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  • Senior Building Consultant

    Halliwell

    Remote job

    Hiring a Senior Building Consultant based in the Philadelphia Metro Area to work remotely with some travel required. Halliwell is looking for an experienced Senior Building Consultant to add to our growing and collaborative team of property loss investigative experts. Our Senior Building Consultants are responsible for assessing building damage, developing repair protocols, estimating costs, facilitating and leading field inspections of all construction disciplines, preparing technical reports, communicating with clients, and participating in local business development client events. The desired candidate will have at least 5 years of experience assessing building damage (particularly after hurricanes, tornadoes, flood, fire, hail, etc.) and insurance industry experience, 1+ years of project management experience, active and proven insurance industry relationships, strong analytical and writing skills, and excellent communication and people skills. Principal Duties and Responsibilities: Technical field inspections across all disciplines (complex residential, multifamily, commercial, and industrial facilities) using state-of-the-art equipment and software High-level communication skills with clients and project representatives Estimating (complex residential, multifamily, commercial, and industrial facilities) using Xactimate, RS Means, Symbility, and other estimating software Medium to High exposure ROM development (complex residential, multifamily, commercial, and industrial facilities) Medium to complex technical reports (complex residential, multifamily, commercial, and industrial facilities) Analysis of mitigation invoices, contractor estimates, expert reports, and other industry documents routinely used in the manner of construction Participation in local business development client events Maintaining client relationships Key Requirements include: 5+ years assessing building damage due to multiple causes, working with insurance carriers Proficiency with Microsoft Office (Excel, Word, PowerPoint) Proficiency with Xactimate (required), RS Means, Symbility Active and proven insurance industry relationships with GA and RGA level adjusters, up to EGA and NGA level adjusters for more senior level experts Experience evaluating building damage and estimating scope and cost to restore and repair Travel required for local, regional, and national business client assignments, including CAT response when needed Ability to conduct on-site inspections in the field, including the examination of damaged structures in a variety of environments, often in heavily damaged locales where site safety is constantly evaluated. Climbing over debris and on ladders is frequently required. Ability to climb ladders, inspect roofs and crawlspaces, work in extreme conditions Ideal candidate will have previous litigation support experience (i.e. deposition, testimony) as well as appraisal/umpire experience Must be able to work independently as well as in a team environment Halliwell is a people-first, global organization of the most sought-after technical experts providing commercial property loss investigative services including damage failure analysis, cause and origin, and restoration solutions to corporations, insurance companies, law firms and government agencies in locations throughout the world. Founded in 1954, Halliwell delivers expert, technical evaluations and unbiased solutions to help clients effectively resolve the simplest to the most complex claims. Our team of professional engineers, registered architects, certified building consultants, environmental consultants, and meteorologists specialize in construction management services; building envelope assessments; technical evaluations of energy, petro/chemical, heavy machinery, manufacturing, and industrial equipment; fire and explosion evaluations; CAT assistance; dispute resolution, and more. At Halliwell, we recognize and embrace the value of a diverse and inspired workforce, and strive to create a people-first, inclusive and caring culture. Halliwell takes great pride in and values our people. Our people come with a mix of skills and talents from different backgrounds and cultures. We strive to recruit, train, and retain top talent through a combination of attractive compensation and benefits programs. We are determined to build a socially responsible global business that maintains motivated employees through a safe, professional environment, competitive compensation and benefits, work/life balance, personal development, and ethical management. Our Company is an equal employment opportunity employer. The Company's policy is not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender identity, genetic information, religion, national origin, age, disability, veteran status, or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. We value our employees, their families, their health, their continued growth, and success, and are committed to providing competitive wages and benefits and a rewarding workplace environment. Our benefits include: Medical, dental, and vision benefits Paid holidays Paid vacation and sick time 401(k) plan with company match Life and disability benefits Bonuses Employee appreciation program Remote work opportunities Please email your resume with cover letter to **********************************. Please attach your resume to your email as a Word document or PDF file. No agency calls please.
    $62k-88k yearly est. 1d ago
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  • Enterprise Account Executive

    Liberate 3.3company rating

    Remote job

    About Us: Liberate Innovations Inc. is a Series-B 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
  • 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 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and team members 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 level of 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 team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities 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%) Other Tasks and Projects as Assigned
    $33k-39k yearly est. 23h 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 53d ago
  • Remote Data Analyst

