QBE Insurance Group Limited job in New York, NY or remote
Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to provide high-level administrative and secretarial support to senior executives, ensuring efficient and timely assistance while maintaining a high level of discretion and confidentiality. The role involves critical support to executives in managing projects that align with their goals and contribute to the achievement of strategic objectives in a fast-paced work environment. This role involves global hours.
* Location: New York, NY
* Work Arrangement: hybrid working expectations
* The starting salary for this role is between $94,000.00 and $141,000.00
Your new role
* Demonstrate awareness of the annual departmental business plan and ensure work activities align with and support its achievement.
* Monitor and review administrative operating systems and procedures, making recommendations for changes as appropriate.
* Deal with a wide range of contacts at all levels, both internal and external to the organization.
* Perform administrative project work, including research, data collection, and some analysis.
* Produce correspondence, memoranda, presentations, and reports of a general and confidential nature on behalf of Senior Executives.
* Organize business appointments, and travel arrangements, and manage diaries for Senior Executives.
* Communicate with the organization's Executives, external Executives, Board members, suppliers, and clients on behalf of Senior Executives.
* Coordinate the organization of business functions, lunches, and dinners.
* Support other Senior Executives when required.
* Work global hour and across different time zones.
* May supervise other Personal Assistants/Administrators.
Work Experience:
Necessary Work Experience includes:
* relevant work experience.
Preferred Work Experience includes:
* Experience in project management.
* Experience dealing with financial data such as profit and loss accounts.
* Experience supporting senior level management or executives in a fast-paced environment.
* Experience preparing board papers and professional reports to a high standard.
* Moderate experience supporting senior management in secretarial, administrative, and personnel duties, preferably in the insurance industry.
* Experience as a Personal Assistant.
* Previous experience in a large, complex organization desirable.
Qualifications:
Necessary Qualifications include:
* Tertiary Degree or equivalent combination of education and work experience.
Preferred Qualifications include:
* Relevant administrative qualifications.
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
* Hybrid Working - a mix of working from home and in the office
* 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
* Competitive 401(k) program with company match up to 8%
* Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
* Tuition Reimbursement for professional certifications, and continuing education
* Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
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QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
Skills:
Adaptability, Analytical Thinking, Business Management, Calendar Management, Critical Thinking, Detail-Oriented, Financial Management, Intentional collaboration, Legal Administrative Support, Managing performance, Meeting Management, Office Management, Prioritization, Risk Management, Stakeholder Management
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$94k-141k yearly Auto-Apply 6d ago
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Claims Specialist - Crop
QBE Insurance 4.9
Remote QBE Insurance job
Primary DetailsTime Type: Full time Worker Type: EmployeeAt QBE, we are always looking to connect with top talent - for current vacancies as well as for future opportunities. It is our aim to continuously build a strong candidate pipeline across all our businesses and key locations in North America.
After submitting your interest to this specific hiring profile, our Recruitment Team will review your credentials and areas of expertise. Should there be a current or prospective opportunity that is commensurate with your career experience, we will contact you for an exploratory discussion. We appreciate your consideration of QBE as an employer of choice.
The Opportunity
This role will deliver prompt and accurate claims service to policyholders and agents for both multi-peril crop insurance (MPCI) and crop hail claims by completing field inspections, communicating with involved parties, performing investigations, determining appropriate adjustments and administering insurance policies to ensure compliance with state and federal regulations. Partner with Field Claims Manager to ensure effective and efficient claims operations.
Primary Responsibilities
• Distribute and direct losses and claim tracking for defined territory or agency base to support delivery of effective customer service and claim resolution and ensure team alignment with business goals
•Accurately document, process and transmit loss information in order to determine potential damages associated with difficult and complex claims
•Provide overflow support to Compliance Department of quality control audits for Federal Crop Insurance Corporation (FCIC and Crop Hail)
•Complete field inspections, reviews and adjustments by reading maps and aerial photos, measuring fields and storage bins, and appropriately administering company crop insurance policies. Ensure compliant and cost effective application of crop policies by leveraging knowledge of insurance statues and regulations and complying with state and federal regulatory requirements
•Provide effective and timely communication with agencies in defined territory on claim status and other inquiries
•Build and maintain relationships with customers by providing timely an accurate policy service, answering questions and communicating adjustment determinations
•Coach claims adjusting team by supporting and mentoring team members and providing advice and feedback to guide the success of the team and meet service level expectations
•Provide information and feedback regarding the quality of agent business and/or policy files of regional claim operations to maximize profit and quality of business
•Deliver classroom and field training programs for claims technology applications and crop programs ensuring effective educational resources for clients and alignment of training services with key stakeholders expectations
•Participate with internal committee to develop global claims technology solutions that support business need
•Attend National Crop Insurance Services (NCIS) regional and state committee meetings to make business aware of any legal issues or changes that will impact the business
•Contribute to a positive work environment by demonstrating cultural expectations and influencing others to reward performance and value “can do” people, accountability, diversity and inclusion, flexibility, continuous improvement, collaboration, creativity and fun
Required Education
• High School Diploma/GED
Required Experience
• 5 years relevant experience
Preferred Competencies/Skills
• Evaluate project outcomes through analyzing current state and desired future state
•Utilize effective communication channels for both external and internal customers
•Handle complex claims using a logical approach
•Provide adjusters detailed instructions for claim procedures and company policy
•Support implementation of company strategies
•High attention to detail
•Solve day-to-day problems, using critical thinking
•Train others on process and procedures
Preferred Education
• Bachelor's Degree or equivalent combination of education and work experience
Preferred Experience
• 5 years experience in MPCI and Crop Hail claims experience
Preferred Licenses/Certifications
• Crop Adjuster Proficiency Program (CAPPP); per State Requirements
Preferred Knowledge
• Working knowledge of claims administration best practices and procedures
•Understanding of local, state and industry standards (NCIS)
•Understanding of relevant laws and regulations across multiple jurisdictions
•Working knowledge of Microsoft Office suite, general computer software and database systems
About QBE
We can never really predict what's around the corner, but at QBE we're asking the right questions to enable a more resilient future by helping those around us build strength and embrace change to their advantage.
We're an international insurer that's building momentum towards realizing our vision of becoming the most consistent and innovative risk partner.
And our people will be at the center of our success. We're proud to work together, and encourage each other to enable resilience for our customers, our environment, our economies and our communities.
With more than 12,000 people working across 27 countries, we're big enough to make a real impact, but small enough to provide a friendly workplace, where people are down-to-earth, passionate, and kind.
We believe this is our moment: What if it was yours too?
Your career at QBE - let's make it happen!
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US Only - Travel Frequency
• Frequent (approximately 10+ trips annually)
US Only - Physical Demands
• Field agents: Work is generally performed in both an office environment and remote external environments that may present exposure to adverse environmental conditions dependent on customer location. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Must be able to walk on uneven ground, climb, bend, stoop, use a step, crawl and/or kneel. Incumbent may be exposed to environments that present hazardous weather, chemicals and/or animals. Incumbent must be able to lift up to 25 lbs.
US Only - Disclaimer
• To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.
Job Type
• Individual Contributor
Global Disclaimer
• The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee's normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.
