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Client Coordinator jobs at The Plexus Groupe

- 101 jobs
  • Escrow Coordinator

    Chicago Title Insurance Company 4.4company rating

    Lisle, IL jobs

    We are seeking a highly motivated, detail-oriented Escrow Coordinator to support the transactions in our Chicagoland market. This is a fully remote role supporting fast-paced and high-volume operations, ideal for someone who thrives under deadlines and takes pride in their work! Key Responsibilities (may include) • Coordinate escrow files from opening through closing • Review contracts, title commitments, closing documents, and correspondences for completeness and accuracy • Communicate effectively with attorneys, lenders, real estate agents and internal staff • Track conditions, milestones, and critical dates to ensure timely closings • Prepare master statements and review closing packages • Maintain accurate, well-organized electronic escrow files • Respond promptly and professionally to email-based communication • Follow company policies, procedures, and applicable regulatory requirements Qualifications • Prior experience in escrow, title, or real estate transaction coordination preferred • Strong attention to detail and commitment to accuracy • Excellent written communication and organizational skills • Ability to manage multiple files and competing deadlines simultaneously • Comfortable working in a remote and high-accountability environment • Proficiency with Microsoft Office tools preferred • Proficiency with SoftPro preferred, however not required Work Environment & Expectations This is a fast-paced and demanding role supporting high transaction volumes. Success requires strong work ethics, strong collaboration skills, personal accountability, and the ability to stay focused under pressure. Compensation & Benefits Compensation: Base pay starts at $22.00/hour and up, based on experience, skill level, and role alignment. In addition to base pay, positions may be eligible for performance and productivity-based incentives, which vary based on tenure, experience, and individual contribution. Total compensation may increase over time as skills, production capacity, and responsibilities grow. Senior-level candidates with strong local escrow experience may be considered for advanced compensation alignment. Benefits Include: Medical, dental, vision, paid time off, holiday pay, retirement savings options, and additional company sponsored benefits. Why Join Us? Fully remote positions Competitive base pay with performance-based upside Excellent benefits package Opportunity to work with a high performing and collaborative escrow team Offering long-term career growth within a Fortune 500 leader and the nation's top-ranked title insurance company
    $22 hourly 1d ago
  • Remote Client Success Specialist - 100% Commission | Raleigh, NC (TSG-20251201-001)

    Strickland Group LLC 3.7company rating

    Raleigh, NC jobs

    Job DescriptionAbout The Strickland Group: The Strickland Group is a family-driven, vision-first financial services agency helping families protect and build wealth through life insurance and retirement solutions. This is a 100% commission, remote role with flexible hours, mentorship, and a clear path to agency ownership. You'll meet with warm leads, uncover needs, present options, and help clients put protection in place. Training is provided; no experience required, but strong work ethic, coachability, and a desire to grow are musts.
    $45k-85k yearly est. 17d ago
  • Client Specialist, Employee Benefits