    Jobsultant Solutions

    Remote job

    This position reports to the Human Resources and Risk Manager.Receives general supervision from supervisory or management staff, and may receive technical and functional supervision from professional, management, or executive management staff. Primary Duties Human Resources Administration Assists in the administration of daily operations of Human Resources Division. Interprets and applies local, state and federal rules and regulations, Memoranda of Understanding, District rules, policies and procedures, benefit regulations in the handling of various human resources situations. Assists with various labor relations activities, as assigned. Assists in the development, updating and implementation of District policies and procedures; MOU provisions, benefit modifications and salary schedule revisions. Monitors developments in the human resources field and evaluates their impact on the District. Analyzes the effects of new laws or administrative regulations on human resources programs and makes recommendations of findings. Regularly monitors employment law changes to ensure current compliance notices and disclosures are properly posted. Organizes and maintains Human Resources Division filing system; maintains confidential personnel files and employee records, benefit enrollments, workers compensation claims, grievance records, investigation documentation, and other similar records and documentation. Conducts studies and projects related to human resources functional areas; prepares statistical analyses and written reports of research findings and recommendations. Prepares memorandums, letters, reports and other communication material. Counsels and advises employees and the public on matters related to employment, District policies and procedures, and other related issues. Answers work-related questions from District employees, outside agencies, and others; represents the District in contacts with various public and private groups. May act on behalf of Human Resources and Risk Manager as required. Recruitment and Selection Assists with recruitment activities, including working with hiring managers to design recruitment and selection plans to obtain qualified candidates for vacancies. Prepares and monitors distribution of job announcements and other recruitment materials; assembles and distributes application packets. Develops, prepares and administers various tests, including oral, written, performance assessments, and other selection tools. Reviews, screens and tracks employment applications and related documents; updates and maintains applicant database; schedules interviews and performance examinations; proctors written examinations and other selection activities. Develops oral board rating criteria and interview questions; chairs interview panels; and establishes employment eligibility lists. Administers new hire orientations; coordinates safety and divisional orientations with Safety Officer and appropriate supervisory personnel. Conducts studies of selection procedures; assists in the analysis and improvement of employment practices with regard to equal employment opportunity and job relatedness. Benefits Administration Coordinates a comprehensive employee benefits program, including health, dental, life, short- and long-term disability programs, deferred compensation and retirement plans, and COBRA administration including tracking and processing payments. Communicates and works with employees, retirees, insurance carriers, providers and/or third party administrators to resolve coverage and claims issues; provides guidance on policy interpretation and plan documents. Responds to employee and retiree inquires about health and retirement benefits. Plans and coordinates open enrollment activities, including preparation and distribution of open enrollment and benefit program communications to employees and others; schedules carrier meetings as needed; reviews and completes benefit enrollment transactions. Assists in researching and analyzing benefit plan design changes, contract provisions and premium rate negotiations. Conducts benefit surveys, prepares analytical reports, and makes recommendations for healthcare costs containment. Approves requests for safety shoes and glasses purchases; tracks and maintains records of annual safety glasses and shoes purchases. Coordinates the scheduling of the annual on-site safety shoe program. Assists District Wellness Committee in planning and coodinating annual health and wellness fairs; may involve working with external parties such as benefits broker, insurance carriers, vendors, etc. Equal Opportunities Optimere is an Equal Employment Opportunity employer that proudly pursues and hires a diverse workforce. Optimere does not make hiring or employment decisions on the basis of race, color, religion or religious belief, ethnic or national origin, nationality, sex, gender, gender identity, sexual orientation, disability, age or any other basis protected by applicable PLEASE NOTE: Optimere is unable to sponsor visas at this time. You must be a US Citizen or Permanent Resident authorized to work in the US.
    $58k-83k yearly est. 60d+ ago
  • Sales Reps - Flexible Schedule - Remote From Home

    Barnhart Financial Group

    Remote job

    What we do: Due to 49% of the foreclosures in America being due to medical illnesses, we help families that recently closed on a House/Business/Credit loan protect their family from financial devastation. The job duties mostly involve learning how to master the mundane of making phone calls to warm prospects and following our mentorship on building virtual relationships and acquiring people's trust quickly via telephone. Prior experience isn't required, but it can help you get past the learning curve more easily. Our job as sales reps is first to contact clients who have already REQUESTED our help. Then, visit them in-home or via Telephone to fill out a Needs Analysis for the head underwriter. After that, you'll submit a request for coverage directly to insurance carriers for the commission. What to expect: (NO COLD CALLING - OUR AVG AGENTS HAVE A 50% Close Ratio WHEN OUR SYSTEM IS FOLLOWED.) In the past few years of learning to protect families, I have created a sustainable schedule and seen success even while battling Multiple Sclerosis. We have a lot of part-time and full-time agents who work based on their income goals. The various insurance carriers send deposits directly to you within 48 hours! What we are looking for: Any person who BELIEVES in themselves is OPEN to coaching and desires to GROW. Qualifications: 1099 Independent Contractor 100% Commission Full-Time Positions Available Part-Time Positions Available Warm Lead Driven - Free QUALITY Training No Experience Required Serious Applicants ONLY This opportunity will match or exceed all of your income goals. Do you want to create extra income to pay off debt or learn how to build a secure 1099 income stream in the first year? Please book an interview to learn more. We are waiting for you.
    $39k-72k yearly est. 60d+ 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
  • Credentialing Administrator