Compensation
Base pay offered will vary depending on, but not limited to education, experience, skills, geographic location and business needs
Annual Salary Range: $68,000 - $102,000
AL, AR, AZ, Fresno, CA, CO (Remote), DE (Remote), FL, GA, IA, ID, IL (Remote), IN, KS, KY, LA, MI, MN, MO, MS, MT, NC, ND, NE, NH, NV, OH, OK, OR, PA, SC, SD, TN, TX, UT, VA, VT, WI, WV and WY
Annual Salary Range: $75,000 - $112,000
CA (Remote, Irvine and Woodland), Greenwood Village CO, CT, Chicago IL, MA, MD, NY (Remote), RI, Houston TX and WA
Annual Salary Range: $85,000 - $128,000
San Francisco CA, NJ and New York City NY
Benefit Highlights
You are more than your work - and QBE is more than a workplace, which is why QBE provides you with the benefits, support and flexibility to help you concentrate on living your best life personally and professionally. Employees scheduled over 30 hours a week will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health.
We also offer a competitive 401(k) contribution and a paid-time off program. In addition, our paid-family and care-giver leaves are available to support our employees and their families. Regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance.
QBE recognizes that exemplary benefits extend beyond benefits coverage and compensation. Flexibility in your working environment is important to maintaining balance and QBE is dedicated to ensuring employees achieve personal and professional integration by providing the opportunity for hybrid work arrangements.
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$85k-128k yearly Auto-Apply 60d+ ago
Global Actuarial Analyst II - Hybrid, NYC
Tokio Marine North America Services 4.5
Remote or New York, NY job
Supports GPA department functions and staff by performing actuarial analyses and calculations, preparing reports, participating in meetings, and participating in various actuarial projects.
Essential Job Functions:
Support TMHD actuarial governance procedures for insurance liabilities. This could include assisting in the preparation of TM Group actuarial policies, reviewing governance-related submissions from individual group companies, and performing research on governance best practices and procedures.
Gather, prepare, and reconcile data for actuarial loss reserve reviews of individual group companies. Perform the first draft of the actuarial loss reserve reviews, including method selections, assumption selections, and final reserve estimate selections. These steps would be performed under the direction of one of the managers of the GPA department.
Assist in research to support the actuarial loss reserve process reviews performed on individual group companies by the GPA department, including recommending best practice improvements.
Support projects being performed by the International Actuarial Reserve Committee (IRAC) or those assigned to the GPA department. This could include TM Group reserve-related dashboard compilations, Reserving Modernization projects, and industry research and reporting.
Contribute to reviews of group-wide financial reporting for premium reserves and insurance liabilities for IFRS17 and ICS accounting standards.
Support projects undertaken by the GPA department actuarial modernization lead.
Qualifications:
2+ years' prior property/casualty actuarial experience.
3+ actuarial exams completed.
Understanding of statistical methods and actuarial tools and techniques.
Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving actuarial, operational or process problems.
Ability to understand solutions that resolve problems in the best interest of the business.
Analytical and reasoning skills with the capability to determine the root cause of actuarial problems.
Ability to process actuarial-related information with high levels of accuracy.
Bachelor's degree with a concentration in math, finance or economics preferred.
Ability to work effectively as part of a global team.
Proficient in one or more coding language(s), e.g., R and/or Python.
Demonstrates curiosity and a problem-solving mindset.
Future-focused with an interest in application of AI.
This is a hybrid role with an expectation to be in the NYC office location 2-3 days a week, rest from home.
$82k-113k yearly est. 5d ago
Ocean Marine Underwriting Director - Growth & Strategy
CNA 4.6
Melville, NY job
A leading insurance company is seeking an Underwriting Director to lead the Ocean Marine Northeast underwriting group. This role involves managing staff, developing business strategies, and maintaining broker relationships. Candidates should possess a minimum of ten years' underwriting experience and an MBA. This hybrid position is based in Melville, NY, offering a competitive salary range of $97,000 to $189,000 annually and a comprehensive benefits package.
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$97k-189k yearly 5d ago
Leader, Quality Analytics Operations
MVP Health Care 4.5
Rochester, NY job
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ Bachelor's Degree preferred; will consider equivalent experience.
+ Three years' experience with data analysis and/or health care quality operations.
+ Possess strong personnel management skills.
+ Experience with HEDIS, Medicare Stars, and NYSDOH QARR reporting requirements.
+ Possess strong analytical skills with detailed knowledge of healthcare operations and datasets.
+ Possess strong problem-solving skills with a keen attention to detail.
+ Proven ability to work under pressure and manage multiple priorities effectively.
+ Self-motivated, proactive, and capable of driving initiatives independently.
+ Excellent communication and collaboration skills across cross-functional teams.
+ Microsoft SQL.
+ Interpersonal skills (e.g., partnering, conflict management, mentoring), with strong verbal and written communication skills, and the ability to interact with most levels of business, technical and end users.
+ Strategic Thinking: Aligns analytics operations with organizational priorities and anticipates future needs.
+ Influence & Collaboration: Builds strong relationships and fosters cooperation across teams and departments.
+ Decision-Making: Demonstrates sound judgment and data-driven decision-making under pressure.
+ Change Leadership: Champions innovation and process improvements, including automation initiatives.
+ Talent Development: Mentors and develops team members to achieve peak performance.
+ Accountability: Holds self and team responsible for delivering high-quality, timely results.
+ Curiosity to foster innovation and pave the way for growth.
+ Humility to play as a team.
+ Commitment to being the difference for our customers in every interaction.
**Your key responsibilities:**
+ Lead and execute quality analytics to support organizational excellence.
+ Manage annual HEDIS data submissions, including completion of the HEDIS Roadmap, audit coordination, and support for the medical record review project.
+ Oversee data processes and deliverables for regulatory and performance programs.
+ Collaborate with business, technical, and Data Governance teams to ensure data integrity and availability.
+ Monitor and enhance data accuracy, reliability, and compliance standards.
+ Identify and implement process improvements and automation to increase efficiency and reduce technical debt.
+ Acquire and integrate data as needed to support quality improvement initiatives.
+ Foster collaboration by encouraging cross-functional teamwork and promoting cooperation across organizational boundaries.
+ Serve as a trusted partner to internal and external stakeholders, ensuring expectations and requirements are met.
+ Other duties as assigned by leadership **.**
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Hybrid in Fishkill, Rochester, Schenectady or Tarrytown, NY
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$121,767.00-$161,949.75
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
$121.8k-161.9k yearly 19d ago
Clinical Investigator
MVP Health Care 4.5
Tarrytown, NY job
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ BA/BS degree in criminal justice or a related field, and minimum of five years ofinsurance claims investigation experience; or five years of professional investigation experience with law enforcement agencies, or seven years of professional investigation experience involving economic or insurance relatedmatters.
+ A clinical investigator must have in addition to the above requirements: A duly licensed or authorized medical professional, including but not limited to MD or RN.
+ New York State Nursing license required (RN preferred). Experience in health insurance fraud investigations preferred.
+ Obtain CPC and/or COC credential.
+ Maintain nursing license and coding credentials through continuing education process as required.
+ Superior judgment skills, verbal and written communication, and presentation skills.
+ Extremely detail-oriented with excellent organizational and analytical skills.