    Hub International Insurance 4.8company rating

    Dublin, OH jobs

    Are you a creative and detail-oriented individual who strives for excellence? Will you thrive in a dynamic environment that requires organization, strong communication skills and the ability to manage multiple projects simultaneously? If the answer is yes, we have the perfect opportunity for you. Our Client Specialist position a great starting point within our benefits consulting team, where you will be responsible for client relationship management, with opportunities for career growth, development and mentorship. No previous insurance experience is required, and we will provide on the job training and career coaching for all new associates. HUB offers a competitive compensation package, a comprehensive benefits package and the opportunity to get involved in many of our Corporate & Social Responsibility initiatives. ABOUT HUB INTERNATIONAL: HUB International is a leading full-service global insurance broker and financial services firm providing risk management, insurance, employee benefits, retirement and wealth management products and services. With more than 18,000 employees in offices located throughout North America, HUB's vast network of specialists brings clarity to a changing world with tailored solutions and unrelenting advocacy, so clients are ready for tomorrow. WHAT WE OFFER YOU: At HUB we believe in investing in the future of our employees. Our entrepreneurial culture fosters an environment of open feedback and improvement that empowers our people to make the best decisions for our customers and organization. We offer: Competitive salaries and benefits offerings Medical/dental/vision insurance and voluntary insurance options Health Savings Account funding 401k matching program Company paid Life and Short-Term Disability Plans Supplemental Life and Long-Term Disability Options Comprehensive Wellness Program Paid Parental Leave Generous PTO Package - Vacation, Holiday, Sick, and Personal Time Off Great work/life balance, because that's important for all of us! Focus on creating a meaningful environment through employee engagement events The ability to be a part of a motivated, winning team with the opportunity to learn from colleagues who are amongst the top talent in the industry! Growth potential - HUB is constantly growing and so can your career! A rewarding career that helps local businesses in the community Strong community support and involvement through HUB Gives ESSENTIAL DUTIES AND RESPONSIBILITIES: Provide extraordinary customer service for HUB clients: provide day-to-day client support for your assigned block of clients, including troubleshooting issues and problem solving; Ensure client information for your block of clients is always accurate and up to date. Develop and deliver employee education and communication materials including live and virtual presentations; Facilitate presentations for Open Enrollment and New Hire Orientations as needed. (Regional travel may be required.) Act as liaison between client and vendor partners to resolve problems and troubleshoot client issues with invoices, claims and delivery of service. Collaborate with HUB Benefit Consultants to understand and address specific questions and insurance plan renewals for HUB clients. Work with our Data Analytics team to understand data trends and address specific questions and needs of our clients. Understand compliance requirements related to benefits, and how these requirements affect HUB clients. Assist in the preparation of sales-related materials including bids and proposals. Coordinate annual processes across functions that relate to wellness planning, annual health care planning, and plan renewals for clients. Learn the Employee Benefits business from the inside out, by collaborating with colleagues and internal mentors, taking part in education meetings & carrier updates, and attending client outreach/appreciation events. The essential duties contained in this job description reflect general details as necessary to describe the principal functions of this job, the level of knowledge and skill typically required and the scope of responsibility. It should not be considered an all-inclusive listing of work requirements. Individuals may perform other duties as assigned, including work in other functional areas to cover absences, equalize peak work periods or otherwise to balance the workload. REQUIREMENTS: 4-year degree from an accredited University. Minimum of 2 years of experience in a professional environment Strong time management and organizational skills. Work well in a team environment and independently. Ability to act resourcefully and in an innovative way to solve problems and complete tasks. Professional presence and the ability to communicate with people at all levels. Strong interpersonal, excellent communication skills in both verbal and written. High energy, positive and winning attitude, determination to succeed. Strong IT skills with deep knowledge of Microsoft Office products, especially Word, Excel and PowerPoint, and internet-based applications. Department Account Management & ServiceRequired Experience: Less than 1 year of relevant experience Required Travel: Up to 25%Required Education: Bachelor's degree (4-year degree) HUB International Limited is an equal opportunity employer that does not discriminate on the basis of race/ethnicity, national origin, religion, age, color, sex, sexual orientation, gender identity, disability or veteran's status, or any other characteristic protected by local, state or federal laws, rules or regulations. E-Verify Program We endeavor to make this website accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the recruiting team **********************************. This contact information is for accommodation requests only; do not use this contact information to inquire about the status of applications.
    $38k-52k yearly est. Auto-Apply 34d ago
  • Client Service Associate - Commercial Insurance

    Hylant 4.6company rating

    Columbus, OH jobs

    Description The Opportunity:The Client Service Associate is responsible for supporting the commercial service team by providing excellent service and deliverables to external and internal clients in accordance with Hylant standards. In This Role You Will Execute On: Grow and develop knowledge in insurance as well as Hylant's servicing tools and processes to obtain Property & Casualty licensure. Provide general administrative support to client service teams as requested. Prepare client documentation such as proposals, policies, Process insurance verification requests including certificates of insurance and automobile identification cards. Maintain client information in agency management system(s) including initial client set up, client information updates, policy details, document management, and other related information as required. Request loss run, credentialing, or motor vehicle records or reports. Process requests for changes to insurance contracts. Initiate and compile required documents for client submissions; electronically store and share documents with the appropriate client service team member for further action. Coordinate and distribute client documentation as assigned. Perform other duties and special projects as requested. In This Role You'll Need: High School Diploma or GED equivalent; some college level course work preferred Familiarity with commercial property & casualty insurance industry preferred Active Property & Casualty license or the ability to obtain within 90 days of employment. Intermediate Microsoft Office skills (Excel, Word, PowerPoint, and Outlook) Basic analytical skills Excellent attention to detail Exception oral and written communication skills Ability to work well in a team environment. Must be legally authorized to work in the United States Why Hylant? A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in eight states. And since the founding of our family-owned business over 85 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you. Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify. #LI-Hybrid
    $54k-74k yearly est. Auto-Apply 50d ago
  • CHOICES Care Coordinator- Shelby County

