming Specialist perform administrative tasks such as YouTube copyright claiming and asset onboarding, as well as scope out trending memes and social media videos on a daily basis. This position requires a regular workload of data entry/administration in order to carry out the most basic functions of our department but there are plenty of opportunities for more creative and ambitious pursuits if you are so inclined. This is a full time position which may be done remotely, however our office is located in Hollywood, California, and we are currently only looking for job candidates who are located in California. In the future, you may be encouraged to come into our office for meetings or company functions, so it is best if you are located in the Los Angeles/Southern California area. Through our Viral team, we collaborate with some of the most prominent viral talent from the TikTok and meme world including Supa Hot Fire (Deshawn Raw), Welven Da Great (Deez Nuts), Verbalase, KWEY B, Hoodnews, presidentofugly1, 10k Caash, dimetrees, Zackass, Supreme Patty, The Man with the Hardest Name in Africa, ViralSnare, Adin Ross, and more. YouTube monetization provides an alternative consulting and revenue-generating resource for our clients to grow their audience and earnings. We have helped our clients monetize and collected millions in previously unclaimed revenue for content creators, artists and labels. REQUIREMENTS: 1-3 years work experience Excellent communication skills, both written and verbal Internet culture and social media platforms, especially YouTube Conducting basic level research Organizing large amounts of data efficiently Proficiency with Mac OSX, Microsoft Office, and Google Apps PLUSES: Strong understanding of the online video market (YouTube, Instagram, TikTok) Bilingual - any language, although Spanish, Mandarin, and Russian is preferred RESPONSIBILITIES: We work directly with our clients and their team to help them break down the data and find potential opportunities to build their career. Daily responsibilities include but are not limited to the following. Watching YouTube videos for several hours daily Content claiming Uploading and defining intellectual assets Administrative metadata tasks Researching potential clients Staying on top of accounts for current client roster As this is a remote position, you are required to have your own computer and reliable internet connection. This position may require you to download a great deal of video files (files which may be deleted once onboarding tasks are completed) so please make sure that you have a computer that is up to the task. Laptops are preferable if you would like to come into our office to work (snacks, soft drinks, and Starbucks coffee are provided at our physical office). BENEFITS: Paid company holidays, paid time off, and health benefits (medical, dental, vision, and supplementary policies) are included. TO APPLY: Send us your resume and cover letter (in one file). After you apply, you will be redirected to take our Culture Index survey here. Otherwise, copy and paste the link to your web browser: ********************************************************* Info.php?cfilter=1&COMPANY_CODE=cYEX5Omste Applications without a cover letter and Culture Index survey will not be considered. OPTIONAL: Link relevant social media campaigns and/or writing samples from your portfolio.
    $45k-75k yearly est. Auto-Apply 60d+ ago
  • Post Payment Claims Specialist

    Reliant 4.0company rating

    Remote job

    Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As a Medical Claims Appeal Specialist, you are responsible for contacting providers to educate on NSA process/payments, respond to appeals for various products, and negotiate these post pay appealed claims to resolve payment disputes. Primary Responsibilities Monitor and manage your post payment queues. Conduct outreach, education, and negotiation calls to providers for post payment claims. Effectively communicate with providers to verify/confirm understanding of NSA claims payments and regulations. Effectively communicate with providers to explain claim payments for various pricing products. Maintain compliance, including but not limited to Confidentiality and HIPAA requirements. Maintain acceptable levels of production including but limited to turn around time standards as mandated by the regulation(s). Document all conversations and record name, phone number, and email of contact person if available, payment rates offered on behalf of clients, and any counter offers by the provider. Adhere to client specific and Reliant protocols, scripts, and other requirements. Develop a comprehensive understanding of the state and federal regulations that will impact payments to providers. Develop a comprehensive understanding of our various products. Perform other job-related duties and special projects as required. Qualifications 2-3 years of related job experience - appeals, negotiations, medical billing. Experience conducting outreach to providers via phone calls or other communication means. Experience understanding Reliant critical behaviors and compliance requirements. Broad healthcare policy and payment understanding. Experience with claims workflow tools or systems. Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$60,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
    $50k-60k yearly Auto-Apply 4d ago
  • Patient Claims Specialist - Bilingual Only

    Modmed 4.5company rating

    Remote job

    We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine! Your Role: Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates Input and update patient account information and document calls into the Practice Management system Special Projects: Other duties as required to support and enhance our customer/patient-facing activities Skills & Requirements: High School Diploma or GED required Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST Minimum of 1-2 years of previous healthcare administration or related experience required Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs) Manage/ field 60+ inbound calls per day Bilingual is a requirement (Spanish & English) Proficient knowledge of business software applications such as Excel, Word, and PowerPoint Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone Ability and openness to learn new things Ability to work effectively within a team in order to create a positive environment Ability to remain calm in a demanding call center environment Professional demeanor required Ability to effectively manage time and competing priorities #LI-SM2 ModMed Benefits Highlight: At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind. United States Comprehensive medical, dental, and vision benefits 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
    $66k-101k yearly est. Auto-Apply 31d ago
  • Benefits Advisor (Mid-Level) - Leaves and Programs