+ Ability to utilize various data management tools to help identify potentially fraudulent activity.
+ Possess knowledge of CPT-4, ICD-9-CM, ICD-10-CM, HCPCS and CPT Assistant coding guidelines as they relate to claim data.
+ Working knowledge of MS Office (Word, Excel and Outlook)
+ Curiosity to foster innovation and pave the way for growth
+ Humility to play as a team
+ Commitment to being the difference for our customers in every interaction
**Preferred Job Skills:**
+ Working knowledge of Macess, Facets, CareRadius, Cognos, CMS web sites, and Encoder-Pro.
**Your key responsibilities:**
+ Conduct clinical reviews of various forms of medical documentation and records obtained from providers and facilities including but not limited to medical charts, patient account records, and member interviews.
+ Organize and conduct highly complex investigations. Document findings and recommendations throughout the investigative process in a timely and efficient manner according to corporate and departmental SIU policies and procedures.
+ Act as an SIU liaison and interact with and analyze data in cooperation with Pharmacy, Medical Affairs, Operations, Provider Relations, Credentialing, Customer Care Center, Legal and other corporate personnel.
+ Assist in investigations conducted by government agencies, law enforcement, and other insurance company SIU staff.
+ Make recommendations for and conduct clinical re-audits of providers and facilities previously audited by SIU.
+ Testify in criminal and civil legal case proceedings as necessary and assist outside legal counsel especially concerning issues needing clinical decision making.
+ Participate in annual Corporate FWA training and training of new SIU personnel.
+ Keep abreast of Federal and State Anti-Fraud investigation and reporting requirements including HIPAA, CMS, Medicare, Medicaid, and any corporate compliance initiatives or policies.
+ Minimal travel may be required pertaining to investigations and audits.
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Virtual; Must reside within Eastern or Central Time Zone
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$69,383.00-$92,279.00
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
$69.4k-92.3k yearly 19d ago
Health Care Sales Enroller
MVP Health Care 4.5
Schenectady, NY job
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ Twoor more years in a customer service or sales environment, with some experience in the health care industry such as a hospital, medical office, or health insurance company.
+ An Associate degree or equivalent combination of education and related experience.
+ The availability to work full-time, virtual with daily local travel (some evening and weekend hours required).
+ Must have a valid driver's license.
+ The ability to speak more than one language (for example,English and Bengali, Hindi an/or Spanish).
+ Curiosity to foster innovation and pave the way for growth.
+ Humility to play as a team.
+ Commitment to being the difference for our customers in every interaction.
**Your key responsibilities:**
+ **Spearhead our membership growth initiatives in crucial target areas** by identifying eligible individuals and seamlessly enrolling them in a variety of plans including Medicaid, Child Health Plus, Essential Plan, Qualified Health Plans (QHPs), HARP, Off-Exchange, Medicare Advantage (MA) products, and Dual Eligible Special Needs Plans (D-SNP).
+ **Conduct both individual and group outreach activities** to present our innovative health care solutions on- and off-site at various events-from health fairs and community expos to festivals and holiday-themed gatherings-ensuring MVP's presence is both seen and felt. Your collaborative efforts alongside our Field Marketing and Community Engagement Representatives will be pivotal in driving growth and visibility in assigned territories.
+ **Foster positive relationships** with community-based organizations, medical provider partners, and community contacts to develop a robust network within your territory.
+ **Generate, track, and convert qualified leads** and referrals into MVP customers.
+ **Lead two monthly events** that highlight our progressive health solutions directly to the communities we serve, strengthening ties and enhancing our brand's impact.
+ **Navigate the local landscape with required travel** , embracing the opportunity to bring MVP's customer-centric philosophy to life across our footprint.
+ **Participate in necessary screenings and provide proof of immunization** as part of our commitment to community well-being.
+ **Demonstrate the dynamic capability** to transport up to 30 lbs. of promotional materials, which play a key role in educating and empowering our customers about their health care choices.
+ **Contribute to our humble pursuit of excellence by performing various responsibilities** that may arise, reflecting our collective goal of enhancing health care delivery and being the difference for the customer.
**Where you'll be:**
+ Remote with local travel in Herkimer and Oneida Counties.
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$51,395.00-$68,354.75
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
$51.4k-68.4k yearly 16d ago
Lead Commercial Property Underwriting
QBE Insurance Group Limited 4.9
QBE Insurance Group Limited job in New York, NY or remote
Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to underwrite new Commercial Property business and renewals within specified guidelines and authority levels, while providing technical support and overseeing profitable growth within the insurance class. Additionally, the role involves managing underwriting activities as well as fostering relationships with intermediaries and business partners to drive underwriting service delivery and innovation.
* Location: Atlanta, GA; 3340 Peachtree Road, Tower Place 100 Atlanta GA 30326; Chicago, IL; 500 West Madison St Suite 1205 Chicago IL 60661; Los Angeles, CA; 515 South Flower Street Suite 1060 Los Angeles CA90070; New York City, NY; 28 Liberty Street, 26th Floor, New York NY 10005; San Francisco, CA
* Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week.
* The salary range for this role is between $124,000-$233,000.
Your New Role:
* Review and approve risk within Underwriting Guidelines and agreed SLAs.
* Develop and maintain strong relationships with customers, intermediaries, and stakeholders.
* Act as a technical expert to support issue identification and opportunities within the specified product class.
* Underwrite risks and authorize referrals following delegated authority and underwriting standards for profitable growth.
* Contribute to the development and implementation of the Business Unit's Business Plan.
* Deliver timely decisions and problem-solving solutions for internal/external customers and business partners.
* Maintain expertise and team knowledge through identifying appropriate learning and development activities.
* Establish, strengthen, and develop relationships with stakeholders to maximize influence and achieve business objectives.
* Participate in the review and analysis of the portfolio to identify progress toward business objectives.
Required Qualifications:
* Bachelor's Degree or equivalent combination of education and work experience.
Preferred Experience:
* Moderate Commercial Property underwriting experience.
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
* Hybrid Working - a mix of working from home and in the office
* 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
* Competitive 401(k) program with company match up to 8%
* Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
* Tuition Reimbursement for professional certifications, and continuing education
* Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
***************************************************
QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
*
Skills:
Analytical Thinking, Communication, Critical Thinking, Customer Service, Customer Value Management, Decision Making, Financial Advising, Financial Products, Insurance Underwriting, Intentional collaboration, Managing performance, Negotiation, Portfolio Management, Risk Management, Stakeholder Management
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$124k-233k yearly Auto-Apply 8d ago
Senior Counsel
QBE Insurance 4.9
QBE Insurance job in New York, NY or remote
Primary DetailsTime Type: Full time Worker Type: Employee
Senior Counsel
The Opportunity
The purpose of this role is to provide commercially focused legal advice to support QBENA's business units. The role will assist more senior legal counsel on a variety of legal projects, manage a portfolio of legal matters with limited oversight, and ensure compliance with regulatory requirements. The role involves delivering high-quality legal services, providing strategic legal advice to management, and representing the company by offering solutions to complex legal issues. Additionally, the role includes supporting key business projects, focusing on customer-centric initiatives and driving innovation within the organization.