    United Dental Corporation 4.3company rating

    Remote job

    Credentialing Administrator (Multi-State Dental Service Organization) Full Time: (Monday - Friday) Pay: $55k-$70k/year (≈ $26-$34/hour) Credentialing Administrator Department: Credentialing & Payer Relations (Revenue Cycle Management) Reports To: Director of Revenue Cycle Management Location: Remote (U.S.-based) Role Overview The Credentialing Administrator owns end-to-end provider credentialing and payer enrollment for a multi-state Dental Service Organization (DSO). This role manages provider data, leads Change of Ownership (CHOW) transitions, submits and tracks credentialing applications, evaluates payer contracts and fee schedules, and serves as the primary point of contact with insurance carriers. Success in this role ensures providers are enrolled on time, practices remain compliant, claims pay correctly, and leadership has clear insight into payer participation decisions. Why This Role Is Different True ownership, not task-based credentialing: This role owns end-to-end provider onboarding, CHOW transitions, and payer participation strategy-not just application processing. Strategic impact: You'll advise leadership on where and how the organization participates with payers, influencing access, reimbursement, and growth decisions across multiple states. Complex, meaningful work: Support a multi-site, multi-TIN Dental Service Organization with frequent CHOW activity and varied payer landscapes. Strong cross-functional partnership: Work closely with Operations, Finance, RCM, Compliance, and Practice Leadership to ensure credentialing decisions translate into clean claims and predictable revenue. Remote with autonomy: Fully remote role with trust, accountability, and the ability to build scalable processes that actually stick. Relationship-driven: Act as the primary liaison with payer representatives and have the authority to escalate, negotiate, and resolve issues. Key Responsibilities1. Provider Data & Credentialing Management Collect, verify, and maintain provider documentation (licenses, DEA/CSR, malpractice, CAQH, NPI, W-9, education, board certifications, CE). Maintain a centralized, auditable source of truth with version control and expiration tracking. Manage CAQH profiles, NPPES updates, Medicaid IDs, PECOS (if applicable), and payer rosters. Ensure data accuracy prior to submission and resolve discrepancies (name, address, taxonomy, TIN, EFT/ERA details). Conduct OIG/SAM exclusion checks and state license verification. Ensure HIPAA compliance and internal data governance standards. 2. CHOW Transitions & Network Strategy Lead end-to-end CHOW processes across payers, including contract updates, roster changes, EFT/ERA transitions, and portal access. Create and manage CHOW project plans with clear timelines and risk mitigation. Advise leadership on optimal payer participation by state, location, and specialty. Track CHOW milestones and validate post-transition performance (claims paid, EFT accuracy, portal access). 3. Credentialing & Recredentialing Applications Prepare, submit, and track initial and recredentialing applications across commercial, government, and dental carriers. Monitor expirations and recredentialing cycles to prevent network lapses. Respond to payer RFIs, escalate delays, and document all follow-ups. Maintain accurate payer portal access and ensure providers/sites display correctly as in-network. Establish and meet SLAs for submission quality, turnaround time, and follow-up cadence. 4. Contract & Fee Schedule Review Organize and maintain payer contracts and fee schedules with version control. Compare fee schedules against benchmarks (top CDT codes, regional rates, Medicaid/Medicare references). Analyze contract terms and summarize financial and operational impacts. Partner with Finance and RCM to model reimbursement outcomes and support renegotiations or terminations. Coordinate implementation of fee schedules and audit initial payments for accuracy. 5. Carrier Relationship Management Serve as the primary contact for payer and carrier representatives. Schedule and lead regular check-ins and QBRs. Resolve escalations related to credentialing, rosters, CHOWs, and contracts. Communicate updates and outcomes to internal stakeholders. Requirements 3-5+ years of healthcare credentialing experience (dental strongly preferred). Experience supporting multi-provider, multi-location, and multi-state environments. Hands-on experience with CAQH ProView, payer portals (e.g., Availity, UHC, Aetna, Cigna, Delta Dental, MetLife), NPPES, and Medicaid portals. Proven experience leading CHOW transitions. Strong organizational, documentation, and follow-up skills. Proficiency with Microsoft 365 (Excel, Teams, SharePoint). Clear, professional communication skills. Preferred NAMSS CPCS or CPMSM certification. Prior DSO experience and familiarity with delegated credentialing. Basic analytics skills (Excel models, variance analysis, KPI tracking). Experience with EFT/ERA enrollment tools and RCM systems. Core Competencies Project Management: Manages complex, multi-state workstreams effectively. Analytical Thinking: Translates contracts and fee schedules into insights. Stakeholder Communication: Provides clear updates to leadership and partners. Process Improvement: Builds scalable, compliant workflows. Compliance & Confidentiality: Protects sensitive data and meets regulatory standards. Benefits Full benefits package (for 25+ hours/week): Medical, Dental, Vision 401(k) with 4% match Paid Time Off and 7 paid holidays Employee Assistance Program: Free confidential counseling and support Voluntary benefits: Pet insurance, identity theft protection, and more All PPE provided - safe and compliant workplace
    $55k-70k yearly Auto-Apply 22d ago
  • Data Entry Associate (Work From Home)