    USAA 4.7company rating

    Remote job

    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families. Embrace a fulfilling career at USAA, where our core values - honesty, integrity, loyalty and service - define how we treat each other and our members. Be part of what truly makes us special and impactful. The Opportunity As a Benefits Advisor (Mid-Level), specializing in Leaves and Programs, you will be a key resource for our employees navigating important life events. You will manage leave programs, vendor relationships (i.e. our onsite child development center), communications, and annual enrollment fairs, ensuring a smooth and supportive experience for USAA employees. We offer a flexible work environment that requires an individual to be in the office 4 days per week. This position will be based in the San Antonio, TX office location. Relocation assistance is not available for this position. What you'll do: Leave programs subject matter expert. Vendor and program relationship manager. Onsite services support to include managing onsite child development center relationship. Back-up care program management. Leads communication efforts across the benefits team, builds relationship with Association communications subject matter experts. Manage the MyTotalRewards portal. Event planning, coordinates all Annual Enrollment Fairs across all campuses. Provide expert mentorship in the design, development, and administration of employee benefit plans. Support the daily operations of benefit programs, ensuring they meet all legal and contractual requirements. Analyze trends and data to identify and solve benefit-related issues, finding the best solutions for the organization and employees. Help resolve sophisticated issues related to employee benefit programs. Ensure that benefit programs and vendors align with the company's overall Total Rewards philosophy. Assess vendor performance and ensure contracts deliver excellent service to employees. Collaborate with partners to improve and refine employee benefit program goals. Evaluate how well benefit programs are working and the impact of changes made. Ensure benefit programs follow all applicable laws and regulations, staying ahead of changes that may affect offerings. Research and analyze program changes to maintain compliance with federal regulations. Participate in benefit-related projects and initiatives, working on cross-functional teams. Coordinate with collaborators to create and implement systems and processes that support benefit projects. Help implement communication strategies for benefit plans, including updates on open enrollment, pricing, and plan details. Analyze costs and identify ways to minimize expenses and improve efficiency, while also assessing the financial impact of programs. Identify, assess, and handle risks associated with benefit programs, following all risk and compliance policies. What you have: Bachelor's degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. 4 years of experience in employee and retiree benefit plans, programs and services, to include health & welfare (self & fully insured programs), retirement benefits, experience in benefits supplier management, plan design, requirements development, program implementation, strategic communications, regulatory compliance, day-to-day administration and operations. Experience leading and/or running projects/programs. Solid understanding of data analysis tools and techniques. Understanding of outsourced benefits administration and how to provide oversight of outsourced functions and programs. Experience with documenting processes and identifying required controls; to include recommending and implementing solutions and responding effectively to critical inquires and complaints. Working knowledge of defined benefit and defined contribution plans, deferred compensation and Health and Welfare plans. Proficient knowledge of Microsoft Office tools to include Word, Excel, and PowerPoint. Knowledge of federal laws, rules, and regulations to include: ERISA, COBRA, HIPAA, ACA, FMLA. What sets you apart: Experience leading and/or implementing Benefits communication strategies. Strong vendor management experience (assessing SLOs, issue management). Experience with corporate Military Leave programs. Ability to work autonomously as well as with direction. Expert verbal and written communication skills. Compensation range: The salary range for this position is: $77,120.00 - $147,390.00. USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.). Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors. The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job. Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals. For more details on our outstanding benefits, visit our benefits page on USAAjobs.com. Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting. USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
    $77.1k-147.4k yearly Auto-Apply 60d+ ago
  • Provider Relations Lead

    Shpca Scan Health Plan

    Remote job

    Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen-not dilute-our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve. Job Description: The Job The Provider Relations Lead will be responsible for building and maintaining effective provider relationships with medical groups, primary care physicians, specialists, hospitals and ancillaries. The Provider Relations Lead may focus on a particular provider type or geographic region, but will have skillsets to be agnostic and flexible based on business needs. The job entails partnering closely with Contracting counterparts to facilitate an integrated onboarding process, conducting provider awareness and orientation about SCAN Health Plan, ongoing education and outreach, relationship building with office staff and providers, and quarterbacking the overall relationship including acting as the liaison with cross-functional stakeholders across reporting needs, performance monitoring, issue resolution, and clinical programs or growth efforts with the group/provider. There will be daily interface with office staff and providers, as well as interactions with corporate leadership at medical groups and constant collaboration with internal stakeholders to effectively establish and maintain a positive provider experience and resolve escalated issues in a timely manner. You Will This position will perform work under no/minimal supervision while handling complex issues and problems and work complex issues with managers. The Provider Relations Lead will serve as primary contact for medical groups, providers, hospitals and ancillaries and act as a key liaison between the providers/entities and the health plan. Closely partners with Contracting to facilitate an integrated onboarding experience, leading project management planning for cross-functional onboarding efforts and establishing a robust playbook. Establish and maintain excellent relationships with the provider network, with efforts focused on a particular region in which the Lead is based locally. The Provider Relations Lead conducts office staff and provider orientation, on-going education, training and relationship building both virtually and via onsite visits. Conducts regular provider office visits within assigned geographic region. Investigates and responds to escalated provider concerns and issues. The Provider Relations Lead participates in data driven operations meetings with assigned network of providers, corporate leadership and internal SCAN stakeholders. Creates educational materials and formal presentations to support provider touchpoints and initiatives. Supports cost and quality performance monitoring of the provider network, and liaison for trainings on deficiencies. Coordinates data extracts and data analysis interpretation. Partners with Contracting on network adequacy and robustness of local provider access and reputation to evaluate the need for additional providers; supports on internal awareness of network changes. Acts as a key liaison for network needs to support clinical programs or growth efforts. The Provider Relations Lead coordinates efforts to ensure SCAN and its contracted providers follow regulatory requirements. May provide leadership, coaching, and/or mentoring to group. Supports on internal company initiatives/projects/process improvements that further improve provider experience. Actively support the achievement of SCAN's Vision and Goals. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN's Vision and Goals. Other duties as assigned. Your Qualifications Bachelor's degree or combination of education/experience and/or training will be considered equivalent to the education. 3-5 years of prior relevant experience in a health plan, medical group or equivalent environment Knowledge of medical group, provider, hospital, ancillary contract language Knowledge of health plan, medical group risk arrangements strongly preferred Experience in Project Management Strong quantitative, written and oral communication skills including presentations, and interpersonal skills strongly preferred Ability to travel to meet with office staff and providers Ability to present in group settings, independently drive provider issues to resolution Strong multi-tasking and organization skills with minimal supervision Ability to execute work under pressure and tight deadlines Ownership mentality Ability to collaborate with various internal functional areas, be a team player, and cultivate business relationships with various constituents What's in it for you? Base Pay Range: $71,700 to $103,732 annually Work Mode: Mostly Remote An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) 11 paid holidays per year, plus 1 additional floating holiday, plus 1 birthday holiday Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-AC1 #LI-Hybrid Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
    $71.7k-103.7k yearly Auto-Apply 21d ago
  • Remote Benefits Advisor