Location: New York City, NY, Sun Prairie, WI or Chicago, Il
Work Arrangement: Hybrid (2-3+ days in office)
The salary range for this role is between $132,000 - $247,500 depending on experience and location
Your new role
Responsibilities:
Provide legal advice on a wide range of insurance-related contracts and legal issues.
Negotiate, draft, and advise on contracts, including legal risks and liabilities associated with legal agreements, and other documents.
Maintain current knowledge of legislation and identify relevant regulatory changes and emerging legal issues. Build strong relationships with internal business clients and outside parties to enable effective and efficient resolution of legal matters.
Utilize knowledge of areas of responsibility to provide effective support for the resolution of legal issues
Anticipate and identify legal issues and counsel management to develop strategies and solutions.
Assist in establishing, maintaining, and developing appropriate legal infrastructure and processes.
Manage legal projects by defining scope, setting milestones, delegating tasks, and tracking progress.
Prioritize workload by evaluating the urgency of issues and delegating tasks to increase efficiency.
Work Experience:
Necessary Work Experience includes:
Moderate relevant work experience.
Preferred Work Experience includes:
Significant experience in leading insurance law practice or in-house at a reputed insurance company.
Experience in a regulatory/compliance legal environment.
Increasing levels of responsibility.
Experience working in a corporate legal department of a multinational/BPO company and/or law firm environment.
Experience working in flexible work shifts and/or with virtual/remote teams.
Experience in a full-service in-house legal environment.
Experience in leading city insurance law practice or in-house at an international Market Insurer, Reinsurer or Broker.
Project management experience.
Practical and commercial awareness.
Ability to recognize areas of risk and recommend solutions appropriate for level of experience.
Academics and technical ability important but delivery equally so.
Common sense approach.
Regulatory and/or insurance sector experience a prerequisite.
Qualifications:
Preferred Qualifications include:
Tertiary Degree or equivalent combination of education and work experience.
Certifications as a lawyer.
Current practicing certificate
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
Hybrid Working - a mix of working from home and in the office
22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
Tuition Reimbursement for professional certifications, and continuing education
Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
***************************************************
Commitment to Diversity
QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
Supplementary information
Skills:
Business Law, Communication, Contract Management, Critical Thinking, Intentional collaboration, Legal Consulting, Legal Documents, Legal Risk, Litigation Management, Managing performance, Negotiation, Research Analysis, Sound Judgment, Stakeholder Management, Team Management
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$132k-247.5k yearly Auto-Apply 15d ago
Lead Environmental Underwriting
QBE Insurance Group Limited 4.9
QBE Insurance Group Limited job in Liberty, NY or remote
Primary Details Time Type: Full time Worker Type: Employee The Opportunity: The purpose of this role is to underwrite environmental business in accordance with the business plan within set underwriting guidelines, service standards and within individual earned or delegated underwriting authority. This role involves underwriting complex new businesses and offering specialist advice. Additionally, the role is responsible for building and maintaining broker relationships, applying technical expertise, contributing to business results, staying informed about industry standards and new product introductions and coaching and mentoring Underwriters and Assistant Underwriters.
* Location: Atlanta, GA; Chicago, IL; New York City, NY or remote location.
* Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week.
* The salary range for this role is between $124,000-$233,000.
Your New Role:
* Contribute to the delivery of the annual business plan for the respective business unit by making appropriate decisions.
* Perform complex underwriting activities in compliance with legal and regulatory requirements.
* Utilize product line expertise to analyze business prospects and recommend profitable risk selection.
* Manage key portfolios/accounts with intermediaries.
* Establish, strengthen, and develop relationships with stakeholders to maximize influence and achieve business objectives.
* Lead profitability and process improvement initiatives by informing senior leaders on best practices and guiding strategic plans.
* Maintain in-depth knowledge of current legislation, best practice, underwriting, systems, products and organizational guidelines
* Actively manage your portfolio and relationships with brokers and colleagues to achieve portfolio retention, growth and profitability targets
* Coach and mentor Underwriters & Assistant Underwriters. As required supervise work and ensure procedures and authorities are adhered to.
* Adhere to underwriting standards, instructions, and good practice to minimize risk and maximize efficiency.
Required Qualifications:
* Bachelor's Degree or equivalent combination of education and work experience.
Preferred Experience:
* Significant experience in environmental underwriting.
* Established customer/intermediary relationships.
* Established customer/broker relationships.
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
* Hybrid Working - a mix of working from home and in the office
* 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
* Competitive 401(k) program with company match up to 8%
* Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
* Tuition Reimbursement for professional certifications, and continuing education
* Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
***************************************************
QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
*
Skills:
Adaptability, Analytical Thinking, Critical Thinking, Customer Service, Decision Making, Insurance Underwriting, Intentional collaboration, Managing performance, Negotiation, Portfolio Management, Problem Solving, Regulatory Compliance, Risk Management, Strategic Management, Waterfall Model
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$46k-63k yearly est. Auto-Apply 43d ago
Lead Environmental Underwriting
QBE Insurance 4.9
QBE Insurance job in New York, NY or remote
Primary DetailsTime Type: Full time Worker Type: Employee
The Opportunity: The purpose of this role is to underwrite environmental business in accordance with the business plan within set underwriting guidelines, service standards and within individual earned or delegated underwriting authority. This role involves underwriting complex new businesses and offering specialist advice. Additionally, the role is responsible for building and maintaining broker relationships, applying technical expertise, contributing to business results, staying informed about industry standards and new product introductions and coaching and mentoring Underwriters and Assistant Underwriters.
Location: Atlanta, GA; Chicago, IL; New York City, NY or remote location.
Work Arrangement: This role is hybrid, where you will be expected to be in the office 2-3 days per week.
The salary range for this role is between $124,000-$233,000.
Your New Role:
Contribute to the delivery of the annual business plan for the respective business unit by making appropriate decisions.
Perform complex underwriting activities in compliance with legal and regulatory requirements.
Utilize product line expertise to analyze business prospects and recommend profitable risk selection.
Manage key portfolios/accounts with intermediaries.
Establish, strengthen, and develop relationships with stakeholders to maximize influence and achieve business objectives.
Lead profitability and process improvement initiatives by informing senior leaders on best practices and guiding strategic plans.
Maintain in-depth knowledge of current legislation, best practice, underwriting, systems, products and organizational guidelines
Actively manage your portfolio and relationships with brokers and colleagues to achieve portfolio retention, growth and profitability targets
Coach and mentor Underwriters & Assistant Underwriters. As required supervise work and ensure procedures and authorities are adhered to.
Adhere to underwriting standards, instructions, and good practice to minimize risk and maximize efficiency.
Required Qualifications:
Bachelor's Degree or equivalent combination of education and work experience.
Preferred Experience:
Significant experience in environmental underwriting.
Established customer/intermediary relationships.
Established customer/broker relationships.
