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Insurance Carriers jobs near me - 232 jobs

  • Patient Account Representative (Remote Claims & Revenue Cycle)

    Randstad USA 4.6company rating

    Remote job

    Compensation: $25.00/hour Schedule: Full-Time, Monday - Friday, 9:30 AM - 6:30 PM We are seeking a highly specialized and detail-oriented Patient Account Representative to manage the full cycle of medical disability benefits, claims processing, and patient account collections. This role is essential for ensuring maximum reimbursement and financial security for our members and patients. The coordinator will interpret complex state/federal regulations, audit medical documentation, and perform collections while maintaining the highest level of professional communication. Key Responsibilities This position requires extensive interaction with medical records, billing systems, and external payers: Claims Processing & Auditing: Receives, reviews, and controls requests for medical information, visit records, and notes. Audits, abstracts, and summarizes pertinent data from patient medical records to process insurance claims and reports in compliance with state/federal regulations. Financial & Collections Management: Collects monies owing from third-party payers, employers, and patients/guarantors. Contacts debtors by phone/correspondence to arrange payments, abiding strictly by all state and federal collection laws and regulations. Documentation & Adjustment: Prepares and audits visit records using various fee schedules, CPT-4, and ICD-9-CM coding conventions. Generates and records appropriate adjustments, researching all available sources to determine their validity. System Maintenance: Documents all collection action taken on individual accounts in the computer system, including promised payments and insurance filing dates. Performs skip tracing and demographic updates as needed. Coordination & Communication: Acts as a representative to communicate and correspond effectively with insurance carriers, doctors, members, and outside providers to ensure proper and adequate exchange of data and maximization of payments. Required Qualifications Experience: Minimum one (1) year of collections or medical insurance claims processing experience. Related Experience: We are highly interested in candidates with prior experience working within large, complex health plan organizations. Core Skills: Demonstrated ability to perform diversified clerical functions, basic accounting procedures, and highly effective communication (written and verbal). Must have a strong ability to work independently without direct supervision in a fast-paced environment. Technical Proficiency: Proficiency in Microsoft Excel and Outlook. EPIC (HealthConnect) experience is REQUIRED for a quick start. Preferred Qualifications Two (2) or more years of collections experience in the healthcare field. Knowledge of medical terminology, CPT-4, and ICD-9-CM coding. Knowledge of mainframe collections applications and 10-key by touch. Top Three Daily Duties Supporting schedule maintenance and changes for medical providers. Processing insurance claims and reports for compensation. Collecting monies owing and performing follow-up with insurance companies/agencies.
    $25 hourly 3d ago
  • Commercial Lines Client Service Manager

    Higginbotham 4.5company rating

    Remote job

    The Commercial Lines Client Service Manager is responsible for assisting producers and clients in maintaining insurance coverage for commercial lines of insurance to include processing and invoicing policies, endorsements, audits, and cancellations. Supervisory Responsibilities: None Essential Tasks: Prepare endorsement requests to send to insurance carriers Follow-up on receipt of endorsements to existing policies Processing endorsements, including invoicing and delivery to client Processing of audits, including verification of rates, exposures, and prior premiums Handling/processing of cancellations and billing issues Communication with staff and clients as needed to gather needed information for changes to policies Knowledge of and adherence to, agency procedures Provide technical support to Marketing Executives and Producers as needed Establish and maintain relationships with both internal and external clients Core Competencies: Ability to Analyze and Solve Problems: Skill in recognizing challenges, exploring options, and implementing effective solutions in a timely manner Attention to Detail: A strong focus on completing tasks and projects accurately and thoroughly Communication Skills: Capable of expressing ideas clearly in both verbal and written forms and engaging with various audiences Timely Task Completion: Ability to finish tasks and projects efficiently, managing resources and priorities effectively Team Collaboration: Willingness to work together with others, promoting teamwork and supporting shared goals Client Focus: Dedication to understanding and addressing the needs of clients and stakeholders to ensure their satisfaction Dependability: Acknowledgment of the importance of being present and punctual. Creative Thinking: Openness to suggesting new ideas and methods to improve processes and outcome Organizational Skills: Capability to prioritize tasks and manage multiple projects simultaneously Adaptability: Willingness to adjust to changing situations and priorities, showing resilience in a dynamic work environment Experience and Education: 2 years of experience in property and casualty servicing preferred Experience with trucking and construction clients preferred Licensing and Credentials: Active Property and Casualty license required (company will help candidate obtain licensure if needed) Systems: Proficient with Microsoft Excel, Word, PowerPoint, and Outlook Applied Epic experience preferred, but knowledge of similar Account Management System (AMS) is acceptable Locations: Candidate will be based out of the Avon, OH office Hybrid or fully remote opportunities available for qualified candidates Physical Requirements: Ability to lift 25 pounds Repeated use of sight to read documents and computer screens Repeated use of hearing and speech to communicate on telephone and in person Repetitive hand movements, such as keyboarding, writing, 10-key Walking, bending, sitting, reaching and stretching in all directions Perks & Benefits: Generous employee benefits package which includes a robust wellness program Employee Ownership Opportunities Career progression opportunity - the potential for growth within the company Notice to Recruiters and Staffing Agencies: To protect the interests of all parties, Higginbotham Insurance Agency, Inc., and our partners, will not accept unsolicited potential placements from any source other than directly from the candidate or a vendor partner under MSA with Higginbotham. Please do not contact or send unsolicited potential placements to our team members.
    $64k-101k yearly est. 59d ago
  • Enterprise Account Executive

    Liberate 3.3company rating

    Remote job

    About Us: Liberate Innovations Inc. is a Series-A funded AI company focused on revolutionizing the insurance industry through advanced technology solutions. We partner with P&C insurers to transform operations and customer experience using cutting-edge AI and automation. Role Overview We are seeking a seasoned Enterprise Account Executive with 10+ years of experience selling enterprise software into insurers and large carriers. This role is responsible for driving new business growth, building executive-level relationships, and positioning Liberate as the trusted partner for insurers looking to modernize and innovate. This is a quota-carrying role with direct access to Liberate's leadership, product, and customer success teams. *Location: Columbus, Chicago, Dallas, Atlanta, Miami, Los Angeles, San Francisco, or Boston hybrid role (2 day/week in-office) Key Responsibilities: Key Responsibilities Own the full enterprise sales cycle: prospecting, qualification, solution positioning, negotiation, and close. Develop and execute a territory/account plan focused on top-tier insurers and carriers. Build and maintain C-level relationships across business (Claims, Underwriting, Operations) and technology (CIO, CTO, CDO) functions. Collaborate with Solutions Engineering and Product to tailor AI-driven demos and proofs-of-concept. Navigate complex procurement processes in insurance enterprises, including RFPs and multi-stakeholder evaluations. Achieve and exceed quarterly/annual sales quotas. Contribute customer insights to influence Liberate's product roadmap. Represent Liberate at key industry events, conferences, and roundtables. Qualifications Must Have Enterprise software sales experience with a strong track record of closing $1M+ ARR deals. Proven success selling to insurance carriers, MGAs, or large brokerages. Deep understanding of insurance technology ecosystems (policy admin, claims, billing, digital engagement). Strong network of relationships in the P&C insurance market. Extreme sense of ownership, urgency, and customer obsession, thriving in a Series-A startup environment. Excellent storytelling, executive presence, and negotiation skills. Ability to collaborate cross-functionally with product, engineering, and customer success. Nice to Have Experience selling AI/ML, automation, or cloud-based platforms. Background at high-growth startups. Familiarity with insurtech disruptors and incumbent vendors (e.g., Guidewire, Duck Creek, Majesco). Benefits: Competitive salary with performance-based commissions and equity options Flexible PTO 401(k) plan Comprehensive health, dental, and vision insurance Flexible work environment with remote work options Collaborative and innovative company culture
    $99k-155k yearly est. Auto-Apply 60d+ ago
  • Insurance Subrogation Case Specialist (Hybrid - Dublin, OH)