    Ao Globe Life

    Remote job

    Compensation: $90,000-$120,000 per year Extras: Weekly Pay | Equity Opportunity | Bonus Program | Vested Renewals Employment Type: Full-Time | Flexible Hours Start Your Career With Meaning If you're a recent college graduate looking for more than a “starter job,” this is your launchpad. At AO | Globe Life, we combine mission-driven work with real earning potential-no micromanagement, no cold calling, and no corporate politics. In this role, you'll connect virtually with families and individuals who have already requested information about benefits-your job is to guide them through their options with clarity and empathy. What You'll Do Meet with clients via scheduled Zoom calls-no cold outreach Understand their life circumstances and recommend tailored benefit solutions Guide them through enrollment with professionalism and care Keep digital records organized and compliant Join weekly team trainings and skill-development sessions What Makes This Role Ideal for Grads You'll Learn real-world communication, sales, and client service skills-plus we provide full training You'll Earn commission-based weekly income with no cap, plus performance bonuses and renewals You'll Grow with leadership tracks and promotions based on merit, not seniority You'll Belong to a team that believes in mentorship, equity, and purpose-driven impact You're a Great Fit If You: Enjoy talking to people and building relationships Thrive in flexible, independent work environments Want real-world experience in business, client service, or sales Are tech-comfortable (Zoom, CRMs, Google Workspace) Have a strong work ethic and a desire to grow About AO | Globe Life For more than 70 years, AO Globe Life has been a trusted provider of supplemental benefits to working-class families. We proudly serve union members, veterans, credit unions, and associations nationwide-offering stability, purpose, and real growth for our remote-first team. Ready to grow a meaningful career on your terms? Apply today and discover the impact you can make-without leaving your home.
    $90k-120k yearly Auto-Apply 18d ago
  • Retirement Plan Specialist I (Financial Advisor) (Remote)

    Aegon 4.4company rating

    Remote job

    Job Family Internal Sales About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Transamerica is excited to announce that we are expanding and looking for FINRA Licensed Advisors to join our team! Now interviewing for multiple openings for our March 2nd and April 6th classes! How long is your commute? The Retirement Plan Specialist role is fully remote! Are you an experienced Financial Advisor or Retirement Professional who is tired of prospecting and would love to work with ongoing warm leads, build relationships, and assist clients with their financial challenges? Do you wish that instead of a high pressure, commission-only position you could work from home 40 hours per week, receive a bi-weekly base salary PLUS monthly, quarterly, and annual bonuses? Then our team is what you are looking for! You must hold FINRA Series 6, 63, and 65; OR Series 7 and 66 at time of hire. Provides customers with education, guidance and transparency around retirement product solutions (i.e. Account Rollover & Retirement, Annuity, Term Life, Permanent Life). Staff at this level are learning products and handle routine inquiries. Receive instruction, guidance and direction from more senior analysts. Job Description Responsibilities * Learn all products in assigned specialty area, including awareness of competitive offerings and regulations. * Explain and ensure customers understand product options for routine inquiries; make product recommendations. * Identify if there are multi-product needs and connect customers to other product specialists. * Work with relationship managers and fulfillment analysts to initiate product requests. Qualifications * Bachelor's degree in a business field or equivalent professional experience * FINRA Series 6, 63, and 65; or FINRA Series 7 and 66 (required to be approved to do business in all states) * Life license (or obtain within 90 days) * One year of experience in the financial services industry * Basic knowledge of financial products (related to assigned specialty area) * Customer service, interpersonal and listening skills to effectively communicate with customers and earn trust * Problem-solving and decision-making skills to select and recommend product solutions * Written/verbal communication and presentation skills to provide information via phone, email, video, chat, etc. * Proficiency using MS Office Preferred Qualifications * CFP and/or CRPC * Knowledge of CRM (Salesforce.com) and digital financial advice platforms Working Conditions * Remote (Field/Travel) Environment * Schedule may vary to fulfill service levels during hours of operation Compensation Please note that the compensation information that follows is a good faith estimate for this position only and is provided pursuant to applicable pay transparency and compensation posting laws. It is estimated based on what a successful candidate might be paid in certain Company locations. Total Compensation for this role is estimated to be $65,000 - $95,000 per year. The Salary for this position generally ranges between $48,500 - $53,000 annually. This range is an estimate, based on potential qualifications and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. This position is currently eligible for sales and/or performance incentives. Specifics will be reflected in individual incentive plan documents. #LI-KB1 Disclaimer: Beware of fake job offers! We've been alerted to scammers impersonating Transamerica recruiters, particularly for remote positions. Please note: * We will never request personal information such as ID or payment for equipment upfront. * Official offers are sent via DocuSign following a verbal offer-not through text or email. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023
    $65k-95k yearly Auto-Apply 60d+ ago
  • Claims Specialist - Life Global Claims