    Bluecross Blueshield of Tennessee 4.7company rating

    Memphis, TN jobs

    Are you a compassionate individual who enjoys helping others achieve their personal health and wellness goals? If so, a career as a CHOICES Care Coordinator might be perfect for you\. **As a Care Coordinator, you will make a lasting impact on members' lives by ensuring their safety at home or within a community setting** \. In this role, you'll travel to member's homes for visits, while managing various demands and requests from both internal and external stakeholders\. We're seeking individuals who excel in problem\-solving through critical thinking, and who are adept at time management and prioritizing daily tasks\. You should be self\-motivated, flexible, and thrive in a fast\-paced environment\. Most importantly, you should have a passion for improving the quality of life for diverse members in their communities\. **You will be a great match for this role if you have:** - 3 years of experience in a clinical setting - Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. - Exceptional customer service skills - Must live within the following counties: Memphis/Shelby County - Available for an 8:00am - 5:00pm EST\(no on call\) schedule, with the option \(upon management approval\) to work a compressed work week after 1 year\. **Job Responsibilities** + Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living\. + Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member\. + Conduct thorough and objective face\-to\-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho\-social, financial, and employment and independent living expectations\. + Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met\. + Valid Driver's License\. + TB Skin Test \(applies to coordinators that work in the field\)\. + Position requires 24 months in role before eligible to post for other internal positions\. + Various immunizations and/or associated medical tests may be required for this position\. **Job Qualifications** _Experience_ + 2 years \- Clinical experience required _Skills\\Certifications_ + PC Skills required \(Basic Microsoft Office and E\-Mail\) + Effective time management skills + Excellent oral and written communication skills + Strong interpersonal and organizational skills _License_ + Registered nurse with an active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Act; or Masters in Social Work with an active unrestricted license \(LCSW, LMSW, or LAPSW\)\. Employees who are required to operate either a BCBST\-owned vehicle or a personal or rental vehicle for company business on a routine basis\* will be automatically enrolled into the BCBST Driver Safety Program\. The employee will also be required to adhere to the guidelines set forth through the program\. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the "Use of Non BCBST\-Owned Vehicle" Policy \(for employees driving personal or rental vehicles only\); and maintaining an acceptable motor vehicle record \(MVR\)\. \*The definition for "routine basis" is defined as daily, weekly or at regularly schedule times\. **Number of Openings Available** 1 **Worker Type:** Employee **Company:** VSHP Volunteer State Health Plan, Inc **Applying for this job indicates your acknowledgement and understanding of the following statements:** BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin,citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law\. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices \(****************************************************************** **BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity\. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via\-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered\. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means\.** As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945\. More than that, we're your neighbors and friends - fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow\. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members\. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability\. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously\. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST\. BCBST is a remote\-first organization with many employees working primarily from their homes\. Each position within the company is classified as either fully remote, partially remote, or office based\. BCBST hires employees for remote positions from across the U\.S\. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York\. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense\.If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance\.
    $28k-34k yearly est. 38d ago
  • Private Client Services Account Associate

    Marsh McLennan Agency-Michigan 4.9company rating

    Columbus, OH jobs

    Company:Description: Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 11,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Private Client Services Account Associate at Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With 200 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC). Applicants must be within driving distance to our Columbus, GA office to be considered for this role and have the ability to commute to the office a five days per week. A day in the life. As a Private Client Services Account Associate you will: Processing various documents such as Evidence of Property, Binders, ID cards, and invoices. Handling applications, endorsements, cancellations, and reinstatements. Assisting clients with coverage issues and changes. Maintaining electronic files and assisting with the rating and new business processes. Processing transactions on different insurance company websites. Sending Renewal Brochures to clients annually as needed. Engaging in verbal and written correspondence with clients, insurance carriers, and mortgage companies. Our future colleague. We'd love to meet you if your professional track record includes these skills: High School Diploma required, Bachelor's Degree preferred Previous experience in Personal Lines is advantageous but not mandatory. Strong organizational skills and proven customer service abilities. Capability to research and analyze problems independently. Excellent written and verbal communication skills. Ability to multitask and pay attention to detail. Proficiency in Microsoft Word, Excel, and Outlook. A commitment to accuracy and the ability to learn the Agency Management System and Imaging System. Must have Property & Casualty resident agents license or obtain within 90 days of employment Alignment with company values such as Integrity, Collaboration, Passion, Innovation, and Accountability . We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you. Valuable benefits. We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work. Some benefits included in this role are: Medical, dental and vision insurance 401K and company match program Company-paid life and disability Generous paid time off programs Employee assistance program (EAP) Volunteer paid time off (VTO) Career mobility Employee networking groups Tuition reimbursement and professional development opportunities Charitable contribution match programs Stock purchase opportunities To learn more about a career at MMA, check us out online: *************************** or flip through our recruiting brochure: ********************** Follow us on social media to meet our colleagues and see what makes us tick: ************************************ ********************************** ***************************** ******************************************************* Who you are is who we are. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams. Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers. #MMASE
    $49k-75k yearly est. Auto-Apply 38d ago
  • Insurance Client Service Specialist