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
Hybrid Working - a mix of working from home and in the office
22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
Tuition Reimbursement for professional certifications, and continuing education
Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
***************************************************
QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
Skills:
Adaptability, Analytical Thinking, Critical Thinking, Customer Service, Decision Making, Insurance Underwriting, Intentional collaboration, Managing performance, Negotiation, Portfolio Management, Problem Solving, Regulatory Compliance, Risk Management, Strategic Management, Waterfall Model
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
CNA is a market leader in insuring skilled nursing, assisted living and independent living facilities and this role will support the business and interact closely with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
Our Healthcare Claims team is seeking a Complex Claims Consultant to support our Aging Services segment. This individual contributor role is responsible for the overall investigation and management of Aging Services claims in multiple states. Recognized as a technical expert in the interpretation of complex or unusual policy coverages in area of expertise. Under general management direction, works within assigned limits of broad authority on assignments requiring a high degree of technical complexity, coordination and excellent customer service.
This position enjoys a flexible, hybrid work schedule at one of the listed CNA office locations.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling and litigation. Prior negotiation experience.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable
* Professional designations preferred (e.g. CPCU)
#LI-KP1
#LI-Hybrid
In Illinois/New York/California, the average base pay range for a Complex Claims Specialist/Consultant is $83,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$54k-74k yearly est. Auto-Apply 60d+ ago
Underwriting Director, Ocean Marine
CNA Financial Corp 4.6
New York, NY job
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
JOB DESCRIPTION:
As the Underwriting Director for the Ocean Marine Northeast market, you will lead and direct an underwriting group while being accountable for business results through overall management, profitability, and business development of a book of business. In conjunction with senior management, you will work within the highest limits of authority, have regional, industry segment or company-wide scope of responsibility.
This position will be located and work on a hybrid capacity from our offices in either New York or Kansas.
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
1. Directs the work activities and has full management responsibility for the performance and development of subordinate staff in accordance with corporate strategic direction.
Coaches, leads and develops underwriters and directs the development of underwriting training.
2. Participates with senior management in the development and implementation of underwriting policy, marketing and business strategy.
3. Develops and implements operating plans for enhancing the business and meeting strategic objectives.
4. Reviews and directs the application of underwriting policy and pricing for all risks within an assigned book of business.
5. May market products and services through agencies or through the brokerage community.
6. Develops and maintains agency and/or broker relationships to ensure positive and profitable outcomes.
7. Reports business progress to senior management.
8. Keeps current on state/territory issues and regulations, industry activity and trends. May represent the company in industry trade groups.
Reporting Relationship
AVP or above
Skills, Knowledge and Abilities
1. Ability to effectively lead, coach and develop an underwriting group.
2. Excellent communication, negotiation and presentation skills. Ability to effectively interact with all levels of CNA's internal and external business partners.
3. Senior level technical and business management acumen, underwriting skill and knowledge of insurance and underwriting principles, practices and procedures.
4. Excellent analytical and problem-solving skills, with the ability to manage multiple projects and teams.
5. Ability to deal with ambiguous situations and issues.
6. Creativity in resolving unique and challenging business problems.
7. Ability to achieve results by taking a proactive long-term view of business goals and objectives.
8. Knowledge of Microsoft Office Suite and other business-related software.
Education and Experience
1. MBA or its equivalent in experience. Professional designations preferred.
2. Typically, a minimum of ten years of underwriting experience with a proven track record of results.
#LI-MA1
#LI-Hybrid
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $97,000 to $189,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$97k-189k yearly Auto-Apply 60d+ ago
Lead Investment Operations Analyst
QBE Insurance 4.9
QBE Insurance job in New York, NY
Primary DetailsTime Type: Full time Worker Type: Employee
The Opportunity
Group Investments are currently seeking a Senior Investment Operations Analyst to be based in New York. The purpose of this role is to work closely with the team located in New York, and Sydney to ensure operational coverage across all time zones and geographies. The key focus of the role is to support our global trading desks over the trade life cycle, provide effective day-to-day exception management, completion of reconciliations, security data management, and ensuring the timeliness of valuations.
• Location: New York, NY
• Work Arrangement: hybrid working expectations
• The starting salary for this role is between $124,500.00 and $186,500.00
Your new role
Working collaboratively with trade desks and external partners globally to ensure GI's trade life cycle is managed and supported across all locations in a timely and efficient manner. Minimized instances of trades failing.
Administering Investment Systems, focusing on functional correctness within systems ensuring all information is up to date - security setup, integration flows and reconciliations, system queries and workflow maintenance.
Ensuring transactional activity and data is appropriately processed, recorded and maintained in an accurate, efficient, timely, scalable and controlled environment across all of QBE's investment portfolios and geographies.
Supporting both internal and external audit processes to enable accurate and effective assessment of controls and activities.
Engagement and collaboration with key stakeholders to determine key areas of improvement in existing processes.
Contributing to the effective day-to-day relationship management and oversight of external service providers, partners and data vendors to ensure services of the highest standards are received by Group Investments.
Building and maintaining relationships with key internal and external stakeholders to ensure user requirements are met, and to facilitate efficient operational workflow and data management.
Ensuring that all processes are documented and up-to-date.
Proactively providing internal and external stakeholders with required or requested technical investment operational expertise and support over the trade life cycle.
Consistently displaying and encouraging the QBE DNA Behaviors.
Providing support to management to ensure that people, resources and processes are aligned with business needs and ‘fit for purpose'.
Determining own work priorities and activities in line with agreed plans to ensure the achievement of personal and team objectives.
Required Education
Bachelor's degree or higher in a relevant discipline and/or relevant industry experience/training, e.g. funds manager, custodian or administrator with a global reach and focus.
Required Experience
Minimum 5 years' experience in an Investment Operations environment.
Very good knowledge of investment instruments (fixed income, equities, derivatives) for purposes of trade matching, settlement and corporate actions. Experience with managed mandates preferred
Hands-on knowledge of investment systems (BlackRock Aladdin, Simcorp Dimension Bloomberg, eFront and CTM preferable).
Good knowledge of OTC financial products, in particular unlisted unit trusts and private investments.
Preferred Competencies/Skills
Up-to-date and in-depth knowledge of industry standards relevant to role.
Good understanding of investment markets and related risk and compliance practices.
Knowledge of fixed income key metrics (e.g. Duration, Spread Duration, Yield, etc.).
Excellent communication (written, verbal and presentation) and influencing skills.
Ability to build effective relationships with senior managers and other key stakeholders.
Strong analytical skills, with attention to detail and a thorough approach to problem-solving.
Works effectively within time constraints and is resilient under pressure.
Ability to effectively manage relationships with external service providers.
Understanding of collateral management, LOCs and trust account structures
Ability to work both independently and collaboratively within a fast-paced, team-oriented environment.
Relevant industry courses and accreditation.
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
Hybrid Working - a mix of working from home and in the office
22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
Tuition Reimbursement for professional certifications, and continuing education
Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
***************************************************
QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
Skills:
Analytical Thinking, Communication, Critical Thinking, Customer Service, Detail-Oriented, Emotional Intelligence, Financial Management, Financial Modeling, Financial Products, Intentional collaboration, Managing performance, Operational Audits, Portfolio Management, Risk Management, Stakeholder Management
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$124.5k-186.5k yearly Auto-Apply 16d ago
Desktop Support Services Internship
MVP Health Care 4.5
Schenectady, NY job
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ Must be enrolled in a Computer Science, Information Systems, or a technically equivalent undergraduate degree program or equivalent military experience.
+ Basic hardware
+ Windows 10\11
+ Office365
+ Software skills
+ Troubleshooting skills.