    Gen Re Corporation 4.8company rating

    Remote job

    Shape Your Future With UsGeneral Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. It owns General Reinsurance Corporation and General Reinsurance AG, which conducts business as Gen Re. Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries. Represented in all major reinsurance markets through a network of 38 offices, we have earned superior financial strength ratings from each of the major rating agencies. Gen Re currently offers an excellent opportunity for a Claims Specialist in our Life Health Global Claims unit to work remotely based out of our Stamford, CT office. Role Description The Claim Specialist is responsible for the delivery of the reinsurance claim risk management on multiple lines of business to both internal and external Gen Re clients. This includes, but is not limited to, the risk assessment of reinsurance liability and may include client training development and delivery, audit activities as well as representing the company and/or speaking at various industry conferences, as requested. Responsibilities: Responsible timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect. Maintains a working knowledge of state and federal regulatory issues and keeps on the cutting edge of changes within the incumbent's area of expertise. Deliver high levels of customer service to internal and external customers in a professional, reliable and responsive manner. The incumbent works with claims management to develop, prioritize and execute a claim management strategy for each assigned client. Responsible for influencing a variety of constituents at various levels and not within one's direct employ. Thus, being accountable for the effective development, ongoing maintenance and consistent application of client communications and relationships. As an expert claim resource within a specific line of business, the Claim Specialist monitors national verdict/settlement trends and legal developments pertaining to their particular line of business. The incumbent researches, drafts and publishes articles and training oriented to educating clients on best practices gleaned. Responds to ad hoc reporting /projects from manager. Timely and accurate reporting of statistical information to management. Provides a broad range of regular (monthly/quarterly) management information in support of the Claims Department. Responsible for synthesizing a large amount of information from a variety of sources. May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked. May participate in client meetings or with prospective accounts. Role Qualifications and Experience Prior claims experience in insurance and/or reinsurance operations. Prior experience managing claims (preferably LTC or Income Protection) thereby equipping the incumbent with the ability to assess reinsurer responsibility in its broadest sense (e.g. reviewing and offering risk management insights and recommendations on facultative and consultative claim submissions). Experience auditing claim files. Audit work of reinsured claims remotely or in client locations is an expectation. The audit process requires the ability to quickly adapt to the multitude of imaged systems in use by clients. The audit process may involve analyzing and verifying coverage and/or corresponding payments issued. The audit process may consist of managing internal and external communication with client executives in various areas such as claims, financial and legal resources, actuarial resources, etc. Thus, demonstrating an ability to emphasize and implement solutions to help clients manage risk and developing an in-depth knowledge of the management and organization of each assigned account. Holds insurance adjuster's license or a willingness to secure same within 1 year of hire Strong working knowledge of key coverage lines especially health (Long Term Care, Individual Disability) type claims Strong written and verbal communication skills Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously or as an effective member of a team Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to detail Flexibility to travel for business purposes, approximately less than 10 trips per year Strong client relationship, influencing and interpersonal skills Proven initiative, prioritization, presentation, and training abilities. Experience with and proficiency in Microsoft Suite of Products (WORD, EXCEL, PowerPoint), Visio, Power BI, developing and running queries etc. Salary Range 91,000.00 - 152,000.00 USD The annual base salary range posted represents a broad range of salaries around the US and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training. Our Corporate Headquarters Address General Reinsurance Corporation 400 Atlantic Street, 9th Floor Stamford, CT 06901 (US) At General Re Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. It is the General Re Corporation's continuing policy to afford equal employment opportunity to all employees and applicants for employment without regard to race, color, sex (including childbirth or related medical conditions), religion, national origin or ancestry, age, past or present disability , marital status, liability for service in the armed forces, veterans' status, citizenship, sexual orientation, gender identity, or any other characteristic protected by applicable law. In addition, Gen Re provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act.
    $53k-73k yearly est. 37d ago
  • PART TIME OPPORTUNITY - Life and Health Insurance Benefit Advisor - Completely Remote