    Job On Remote Online USA

    Remote job

    Administrative Assistant / Remote - Anywhere in U.S./ $15 per hour / $2K annual bonus / Company paid insurance (Medical-Dental-Vision-Life) - As a Data Entry Associate you'll...Review, prepare, and submit customer applications to insurance carriers for approval; Review and compile necessary information, ensuring application packet completeness and accuracy, verifying proper formatting, and submitting the application using the carrier-specified channel; Conduct administrative tasks that support the submissions process Hiring Fast >>.Estimated Salary: $20 to $28 per hour based on qualifications NOTE: Only for US residence
    $20-28 hourly 60d+ ago
  • Remote HR Specialist - Temp to Permanent

    Gardaworld Federal Services LLC 3.4company rating

    Remote job

    HR Specialist - Temp to Perm Teleworking: Yes Travel Requirement: No Full-Time/Part-Time: Full-Time, Temporary FLSA Status: Hourly/Non-Exempt (up to 90 days) with the potential of becoming permanent. Pay Range: $25.00 / hour Pay is based on a number of factors including market location and may vary depending on job-related knowledge, skills, and experience. POSITION SUMMARY INFORMATION: DUTIES AND REQUIREMENTS Job Summary: Reporting to the HR Manager, the successful candidate will implement human resources programs and onboarding procedures. Essential Duties and Responsibilities Include: Coordinates the in-processing of new employees; both domestic and international. Creates personnel files for all new employees. Enter new employees and make changes to existing employees in HRIS system. Interface with hiring managers Ensure new hire paperwork is complete for employees. Conducting Virtual I9 verifications Processing Unemployment Claims as well as attending hearings Processing Verifications of Employment and Background Investigation Meetings Maintain HRIS and generate reports as necessary Maintain HR Files and documents Liaise with insurance carriers and providers of service Knowledge of COBRA and FMLA programs Answer employee benefits and general HR questions. Ability to appropriately handle confidential information. Must possess superior Microsoft Office Suite skills Special reporting and other projects, as required Minimum Qualifications Understanding of general human resources policies and procedures Outstanding knowledge of MS Office; HRIS systems (e.g. Costpoint) will be a plus Excellent communication and people skills Aptitude in problem-solving Desire to work as a team with a results driven approach BSc/BA in Business administration or relevant field experience PHR/SPHR Certified preferred Ability to handle sensitive situations professionally, with discretion and confidentiality Ability to work in a diverse environment and to communicate effectively both orally and in writing throughout all levels of the organization. Benefits: GardaWorld Federal Services currently offers: a 401 (k) plan, health & dental insurance, and paid time off. GardaWorld Federal Services and family of companies is an EOE Equal Opportunity Employer Minorities/Women/Veterans/Disabled. We participate in the E-Verify Employment Verification Program.
    $25 hourly Auto-Apply 6d ago
  • Loss Control Consultant - Portland, ME

    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. Finally 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. 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
    $72k-98k yearly est. 49d ago
  • Enterprise Supervisor Authorization Services

    Wvumedicine

    Remote job

    Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. The Supervisor of Authorization Services will oversee the authorization department. Will provide leadership and guidance to processes that will ensure the department is efficiently meeting the needs of the departments we support. MINIMUM QUALIFICATIONS: EDUCATION, EXPERIENCE, CERTIFICATION, AND/OR LICENSURE: 1. High school diploma or equivalent and five (5) years of experience in a healthcare revenue cycle setting OR Associates degree in Healthcare, Finance, Business Administration, or related field and three (3) years of experience in a healthcare revenue cycle setting. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Bachelor's degree. EXPERIENCE: 1. Two years of healthcare authorization experience. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Monitors staffing needs of the authorization team to ensure coverage is in place for referrals. 2. Provides leadership of high dollar services that would include analyzing the medical record for medical necessity and provide authorizations. Acts as point of contact for assigned services that will interact with the clinical leaders in the department 3. Researches each request including reviewing medical policy to ensure each requests are processed with minimum delay and risk of denial. 4. Reviews staff productivity measures to look for trends and determines training needs that positively impacts efficiencies. 5. Provides prompt follow up with the Payor to ensure current authorization and accurate payment for the patient's stay/treatment. 6. Participates in payor calls to provide trends with insurance carriers to make global improvements. 7. Utilizes de-escalation skills during clinic concerns arise with providers and staff. 8. Proactively communicates to staff any changes in payor information and follows up with payor to ensure services are authorized. Documents all changes and all payor information (i.e. DOS, Service (CPT/HCPC codes), LOC, Reference #, Authorization #, contact and phone number, and website used) appropriately. 9. Is trained on staff job functions and is able to help during peak volumes and also provide analysis to determine process improvements. 10. Attends relevant meetings with internal and external customer, and provides good customer service 11. Analyzes retrospective denials and how to make process improvements with the staff 12. Works closely with the clinic, financial services, financial counseling, and pre-service departments to support collaborative goals. 13. Monitors daily work assignments and makes changes to ensure good quality 14. Monitors work queues and assignments to ensure they are resolved timely 15. Reviews staff quality measures to look for trends and determines training needs that positively impacts efficiencies 16. Interview and screen potential employees and make recommendations to department manager or Director to aid in filling vacant positions 17. Provides coaching and counseling to staff based upon performance management principals PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Must be able to sit for extended periods of time 2. Must have reading and comprehension ability 3. Must be able to read and write legible in English 4. Visual acuity must be within normal range 5. Must be able to communicate effectively 6 Must have manual dexterity to operate keyboards, fax machines, telephones and other business equipment WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Office type environment SKILLS AND ABILITIES: 1. Excellent oral and written communication skills 2. Excellent customer service and telephone etiquette 3. Must demonstrate the ability to use tact and diplomacy in dealing with others 4. Knowledge of ICD9/CPT Coding or Medical Terminology. 5. Knowledge of third party reimbursement. Additional Job Description: Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 536 SYSTEM Hospital Authorization Unit
    $42k-65k yearly est. Auto-Apply 33d ago
  • Implementation Manager