+ Ability to multi-task and work within time constraints.
+ Ability to work collaboratively.
+ Critical thinking
+ Problem-solving skills.
+ Curiosity to foster innovation and pave the way for growth
+ Humility to play as a team
+ Commitment to being the difference for our customers in every interaction
**Your key responsibilities:**
+ Installation and maintenance of personal computers and including all peripheral equipment.
+ Installation and configuration of personal computers and printers (network and desktop).
+ Diagnosing computer and network problems on-site or by assisting help desk staff with user telephone consultations.
+ Upgrading of computers and peripheral equipment.
+ Receipt and distribution of new computer equipment.
+ Tests new operating systems and software titles for interoperability and functionality with existing systems and software.
+ Good knowledge of modern personal computers and local area networks.
+ Good knowledge of installation procedures relating to personal computers, local area networks, peripheral equipment and software.
+ Ability to install office computer systems.
+ Ability to work with remote users with different remote tools.
+ May perform other related duties as required.
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Location: Onsite; Schenectady, NY
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$0.00-$0.00
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
$39k-48k yearly est. 19d ago
Complex Claims Consultant - Healthcare Medical Malpractice
CNA Financial Corp 4.6
New York, NY job
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
$113k-160k yearly Auto-Apply 16d ago
VP, Head of Technology
QBE Insurance 4.9
QBE Insurance job in New York, NY
Primary DetailsTime Type: Full time Worker Type: Employee
VP, Head of Technology
Work Arrangement: Hybrid
The salary range for this role is: $215,500 - $323,500
The Opportunity
Assume complete end to end accountability for the delivery of IT Services for the Business Divisions/Portfolios including build and supply, projects, development, support and work requests/BAU by partnering with program management and third-party providers ensuring quality assurance and managing budget and resource allocation. The role is the primary interface between IT and the business, ensuring alignment between business strategy and IT, and driving continuous operational efficiencies. Responsible for the facilitation of the project pipeline and program management accountability for all IT projects within the relevant Business Division remit. This role will support the Claims Division.
Your new role
• Maintain the strategic view of business objectives and needs and align end to end delivery of IT solutions with business needs through consistent engagement with key stakeholders
•Apply business solutions that consider both immediate and long-term organizational objectives
•Ensure each project and service within the portfolio delivers against its proposition aligned to the organizational strategy
•Provide subject matter expertise on business demand and assist the business in determining the value-add. Forecast demand within the portfolio back into IT Services.
•Strategic and business alignment input to the complete end to end delivery of customer solutions; overseeing the capturing of business requirements as required
•Manage the end-to-end program of IT projects for the business, leveraging project management & business analysis resources, along with central IT services
•Contribute to the development of the overall IT Strategy for the division as part of the leadership team in order to maximize productivity and performance
•Develop and implement departmental vision and translate into achievable targets and goals to effectively lead the team in the strategy delivery
•Ensure that the department remains appropriately structured, resourced, trained and equipped to support the business and fulfil their functions
•Develop, maintain, document and implement relevant policies and procedures for the conduct of IT activities and engagements
•Assist in the design & simplification of business products with a view to minimising technology debt, leveraging technology solutions & software packages
•Ensure SLA's are aligned to business operational needs on an ongoing basis
•Operational Risks and Issues are effectively managed within the portfolio, and the estate is kept secure and current
•Manage the relationship with business and IT to ensure operational efficiency initiatives are identified and implemented
•Communicate updates and /or changes in the IT strategy to all business stakeholders
•Ensure regular and open communication across IT Centres of Excellence to ensure early visibility and potential pipeline projects and emerging business needs
•Work with the business to identify portfolio projects and identify & facilitate project resources as required to ensure delivery
•Oversee the development of business cases, scoping papers and project initiation documents (Pre-Concept/Concept) for projects within the portfolio
•Brief and report on the environment, project portfolio and services related to status, scope, budget, timeframes and resources as appropriate
•Oversee design, build and test activity and ensure use of suitable tools and processes
•Apply the necessary controls and safeguards to protect business services from disruption through inappropriate, poor quality or uncontrolled change from any source
•Lead, motivate and manage a team to ensure the overall output and quality of the service provided by the team is within specified levels
•Establish clear accountabilities and authority levels for direct reports and build strong culture of accountability and performance to ensure delivery of business
•Drive and foster a culture of continuous improvement, motivation, collaboration, empowerment and entrepreneurialism within the department
•In collaboration with external partners and internal subject matter experts, develop a methodology for planning and executing initiative deliverables to align with QBE's overall governance structure
Required Education
• Bachelor's Degree or equivalent combination of education and work experience
Required Experience
• 10+ years relevant experience
Preferred Competencies/Skills
• Project delivery methods including Waterfall, practical Agile and Devops
•Exposure to digital solutions
•Excellent interpersonal skills with the ability to interact constructively with a wide range of interested parties
•Strong analytical and problem-solving skills
•Ability to negotiate effectively
•Finance management - including budget management, forecasting and cost analysis
•Resource management - planning and scheduling (including cross functional teams)
•Strong strategic planning capabilities (approaches and processes, tools, deliverables)
•Programme management - ability to manage multiple, complex projects whilst meeting deadlines
•Ability to understand industry trends, competitor or future competitor's strategies and product roadmaps
•Ability to effectively adapt to rapidly changing technology and apply it to business need
• Guidewire Solutions
• Property & Casualty claims experience
Preferred Experience
• Demonstrated ability to effectively communicate with all levels in IT and business
•Experience of managing cross functional teams and matrix management
•Experience of negotiating and influencing executive level sponsors
•Proven experience of interpreting business strategy and translating this into IT strategy
•Significant project management/ co-ordination, including managing multiple projects and complex projects to quality, time and budget
•Strong track record of technology delivery
•Experience of managing external vendors
•Significant experience in the insurance industry
Preferred Knowledge
• Advanced working knowledge of best practices and market trends in application development, including innovative systems and technology
•Advanced working knowledge of insurance terminology, property and casualty billing systems and policy administrations systems
•Advanced working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique, and coordination of people and resources
•Good knowledge of QBE business, structures and processes
•Well-rounded knowledge of change management and control methods and processes
•Good knowledge of ITIL Service Delivery processes (preferably with formal certification)
•Good understanding of the architecture discipline, processes, concepts and best practices
•Sound knowledge of problem analysis, structure analysis, and design techniques
•In depth technical understanding of relevant technologies
•Business and financial awareness of the impact of Service Levels and any associated failures
•Advanced working knowledge of software development lifecycle and relevant milestones; project management methodology
•Ability to capture and communicate business demand / requirements to IT teams
•Technical acumen - ability to understand how the technical infrastructure supports the business
Global Disclaimer:
The duties listed in this job description do not limit the assignment of work. They are not to be construed as a complete list of the duties normally to be performed in the position or those occasionally assigned outside an employee's normal duties. Our Group Code of Ethics and Conduct addresses the responsibilities we all have at QBE to our company, to each other and to our customers, suppliers, communities and governments. It provides clear guidance to help us to make good judgement calls.
US Only Disclaimer:
To successfully perform this job, the individual must be able to perform each essential job responsibility satisfactorily. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential job responsibilities.