    Global Elite Empire Consultants

    Remote job

    What could an extra $1,000-2,000 each month do for your household? For the first time in Globe Life company's 70+ year history they are offering qualified candidates the chance to enter financial services on a part-time basis while working fully remote. This means that you get all the earning potential of a trillion-dollar industry without having to give up the security of your current position. Pay off your house early, take the vacations your family deserves or save for early retirement. 20 hours per week from home is all it takes to learn a new skill that could change everything! Through providing personalized benefits solutions, you'll be the architect of your client's security tomorrow. In this role, you can expect to: • Converse virtually with clients, weaving financial strategies that empower. • Cultivate client bonds that stand the test of time. • Ride the crest of industry trends, fortifying your knowledge. • Work alongside a dynamic remote team, where collaboration is the heartbeat of success. Company Highlights: • Voted #24 Happiest Company to Work For • Rated A+ Superior by A.M. Best for financial strength • Globe Life has more policyholders than any insurance company in the world What We Offer:• Work virtually, from anywhere • Comprehensive training provided • A fun, energetic, and positive team environment • Rapid career growth and advancement opportunities • Weekly pay and bonuses • Medical Reimbursement program after 90 days • Residual Income • Ability to qualify for all-expense-paid incentive trips around the world Responsibilities: • Calling and receiving calls from clients • Scheduling appointments with clients who request benefits • Presenting and explaining insurance products and benefits packages over Zoom video call • Completing applications for insurance products • Attending ongoing, optional training sessions *All interviews will be conducted via Zoom video conferencing" (Global Elite Empire Consultants is a third party recruiter, not an insurance agency)
    $39k-72k yearly est. Auto-Apply 5d ago
  • Retirement Plans Spec

    Le_ICMA-RC International City Management Association Retirement Corporation

    Remote job

    Join a great place to work with MissionSquare, a financial services corporation with approximately $79 billion in assets under management and administration and over 600 employees. Founded in 1972, MissionSquare is dedicated to the retirement needs of public sector employees. We focus on delivering results-oriented retirement and retiree health savings plans, education, investment options, personalized guidance, and related services to public sector participants in more than 9,200 plans and nearly 2 million participant accounts. We strive to make the administration of retirement programs as easy and cost-effective as possible. We have an extraordinary talent base and invite you to consider joining MissionSquare. $70,000.00 - $70,000.00 The Retirement Plans Specialist supports MissionSquare's small markets segment and will be responsible for providing service and education virtually to assigned client base to expand current plan enrollment and participation, increase savings levels, retain current participant base, and enhance the investment knowledge of plan participants. This position will interact with regionally based field representatives and on occasion may engage in client facing events such as roll out of a new plan or enrollment of a new plan. Travel will be less than 20% overall. Position requires residency in Southern California Essential Functions for this role include: Conduct one-on-one consultations engaging participants and improving their outcomes in the areas of investment education, enrollment, savings rates, outside asset acquisition, and account level retention Give group education presentations on a wide variety of financial and retirement education topics to a diverse group of constituencies Host Annual Plan Reviews with key decision makers of employer sponsored retirement plans with a focus on plan trends, investment, and participant education outcomes Build and maintain positive working relationships with key plan level decision makers including elected officials, board members, union representatives, and C-suite administrators Proactively schedule, organize and effectively market all daily activities and client meetings Record all daily activity in contact management systems accurately Identify and refer new group or individual business opportunities to the appropriate manager If you have the following skills, we encourage you to apply: BA/BS or equivalent experience Series 65 licensing required 3-5 years related experience in financial services sales strongly preferred Customer service experience is helpful Significant knowledge of retirement and investment products with an emphasis on deferred compensation defined benefit and defined contribution plans. Good understanding of specific plan provisions and legislative regulations Experience with IRAs, 401ks, 403b, 401a, or DB plans Demonstrated ability to effectively market and service a geographically diverse client base Strong communication, listening, interpersonal skills, and ability to follow directions necessary. Demonstrated ability to make effective presentations Ability to work independently as well as in a team environment Demonstrated proficiency in basic computer skills, including Windows, internet, email systems, Word, Excel and Power Point Strong time management and organizational skills Ability to work in a fast-paced, task-oriented environment To benefit your career and support your wellbeing, we offer: Competitive Total Rewards package, including base pay, incentive programs, benefits, and a 401(k) plan with matching contributions Flexible and hybrid work schedules to support work-life balance Tuition reimbursement to support continued education Professional and career development opportunities, including courses and certifications Comprehensive wellness programs promoting physical, mental, and emotional health Volunteerism initiatives to encourage community engagement Click here to learn more about MissionSquare's benefits. Equal Employment Opportunity As a company, MissionSquare is an Equal Opportunity Employer. We strive to create an environment that reflects the value and diversity of our employees and fosters respect among them. We believe that talent from diverse backgrounds will further enhance our ability, and mission, to serve those who serve their communities. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or any other protected classifications under any applicable law. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
    $70k-70k yearly Auto-Apply 60d+ ago
  • Workers Compensation Authorization and Verification Specialist