    Gainwelltechnologies

    Remote job

    Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary HMS is hiring an Insurance Subrogation Case Specialist to join our growing team! In this role, you'll help identify, verify, and coordinate healthcare coverage for Medicaid members, while managing subrogation and claims-related cases. If you have experience in insurance, healthcare claims, or call center operations-and you're looking for a mostly remote position with career growth potential-this is a great opportunity to join a mission-driven organization that helps make healthcare more affordable and efficient. Your role in our mission * Investigate and verify healthcare coverage and third-party liability information for Medicaid recipients. * Review and analyze insurance policies, claims, and case documentation. * Manage active subrogation case files and ensure all data is entered accurately and on time. * Communicate with insurance carriers, employers, and members to obtain and confirm coverage details. * Handle a high volume of inbound and outbound calls related to subrogation or claims. * Prepare and maintain reports on open cases, enrollment updates, and payment processing. * Support company goals for revenue recovery, accuracy, and program compliance. What we're looking for * 3-5 years of experience in insurance, healthcare, or government-sponsored programs. * Experience handling customer service or call center inquiries (both inbound and outbound). * Strong attention to detail and accuracy in data entry. * Proficient with Microsoft Excel, Word, and internet research. * Excellent communication, problem-solving, and organizational skills. * Ability to work independently in a remote/hybrid environment. What you should expect in this role * Hybrid role - primarily remote with in-office presence 2 days per month in Dublin, Ohio. * Monday to Friday schedule (daytime business hours). * Video cameras must be used during all interviews, as well as during the initial week of orientation. * To work effectively as a teleworker or hybrid positions with Gainwell, employees must have a broadband internet connection with a minimum speed of 24 Mbps download and 8 Mbps upload. Higher speeds are recommended for optimal performance. * To Test your internet download and upload speed: * Go to Google. * Search for Internet Speed Test or click here. #LI-HYBRID #LI-JA1 #LI-CM1 The pay range for this position is $43,800.00 - $62,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
    $43.8k-62.5k yearly 51d ago
  • Personal Lines Customer Service Representative / Agent

    Arens-Webb

    Remote job

    Benefits: 401(k) matching Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Training & development Vision insurance About this Agency Arens-Webb, Inc. has been a leading provider of insurance solutions to our clients since 1946. We strive to deliver superior service through a company-wide work ethic, and a commitment to excellence and customer satisfaction. As part of our team, you will be provided an opportunity to excel in a collaborative environment with an understanding of our employees' need for a work \ home life balance. Job Description The Personal Lines CSR at Arens-Webb Insurance is responsible for maintaining solid customer relationships by handling personal lines insurance coverage inquiries and concerns with speed and professionalism through daily interaction with customers, insurance carriers, and fellow employees while conducting specific service and marketing activities. Responsibilities Answer customer calls and correspondence regarding new or existing insurance policies and service all claims, as well as administrative duties such as answering phones, greeting visitors and assisting with mail. Work with prospects to pre-qualify and understand their needs, gather necessary data, research policy options, present options, finalize and bind new coverage, cancel old policies, and negotiate with carriers when necessary. Set appointments and/or client calls to review existing policies, revise liability limits, explore other coverage needs, evaluate replacement costs, round out accounts, and bind renewals. Confer with customers to provide detailed information about products and services, quote new business, process renewals and/or cancel accounts, take payments, and provide requested documentation. Actively solicit increases in coverage or rounding out accounts at every service contact. Resolve product or service issues by clarifying the customer's concern, determining the cause of the issue, selecting and explaining the best solution to solve the issue, expediting correction or adjustment, following up to ensure resolution. Qualifications Required - Hold North Carolina property and casualty insurance license and have a minimum of two years personal lines insurance account management experience. Demonstrate strong knowledge of insurance products and usages, rating procedures, underwriting procedures, coverages, and industry operations to effectively manage, maintain, and write assigned clients and prospects. Demonstrate strong customer focus and an excellent phone manner; display strong written and verbal communication skills as well as possess excellent math and reading skills to accurately perform simple calculations. YOUR FUTURE at Arens-Webb Inc. Insurance Starts Here If you're looking for a career that offers flexibility, job stability, strong compensation, and more, then you've come to the right place! Working with an IIANC member agency is a great career choice! Arens-Webb, Inc. has been a leading provider of insurance solutions to our clients since 1946. With dedication to serving our individual and commercial clients, we strive to deliver superior service through a company-wide work ethic, and a commitment to excellence and customer satisfaction. As part of our team, you will be provided an opportunity to excel in a collaborative environment with an understanding of our employees' need for a work \ home life balance. With an upcoming worker shortage in the insurance industry due to the retirement of many veteran insurance agents, the demand for insurance professionals is growing every day! Is this career right for you? This agency is independently owned and operated. Your application will go directly to the agency, and all hiring decisions will be made by the management of this agency. All inquiries about employment at this agency should be made directly to the agency location and not to the Independent Insurance Agents of North Carolina.
    $27k-35k yearly est. Auto-Apply 60d+ ago
  • Sales Representative Work From Home

    Quility

    Remote job

    Must be authorized to work in the US, no work visas offered at this time Organization Description: ABOUT THE COMPANY: Listed by Inc. Magazine as one of the 5000 fastest growing companies for the last six years in a row. Fastest growing Insurance brokerage firm in the country. Earned 'Top Company Culture' by Entrepreneur.com A+ rating with the BBB Company Description: Run buy a former tech CEO, the Griego Group thrives on fostering an entrepreneurial spirit where potential for personal growth and income are unlimited. We believe that generating income is the fuel that builds the life of your dream - however you define success. We know it takes teamwork to make that dream a reality so here at The Griego Group we offer mentorship, support and training from Leaders that have achieved phenomenal success. The decision on how big to grow is completely up to you. We know you have choices. The Griego Group offers you the ability to choose your own path and provides the tools to create the life you desire. Job Details: DOES THIS SOUND LIKE YOU: Would you prefer to work for yourself but don t know how to do that? Is your work schedule controlled by someone else? Have you ever thought "I know I can make more money than I do now"? Have you seen the promotional path ahead of you and realized that s not at all what you want? WHO WE ARE LOOKING FOR: Tech savvy individuals with an entrepreneurial spirit that want to create a business they love. Success-oriented, goal achievers seeking the right opportunity to thrive Individuals with a positive outlook ready to do what it takes to succeed People open to learning and growing to become the best version of themselves Agents that want to be rewarded based on activity and results so if they do more, they make more Individuals looking to live anywhere and work anytime while being able to put their family first People want to enjoy their work and have fun with others while building the life they desire WHAT WE DO: We help people make sure their debt payments can be made if they pass away and give their loved ones the comfort and security they seek. We also help people secure their retirement income and pay off their debts completely. HOW WE DO IT Every day people respond to our digital ads and request more information on the products we offer. Using our proprietary platform, you'll engage via text with clients and schedule discussions to review their financial information and work with them virtually to pick a product that meets their needs and budget. Responsibilities: WHAT WE SELL: Mortgage Protection Coverage Final Expense products Indexed Universal Life insurance to help individuals save for retirement Annuities that help clients protect their retirement savings Debt Free Life to that helps clients pay off all their debt, including their mortgage. HOW YOU GET PAID: When a policy is approved and issued, you'll get paid directly from our stable of A-Rated insurance carriers. This position is 100% commission only. Part-time agents target 1-3 sales per week. Full-time sales reps aim for 3-5 sales per week. Above average agents make more than that based on activity and results. Opportunity to earn a 5% increase in commissions every month for the first 90 days. WHAT WE OFFER: In depth training and one-on-one mentorship to teach you our step-by-step sales system. Local and national in-person training to guide you to success. Warm leads. No cold calling. We have far more clients to help than agents to help them. Proven process that is easy to follow but requires work, consistency and discipline. Work from home with a flexible schedule to enjoy your life while you earn. A culture that fosters a positive attitude to support and encourage your growth. Requirements: You must have a computer and internet access. Life Insurance License required. (We'll guide you through the process if you don't have one.) A positive teachable attitude. The Griego Group | Regional Sales Manager No agent s success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work. SFG0020348
    $39k-73k yearly est. 60d+ ago
  • Senior Claims Manager (Remote) - Professional Liability Program