    Marsh McLennan Agency-Michigan 4.9company rating

    Birmingham, AL jobs

    Company:Marsh McLennan AgencyDescription: Our not-so-secret sauce. Award-winning, inclusive, Top Workplace culture doesn't happen overnight. It's a result of hard work by extraordinary people. More than 11,000 of the industry's brightest talent drive our efforts to deliver purposeful work and meaningful impact every day. Learn more about what makes us different and how you can thrive as a Client Service Specialist at McGriff, a division of Marsh McLennan Agency (MMA). MMA provides business insurance, employee health & benefits, retirement, and private client insurance solutions to organizations and individuals seeking limitless possibilities. With 200 offices across North America, we combine the personalized service model of a local consultant with the global resources of the world's leading professional services firm, Marsh McLennan (NYSE: MMC). A day in the life. As our Client Service Specialist on the Commercial Lines team, you'll support the service and production team in reaching overall agency revenue and retention goals by processing new and renewal business, updating and maintaining information in the client management system, addressing and resolving client questions and issues, escalating issues of increased complexity, providing clients with information including plan information, rates, contributions, assemble proposals and other presentations, assist in preparation of new and renewal proposals, stewardship reports, service plans, and comparisons, maintain daily client processing functions such as endorsements, policies, audits, pending cancellations, and ID cards. Our future colleague. We'd love to meet you if your professional track record includes these skills: Assignment based primarily upon the individual's minimal level of experience and production capacity to service a midsize book of business High school diploma or equivalent Demonstrated proficiency in computer applications such as Microsoft Office Suite Demonstrate strong organizational and project skills Strong communication and interpersonal skills (written and verbal) Act with responsiveness, urgency, and professionalism in all matters Prioritize work to achieve timely completion of the most critical and sensitive activities Respond quickly to client requests and work to provide appropriate information Accept accountability for the quality of work These additional qualifications are a plus, but not required to apply: Insurance license Five years of industry specific experience LOB designations College or advanced degree We know there are excellent candidates who might not check all of these boxes. Don't be shy. If you're close, we'd be very interested in meeting you. Valuable benefits. We value and respect the impact our colleagues make every day both inside and outside our organization. We've built a culture that promotes colleague well-being through robust benefit programs and resources, encourages professional and personal development, and celebrates opportunities to pursue the projects and causes that give colleagues fulfilment outside of work. Some benefits included in this role are: Stock purchase opportunities Generous time off, including personal and volunteering Tuition reimbursement and professional development opportunities Hybrid Work / Remote work Charitable contribution match programs To learn more about McGriff, a division of Marsh McLennan Agency, check us out online: ************************ For more information on careers, visit: *************************** or flip through our recruiting brochure: ********************** Follow us on social media to meet our colleagues and see what makes us tick: ***************************** **************************************** ****************************************************** ************************************ ********************************** Who you are is who we are. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. We are always seeking those with ethics, talent, and ambition who are interested in joining our client-focused teams. Marsh McLennan and its affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers. #MMAMCG
    $28k-43k yearly est. Auto-Apply 3d ago
  • Employer Services Coordinator

    SIHO Insurance 4.1company rating

    Columbus, OH jobs

    Job DescriptionJob Title: Employer Services CoordinatorReports To: Director of Customer ExperienceExempt/Non-Exempt: Non-Exempt The Employer Services Coordinator's main responsibility is to support clients and brokers primarily via phone and email correspondence on inquiries or issues that arise. This position is expected to deliver excellent customer service by researching and responding to client and broker inquires in a timely manner. Key Responsibilities:- Provide primary support for SIHO clients and brokers on day to day inquiries and issue resolution- Create, update, and distribute appropriate documents that assist in improving SIHO's service to customers.- Assist with new account implementations, client orientations, open enrollment sessions and quarterly reviews, as needed- Identify and communicate process improvement opportunities to prevent repeat calls on the same topic.- Actively engage in tasks that continuously reduce repeat calls to all departments and escalated calls to Employer Services Team.- Assist in the development of and the implementation of internal controls and procedures. Minimum Skills Requirement:- Possess a passion for customer service- Two years experience in customer service or related environment- Knowledge of the managed health care industry preferred- Demonstrated ability to solve complex benefits problems- Excellent writing and speaking skills- Computer literate in Microsoft Excel and Word. (Experience in Publisher and Access helpful) Ability to work at a self-directed pace in a changing, multi-task environment- Professional appearance and presence- Must be able to travel to other locations and at times may require an overnight stay- Bachelors Degree preferred or equivalent work experience Other: (internal candidates) Current PMAS performance evaluation of “3” or higher We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
    $38k-52k yearly est. 28d ago
  • Client Service Administrator - Group Benefits