    Miravistarehab

    Remote job

    State of Location: At Ivy Rehab, we're "All About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient. Job Description: The Workers Compensation (WC) Authorization and Verification Specialist will report to the WC Authorization and Verification Team Lead and will work in combination with front office teammates and any external authorization and verification vendors to ensure Ivy's authorization and verification processes and workflows are executed successfully, set goals and best practices are achieved, and the risk of lost revenue is minimized. In this role, you will be driving both internal and external customer satisfaction through a focus on faster and more efficient reimbursement. The ideal candidate will not only ensure a positive experience for patients, providers, and fellow teammates but will also be a key contributor in optimizing and standardizing authorization and verification workflows within Ivy. Please note: This position falls under the Workers' Compensation Department and is dedicated to supporting functions related to work-related injury claims, compliance, and case management. Your responsibilities will include: Submit authorization requests timely within EMR, following payer and state specific guidelines Specialize in Workers Compensation Financial Class and fluidity within different state and payer specifics Partner with Front Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission Provide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or process Address and respond to authorization or verification related queries from Ivy teammates and WC Payers Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team Lead Accurately complete verifications for same day or walk-in patients by contacting the provided insurance via phone, fax, or online portal to obtain outpatient therapy benefits, eligibility, and authorization information Request, follow-up, and secure authorizations prior to and during treatment episode for Workers Compensation patients Assist with training and education for new A&V teammates as well as ongoing training and education for established team members Maintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflows Run EMR or BI reports as needed to monitor maximum benefits, missing authorization, or other areas of focus as determined by the A&V Team Lead Attend and participate in Department and Organizational meetings to discuss departmental goals and progress Perform other duties as assigned by leadership staff To excel in this role, you should possess: 1 year+ of experience with Workers Compensation insurance in a healthcare environment required; experience with outpatient therapy preferred Demonstrates flexibility in responding to priorities and organizational change Demonstrates ability to work under pressure and follow through on assignments 2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferred Ability to multi-task, prioritize needs to meet required timelines. Customer service experience Effective written and verbal communication skills. Solution oriented mindset and ability to use critical thinking and analytical skills Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications. Open availability Monday through Friday from 8am-5pm EST Ability to self-motivate and focus in a remote position Proficient in Microsoft applications Why choose Ivy? Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture. Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes. Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays. Empowering Values: Live by values that prioritize teamwork, growth, and serving others. Compensation ranges up to an hourly rate of $23.00 based on experience. #LI-remote #LI-ST1 We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits. ivyrehab.com
    $23 hourly Auto-Apply 60d+ ago
  • Intake_Verification Specialist 2 - PRN

    Aegis Therapies 4.0company rating

    Remote job

    PRN Hours: as needed At Aegis Therapies, you'll be part of a team that truly makes a difference in the lives of others. Here, your contributions are as meaningful to us as to those we serve. You don't have to be a caregiver to want to help improve lives. No matter your skills, you can help fulfill Aegis' mission to inspire change, impact lives and innovate to drive success. By joining our corporate team, you'll work with others who share your passion, and you'll receive support from a team that appreciates your unique contributions. We offer a comprehensive benefits package, paid time off and the chance to grow your career at a company that values each individual. Apply today. EEO Statement: Aegis Therapies and its Family of Companies is committed to a diverse workforce and is an Equal Opportunity Employer. For detailed information on your rights, Click Here OR ***************************************************************************************
    $25k-35k yearly est. Auto-Apply 2d ago
  • Entry-Level Data Verification Specialist (Work-at-Home)

    Focusgrouppanel

    Remote job

    We appreciate you checking us out! Work At Home Data Entry Research Panelist Jobs - Part Time, Full Time This work-from-home position is ideal for anyone with a diverse professional background, including administrative assistants, data entry clerks and typists, customer service rep Thank you for checking us out! Work From Home Data Entry Research Panelist Jobs - Part Time, Full Time This is a remote work from home position perfect for those with any type of work background such as administrative assistant, data entry clerk, typing, customer service representative, drivers etc. We are seeking individuals who are looking for part time or full time work or side gigs to be connected with companies who are hiring employees directly to work from their homes. You will find both full-time and part-time remote opportunities in a variety of career fields. Legitimate Work From Home Data Entry Jobs are going to require that you have skills relevant to the position you are applying for. Training is provided based on the position. JOB PAY up to $250hr. (single session research studies) up to $3,000 (multi-session research studies) JOB REQUIREMENTS Computer with internet access Quiet work space away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions. Data entry or administrative assistant experience is not needed but can be a bonus We are recruiting those who have a background in health care, warehouse worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn You must apply on our website as well so please look out for an email from us once you apply. Here's what you need to get started LapTop. You may be asked to use your webcam. These types of studies typically pay more. You'll need a stable internet connection. You may be asked to conduct a study using your SmartPhone. Data entry skills. All studies require that you be able to read, write and take direction as well as type a minimum of 25 words per minute. Backgrounds in Customer Service, Administrative Assisting, Sales and Sales Support helpful but not mandatory We look forward to working with you! Connect with us via email by applying to this posting! Flexibility to participate in discussions on-line or in-person. No commute needed if you choose to work from residence. No minimum hours. You can do this part-time or full-time Enjoy cost-free samples from our sponsors and partners for your feedback on their products. Click the 'Apply' button to make an application for this position now. This position is open to anyone looking for short-term, work at home, part-time or full-time job. The hrs are adaptable and no previous experience is required. Our paid market survey participants originate from all backgrounds and markets including data entry clerk, administrative assistant, receptionist, sales assistant, customer service agent, warehouse or factory workers, chauffeur, medical assistant, nurse, call facility representative, and so on. If you are seeking a versatile part-time remote work from home job, this is a wonderful position for making a good side revenue.s or drivers. Unleash your skillset within an accommodating role that can be managed from any location! Are you searching for a new way to make money? Look no further - we are seeking individuals now who can work remotely from their own homes! Whether it's part-time or full-time, discover an opportunity that works best with your schedule. You will find both full-time and part-time remote opportunities in a variety of career fields. To secure a legitimate work from home data entry position, expertise in that field isn't an absolute must. Companies providing these jobs offer comprehensive training to the successful applicant so they can excel at their role! JOB REQUIREMENTS Computer with internet access Quiet work space away from distractions Must be able and comfortable to working in an environment without immediate supervision Ability to read, understand, and follow oral and written instructions. Data entry or administrative assistant experience is not needed but can be a bonus We are recruiting those who have a background in health care, warehouse worker, delivery drivers, customer service, etc - we welcome all backgrounds so long as you're ready to learn JOB PAY up to $250hr. (single session research studies) up to $3,000 (multi-session research studies) Applying on our website is necessary to ensure you receive important updates from us. Keep an eye out for emails with further instructions! To get started, these are the essential elements you'll need! LapTop. You may be asked to use your webcam. These types of studies typically pay more. You'll need a stable internet connection. You may be asked to conduct a study using your SmartPhone. Data entry skills. All studies require that you be able to read, write and take direction as well as type a minimum of 25 words per minute. Backgrounds in Customer Service, Administrative Assisting, Sales and Sales Support helpful but not mandatory We're eager to collaborate with you! Take the next step and reach out via email--apply now for a position today! Take control of your work schedule with our flexible position that allows for remote or in-person participation. With no minimum hours, you can choose to tackle this role part time or full time from the comfort of home. Plus, gain exclusive access to complimentary samples from sponsors and partners as a reward for offering valuable feedback on their products! Act now by clicking 'Apply' and launch into an exciting new work at home job today! This position is open to anyone looking for short-term, work at home, part-time or full-time job. Do you want to add an extra stream of income? Let us help! By participating in our paid market survey, people from all walks of life can earn some money. No prior experience is needed and the hours are flexible-perfect for those looking for a part-time job they can do remotely. Roles include data entry clerk, customer service agent, nurse or medical assistant - just choose what suits your skills best and start earning!
    $32k-44k yearly est. Auto-Apply 38d ago
  • Enrollment Specialist