    Self Bill Pro

    Remote job

    Self Bill Pro is a rapidly growing startup dedicated to solving one of the most persistent challenges in the employee benefits ecosystem: the complexity of monthly benefits billing. We provide a tech-enabled service where our dedicated team leverages proprietary software to eliminate the administrative burdens of manual invoice audits and costly billing errors. Our mission is to streamline this critical operation, freeing up employers, brokers, and carriers to focus on their strategic priorities. About The Role The Implementation Manager plays a crucial role in ensuring the efficient and accurate exchange of critical data between benefit administration systems, insurance carriers, and the Self Bill Pro system, as well as the timely resolution of any related issues. This client-facing role is responsible for supporting the full lifecycle of EDI integration projects, from requirements gathering and data mapping to testing, deployment, and ongoing support. The ideal candidate will possess strong interpersonal and client service skills, an understanding of EDI standards, API integrations, benefit administration processes, and project management principles. This is a remote position. Job requirements Key Responsibilities Gather and analyze business requirements for EDI integration projects, translating client needs into technical specifications. Design and implement EDI data mappings and transformations to ensure accurate data flow. Proactively troubleshoot and resolve EDI transmission and processing errors, minimizing disruptions for clients. Coordinate effectively with internal teams and external partners (clients, carriers) to ensure successful and timely project delivery. Provide ongoing support and maintenance for EDI integrations, ensuring long-term system stability. Monitor and optimize EDI processes for efficiency and performance, seeking continuous improvement opportunities. Stay up-to-date on industry trends and best practices in EDI, API integrations, and benefit administration, applying new knowledge to enhance our services. Act as a key technical liaison, clearly communicating complex technical concepts to non-technical stakeholders. Qualifications 1+ years of experience in EDI and/or API implementation and support, preferably within the benefits administration industry. Strong customer service orientation with a proactive approach to owning and resolving client issues. Understanding of fixed-width file formats and the HIPAA 834 file format. Familiarity with common benefit administration platforms (e.g., ADP Workforce Now, Workday, bswift) and/or insurance carrier systems is a plus. Experience with, or a strong interest in learning, data mapping and transformation tools. A comfort with, or interest in, analyzing and manipulating data, particularly using Microsoft Excel, is essential. Excellent communication, interpersonal, and problem-solving skills, both written and verbal. Ability to manage multiple tasks and projects simultaneously and meet deadlines in a dynamic environment. Strong analytical abilities to diagnose issues and develop effective solutions. Why Join Self Bill Pro? At Self Bill Pro, you'll join a collaborative and ambitious team dedicated to transforming outdated processes through smart, scalable technology. If you are a highly motivated individual with a passion for technology and a desire to make a difference in the employee benefits landscape, we encourage you to apply! All done! Your application has been successfully submitted! Other jobs
    $71k-106k yearly est. 23d 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
  • Appeals Specialist - Hospital Billing, Underpayments

    Aspirion

    Remote job

    Full-time Description For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers' compensation, Veterans Affairs, and out-of-state Medicaid. At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time. We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor. We are seeking an Appeals Specialist II to join our growing team. As an Appeals Specialist II, you will be exposed to the complex reimbursement methodology between hospitals and insurance companies. Appeals Specialists work closely with assigned project teams on the specialized retrospective recovery process. You will be exposed to the revenue cycle process and various provider clients and systems. Key Responsibilities Follow-up with insurance carriers on underpaid claims by phone; complete follow-up actions as advised Research claim variances in hospital patient accounting systems (EPIC, Meditech, Cerner, Athena) Draft appeals to insurance carriers on denied or underpaid claims Review claim detail including coding, billing and insurance information for discrepancies Run claims data through various pricing software Requirements Strong healthcare industry knowledge Ability to troubleshoot and remedy claim submission errors Demonstrated attention to detail Excellent written and verbal communication skills Team-Oriented and Flexible Creative Problem-solving skills Education and Experience High School Diploma or GED required; bachelor's degree preferred Hospital billing experience required Previous work from home experience Benefits At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs. The US base pay range for this position starts at $19.00 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered. AAP/EEO Statement Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to. Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace. Salary Description $19-$24/hr
    $19-24 hourly 2d ago
  • Senior Insurance Partner Manager (Carriers)