    Oswald Company 4.2company rating

    Cleveland, OH jobs

    Would you like to take ownership in a dynamic, high-growth business that truly walks the talk? Oswald Companies seeks goal-driven professionals ready to take their career to the next level. Job Summary: Responsible to provide internal support to an account management team for an assigned book of business; collaborates with sales and service staff by account, interfaces with clients and carriers, maintains records, and performs other general administrative duties. A Day in The Life: Provides direct administrative support as required for two to three assigned Client Managers; responds to requests for assistance in a timely and collaborative manner. Supports the assigned team in the retention of the existing client base; confers with the team on opportunities to up-sell and/or cross-sell additional Oswald products and services. Serves as a client contact and identifies and assesses customer's needs quickly and accurately; solves problems systematically, using sound business judgment. Responds to enrollment, billing, claims, and other administrative issues; ensures a complete solution is provided to the client's satisfaction; documents the details and outcomes of each support event. Performs data entry of current and historical account information and related commissions in the system of record for the onboarding of new clients. Ensures commissions are accurate, flowing and received on a timely basis at point of sale or renewal. Interfaces with both client and vendor to secure all account documents; also builds files in the internal, shared computer systems and catalogues documents appropriately. Maintains and updates client information within the system of record; ensures all information is accurately and thoroughly entered into the system on a timely basis. Supports the client's integrated and comprehensive health management strategy; captures meeting notes collected by the Client Manager and incorporates that information into the appropriate data system. Monitors the progress of meeting action items, initiates response from vendors or internal staff, and documents the results for feedback to the client. Coordinates meetings with practice team members assigned to specific clients to review business activity and action points; schedules meetings with members of various internal departments such as Business Development, Marketing Analysis, Benefits Analytics, Health Management Services, and outside vendors to meet the service needs of the client. Supports the team in client and carrier activities including the request of reports on a variety of financial and client-specific data; obtains 5500s and plan-related documents. Initiates the collection of all renewal information from the incumbent carrier; contacts the client and the incumbent carrier to obtain the necessary materials for the solicitation of bids from alternate vendors. Supports team in the preparation of carrier or client deliverables which includes scheduling meetings, obtaining carrier open enrollment information, and the proofing, printing, binding and distribution of presentations. Delivers compliance notifications and other materials at the direction of the Client Manager. Strives to understand the details of Healthcare Reform, HIPAA, COBRA and other legislation, which affects the business unit. Gain the understanding of healthcare plan fundamentals and various plan types such as PPO, HDHP, HMO, Income Protection plans and supplemental benefits within the first 12 months. Gain working knowledge of/familiarity with claims processing basics, plan eligibility rules, COBRA and Open Enrollment. What You'll Need: A college degree is an advantage but not a requirement At least 1 to 3 years of industry knowledge is preferred, to include experience in medical benefits and ancillary lines of coverage Position requires the ability to multi-task simultaneously across employer groups. Ability to professionally communicate in both written and verbal forms. Use of proper grammar in all communications. Professional appearance and demeanor is required. Ability to be comfortable communicating with HR teams as well as employees of all job levels. Obtain Health and Life license within 12 months of start date Who You Are: Energetic with a desire to learn new skills Strong organizational skills with ability to transition quickly from one job to another Ability to problem solve, think logically and work independently Ability to demonstrate a positive attitude and lead by example consistently Works well under pressure and meets established deadlines Good verbal and written communication skills Capable interpersonal skills with a collaborative approach Ability to manage time-sensitive projects Who is Oswald? Oswald is a 129-year-old company that creates a world of protection around the lives and businesses of our clients. We are an independent, employee-owned company. So, essentially, you own your own success in a personally and financially rewarding opportunity. Inclusivity is a priority. We foster an environment of collaboration and belonging where our Employee-Owners thrive on their unique path. Our diverse talent reflects the communities and clients we serve, while driving unmatched risk and insurance innovations. Our people-first culture and client service excellence have built our reputation of integrity, resourcefulness, and a relentless care for our clients and employees. Don't believe us? Ask your friends, colleagues, and mentors about Oswald. There's a reason Oswald has been named a Top Workplace for nine consecutive years. What you'll get... At Oswald, you will have the opportunity to build a long-term career with unlimited growth potential. Aim high, work hard and we'll help you achieve your goals. At Oswald, you will experience our caring work environment. We care about our Employee-Owners, we care about our customers, and we care about the world around us. Our caring personality comes to life in the form of volunteering in the community. We even give employees paid time off to volunteer with an organization of their choice. At Oswald, you will achieve a work-life balance. We care about your physical and emotional well-being, so work-life balance is encouraged and practiced. We understand you have a life outside of work, and we want you to live it. At Oswald, you will have access to a world-class Total Rewards package. We truly value our people, which shows in our compensation, benefits, and perks. In addition to competitive pay, we have designed a performance-based annual incentive program. All employees are eligible to earn a bonus by meeting performance objectives. Comprehensive medical, dental and vision plans and numerous supplemental benefit offerings. Paid time off annually and a sabbatical at every 10-year service anniversary. Ownership in the company in the form of company stock (discretionary profit-sharing and 401(k) match contribution) Assistance with parking expenses, discount programs for area services/experiences, and financial support for professional development and licensure/designations Access to specialized leadership development programming designed to take your career to the next level. And so much more! To learn more about Oswald, our culture and everything we have to offer, visit us on LinkedIn. Oswald, a Unison Risk Advisors company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic.
    $53k-74k yearly est. Auto-Apply 10d ago
  • Case Management Coordinator