    Washington University In St. Louis 4.2company rating

    Remote job

    Scheduled Hours 40 Analyzes and evaluates complex incident reports and lawsuits, reviews medical records and interviews involved individuals to obtain needed information. Prepares complex investigative analytical reports for Director and Legal Counsel regarding potentially compensable incidents covered by the Self-Insured Professional Liability Program, and other reports as requested by Senior Management. Coordinates case development, case management, and participates in office management. Job Description Primary Duties & Responsibilities: * Conducts internal claims investigations, plans defense strategies and negotiates disposition of assigned files with guidance of legal counsel. Conducts meetings with physicians, analyzes medical record information and event reports; directs approved legal counsel and other legal personnel involved in the defense; evaluates liability and financial exposure, approves expert witness reviews; responds to discovery requests and answers interrogatories; coordinates witness preparations; makes recommendations for resolution of claim; and coordinates meetings with Director, defense counsel and Office of General Counsel to perform decision tree analysis to determine case value. Attends mediation, arbitration, and/or trial. * Prepares and submits required reports to Department Heads, Office of General Counsel, Director of Risk Management, excess insurance carriers, and when applicable, coordinates with external agency investigations, i.e., professional Board inquiries. Responds to general claim inquiries. * Establishes indemnity and expense reserves based on the reserving policy. Negotiates settlements within authority. Reviews and approves defense counsel related invoices and expenses. * Provides consultation and guidance on healthcare issues such as medical record release, subpoena responses, termination/transfer of care, patient complaints, and physician billing issues including accounts in litigation. Arrange for attorneys to attend depositions with physicians when necessary. Mentors less experienced claims managers. * Performs other duties as assigned. Working Conditions: Job Location/Working Conditions * Normal office environment Physical Effort * Typically sitting at a desk or a table Equipment * Office equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: Bachelor's degree Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Analyzing Or Interpreting Medical Or Other Technical Evidence That Compares In Level Of Complexity To Medical Treatment (5 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Preferred Qualifications: * Analytical ability to evaluate facts and formulate questions in order to define problems and critical events in the medical care rendered. * General knowledge of The Joint Commission and patient safety standards, diagnosis and treatment of human disease and injury, medical therapies, procedures and standard of medical care. * Knowledge of methods and techniques of individual case study, recording and file maintenance. * Seven years' experience in medical malpractice claims management. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Analytical Thinking, Defining Problems, Detail-Oriented, Disease Diagnosis, Disease Management, Group Presentations, Injury Treatment, Joint Commission Regulations, Organizational Savvy, Patient Safety, Report Preparation Grade G13 Salary Range $65,900.00 - $112,700.00 / Annually The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal * Up to 22 days of vacation, 10 recognized holidays, and sick time. * Competitive health insurance packages with priority appointments and lower copays/coinsurance. * Take advantage of our free Metro transit U-Pass for eligible employees. * WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness * Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family * We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. * WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.
    $29k-43k yearly est. Auto-Apply 18d ago
  • Personal Lines Senior Product Manager (hybrid/remote)

    Grange Insurance 4.4company rating

    Remote job

    Summary: This position is responsible for managing profit and growth goals for high impact states or product lines per annual and long-term plan. Could be hired as PL Product Manager OR PL Senior Product Manager based on relevant experience. What You'll Be Doing: * With full accountability for product profit and growth, develop and implement business plans to maximize Personal Lines profit and growth for high impact states or products. * Provide cross-functional leadership with supporting departments (sales, marketing, claims and IT) to achieve desired business results. * Work with Product and Underwriting Leaders to develop and implement business strategy including but not limited to: product development, pricing, underwriting guidelines, portfolio mix planning, and expense control including commissions and fee generation, and catastrophe mitigation efforts. * Lead the rate review process demonstrating superior judgment in all phases of the process. Prepare rate proposals and present them to management. * Implement product/price changes providing details of all aspects of the change to the business analyst. Make necessary form changes and be the product expert and go to person for other departments as they work on the product change. File changes with the department of insurance anticipating potential questions from the department and providing adequate information with the initial filing. * Coordinate implementation of product/pricing changes with other departments or groups as necessary to develop both internal and external communications. * Develop and maintain the necessary computer applications (spreadsheets, etc.) required in the rate making process. * Conduct in-depth research and analysis, making creative recommendations based on the analysis. * Measure the expected results and actual results of rate and non-rate changes. * Monitor the mix of business in assigned state(s), identifying changes in the mix and reasons for those changes. * Demonstrate a high level of knowledge and understanding of our products and their relationship to those of our competitors. Determine our competitive position relative to other insurance carriers by market segment and recommend changes to our product based on competitive data. * Maintain Personal lines product manuals and be responsible for their content. Revise manuals to support product changes and rate revisions. * Work with agents in assigned states, influencing agencies to adopt best practices in the sales and service of Personal Lines products. Work with Marketing and Training to inform and train agents about new products and product changes. * Work closely with the compliance function in assigned state(s) ensuring that products & rates are in compliance with all applicable statutes & regulations. What You'll Bring To The Company: Bachelor's degree required; advanced degree and/or professional designation (e.g. CPCU) preferred. One or more years of profit and loss responsibility, strategic marketing (consulting or corporate) and product management strongly desired. Must have superior problem solving and analytical skills with proven ability to make data-driven decisions. Affinity for and proven ability in mathematics and complex quantitative analysis are critical to success in this role. Must have ability to develop and lead a highly collaborative and team-oriented environment. Ability to develop and execute a business strategy/vision required. About Us: Grange Insurance Company, with $3 billion in assets and more than $1.3 billion in annual revenue, is an insurance provider founded in 1935 and based in Columbus, Ohio. Through its network of independent agents, Grange offers auto, home, life and business insurance protection. Life insurance offered by Grange Life Insurance and Kansas City Life Insurance. Grange Insurance Company and its affiliates serve policyholders in Georgia, Illinois, Indiana, Iowa, Kentucky, Michigan, Minnesota, Ohio, Pennsylvania, South Carolina, Tennessee, Virginia and Wisconsin. With partner Integrity Insurance based in Appleton, Wisconsin- the 13-state Grange Enterprise has nearly $3 billion in assets and more than $1.3 billion in annual revenue and holds an A.M. Best rating of "A" (Excellent). Who We Are: We are committed to an inclusive work environment where we welcome and value diversity and inclusion. We hire great talent from a wide variety of backgrounds, and our associates are our biggest strength. The diversity of our associates, their backgrounds, experiences, and individual differences are the foundation for our success. Our inclusive culture empowers all of us to "Be One Team", "Deliver Excellence", "Communicate Openly", "Do the Right Thing", and "Solve Creatively for Tomorrow". We have active Associate Resource Groups and a Diversity and Inclusion Team, that focuses on professional development, networking, business value and community outreach; all which encourage and facilitate an environment that fosters learning, innovation, and growth. Together we use our individual experiences to learn from one another and grow as professionals and as humans. We welcome the unique contributions that you bring from education, opinions, culture, beliefs, race, color, religion, age, sex, national origin, handicap, disability, sexual orientation, gender stereotyping, gender identity or expression, genetic information, ancestry, pregnancy, veteran status, and citizenship. Grange Enterprise is proud to be part of the CEO Action for Diversity and Inclusion, a national initiative of more than 1400 CEOs working for the advancement of diversity and inclusion within the workplace.
    $96k-117k yearly est. 39d ago
  • Experienced Surveillance Investigator

    Fraud Fighters, Inc.