    Institute of Healthcare Professions, LLC 3.6company rating

    Remote job

    Description: International College of Health Sciences (ICHS) is seeking an enthusiastic and detail-oriented Enrollment Specialist to support the admissions efforts of the organization. This role is vital in systematically and ethically recruiting qualified applicants for admissions to the College, in accordance with college, state, federal, and accreditation regulations. The ideal candidate will possess strong communication and organizational skills and will uphold the mission, vision, and core values of ICHS. Located in the vibrant Boynton Beach area of Florida, ICHS is dedicated to shaping the future of healthcare professionals through innovative educational approaches. This position includes making 100-120 dials per day and consistently meeting call metrics and funnel KPIs. It is a high-energy, call-intensive student engagement role where you will speak with prospective students daily to provide program information, help them complete applications, and move them toward enrollment into medical degree programs. Remote Opportunity: West Coast Time Zone Schedule: Monday to Sunday, 11:00 am to 8:00 pm Pacific time. Purpose The Enrollment Specialist will be responsible for driving the admissions process by managing inquiries, providing clear and accurate information to prospective students, and ensuring all required documentation and compliance standards are met. This position supports prospective students throughout their application process, guides them through the completion of enrollment requirements, and promotes the College's programs and offerings. Responsibilities Admissions Management and Communication Independently manage inquiries to achieve prompt contact and performance activity using approved recruitment policies. Make prompt and effective contact with inquiries, redirect unqualified candidates, and document all interactions in the College Student Management System. Maintain a high quantity of outgoing phone calls and scheduled interviews to meet activity requirements. Secure new inquiries through Personally Developed Referrals. Address applicant concerns and support their transition into the College. Guide prospective students through the completion of the enrollment process and assist applicants in completing program applications. Compliance and Information Accuracy Uphold the highest standard of ethics and truthfulness in communications regarding educational programs, facilities, costs, financing, licensure, completion, graduation, and placement data. Provide clear and accurate information per college, federal, state, and accreditation guidelines. Ensure compliance with applicable regulations; communication may be monitored/recorded as needed. Collaborate effectively across college departments for efficient student enrollment. Outreach and Events Represent the College at high school, community outreach, and other events, schedule and present on behalf of the College. Provide tours to prospective students prior to enrollment. Student Records and Compliance Ensure all required enrollment documents are complete and organized before the student attends class. Document all recruitment and enrollment activities in the student management system as required by policy. Additional Responsibilities Complete other duties or tasks as assigned. Demonstrate a cooperative, professional, and student-focused approach. Follow all department and college operating procedures. Requirements: Qualifications Education / Experience / Knowledge Associate's degree or higher preferred; High school diploma or equivalent required. One (1) to three (3) years of relevant experience or equivalent combination of education and experience. Required Experience and Skills Sincere interest in helping others achieve life goals. Excellent written and verbal communication skills. Strong interpersonal, organizational, and problem resolution skills. Goal-oriented and highly ethical. Proficiency in MS Office and basic computer skills. Ability to interact effectively as a leader and member of a team. Flexibility and adaptability to changing assignments and priorities. Ability to manage multiple tasks and meet deadlines successfully. Desired Experience in student recruitment, admissions, or higher education preferred. Additional Information:At no time may work be performed, or computer systems accessed, from outside of the U.S. Individuals hired must be able to perform essential duties satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Please note that the responsibilities outlined in this job description are not exhaustive and may be supplemented as necessary.International College of Health Sciences provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, pregnancy or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
    $27k-44k yearly est. 1d ago
  • Employee Benefits Adviser (Remote)