    Liberty Dental Plan 3.9company rating

    Tustin, CA jobs

    Job Details Remote - Corp - Tustin, CA Full Time $22.00 - $24.00 Hourly Day Join Liberty Dental Plan as a Case Management Coordinator, making a real impact in your Arizona community by helping members access the dental care they need. The Case Management Coordinator provides confidential, unbiased assistance to Liberty Dental Plan Medicaid enrollees in need of dental services who also have co-morbid special health care needs. The CMC supports enrollees by facilitating access to dental benefits, resolving barriers to care, and collaborating across divisions and external organizations to ensure holistic, quality service delivery. 📍 Location Requirement: Candidates must live in Arizona Essential Duties & Responsibilities Inform enrollees of available covered dental benefits. Assist enrollees in resolving conflicts and barriers to obtaining dental care. Support enrollees in securing dental services and provide education on their rights and responsibilities. Guide enrollees in accessing Liberty's complaints, appeals, and grievance processes. Document cases and events accurately in Health Solutions Plus (HSP). Manage telephone and email inquiries regarding services, dissatisfaction, and second opinions. Educate enrollees on the Liberty Care Coordination Program. Research and respond to inquiries, providing comprehensive written responses as needed. Meet required turnaround times for cases and inquiries through various communication channels. Collaborate effectively in a remote work environment with internal teams such as Member Services, Provider Relations, Claims, Grievances, Staff Dentists, and Leadership. Interface with external entities including dental offices, health plan care coordinators, transportation vendors, hospitals, and community organizations. Perform other duties as assigned. Education & Experience Requirements Associate degree or equivalent years of administrative experience required. 2+ years of experience in dental field preferred; insurance experience highly desired. Registered Dental Hygienist (RDH) or Registered Dental Assistant (RDA) certification is a plus. Proficient in Microsoft Excel, Word, and Outlook. Strong verbal and written communication skills with the ability to compose comprehensive responses. Strong critical thinking and problem-solving skills. Excellent customer service and interpersonal skills. Ability to work independently and collaboratively in a remote environment. Bilingual in Spanish preferred (must be able to pass a dental terminology exam if applicable). Knowledge of medical terminology preferred. Location Our employees are distributed in office locations in multiple markets across the United States. We are unable to hire or allow employees to work outside of the United States. What Liberty Offers Happy, healthy employees enhance our ability to assist our members and contribute more actively to their communities. That's why Liberty offers competitive and attractive benefit packages for our employees. We strive to care for employees in ways that promote wellness and productivity. Our first-class benefits package supports employees and their dependents with: Competitive pay structure and savings options to help you reach your financial goals. Excellent 401(k) retirement benefits, including employer match, Roth IRA options, immediate vesting during the Safe Harbor period, and access to professional financial advice through Financial Engines. Affordable medical insurance, with low-cost premiums for employee-only coverage. Liberty subsidizes the cost for eligible dependents enrolled in the plan. 100% employer-paid dental coverage for employees and eligible dependents. Vision insurance with low-cost premiums for employee-only coverage and dependents. Company-paid basic life and AD&D insurance, equal to one times your base salary, with options to purchase additional supplemental coverage. Flexible Spending Accounts for healthcare and dependent care expenses. Voluntary benefit programs, including accident, critical illness, and hospital indemnity insurance. Long-term disability coverage. Expansive wellness programs, including company-wide wellness challenges, BurnAlong memberships, and gym discounts. Employee Assistance Program (EAP) to support mental health and well-being. Generous vacation and sick leave policies, with the ability to roll over unused time. 10 paid company holidays. Tuition reimbursement for eligible educational expenses. Remote or hybrid work options available for various positions. Compensation In the spirit of pay transparency, the base salary range for this position is $22.00 - $24.00 hourly, not including fringe benefits or potential bonuses. At Liberty, your final base salary will be determined by factors such as geographic location, skills, education, and experience. We are committed to pay equity and also consider the internal equity of our current team members when making final compensation decisions. Please note that the range listed represents the full base salary range for this role. Typically, offers are not made at the top of the range to allow for future salary growth. Liberty Dental Plan commits to maintaining a work environment that acknowledges all individuals within the workplace and will continue to engage in practices that are inclusive of all backgrounds, experiences, and perspectives. We strive to have every person within the organization have a sense of belonging while encouraging individuals to unleash their full potential. Liberty will leverage diverse perspectives in building high performance teams and organizational culture. Liberty Dental Plan will continue to strengthen and develop external partnerships by providing equitable health care access and improving population health in the communities we serve. We comply with all applicable laws and regulations on non-discrimination in employment, recruitment, promotions, and transfers, as well as work authorization and employment eligibility verification requirements. Sponsorship and Relocation Specifications Liberty Dental Plan is an Equal Opportunity Employer / VETS / Disabled. No relocation assistance or sponsorship available at this time.
    $22-24 hourly 60d+ ago
  • Client Service Associate - Commercial Insurance