    Remote job

    Prodigy Investigations is seeking e xperienced Surveillance Investigator candidates in Arkansas, Florida, Illinois, Kansas, Louisiana, Missouri, North Carolina, New Mexico, Oklahoma, Oregon, South Carolina, Texas, and Washington. These will initially be part-time positions. PRODIGY INVESTIGATIONS OFFERS TOP PAY FOR SUPERIOR RESULTS. Our clients include insurance carriers, self-insured corporations, public agencies, and third party administrators. We provide five-star customer service and a 100% Customer Satisfaction Guarantee! Job Description: Follow specific case instructions Conduct video surveillance of subjects to document their activities, which involves covertly monitoring them from a stationary vehicle-based position, tailing subjects when they leave, and following them on foot when necessary Obtain covert video of subjects, when opportunities arise Provide updates throughout the surveillance Submit surveillance summaries, chronological reports of subjects' activities, and video evidence on a daily basis Meet established due dates Candidate Requirements / Qualifications: Valid driver's license Appropriately equipped surveillance vehicle Ability to obtain steady, fluid, and clear video of subjects HD video camera & covert video camera equipment Fluent in social media and internet research Clear and effective communication, both verbally and in writing Must be willing to travel Dependable and able to meet deadlines Curious, vigilant, and observant Highly motivated and a self-starter Must have flexible availability: holidays and weekends, last-minute cases Helpful Experience: Workers Compensation/ Liability Claim Surveillance. Urgently hiring in: AR, FL, IL, KS, LA, MO, NC, NM, OK, OR, SC, TX, and WA.
    $37k-56k yearly est. Auto-Apply 60d+ ago
  • Risk Advisor - Commercial Lines

    Relation Insurance, Inc. 4.2company rating

    Remote job

    WHO WE ARE Relation Insurance is a leading, innovative company with a strong commitment to excellence and a passion for delivering cutting-edge solutions to our clients. As a key player in the insurance market, we pride ourselves on our dynamic culture, collaborative environment, and continuous drive for success. With a rich history and a bright future ahead, we are looking for exceptional individuals to join our team and contribute to our ongoing growth and success. WHAT WE'RE LOOKING FOR The Risk Advisor is responsible for new insurance account production and sales activities within assigned accounts. The individual in this position conducts research in the market and develops a base of business to educate, promote and sell insurance services, keeps current on business community activities to obtain leads for business development activities, and maintains and services a profitable book of insurance business for existing clients. The Risk Advisor projects a professional company image through all interactions with clients, insurance carriers, co-workers and others. WHAT YOU'LL BE DOING Achieves annual new revenue objectives through consultative sales to new clients and expansion of service lines to existing clients. Exhibits thought leadership & industry engagement through associations, speaking panels and in general demonstrates expertise in selected industry vertical(s). Develops annual, individual sales plan (ISP) with a pipeline coverage ratio of 5X or one that is in line with current company metrics to ensure stated goals are consistently met. Builds an active pipeline of qualified prospects, generating leads from personal contacts, client referrals, prospect pursuit campaigns (PPC's), other Relation colleagues and Relation marketing sources. Documents new business activity in Relation's sales tracking system. Appropriately closes new business, documenting won/loss opportunities and reasons for all clients in Relation's sales tracking system. Develops and presents recommendations to clients based on consultative selling approach. Assesses & identifies risk issues, needs and possible uninsurable or difficult to insure exposures for clients. Recommends and assists clients with technical services including loss control and claims. advocacy programs utilizing our in-house loss control and claims advocacy teams. Seamlessly transitions sold clients to the designated client service/account management team. Serves as client's valued advisor, building a strategic and personal relationship with key client decision makers. Communicates with leadership, providing field input on market trends, competitor analysis and other business intelligence. Has a keen sense of humor, a competitive drive and winning spirit. Performs other duties and special projects as assigned. WHAT YOU NEED TO BRING TO THE TABLE Property and Casualty Insurance License is required and must be maintained. College degree or minimum 2 years' sales experience in the insurance industry is preferred. Experience working with complex commercial coverage. Strong negotiator, avid problem solver and works well with different personalities to ensure sale. In depth understanding of insurance markets, products and usages is necessary, as well as insurance rating and underwriting procedures. Outstanding interpersonal and communications skills are required to explain complex coverages, receive and interpret information and respond appropriately. Ability to prioritize and handle multiple tasks in a demanding work environment. Proficient skills in Microsoft Office (primarily Excel, PowerPoint and Word). Must be computer literate with the ability to learn new software applications. WHAT WE WILL BRING TO THE TABLE Competitive pay. A safe and healthy work environment provided by our robust benefit program including family health and wellness programs, 401K, employee assistance programs, paid time off, paid holidays and more. Career advancement and development opportunities. Paid training and continuing education to obtain/maintain your insurance license. #LI - TP1 . Note: The above is not all encompassing of the full position description. Relation Insurance Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Relation, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is presented within this posting. You may also be eligible to participate in a discretionary annual incentive program, subject to the rules governing the program, whereby an award, if any, depends on various factors, including, without limitation, individual and organizational performance. . $100,000.00 - $250,000.00
    $63k-114k yearly est. Auto-Apply 60d+ ago
  • Scheduling Specialist - Remote after training

    Radiology Partners 4.3company rating

    Remote job

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position, working 11:30am to 8pm. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and staff Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office staff as requested by supervisor (i.e., rest breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only) (10%) Insurance Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Completes other tasks as assigned
    $33k-39k yearly est. 5h ago
  • Member Care Coordinator, Clinical