US Only - Travel Frequency:
Occasional (approximately 5-10 trips annually)
US Only - Physical Demands:
General office jobs: Work is generally performed in an office environment in which there is not substantial exposure to adverse environmental conditions. Must have the ability to remain in a stationary position for extended periods of time. Must be able to operate basic office equipment including telephone, headset and computer. Incumbent must be able to lift basic office equipment up to 20 lbs.
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
Hybrid Working - a mix of working from home and in the office
22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
Competitive 401(k) program with company match up to 8%
Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
Tuition Reimbursement for professional certifications, and continuing education
Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
***************************************************
QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
Skills:
Adaptability, Business Management, Coaching for success, Critical Thinking, Influencing, Information Technology (IT) Infrastructure, Information Technology (IT) Risk Management, Intentional collaboration, Managing performance, Navigating ambiguity, Process Improvements, Strategic Agility, Strategic Management, Strategic Thinking, Technology Strategy Development
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
$215.5k-323.5k yearly Auto-Apply 16d ago
Professional, Software Engineer
MVP Healthcare 4.5
Schenectady, NY job
Join Us in Shaping the Future of Health CareAt MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team. What's in it for you:
Growth opportunities to uplevel your career
A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
Competitive compensation and comprehensive benefits focused on well-being
An opportunity to shape the future of health care by joining a team recognized as a Best Place to Work For in the NY Capital District, one of the Best Companies to Work For in New York, and an Inclusive Workplace.
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.The engineer works with business and technology partners to deliver software solutions to support the business. The engineer also serves as a role model and technical lead on the Scrum teams to promote quality, innovative, and scalable solution delivery.The role includes but is not limited to the following:
Must be able to develop quality software solutions for the business
Complete code reviews for members of the scrum team
Engage in scoping and estimating processes to support roadmap and planning efforts
Participate in backlog refinement, grooming activities, and Scrum ceremonies
Work closely with key stakeholders in designing solutions
Contribute to all development efforts of the Scrum team
Work with Product Owners and Scrum Masters in understanding backlog
Participate in code reviews
Utilize Scrum best practices and processes to deliver quality work and on-time delivery
Exhibit self-motivation to proactively drive a task or initiative to completion
Position QualificationsMinimum Education:Bachelor's Degree in Computer Science or related field or relevant work experience.Minimum Experience:1+ years' experience in software application development or related education1+ years' experience in an Agile environment Experience in test driven development preferred Experience supporting Agile planning and work estimation Must Have:.NET development experience Relational SQL-based database experience Front end development with a framework, such as React, Knockout or AngularWorked within an agile environment One or more of the following preferred:
Experience with Git
React
Azure
Microsoft Dynamics
Informatica
SSIS
SSRS
Knowledge of the healthcare industry
Experience in DevOps
Test Driven Development
Required Skills:
Ability to problem-solve and implement solutions
Command of standard development/SDLC
Highly self-motivated and directed with the ability and dedication to meeting aggressive deadlines while ensuring quality delivery
Pay TransparencyMVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.We do not request current or historical salary information from candidates. $69,383.00-$92,279.00MVP's Inclusion StatementAt MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ...@mvphealthcare.com .
$69.4k-92.3k yearly 1d ago
Professional, Overpayment Recovery and Monitoring Analyst
MVP Health Care 4.5
Tarrytown, NY job
**Join Us in Shaping the Future of Health Care** At MVP Health Care, we're on a mission to create a healthier future for everyone. That means embracing innovation, championing equity, and continuously improving how we serve our communities. Our team is powered by people who are curious, humble, and committed to making a difference-every interaction, every day. We've been putting people first for over 40 years, offering high-quality health plans across New York and Vermont and partnering with forward-thinking organizations to deliver more personalized, equitable, and accessible care. As a not-for-profit, we invest in what matters most: our customers, our communities, and our team.
**What's in it for you:**
+ Growth opportunities to uplevel your career
+ A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
+ Competitive compensation and comprehensive benefits focused on well-being
+ An opportunity to shape the future of health care by joining a team recognized as a **Best Place to Work For in the NY Capital District** , one of **the Best Companies to Work For in New York** , and an **Inclusive Workplace** .
You'll contribute to our humble pursuit of excellence by bringing curiosity to spark innovation, humility to collaborate as a team, and a deep commitment to being the difference for our customers. Your role will reflect our shared goal of enhancing health care delivery and building healthier, more vibrant communities.
**Qualifications you'll bring:**
+ Bachelor's degree in Health Administration, Business, Economics, Health Informatics, or related field. Associate's degree with the equivalent combination of related experience may also be considered.
+ Coding certification, such as AAPC CPC, CIC, COC, CCS is required.
+ The availability to work full-time, virtual in New York State
+ A minimum of three (3) years' experience in a professional coding environment and three (3) years' experience in auditing and/or reviewing in relevant healthcare industry experience.
+ Intermediate knowledge of provider reimbursement methodologies and all current coding methodologies.
+ Intermediate knowledge of Health Insurance and various plan types. Intermediate analytical, problem-solving skills and attention to details.
+ Ability to initiate education with providers and make internal recommendations for process improvements. Goals and outcomes of the recommendations and education must be measurable.
+ Curiosity to foster innovation and pave the way for growth
+ Humility to play as a team
+ Commitment to being the difference for our customers in every interaction
**Your key responsibilities:**
+ Manage recurring audit inventories, ensuring timely progression and completion of existing audits.
+ Identify and initiate new audits as patterns emerge through risk-based monitoring efforts, datamining, and other routine payment policy reviews.
+ Analyze new opportunities to substantiate, size, and prioritize audit needs, and develop audit protocols for new audit types.
+ Report suspected fraud and abuse to the SIU for further investigation and identify providers in need of education.
+ Collect and validate Key Performance Indicators (KPI's) from payment integrity functions across the organization.
+ Assist in the reporting of monthly metrics and participate in cross-functional audit operations.
+ Handle department projects, participate in committees relevant to payment integrity, and support process improvement efforts.
+ Participate in training and development activities within the department and corporation.
+ Perform other audit activities and manual reviews as requested, ensuring accuracy of claims and supporting overall payment accuracy.
+ Perform research using "best practices" in auditing methodologies, remaining current in CPC coding, reimbursement methodologies, MVP Policies and Procedures, and updates in professional literature.
+ Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
**Where you'll be:**
Virtual within New York State
**Pay Transparency**
MVP Health Care is committed to providing competitive employee compensation and benefits packages. The base pay range provided for this role reflects our good faith compensation estimate at the time of posting. MVP adheres to pay transparency nondiscrimination principles. Specific employment offers and associated compensation will be extended individually based on several factors, including but not limited to geographic location; relevant experience, education, and training; and the nature of and demand for the role.
We do not request current or historical salary information from candidates.
$69,383.00-$92,279.00
**MVP's Inclusion Statement**
At MVP Health Care, we believe creating healthier communities begins with nurturing a healthy workplace. As an organization, we strive to create space for individuals from diverse backgrounds and all walks of life to have a voice and thrive. Our shared curiosity and connectedness make us stronger, and our unique perspectives are catalysts for creativity and collaboration.