    Preferred Choice Financial Group 4.0company rating

    Remote job

    The Preferred Choice Financial Group Employee Benefits Advisor works directly with business owners to deliver voluntary, healthcare and other benefits for their employees. It's a key role from well-known brands that help owners ensure their employees can receive direct benefits (unless assigned otherwise) should cover medical events that occur, retirement, and the passing of an employee or family member. Key Responsibilities: Be able to communicate effectively and always work in the best interest of the client Generating new business opportunities through company leads, networking, referrals and calls Conducting meetings with employers to customize programs to help meet their benefits needs Engaging and enrolling interested employees in plans Continuing to service employer customers through ongoing consultation on topics regarding new benefits options, the latest benefits trends, ACA updates, etc. Be skilled at presenting in both small and large group presentations Skills/Qualifications: Minimum of 1-year sales or customer service experience Proficiency with Microsoft Office (Word, Excel, Outlook) Effective verbal and written communication skills Must perform well in high-energy, dynamic and team-oriented environments Bachelor's Degree Preferred Credentials Bilingual. Life and Health Licensed or ability to become licensed. CLU, ChFC, CFP designations or desire to work toward industry designation to develop subject matter expertise with company assistance. Advantages include: The opportunity to sell the top providers of employee benefit insurance products at the worksite in the U.S. Flexible schedules, no holidays or weekends The opportunity to earn additional financial incentives, awards, and exotic trips Access to comprehensive, ongoing training (online) - aided by proven education materials and sales automation technology Broad portfolio of plans and services that allow you to help business owners and employees find policies that meet their needs This Job Is Ideal for Someone Who Is: People-oriented -- enjoys interacting with people and working on group projects Dependable -- more reliable than spontaneous Achievement-oriented -- enjoys taking on challenges, even if they might fail This Company Describes Its Culture as: Enthusiastic -- positive and growth-oriented Caring -- client focus Outcome-oriented -- results-focused with a strong performance culture Team-oriented -- cooperative and collaborative
    $31k-43k yearly est. 60d+ ago
  • Provider Relations Specialist (Remote Option within SHP Service Area)

    Marshfield Clinic 4.2company rating

    Remote job

    Come work at a place where innovation and teamwork come together to support the most exciting missions in the world! Job Title: Provider Relations Specialist (Remote Option within SHP Service Area) Cost Center: 682891544 SHP-Provider Network Mgmt Scheduled Weekly Hours: 40 Employee Type: Regular Work Shift: Mon-Fri; day shifts (United States of America) Job Description: JOB SUMMARY The Provider Relations Specialist works in cooperation with the Contracting Manager - Marshfield Clinic Health System Provider Network and other department and organization colleagues to deliver superior service to our comprehensive network of affiliated health care providers. This individual serves as the primary liaison between Security Health Plan (SHP) and affiliated providers for escalated and contractual issues across various lines of business, with limited supervision. The Provider Relations Specialist is responsible for relationship management activities for hospital, professional, vendor, care system and/or ancillary providers including: development and execution of issue escalation strategies, educational programs, onsite visit criteria, special initiatives, and building and preserving strong provider relationships JOB QUALIFICATIONS EDUCATION For positions requiring education beyond a high school diploma or equivalent, educational qualifications must be from an institution whose accreditation is recognized by the Council for Higher Education and Accreditation. Minimum Required: Associate degree or 60+ credits in health care, business, marketing, education, or related field. Preferred/Optional: Bachelor's degree in business administration, accounting, health care, finance, or related field. EXPERIENCE Minimum Required: Three years' experience in a medical group practice or health insurance/Health Maintenance Organization (HMO) environment. Experience with healthcare claims and insurance reimbursement methods, and understanding of contract terminology. Working knowledge of health care delivery systems and concepts of managed care. Demonstrated proficiency with the Microsoft Office suite. Excellent written and verbal communication skills. Demonstrated ability to take initiative, utilize critical thinking, and bring forth solutions to identified issues. Preferred/Optional: Experience in provider relations, including well-defined communication skills and a demonstrated aptitude for communicating with both business users and technical staff. Strong interpersonal, problem solving and relationship building experience. Credentialing or claims experience preferred. CERTIFICATIONS/LICENSES The following licensure(s), certification(s), registration(s), etc., are required for this position. Licenses with restrictions are subject to review to determine if restrictions are substantially related to the position. Minimum Required: None Preferred/Optional: None Marshfield Clinic Health System is committed to enriching the lives of others through accessible, affordable and compassionate healthcare. Successful applicants will listen, serve and put the needs of patients and customers first. Exclusion From Federal Programs: Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately notify his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program. Marshfield Clinic Health System is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
    $43k-58k yearly est. Auto-Apply 8d ago

Learn more about provider enrollment specialist jobs

Top companies hiring provider enrollment specialists for remote work

Most common employers for provider enrollment specialist

RankCompanyAverage salaryHourly rateJob openings
1Quartz$42,846$20.600
2Community Care Plan$42,489$20.430
3HMS Holdings$42,368$20.370
4Blue Cross & Blue Shield$42,368$20.379
5Alignment Healthcare$41,779$20.094
6State Bar of Michigan$41,778$20.091
7Centauri Health Solutions$40,365$19.410
8Zotec Partners$39,012$18.760
9US Anesthesia Partners$37,460$18.010
10Highmark$36,081$17.3550

Browse business and financial jobs