    Calibrate 4.4company rating

    Remote job

    OUR MISSION Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower. Designed by world leaders in metabolic health, our program combines clinical research, personalized coaching, and lifestyle intervention to deliver lasting weight loss and improved metabolic outcomes. With obesity as America's largest chronic condition, impacting 175mm adults in a $600B market, we're closing the care gap by offering the first value-based model in obesity treatment. Since launching DTC in 2020, we've expanded into enterprise channels to improve access, and our app-based experience supports members with coaching, tailored education, daily tracking, and community engagement across the four pillars of metabolic health: food, sleep, exercise, and emotional wellbeing. ABOUT THIS ROLE A Member Care Coordinator sits at the intersection of Member Experience and Clinical Operations. The role of a Member Care Coordinator is to ensure that members receive timely, coordinated, and high quality care; acting as the “glue” between the Clinical, Coaching, and Operational teams. They ensure smooth handoffs between teams, including but not limited to, tracking lab results, medication approvals, and any necessary clinical follow up to ensure members proceed through their journey seamlessly. KEY RESPONSIBILITIES Execute critical clinical administrative workflows focusing on resolving readiness barriers to accelerate members toward provider review and medication access. Facilitate provider workflow efficiency by preparing clinical documents and proactively triaging member needs for specialty support. Facilitate structured handoffs of critical information to Clinical and Coaching teams to ensure timely follow-up regarding changes in medication, denials, or approved exception paths. Engage in cross-functional meetings and work collaboratively with others departments to improve and maintain a high level of member care. Identify and formally report recurring systemic issues, submission errors, or trends that contribute to operational friction. Manage the end-to-end medication access workflow with complete ownership, including the proactive gathering of relevant clinical data, coordinating with clinicians for additional necessary information, complex Prior Authorization (PA) submission, denial investigation, appeal documentation, final determination and overrides when applicable. Proactively contact members via phone and secure message to request necessary information (e.g., previous prescription history, documentation) and deliver clarity regarding complex PA status changes or delays. Conduct outbound calls to insurance carriers, PBMs, and pharmacies to obtain specific case statuses, track documentation, and secure approvals. Ensure all communication, investigation notes, and PA statuses are accurately logged in the case management system (e.g., Zendesk, MJD) to maintain a complete and auditable member record. Initiate and resolve pharmacy-level rejections (e.g., refill too soon, insurance coding errors, wrong dose dispensed) by conducting outbound calls to dispensing pharmacies and PBM help desks. Troubleshoot technical or administrative insurance issues that prevent successful claims processing. BACKGROUND AND EXPERIENCE Completion of a formal medical assisting program is highly valued. Preference will be given to candidates who hold a national certification, such as Certified Medical Assistant (CMA) awarded by the AAMA or Registered Medical Assistant (RMA) awarded by the AMT. Familiarity with case management systems (e.g., Zendesk), Electronic Health Records (EHR), and PA/e-prescribing platforms is highly desirable. 2+ years of high-volume customer service, call center, or patient advocacy experience, preferably in a healthcare, pharmacy, or PBM setting. Demonstrated track record of managing complex, multi-step processes where follow-up and persistence are critical to success (i.e., comfortable making multiple calls to solve a single problem). Exceptional verbal and written communication skills with the proven ability to handle challenging, escalated calls/messages with professionalism and empathy. Demonstrated proficiency in medical terminology and clinical documentation to accurately interpret patient charts, understand treatment plans, and effectively communicate with clinical providers and payers. Strong organizational skills and meticulous attention to detail in documentation. Proficiency in interpreting and translating complex insurance terminology for the member. Proactive problem solver with a self-starter mentality. Ability to work independently and manage case load effectively. The rate for this role is $20-$22 per hour. OUR VALUES We're in it together: We have an audacious mission, and we're building a lot of things for the first time - from the first DTC pharma business within the healthcare ecosystem to the data infrastructure for providing real-world evidence in the largest category of chronic disease. It takes superpowers to build something simple and intuitive within the complex healthcare market, so we identify and work as a team from our individual points of strength. Not everyone has to be good at everything, but we know that when we harness what we're each great at, we're unstoppable. Small wins create big wins: We ground every experience in optimism, recognizing and celebrating successes along the way. We break projects down into smaller components. And we focus on where we have momentum. We always plan for larger goals with the knowledge that our plans will evolve as we achieve smaller milestones. You're in control: We don't let location stand in the way of the best talent - and from coaches to engineers, we are a remote-first team. Our business is multi-faceted, so each Calibrater is hired to be an expert in their piece of it - in control of their own initiatives, in control of their own impact, and in control of driving their own (real) results. Real results matter: We're obsessed with outcomes because when our members win, we win, and the data proves that we've built the best metabolic health program on the market. We're purposeful, optimistic, and relentlessly confident that we can solve the biggest medical issue of the 21st century. Calibrate is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. To achieve our mission of changing the way the world treats weight, we are building an environment where every Calibrater can thrive, feel a sense of belonging, and do the best work of their careers. We value diversity and recruit, hire, and promote individuals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values. #LI-REMOTE
    $20-22 hourly Auto-Apply 10d ago
  • Contracting and Credentialing Specialist (Contractor) - Contracting Dept.

    Amity Foundation 3.9company rating

    Remote job

    About Amity: Amity Foundation is a safe place where people can change in an environment that fosters trust; where new values can be formed; responsibility developed, and lasting relationships built. Amity is dedicated to the inclusion and habilitation of people marginalized by addiction, homelessness, trauma, criminality, incarceration, poverty, racism, sexism, and violence. Amity is committed to research, development, implementation, and dissemination of information regarding community building. Remembrance, Resolution, Reconciliation, Restoration, Renewal About the Position: The Contracting and Credentialing Specialist is responsible for managing the contracting and credentialing activities with commercial insurance companies and managed care plans and Medicaid agencies in Pima County, Arizona for residential and outpatient treatment, and in multiple counties in California for the California Advancing and Innovating Medi-Cal (Cal-AIM) Enhanced Care Management and Community Supports services. This role oversees the complete process of provider enrollment, application, credentialing, through contract execution, ensuring that all applications are submitted accurately and followed through aggressively. The specialist serves as the point of contact for contract negotiations while maintaining persistent follow-up to expedite approvals and contract activations. What You Will Do: Work closely with Grants, Contracts and Development team; Chief Operating Officers; Program Manager; and Finance to review current plans and design a timeline for additional plans. Make initial contact with provider enrollment for each plan. Oversee the application and credentialing process. Prepare, submit and track all contracting paperwork, credentialing applications and recredentialing files for all providers and facilities with commercial insurance carriers and Medicaid agencies. Serve as the primary point of contact for credentialing activities, ensuring accuracy, timelines and compliance requirements. Monitor credentialing timelines, proactively follow-up through the approval and contracting process. Maintain an organized tracking system of credentialing statuses, contracting progress, rate agreements, and renewal deadlines. Attend regular meetings to provide regular reports to leadership regarding credentialing/enrollment completions, contracting process and outstanding issues. Develop effective working relationships with credentialing and contracting representatives to streamline processes. Work with the Amity services faculty in Pima County to gather and verify specific information needed for applications in Arizona. Work with the Amity Enhance Care Management and Community Supports faculty to gather and verify specific information needed for applications in California. Ensure that all draft contracts are sent to and reviewed by relevant Amity services, finance, legal, people operations, data and executive teams. Ensure that all fully executed contracts are uploaded to the Amity contracts repository and are also sent to all relevant Amity services, finance, legal, people operations, data and executive teams. Stay up to date on Medicaid guidelines, commercial insurer requirements and industry best practices related to credentialing and contracting. Perform other related duties as assigned. What You Will Bring: Education and Experience: Required: Bachelor's degree in business administration, healthcare management or related field preferred. 3+ years of work experience in credentialing and contracting within healthcare Proven ability to successfully manage provider credentialing workflows and securing insurer contracts. Strong organizational skills with eh ability to manage multiple credentialing files and contracts simultaneously. Excellent communication skills with persistence, assertiveness and a results-driven approach. Proficiency with Microsoft Office Suite and credentialing and contracting portals. Preferred: Highly detail-oriented with zero tolerance for errors in credentialing documentation. Self-motivated, disciplined, and comfortable in deadline-driven environment. Understanding of California Advancing and Innovating Medi-Cal (Cal-AIM) for the justice-involved population. Understanding of the Arizona Health Care Cost Containment System (AHCCCS) for behavioral health services. Understanding of regional community-level needs with regards to social services for the justice-involved population. Continuing Education: Within 90 days of hire, personnel file shall document evidence of participation in the following trainings: Los Angeles County - required trainings (as needed) Pima County - required trainings (as needed) Participate in additional trainings as required Skills/Abilities: Exceptional organizational and project management skills, with the ability to independently coordinate and lead multiple projects simultaneously focusing on quality and project follow-through. Ability to establish effective working relationships with staff, groups, agencies, officials, departments, and boards and manage expectations and priorities from various partners. Ability to interpret rules, regulations, guidelines, and legislation as they pertain to credentialing and contracting responsibility. Ability to retain and recall information regarding accounting systems and reporting requirements. Strong judgement in regard to how to manage sensitive topics. Analytical, database and reporting skills along with ability to prepare recommendations for courses of action. Ability to craft or update policies and procedures with a sharp eye for accuracy and detail. Exceptional organizational and project management skills, with the ability to independently coordinate and lead multiple projects simultaneously focusing on quality and project follow-through. Ability to frame issues and communicate technical, budgetary, and program details across all functions and to various partners. Confidence to ask pertinent questions to grasp concepts quickly and think beyond specific tasks. Superb interpersonal skills with a comfort working across diverse teams and handling senior leaders and use good judgement to resolve issues. Excellent written and verbal communication skills. Flexibility and ability to learn and develop new skills on the job. An ability to balance time efficiently, adhere to strict deadlines and multi-task in a fast-paced environment. Highly organized, detail-oriented, and committed to quality. Proactive problem solver and a self-starting individual. Excel at both working collaboratively and independently. Flexible, open, positive, and collaborative personality.
    $49k-75k yearly est. Auto-Apply 60d+ ago
  • Head of Sales, Insurance Risk Solutions