MVP is an equal opportunity employer and recruits, employs, trains, compensates, and promotes without discrimination based on race, color, creed, national origin, citizenship, ethnicity, ancestry, sex, gender identity, gender expression, religion, age, marital status, personal appearance, sexual orientation, family responsibilities, familial status, physical or mental disability, handicapping condition, medical condition, pregnancy status, predisposing genetic characteristics or information, domestic violence victim status, political affiliation, military or veteran status, Vietnam-era or special disabled Veteran or other legally protected classifications.
To support a safe, drug-free workplace, pre-employment criminal background checks and drug testing are part of our hiring process. If you require accommodations during the application process due to a disability, please contact our Talent team at ******************** .
$69.4k-92.3k yearly 19d ago
Lead Casualty Treaty Claims Specialist
QBE Insurance Group Limited 4.9
QBE Insurance Group Limited job in New York, NY or remote
Primary Details Time Type: Full time Worker Type: Employee The Opportunity Oversee and manage assumed reinsurance excess of loss and proportional business emanating from QBE Re's casualty and property book of business including an emphasis on Cedent audits. Ensure that all claims are being properly reported to QBE Re pursuant to the terms and conditions of the reinsurance contract(s).
* Location: Ny- New York City
* Work Arrangement: Hybrid (2-3 days in the office)
* The salary range for this role is between $126,000 -$189,000 depending on experience
Your new role
* Complete either on-site or remote reinsurance claim audits when necessary
* Deliver quality claims service to our internal underwriters, actuaries, etc. and external partners (Brokers and Cedent's)
* Manage a portfolio of reinsurance claims (via our ProSume system) in accordance with QBE Re's Claim Guideline and Procedures to ensure a favorable outcome.
* Where necessary, conduct investigations on all assigned claims in order to provide timely and accurate facts for evaluation of each assigned claim
* Interpret the applicable insurance and reinsurance contract(s) and apply that to the exposures presented with each assigned reinsurance claim
* Complete Large Loss Reports (LLR's) for upper management when required
* Resolve claims in a timely and fair manner and in accordance with all applicable laws, regulations and statutes
* Collaborate with QBE's staff attorneys on coverage issues in order to formulate a strategy to achieve a favorable outcome
* Review reserves on all assigned claim files and recommend changes (ACR's) where necessary to ensure claim and actuarial accuracy
* Collaborate with other internal Centers of Expertise in a timely manner when indicated to facilitate the delivery of superior claims outcomes
* Serve as an expert resource on complex claims or assigned claims requiring special handling
* Undertake claims resolutions activities in accordance with claims best practices and Department of Insurance (DOI) compliance to support quality claim results
* Provide the highest level of customer care, responsiveness, and satisfaction when managing assigned claims to deliver superior claim outcomes
* Direct, control, and manage relationships with vendors to deliver accurate, timely, and cost-effective solutions
* Manage budgeted resources by anticipating expenditures, accurately forecasting resource needs/costs and properly accounting for expenses to meet requirements and achieve fiscal responsibility
Required Education
* Bachelor's Degree or equivalent combination of education and work experience
Required Experience
* 5+ years of Reinsurance Claims Experience and/or 10+ yeas of primary insurance claims experience
Preferred Competencies/Skills
* Generate original, innovative solutions to difficult or unusual situations
* Identify and locate information and facts which are necessary and relevant for the purposes of evaluating a claim
* Financial and business acumen and awareness of financial responsibility
* Quickly change direction when working on multiple projects or issues
* Guide team to properly document investigation findings and preserve evidence in accordance with internal and external laws and procedures
* Use logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems
* Assume a methodical approach to a given situation and develop a systematic procedure as a response
* Develop effective negotiation strategies and prepare a plan of action
* Build and capitalize on beneficial internal and external relationships including competitors
* Coach and encourage employees towards continuously improving performance and mentor team with feedback, on-the-job skill enhancement opportunities and career advice
* Build and establish constructive and cooperative working relationships and open lines of communication
* Utilize effective communication skills to influence and persuade decision makers
Preferred Education
* Bachelor's Degree or equivalent combination of education and work experience
Preferred Education Specifics
* JD degree or equivalent highly preferred
Preferred Experience
* Experience handling Casualty and Property Insurance/Reinsurance claims
* Experience in Auditing primary and umbrella insurance claims
Preferred Knowledge
* Working knowledge of a Reinsurance Contract.
* Experience managing Casualty Lines claims
* Working knowledge of current and possible future policies, practices, trends, technology and information affecting the business and organization; knows how the business works
* Working knowledge of relevant claims legal and technical knowledge for all US jurisdictions
* Working knowledge of insurance policy and contract language
* Working knowledge of business and management principles involved in strategic planning, resource allocation, leadership technique, and coordination of people and resources
Compensation Package: The salary range for this role is provided above. This is the national range for location(s) listed. The salary offer will be decided based on the role's complexity, its location, and the candidate's professional background, including their education and experience. Beyond the base salary, regular full-time and part-time employees will also be eligible for QBE's annual discretionary bonus plan based on business and individual performance. We encourage all candidates to apply, even if their salary expectations fall outside of this range, as we are committed to finding the right fit for our team.
QBE Benefits: We offer a range of benefits to help provide holistic support for your work life, whatever your circumstances. As a QBE employee you will have access to:
* Hybrid Working - a mix of working from home and in the office
* 22 weeks of paid leave for family growth, with 12 weeks available to all parents on a gender-equal basis
* Competitive 401(k) program with company match up to 8%
* Well-being program including holistic wellbeing coaching, gym membership, confidential counselling, financial and legal advice
* Tuition Reimbursement for professional certifications, and continuing education
* Employee Network and Community - QBE actively supports six Employee Networks, and many ways to give back to your community
To learn more, click here: Benefits | QBE US.
Why QBE? What if you could have a positive impact - at work and in the world?
At QBE, we're enabling a more resilient future - for our customers, communities, environment, and for our people. We're building momentum to achieve something significant and know our people are at the center of our success.
Our industry offers interesting and varied careers where you can help people to protect what matters most. As part of the QBE team, you'll get to spend every day working with people who are passionate, talented and kind. And our international scale means we're big enough for your ambitions, yet small enough for you to make a real impact.
Join us now, so you can be part of our success - and we can be part of yours!
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QBE is committed to providing reasonable accommodation to, among others, individuals with disabilities and disabled veterans. If you need an accommodation because of a disability to search and apply for a career opportunity with QBE, please inform our Talent Acquisition team to let us know the nature of your accommodation request and your contact information.
Equal Employment Opportunity:
QBE provides equal employment opportunities to applicants and employees without regard to race; color; gender; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; protected veteran status; or disability or any other legally protected status.
This position is not eligible for visa sponsorship. Applicants must be authorized to work in the United States on a full-time basis without the need for current or future sponsorship.
Supplementary information
Skills:
Adaptability, Claims Settlement, Commercial Acumen, Conflict Resolution, Critical Thinking, Insurance Claims Processing, Intentional collaboration, Managing performance, Mentorship, Personal Initiative, Project Delivery, Regulatory Compliance, Reinsurance, Risk Management, Team Development
How to Apply:
To submit your application, click "Apply" and follow the step by step process.
Equal Employment Opportunity:
QBE is an equal opportunity employer and is required to comply with equal employment opportunity legislation in each jurisdiction it operates.
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