    Hylant 4.6company rating

    Cleveland, OH jobs

    Description The Opportunity:The Client Service Associate is responsible for supporting the commercial service team by providing excellent service and deliverables to external and internal clients in accordance with Hylant standards. In This Role You Will Execute On: Grow and develop knowledge in insurance as well as Hylant's servicing tools and processes to obtain Property & Casualty licensure. Provide general administrative support to client service teams as requested. Prepare client documentation such as proposals, policies, Process insurance verification requests including certificates of insurance and automobile identification cards. Maintain client information in agency management system(s) including initial client set up, client information updates, policy details, document management, and other related information as required. Request loss run, credentialing, or motor vehicle records or reports. Process requests for changes to insurance contracts. Initiate and compile required documents for client submissions; electronically store and share documents with the appropriate client service team member for further action. Coordinate and distribute client documentation as assigned. Perform other duties and special projects as requested. In This Role You'll Need: High School Diploma or GED equivalent; some college level course work preferred Familiarity with commercial property & casualty insurance industry preferred Active Property & Casualty license or the ability to obtain within 90 days of employment. Intermediate Microsoft Office skills (Excel, Word, PowerPoint, and Outlook) Basic analytical skills Excellent attention to detail Exception oral and written communication skills Ability to work well in a team environment. Must be legally authorized to work in the United States Why Hylant? A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in eight states. And since the founding of our family-owned business over 85 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you. Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify. #LI-Hybrid
    $56k-77k yearly est. Auto-Apply 49d ago
  • Client Service Associate

    Hylant 4.6company rating

    Toledo, OH jobs

    Description The Opportunity:The Client Service Associate is responsible for supporting the commercial service team by providing excellent service and deliverables to external and internal clients in accordance with Hylant standards. In This Role You Will Execute On: Grow and develop knowledge in insurance as well as Hylant's servicing tools and processes to obtain Property & Casualty licensure. Provide general administrative support to client service teams as requested. Prepare client documentation such as proposals, policies, Process insurance verification requests including certificates of insurance and automobile identification cards. Maintain client information in agency management system(s) including initial client set up, client information updates, policy details, document management, and other related information as required. Request loss run, credentialing, or motor vehicle records or reports. Process requests for changes to insurance contracts. Initiate and compile required documents for client submissions; electronically store and share documents with the appropriate client service team member for further action. Coordinate and distribute client documentation as assigned. Perform other duties and special projects as requested. In This Role You'll Need: High School Diploma or GED equivalent; some college level course work preferred Familiarity with commercial property & casualty insurance industry preferred Active Property & Casualty license or the ability to obtain within 90 days of employment. Intermediate Microsoft Office skills (Excel, Word, PowerPoint, and Outlook) Basic analytical skills Excellent attention to detail Exception oral and written communication skills Ability to work well in a team environment. Must be legally authorized to work in the United States Why Hylant? A multi-year recipient of Best Places to Work in Insurance, Hylant is a full-service insurance brokerage with over 20 offices in eight states. And since the founding of our family-owned business over 90 years ago, we made a promise to strengthen and protect the businesses, employees and communities of our client family by embracing them as our own. We're more than an insurance brokerage firm and you're more than a client, employee or neighbor. You're family. And that's just the way we treat you. Hylant is proud to be an equal opportunity workplace. All qualified applicants will receive consideration for employment without regard to race, marital status, sex, age, color, religion, national origin, Veteran status, disability or any other characteristic protected by law. If you have a disability or special need that requires accommodation, please let us know. Hylant participates in E-Verify. #LI-Hybrid
    $55k-75k yearly est. Auto-Apply 50d ago
  • ECF Choices Support Coordinator (Maury County)