    Porch Group 4.6company rating

    Remote job

    Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies. In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED. Job Title: Head of Sales, Insurance Risk Solutions Location: United States Workplace: Remote Job Summary The future is bright for the Porch Group, and we'd love you to be a part of it as our Head of Sales, Insurance Risk Solutions. Porch Group Media has recently launched an exciting product in the market, Home Factors, that will transform the insurance vertical's current approach to risk-based calculation. We're looking for an experienced Sales executive to join at this exciting moment to build the team, sales strategy, revenue growth plan, and overall leadership in the insurance risk space. It's going to be fun, and we want you to be a part of it! This is an exciting opportunity to build a team and strategic plan beginning with our Home Factor data product that leverages exclusive unique insights into a property's interior and exterior, only available from Porch. The product offers insurance carriers, re-insurers, and other companies in the space the opportunity to more accurately understand property risk and price homeowners' policies more effectively. Not only that, but we also offer marketing capabilities built off our robust property and mover data sets. Home Factors is the first of many products we are rolling out for the insurance industry. What You Will Do As A Head of Sales, Insurance Risk Solutions Bring strategic vision to work with other senior leaders to define and articulate a compelling yet achievable strategic vision to capture the market's attention, set the right pricing strategy, and deliver on a value prop that drives high growth and market adoption. Lead a team of high-performance sales executives and develop a strategic sales plan to become a large data provider for risk solutions in the insurance industry Own revenue growth in the insurance vertical through building relationships with key prospects, leading deal negotiations with enterprise clients, and ultimately owning all new client acquisition Deliver against monthly, quarterly, and annual goals. Collaborate with executive-level insurance industry leaders to establish PGM as a leader and innovator in the insurance vertical Lead the participation in key industry events, conferences, speaking opportunities, etc. Join the PGM Senior Leadership Team, providing strategic guidance and feedback, participating in business planning and LT strategy development What You Will Bring As A Head of Sales, Insurance Risk Solutions 10+ years of B2B Insurance Sales experience is required. 10+ years in sales leadership Must have insurance connections; 5+ years' experience with insurance carriers and insurance solution providers; experience in selling data solutions for risk and underwriting. Experience leading a team that consistently exceeds sales goals. Strong sales prospecting, negotiating, and closing abilities. Strong commercial instinct and entrepreneurial drive. Outstanding communication skills - in both written and oral presentation - influencing and relationship building skills. Strong organizational and time management skills. Solid decision making and problem-solving skills. Strong propensity to take initiative and thrive with change. Bachelor's degree in business or similar. The application window for this position is anticipated to close in 2 weeks (10 business days) from December 5, 2025. Please know this may change based on business and interviewing needs. At this time, Porch Group does not consider applicants from the following states or jurisdictions for Remote positions: Alaska, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, West Virginia, or the District of Columbia. What You Will Get As A Porch Group Team Member Pay Range*: $168,800.00 - $225,000.00 *Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets, job-related knowledge, alignment with market and our Porch employees, as well as your geographic location. You will also be eligible to receive sales incentives, subject to program guidelines and approvals. Additionally, you will be eligible to receive long-term incentive awards, subject to program guidelines and approvals. Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing. Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose. Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis. We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options. We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans. Both traditional and Roth 401(k) plans are available with a discretionary employer match. Supportlinc is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation. LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more. Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs. #LI-JS1 #LI-Remote What's next? Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have! Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work. Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances. Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.
    $168.8k-225k yearly Auto-Apply 6d ago
  • Customer Experience Manager, Select

    Bennies Shoes 3.0company rating

    Remote job

    About Bennie Bennie (*************** is an employee benefits broker and platform that helps companies create a healthier workplace. We provide technology and services that are beyond what growing companies typically receive, yet exactly what they need. Bennie is building the ultimate benefits platform by connecting disparate systems across the benefits supply chain to deliver a complete experience for employees, employers, and partners. Our technology, benefit plans, and service model are designed - first and foremost - with the employee in mind. Bennie was founded in May 2019 and is headquartered in Stamford, CT. Bennie is a remote-first company with offices in New York, NY and Denver, CO. Core Values at Bennie As an organization, we value our team members who are Optimistic, Accountable, Thoughtful, and Healthy. We believe these values, known as our O.A.T.H., are essential for our collective success. The ideal candidate for this role will embody these values by: Maintaining a positive attitude throughout our journey of building our company. Being responsible for the quality of their work and for meeting their goals. Respecting our differences and looking out for one another. Believing in living complete lives that balance our work and personal time. About the Role: The Customer Experience Manager (CEM) is responsible for driving customer satisfaction and retention by leading and delivering an exceptional service experience for an assigned book of business. The CEM serves as the primary service relationship owner for assigned customers, while providing support in the development and delivery of key benefit strategies, and helping to develop and maintain relationships with customers and external partners. Reporting to: Principal Benefits Consultant Who You Are: The ideal candidate should have experience working in benefits consulting and supporting a book of business, and engaging with insurance carriers and vendors to ensure effective execution on behalf of the customer. The ideal candidate should possess exceptional analytical, communication, and relationship building skills; and is excited to join a startup and work with senior team members to help deliver exceptional consulting service and experience to Bennie's customers. The CEM should exhibit the six core attributes of the Bennie consulting team: Possess a growth mindset to drive the business upward and forward. Take a proactive approach to value creation and delivery for customers, colleagues, and partners. Seize the consultative opportunity in every interaction with customers, colleagues, and partners. Maintain a curiosity about the industry, Bennie's customers, and Bennie's business. Bring relentless intensity to the creation of value. Work collaboratively with customers, colleagues, and partners. Responsibilities include: Lead and manage the service relationship and strategy for assigned customers, ensuring the delivery of high-quality service experiences and customer satisfaction. Support execution of the annual customer account plan for all assigned customers. Work collaboratively with the consulting delivery team to support the creation and development of key consulting deliverables. Lead customer open enrollment presentations. Work collaboratively with other members of the consulting delivery team to support the development and implementation of strategic initiatives. Stay updated on industry trends, best practices and regulatory changes, and support education and enablement of customers regarding these developments. Collaborate with cross-functional teams, including but not limited to sales, data operations, and product, to identify and support business development and operational improvement opportunities. Maintain strong relationships with all customers, strategic partners, and internal Bennie collaborators. Other duties as assigned. Requirements: 3 years of benefit account management experience supporting a benefit consulting team with demonstrated success in supporting a substantial book of business. Requires knowledge in benefits and renewal workflow management to effectively service a large client portfolio. Bachelor's degree or equivalent experience. Life & Health Producer's License. Working knowledge of MS excel, Word, and PowerPoint. Nice to Have: Experience working with today's leading HR/Benefits technology platforms. Experience in both large- and small- group benefits consulting. Compensation & Benefits: We offer a competitive salary for this fully remote position, commensurate with experience and qualifications. The estimated annual salary range for this role is USD80,000 to USD110,000*. *Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above. Please note that the compensation details listed above reflect the base salary only, and do not include incentive pay, equity, or benefits. Bennie offers a total rewards package that includes stock options and employee benefits for full-time employees. Our total rewards package includes the following: Flexible Time Off: We have a flexible vacation policy and offer paid company holidays Remote-first environment: Bennie is 100% remote (must be based in the US) Health Benefits that include: Medical/Dental/Vision HSA & FSA, HRA, Life, Disability, & Employee Assistance Program Wellness Benefits that include: Headspace Wellhub Rocket Lawyer One Medical Membership Kindbody Financial education with Betterment Stock Options: All full-time employees are granted stock options Remote Work Stipend: A $1,000 WFH Stipend is paid within your first 60 days of employment. Paid Parental & Bonding Leave Employee Referral Bonus Program Bennie is an Equal Opportunity Employer Bennie is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
    $34k-58k yearly est. Auto-Apply 12d ago
  • Benefit Advocate (Hybrid)