    Motive 4.3company rating

    Remote job

    Who we are: Motive empowers the people who run physical operations with tools to make their work safer, more productive, and more profitable. For the first time ever, safety, operations and finance teams can manage their drivers, vehicles, equipment, and fleet related spend in a single system. Combined with industry leading AI, the Motive platform gives you complete visibility and control, and significantly reduces manual workloads by automating and simplifying tasks. Motive serves nearly 100,000 customers - from Fortune 500 enterprises to small businesses - across a wide range of industries, including transportation and logistics, construction, energy, field service, manufacturing, agriculture, food and beverage, retail, and the public sector. Visit gomotive.com to learn more. About the Role: The Insurance Partnerships Team is a strategic, fast-growing division at the heart of Motive's go-to-market strategy. We partner with the world's largest commercial auto insurers - including Progressive, Geico, and Sentry - to leverage our dual-facing camera and telematics data. Our technology is proven to reduce fleet loss costs by over 20% by improving driver behavior and providing critical video evidence for claims. We are looking for a driven, strategic, and results-oriented professional to help us scale this opportunity. As a Senior Insurance Partner Manager, you will be responsible for growth and development of Motive's key insurance carrier partnerships. You'll manage and grow a small portfolio of top insurance carriers and develop relationships with new ones, improving risk with Motive's best-in-class safety technology. This is a high-impact role on a priority team, requiring a blend of go-to-market thinking, product management, strategic partner development, and a passion for insurance and technology. What You'll Do: Partnership Development: Identify, prioritize, and secure new partnership opportunities with the “top 20” insurance carriers serving small commercial fleets. This is an end-to-end development role and candidates should be comfortable leading the full sales cycle (prospecting to contracting) and launching programs post-signature. Partnership Management: Own the end-to-end relationship for a portfolio of insurance partners with responsibility for partner growth. Run related sales enablement, product enhancement roadmap, and marketing development adding mutual value. Define and Own Operations: Run the operational architecture governing partner needs, including sales enablement, partner onboarding, API access, billing, etc. Define and launch process improvements for recurring friction points across your partner set. Champion Your Partners: Serve as the central point of contact for your partners, providing exceptional project management across internal teams including Sales, Marketing, Product, Billing, Analytics, etc. You'll deeply understand your partners' needs and translate their business challenges and requirements into feedback for internal teams. Represent the Partnership: (External) Plan and lead high-impact, on-site meetings with partner leadership, strengthening relationships beyond standard operations. (Internal) Work closely with internal teams, including Product, Legal, Engineering, and Marketing, to ensure seamless program plans before agreements are signed. What We're Looking For: Minimum of 8 years of experience and demonstrated track record in business development, partner management, or a similar role in a high-growth, fast-paced environment Experience managing complex, enterprise-level relationships and driving new product and/or partnership launches, especially in InsureTech or broader technology industry Top-notch project management skills with historically deep ownership of key projects across multiple functions and companies; Product management experience a big plus Excellent communication and presentation skills, with the ability to engage effectively with stakeholders at all levels, from day-to-day contacts to executive leadership Must have deep knowledge of the insurance, telematics, and/or driver safety technologies This is a remote position in the USA Pay Transparency Your compensation may be based on several factors, including education, work experience, and certifications. For certain roles, total compensation may include restricted stock units. Motive offers benefits including health, pharmacy, optical and dental care benefits, paid time off, sick time off, short term and long term disability coverage, life insurance as well as 401k contribution (all benefits are subject to eligibility requirements). Learn more about our benefits by visiting Motive Perks & Benefits . The compensation range for this position will depend on where you reside. For this role, the on-target earnings (base pay + commissions) are: United States$188,000-$235,000 USD Creating a diverse and inclusive workplace is one of Motive's core values. We are an equal opportunity employer and welcome people of different backgrounds, experiences, abilities and perspectives. Please review our Candidate Privacy Notice here. UK Candidate Privacy Notice here. The applicant must be authorized to receive and access those commodities and technologies controlled under U.S. Export Administration Regulations. It is Motive's policy to require that employees be authorized to receive access to Motive products and technology.
    $188k-235k yearly Auto-Apply 1d ago
  • PIP Adjuster - Remote Bilingual/Spanish