    Patriot Growth Insurance Services and Partner Agencies 4.3company rating

    Remote job

    About Strategic Benefits of Cincinnati, A Division of Patriot Growth Insurance Services: SBC is a full-service group benefits broker. As a local agency, we represent all major carriers to provide comprehensive employee benefit programs to our clients. We have over 700 group clients in the Greater Cincinnati area, ranging in size from 2 to nearly 1,000 employees. We partner proactively with our clients to assist them in meeting their benefit, health and wellness goals. We are a proud partner agency of Patriot Growth Insurance Services. Position Overview: A Benefit Advocate (BA) works in conjunction with a Benefit Consultant (BC) to deliver proactive service to their mutual group of clients (a book of business). The BA interacts with clients and their employees to resolve enrollment and termination issues, acts as liaison with insurance carriers, and develops employee communications. The BA assists the BC in working the renewal process. The BA practices discretionary decision-making daily. BAs must contribute to and flourish in a team environment and engage in regular professional development. Work Arrangement: This is a full-time, hybrid position reporting to our office located in Cincinnati, OH. Computer equipment will be provided by the company upon hire. Professional Responsibilities: Functions as the main point of contact for the employees of the groups, answering questions, resolving their issues, recording in database. Utilizes an efficient process for the timely processing of enrollments, terminations, recording all transactions in a database. Acts as a liaison with insurance carriers to resolve claims issues and assist with the appeals process. Develops group and employee communication tools, under the instruction of the BC, including but not limited to Benefit Brochures, Enrollment Packets, Compliance Packets, Presentations, Employee Navigator. Attends client meetings and presentations with the BC as needed to enhance the relationship and support the BC. Manages onsite employee FormFire enrollment processes. Utilizes systematic, reproducible processes such as checklists and branded template documents to advance and support the Strategic service model. Communicates thoroughly and clearly with all team members concerning client issues, renewals, and projects. Utilizes internal database to thoroughly record and document client issues/discussions. Actively participates in internal meetings, contributing appropriately in a collaborative manner. Exhibits behavior with internal team, external vendor partners and clients that intentionally advances the Strategic culture. Other duties and special projects as assigned. Qualifications and Requirements: Associate degree or commensurate business experience Minimum 1-3 years of experience in benefits focusing on customer service, benefits administration, claims or human resources Able to manage multiple projects simultaneously and successfully. Excellent interpersonal and communication skills (both oral and written) Proficient with use of Microsoft Office Suite and products A passion for being part of a team that drives our company to industry leadership Ability to establish and maintain effective working relationships with both peers and clients Authorized to work in the U.S. without sponsorship Why Patriot Growth Insurance Services? About Patriot: Founded in 2019, Patriot is a growth-focused national insurance services firm that partners with employee benefits and property and casualty agencies across the United States. Patriot is currently ranked as the 25th largest broker in the U.S. by Business Insurance and has been named to the 2025 Inc. 5000 list of fastest-growing companies. With over 2,100 employees operating in 150+ locations in over 45 states, Patriot s collaborative model delivers resources and strategic support to its agencies. Patriot creates true alignment with its partner agencies, and its operating philosophy fosters enhanced career opportunities for its dedicated and professional team. We are committed to working with like-minded individuals who share our vision of creating an insurance agency focused on operational excellence and a relentless pursuit of growth. Patriot offers the opportunity to be a part of a fast-growing company since its inception. We strive to create a flexible and collaborative environment for our employees, and our goal is to provide enhanced career opportunities for our dedicated and professional team. In addition to a competitive salary, we provide a comprehensive health and welfare program to employees, family members and domestic partners. Employees are eligible for benefits coverage the first of the month following 30 days of employment. We offer: Medical, Dental, and Vision Benefits Flexible Spending Account (FSA) and Health Savings Account (HSA) and Commuter Transit Programs Company paid Short-Term Disability, Long-Term Disability and Group Term Life Company paid Employee Assistance Program Paid Parental Leave Paid holidays Personalized PTO 401 (k) Patriot Growth Insurance Services is an equal opportunity employer that is committed to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, citizenship or immigration status, disability, genetic information, pregnancy, or any other protected characteristic as outlined by federal, state, or local laws. This policy applies to all employment practices within our organization, including hiring, recruiting, promotion, termination, layoff, leave of absence, compensation, benefits, and training. Patriot makes hiring decisions based solely on qualifications, merit, and business needs at the time. For more information, read through our EEO and DE&I Policy located on our website at *******************
    $34k-42k yearly est. 60d+ ago
  • Multi-Line Adjuster - Ohio

    Property Claim Professionals

    Remote job

    A dynamic organization supplying quality claims outsource solutions to insurance carriers, countrywide is seeking multi-line adjusters in your area. There are many competing vendors in our marketplace, but we are not your typical “vendor”. Our company was built by insurance company claims executives to support insurance companies' claim operations to help them meet their organizations goal of providing quality claims solutions at a reasonable cost. We excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Position Summary: A national independent insurance adjusting firm has immediate openings for Multi-Line Claims adjusters that possess the ability to work remotely and have the experience to handle both property and liability claims. The candidate must possess the ability to adjust commercial and residential property losses and must also have a working knowledge of how to determine negligence and assess damages. The candidate should be able to perform all tasks with modest supervision. The candidate must possess the ability to understand coverage, how to investigate a variety of property and negligence claims, how to value and estimate property damage as well as the ability to evaluate Bodily Injury damages for settlement. Requirements: Minimum 5 years first-party commercial and/or residential property and liability adjusting experience Maintain own current estimating software; Xactimate preferred Working computer; internet access and Microsoft Word required Must demonstrate strong time management and customer service skills Ability to take recorded statements in the field or with legal representatives Experience in preparing Statements of Loss, Proofs of Loss, and denial letters State adjuster's license where required Must have valid driver's license Knowledge and Skills: In-depth knowledge of property and liability insurance coverage and industry standards Prepare full captioned reports by collecting and summarizing information required by client Strong verbal and written communications skills Prompt, reliable, and friendly service Must submit to background check; void in states where prohibited Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations Responsibilities: Completes residential and commercial field property inspections utilizing Xactimate software and general liability field investigations to determine negligence and damages Investigate claims by obtaining recorded statements from insureds, claimants or witnesses; by interviewing fire, police or other governmental officials as well as inspecting claimed damages Recommend claim reserves based on investigation, through well supported reserve report Obtain and interpret official reports Review applicable coverage forms and endorsement, providing thorough analysis of coverage and any coverage issues in well documented initial captioned report to client Maintain acceptable product quality through compliance with established Best Practices of client Preferred but Not Required: College Degree AIC, or other professional designations All candidates must pass a full background check
    $44k-62k yearly est. Auto-Apply 60d+ ago
  • Loss Control Consultant - Albany, NY

    Regional Reporting 3.6company rating

    Remote job

    Regional Reporting, Inc. (RRI) is one of the largest independently owned providers of Loss Control to the property and casualty Insurance industry. We specialize in Property, General Liability, Products Liability, Fleet, Inland Marine, and Workers' Compensation. RRI is seeking an experienced Insurance Loss Control Consultant throughout our coverage territory to conduct commercial insurance loss control inspections. Insurance Loss Control Consultant An Insurance Loss Control Consultant is primarily responsible for performing commercial insurance inspections and completing insurance underwriting reports. Insurance Companies use these reports to properly underwrite insurance policies. Insurance Loss Control Consultants drive to locations, take photos and visually observe the interior and exterior of facilities. They note the business operations to determine insurance exposures and identify potential improvements. Then they document their findings in an insurance underwriting report via our website online. Work is assigned on a daily or weekly basis, depending on location. Insurance Loss Control Consultant Position Duties and Responsibilities: Recording onsite observations, taking measurements and photos in accordance with carrier-specific requirements Identifying building and roof construction type, square footage, potential hazards Timely completion of assignments/reports according to due dates Communicating regularly with Field Manager to complete inspections in the most cost effective and efficient manner Coordinating the time and date of the inspection meeting the insured representative onsite Preparing and reporting inspection results, uploading photos and preparing diagrams on an ongoing basis Drive to and from insured locations, some overnight travel may be required Insurance Loss Control Consultant Job Requirements: Minimum 2 years' experience working with other Loss Control Service Providers or Major Insurance Carriers Comprehensive understanding of commercial insurance lines - primarily Property, General Liability and Inland Marine Ability to identify building construction and ISO classes Broad understanding of NFPA codes Solid communication and time management skills Exceptional writing ability, organizational skills and computer skills Ability to work from home with a PC, high-speed internet connection and a cell/smart phone An automobile and valid driver's license, with acceptable driving record Ability to climb a ladder up to 6 feet Digital camera or smart phone with picture capability Measuring wheel, or similar tool, and camera pole Insurance Loss Control Consultant Compensation: Reports that are completed and reviewed for accuracy are paid per assignment starting at $110. Pay: From $35.00 per hour Expected hours: No more than 40 per week Schedule: Choose your own hours, Monday to Friday Work Location: Multiple locations Become part of a growing industry! This is an excellent opportunity for individuals who want to set their own schedules and work independently in a growing segment of a vital industry. EOE
    $35 hourly 60d+ ago
  • Sales Consultant (Remote)

    Spieldenner Group Inc.

    Remote job

    Spieldenner Financial Group is seeking independent, motivated, career-minded individuals to join our Mortgage Protection team. Our team members help American families protect their largest asset: the ability to make an income. Our proven system includes extraordinary mentorship, training, and support that allows our agents to have a competitive edge in the industry. Job Duties: Setting Appointments: 6-8 hours per week: reaching out to potential clients that have previously requested coverage with our company and scheduling a time to meet with them to discuss their mortgage protection coverage. Research: 4-5 hours per week: digging into the information the client provided in order to customize options to meet their financial need in the case of a death or disability. Meeting with Families: 2 days per week: meeting with clients either virtually or in-person (the choice is yours) to present their options, discuss the details of the coverage, and help them apply for coverage. Administrative: 2 hours per week: following up with insurance carriers to facilitate client applications through underwriting Qualifications: We are looking for coachable, challenge-seeking, self-disciplined individuals with a growth mindset: Skill set isn't everything for this position. Availability: Work-life balance is the foundation on which this company was founded. This work from home role is designed to give you a healthy balance of the two. We have immediate openings for the following roles: Spare time: This is a commitment of working 4-8 hours a week that can generate between $500 to $2,000 per month.* Part-time: This is a commitment of working 8-25 hours a week that can generate between $2,000 to $5,000 per month.* Full-Time: This is a true commitment and requires 25-50 hours per week that can generate between $10,000 to $20,000 per month.* About Us: Spieldenner Group is a part of the fastest-growing insurance organization in the country. Among the INC 5000s fastest-growing private companies. Voted Top Company Culture by Entrepreneur Magazine Forbes Magazine's 25 Companies Hiring The Most High-Paying Jobs In 2024 If this sounds like a place you could plant your flag, we invite you to apply! *Equal opportunity, not equal outcome No agent's success, earnings, or production results should be viewed as typical, average, or expected. Not all agents achieve the same or similar results, and no particular results are guaranteed. Your level of success will be determined by several factors, including the amount of work you put in, your ability to successfully follow and implement our training and sales system and engage with our lead system, and the insurance needs of the customers in the geographic areas in which you choose to work.
    $500-2k monthly 60d+ ago
  • Accounts Receivable Specialist (REMOTE)

    Communitycare Health Centers 4.0company rating

    Remote job

    Reporting to the Accounts Receivable Supervisor, this role supports the operations of the CommunityCare Revenue Cycle Management (RCM) team related to the follow up and resolution of outstanding insurance claims. Goal of the position is to follow up on, investigate and resolve claims that have been submitted to insurance for payment and to create detailed notes that provide insight into the current status of the individual claims. Responsibilities Essential Functions: * Contact insurance carriers on a daily basis to follow up on/collect past due amounts on outstanding medical claims regarding denials or benefit changes. * Maintain an accurate, up to date aging of assigned accounts including AR analysis and follow up. * Keep educated on billing and medical policies for all payers. * Have a working knowledge of In and Out of Network reimbursement processes/methodologies. * Create and follow up on appeals needed to protest denials or incorrect payments. * Review complex denials/tasks assigned by the payment posting team and resolve accordingly including reviewing refund requests, disputes and appeal as necessary. * Work across all RCM departments to get issues related to claims payment resolved. * Uphold and ensure compliance and attention to all company policies and procedures as well as the overall mission and values of the organization. * Work with AR Supervisor to review/resolve open accounts as assigned. * Perform other duties as assigned. Knowledge, Skills and Abilities: * High level of skill at building relationships and providing excellent customer service. * Ability to utilize computers for data entry, research and information retrieval. * Strong attention to detail and accuracy and multitasking. * Must have highly developed problem-solving skills. * Executes excellent customer service and professionalism when interacting with staff, payers, patients and families to ensure all are treated with kindness and respect. * Through leadership and by example, ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation/compliance requirements. * Acts in accordance with CommUnityCare's mission and values, while serving as a role model for ethical behavior. * Promptly identify issues and reports them to their direct supervisor. * Maintain regular and predictable attendance. * Acts in accordance with CommunityCare's mission and values, while serving as a role model for ethical behavior * Manage high volumes of work and organize/maintain a schedule independently. * Must be able to effectively monitor steps in claims processing operations. Qualifications Minimum Education: * High School Diploma or GED Minimum Experience: * 3 years of experience managing Accounts Receivable and performing direct follow up with payers. * 1 year experience communicating effectively, both orally and in writing, with insurance payers and internal company communications. * 3 years working with medical terminology, ICD10, CPT, HCPCs coding and HIPAA requirements. * 2 years of experience with data processing and analytical skills, proficiency in Excel and Microsoft Office Suite as well as medical practice management software and electronic medical records. * 3 years of experience working with commercial, government and state insurance payers and their reimbursement policies and procedures. * 3 years' experience working complex insurance issues, including assigning correct payer, EOB adjustments and refunds to accounts.
    $31k-37k yearly est. Auto-Apply 13d ago

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