    Responsive Auto Insurance Company

    Remote job

    Full-time Description Description Department: Claims Schedule: Monday to Friday; flexibility for additional hours as needed. Salary: $60,000 - $75,000; negotiable About Responsive Founded in 2007 and headquartered in Plantation, Florida, Responsive is a leading provider of personal auto insurance in Florida. We collaborate with thousands of agents from the most respected insurance agencies to deliver world-class service and claims experiences. Responsive stands for making auto insurance simple, affordable, and hassle-free; a promise we deliver through innovation, feedback, and a commitment to excellence. Why Join Responsive? At Responsive, we're committed to supporting our team with comprehensive benefits and a positive work environment, including: Employer-Paid Healthcare: Medical, dental, and vision plans with free preventative care. Retirement Savings: 401(k) with company match. Wellness Programs: Mental health support and wellness initiatives. Career Development: Training and growth opportunities in a collaborative environment. What You Will Do As a Bilingual PIP Adjuster, you'll work closely with customers, attorneys, medical providers, other insurance carriers, and vendors in resolving coverage, and liability from start to finish. You'll plan and schedule work needed to process claims, interview claimants and witnesses, investigate claims, negotiate to reach a fair and equitable settlement of the PIP exposure, and identify situations where claims may require special investigation. You'll maintain strong relationships with customers while resolving auto injury claims efficiently. You'll perform the duties below, along with other work as assigned. Investigate, evaluate, and settle insurance claims (e.g., establish coverage and qualification for injured parties; negotiate claims with providers to reach a fair and equitable settlement of the PIP exposure). Maintain a well-organized and accurate diary to ensure timeliness in handling claims as well as detailed, accurate, and timely records. Write clear and accurate responses in response to demands, requests, or questions. Display courtesy, accuracy, and uniformity when interacting with others (on the phone, in person). Be familiar with tools such as ISO, TLO, & other public sites such as buycrash.com, MDCC, BCC, FDHSMV, and Google Maps. Continuously develop knowledge and expertise (e.g., keep current on job-relevant laws, regulations, trends, and emerging issues). Conduct activities in compliance with applicable Federal & State laws, and company regulations and guidelines. Requirements At least 2 years PIP Adjuster experience with Automobile Property Damage Claims to operate in the state of Florida Licensed Adjuster - All Lines required (FL 620 license) Bi-lingual (English/Spanish) required Bachelor's degree preferred Demonstrated ability to develop and maintain relationships with others Oral communication skills, especially active listening Written communication skills Well organized Strong analytical, problem-solving, and critical thinking skills Demonstrated experiences in a production environment where time management, workload prioritization, case management, recordkeeping and documentation, accountability, and follow-up are key priorities Team player Curious (e.g., ability to identify the right questions to ask customers) Self-motivated Openness to feedback and a strong desire to learn Proficiency with software programs such as Word and Outlook Responsive provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, or domestic partner status.
    $60k-75k yearly 60d+ ago
  • Demand & Lead Generation Manager (US-Remote)

    Mdpanel

    Remote job

    Our Mission: MDpanel is one of the largest providers of expert medical opinions in the United States. We are committed to being the most coveted partner for physicians, carriers, attorneys, and patients by connecting those in need of medical opinions with the most qualified and highly regarded medical professionals in the U.S. MDpanel allows our member healthcare professional partners to maximize their time and produce unparalleled revenue opportunities. In return, our carrier and attorney clients receive timely, complete, thorough, and easy-to-understand opinions to support the medical legal inquiry. MDpanel is revolutionizing the medical opinion space by creating the first true marketplace to connect those in need of medical opinions to those capable of providing them. Unlike traditional, services-based models, we are devoted to our healthcare professionals and are relentless about removing the burden of administration, securing exam volume, preparing for and supporting physical examinations, backend processing, report submissions, and billing. And, at the heart of MDpanel, is our team committed to delivering an unparalleled experience for all stakeholders. We think big, start small, and move fast. Our culture is built on supporting each other with accountability, transparency, and passion for our mission. Position Summary: The Demand & Lead Generation Manager is responsible for developing, executing, and optimizing MDpanel's multi-channel marketing engine across all business lines-including IME, QME, and ancillary medical-legal services. This is a hands-on role focused on pipeline creation across insurance carriers, defense law firms, TPAs, employers, and physician audiences. You will help shape strategy, build campaigns, manage performance, and partner closely with Sales, Operations, and Physician Recruiting to drive predictable growth in a fast-paced, scaling environment. Essential Duties and Responsibilities: Strategy & Planning Own MDpanel's national demand generation and lead acquisition strategy across IME, QME, and related markets. Define buyer personas, segmentation, and multi-channel acquisition plans. Collaborate with Sales leadership to translate revenue targets into funnel and pipeline goals. Manage budget allocation across paid media, events, and content programs. Campaign Execution Build and optimize integrated demand gen campaigns across paid social, search, SEO/SEM, email automation, and content marketing. Produce outbound and inbound marketing assets (landing pages, nurture flows, case studies, thought leadership, sales enablement collateral). Manage list segmentation, lead scoring, routing, and automation workflows in CRM/marketing automation systems. Align closely with SDRs and Sales on messaging, sequencing, and handoff processes. Analytics & Optimization Define and track MQL, SQL, CPL, CAC, and pipeline contribution metrics. Analyze channel performance and run A/B tests to improve lead and pipeline conversion rates. Build dashboards and deliver monthly and quarterly performance reviews to leadership. Refine attribution modeling to support investment decisions and forecasting. Collaboration & Leadership Partner with SDR, Sales, Provider Relations, and Physician Recruiting to support all top-of-funnel acquisition initiatives. Manage relationships with external digital agencies, contractors, and platform vendors. Act as an internal expert for demand generation and B2B growth strategy. Qualifications and Education Requirements: 4- 8 years of B2B demand generation or performance marketing experience; healthcare services, insurance, legal, or professional services experience strongly preferred. Proven track record of generating measurable pipeline impact across multi-channel campaigns. Proficiency in marketing automation and CRM platforms Strong understanding of digital channels, SEO/SEM, LinkedIn advertising, email marketing, and ABM approaches. Strong analytical skills and comfort working with dashboards and campaign data. Excellent communication and cross-functional collaboration abilities. Highly organized, self-directed, and able to thrive in a scaling, fast-paced environment. Additional Information: The salary range for this position is provided as an estimate based on current market conditions and company benchmarks. Actual compensation may vary depending on factors such as experience, qualifications, skills, location, and internal equity. Please note that we are unable to provide sponsorship assistance at this time. All applicants must have a valid work authorization for the country in which they are applying. Please note that this compensation range is subject to change at any time and may not be applicable to all candidates. We are committed to ensuring fair and equitable pay practices and encourage applicants to discuss any questions or concerns regarding compensation during the interview process. MDpanel is an Equal Opportunity Employer. We are committed to creating a diverse and inclusive workplace where all associates feel valued, respected, and supported. We do not discriminate based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, veteran status, or any other legally protected characteristic. We are dedicated to fostering a culture of inclusion and belonging and encourage applicants of all backgrounds to apply. If you require accommodations during the application or interview process, please contact **************
    $22k-35k yearly est. 60d+ ago
  • Commercial lines Account Executive

    Brewster-Allen-Wichert Inc.

    Remote job

    Job Description Brewster-Allen-Wichert Inc. is more than just an insurance agency; we're a dedicated team committed to providing unparalleled service and tailored solutions to our valued commercial clients right here in West Islip, New York. We believe in fostering genuine relationships and empowering our team members to grow alongside us. As a Commercial Lines Account Executive, you'll step into a role where your expertise directly impacts the success of our clients' businesses. Youll be the trusted advisor, the problem-solver, and the dedicated advocate for a diverse range of commercial accounts. This isn't just about policies and premiums; it's about building lasting partnerships and ensuring our clients have the robust protection they need to thrive. If you're passionate about commercial insurance, possess a keen understanding of client needs, and are looking for a supportive and dynamic environment where you can truly make a difference, we warmly invite you to explore this exciting opportunity with us. Benefits Annual Base Salary + Commission + Bonus Opportunities Health Insurance Life Insurance Paid Holidays Bonus Opportunities Mon-Fri Work Schedule Holidays Off 401K Plan Professional Work Environment Work from Home Hands on Training Mon-Fri Schedule Disability Insurance Parental Leave Retirement Plan Evenings Off Responsibilities Manage a portfolio of commercial insurance clients, serving as their primary point of contact. Develop and maintain strong, long-term relationships with clients, understanding their evolving business needs. Service existing accounts by handling renewals, endorsements, and inquiries promptly and effectively. Work closely with producers to present proposals and secure new business. Advise clients on appropriate insurance coverage and risk management strategies. Collaborate with insurance carriers to negotiate terms, conditions, and pricing. Ensure all client documentation and records are accurate and up-to-date within the agency management system. Requirements Minimum of 3 years of experience in commercial insurance account management or a similar role. Valid New York State Property & Casualty Broker's License required. Strong understanding of commercial insurance policies, coverages, and markets. Excellent communication, interpersonal, and negotiation skills. Proficiency in agency management systems and Microsoft Office Suite. Detail-oriented with strong organizational and time management abilities.
    $60k-98k yearly est. 30d ago
  • Medical Collector

    Akumincorp

    Remote job

    The Medical Collector contacts payers for status of payment of outstanding claims, including commercial and government carriers, and patient liabilities in the appropriate time frame. Responsible for rebilling of all claims as needed, including correction of missing/inaccurate data, and appeals of denied claims with appropriate documentation for processing and payment. Identifies and submits appropriate and accurate adjustments to accounts. Identifies and refers uncollectible accounts to outside collection agencies or bad debt write off. Specific duties include, but are not limited to: Initiate follow-up with insurance companies for payments of pending claims. Appeals denied claims with insurance carriers. Research credit balances to determine if a refund is due. All EOB's have to be pulled and a check request form is given to Management for approval before a check is cut. Reviews and interprets contracts and billing. Takes incoming calls from providers or patients meeting service level standards. Process payments over the phone. Learn the collection system (Intergy) and work flow between other department business partners. Other duties as required. Position Requirements: High School Diploma or Equivalent Experience Minimum of 6 months prior medical billing/collections experience. Experience in healthcare/medical industry preferred. Proven experience in using multiple computer screens and applications simultaneously to navigate, type, and access information. Experience navigating insurance company web portals. Strong multi-tasking abilities. Strong verbal and written communication skills. Team player with ability to communicate at all levels in the organization and with different types of customers. Physical Requirements: Standard Office Environment. More than 50% of the time: Sit, stand, walk. Repetitive movement of hands, arms and legs. See, speak and hear to be able to communicate with patients. Less than 50% of the time: Stoop, kneel or crawl. Climb and balance. Carry and lift (ability to move non-ambulatory patients from a sitting or lying position for transfer or to exam). Residents living in CA, WA, NY, Jersey City, NJ, and CO click here to view pay range information. Akumin Operating Corp. and its divisions are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.
    $33k-39k yearly est. Auto-Apply 60d+ ago

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