    Bluecross Blueshield of Tennessee 4.7company rating

    Remote

    Join Our Team as a Support Coordinator at ECF Choices! Are you passionate about empowering individuals to achieve better health and well-being? ECF Choices is seeking a dedicated Support Coordinator to join our team in Columbia. ECF CHOICES is a program in Tennessee designed to support individuals with intellectual and developmental disabilities (I/DD). The program aims to help these individuals live as independently as possible and become employed within their communities. In this role, you will holistically support our members' physical, behavioral, and social needs, helping them achieve their goals and live their dreams. ECF CHOICES plays a crucial role in the Tennessee community, and you will have the opportunity to positively impact numerous lives. Key Responsibilities: Empower members by supporting their health and well-being. Assist members in finding and maintaining competitive, integrated employment. Navigate challenging relationships to ensure members receive necessary services. Perform intake, enrollment, and ongoing assessments. Develop and maintain Person-Centered Plans. Monitor and maintain overall service provision. This role supports the Maury County area and will require traveling to members' homes (mileage is reimbursed) Available for an 8:00am - 5:00pm CST(no on call) schedule. Must live within 50 miles of Columbia TN; ideal candidates will live within 35 miles. You will be a great match for this role if you have strong case management/behavioral health experience, communication, and organizational skills, as well as attention to detail and ability to create efficient, consistent, and accountable habits. The Support Coordinator will need to be flexible and adaptable in various situations and willing to travel for face-to-face meetings with members in their homes Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to meet the physical, behavioral health and long term service needs of each member. Conduct thorough and objective face-to-face visits with and assess each members situation to determine current status and needs, including physical, behavioral, functional, psycho-social, financial, and employment and independent living expectations. Utilizing criteria for authorizing appropriate home and community based services and confirm those services are being provided and that members needs are being met. Valid driver's license. Various immunizations &/or associated medical tests may be required for this position. Job Qualifications Education RN, with a preference that such individuals also have current Certification from the Developmental Disabilities Nurses Association as a Certified Developmental Disabilities Nurse (CDDN) for RNs or a Developmental Disabilities Nurse (DDC) for LPNs, as applicable; Or B.S. in social work, nursing, education, human service or health care profession or other related field; Licensed Master Social Worker or Licensed Clinical Social Worker Preferred; Or meet the federal requirements for a Qualified Developmental (or Intellectual) Disabilities Professional (QDDP or QIDP); Or in lieu of a degree, have 5+ years' experience as an independent Support Coordinator or case manager for service recipients in a 1915(c) HCBS Waiver and have completed Personal Outcome Measures Introduction and Assessment Workshop trainings as established by the Council on Quality and Leadership. Experience 2 years - Experience in the healthcare industry or in an operations type environment required. Skills\Certifications Ability to work independently with minimal supervision or function in a team environment sharing responsibility, roles and accountability. Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint) Capacity to solve problems and manage multiple assignments with critical deadlines Must be a team player, be organized and have the ability to handle multiple projects Excellent oral and written communication skills Strong interpersonal and organizational skills Be organized, reliable, and able to manage multiple tasks with exceptional work ethic. Employees who are required to operate either a BCBST-owned vehicle or a personal or rental vehicle for company business on a routine basis* will be automatically enrolled into the BCBST Driver Safety Program. The employee will also be required to adhere to the guidelines set forth through the program. This includes, maintaining a valid driver's license, auto insurance compliance with minimum liability requirements; as defined in the “Use of Non BCBST-Owned Vehicle” Policy (for employees driving personal or rental vehicles only); and maintaining an acceptable motor vehicle record (MVR). *The definition for "routine basis" is defined as daily, weekly or at regularly schedule times. Number of Openings Available 1 Worker Type: Employee Company: VSHP Volunteer State Health Plan, Inc Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.
    $36k-43k yearly est. Auto-Apply 3d ago
  • Account Coordinator

    Amwins Group 4.8company rating

    Dallas, TX jobs

    Join Our Team as an Account Coordinator at Stealth Partner Group, an Amwins Group Company! Are you ready to take the next step in your career? Join Stealth Partner Group, an Amwins Group Company, as an Account Coordinator in Dallas, TX. This is an in-office position offers the flexibility to work from home up to 2 days a week, after completing training. Why Choose Amwins? At Amwins, we value our team members and offer a range of benefits to enhance your work experience: Flexibility: Enjoy a hybrid work environment with flexible scheduling options. Comprehensive Benefits: Access a competitive benefits package from day one, including generous Paid Time Off (PTO) and paid holidays. Continual Learning: Thrive in a collaborative, education-focused work environment. Annual Bonus Program: Earn rewards through our bonus program. Learn more about us at stealthpartnergroup.com and amwins.com. Responsibilities: As an Account Coordinator, you will: RFP Support: Assist in the Request for Proposal (RFP) process, including data review, requests for missing information, and management of tracking documents within scheduled timelines. Stakeholder Communication: Initiate communication with broker/carrier partners, field sales, and ancillary marketing team to prioritize objectives and facilitate transition between field and home office. Sales Support: Collaborate with Sales Leadership to prioritize objectives and assist in their accomplishment. Relationship Management: Maintain professional and collaborative relationships with clients and internal/external business partners. File Management: Handle file set-up, organization, and ongoing maintenance to support the sales process. Ad Hoc Duties: Take on other duties and projects as assigned. Qualifications: To thrive in this role, you'll need: Insurance Knowledge: Understanding of basic insurance terminology preferred. Experience: 1+ year in group benefits preferred, but not mandatory. Analytical Skills: Strong mathematical and critical thinking skills. Team Player: Ability to work both independently and as part of a team. Attention to Detail: Excellent organizational skills and attention to detail required. Communication Skills: Ability to effectively communicate, both written and verbally, with internal and external parties. Time Management: Proven ability to effectively prioritize workload, manage time, and meet deadlines in a fast-paced environment. Technical Proficiency: Proficiency in Microsoft Office programs (Word, Excel, Outlook, etc.). The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or physical requirements. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    $35k-44k yearly est. 60d+ ago
  • ABA and Autism Services Coordinator

    Bcbsla 4.1company rating

    Remote

    We take great strides to ensure our employees have the resources to live well, be healthy, continue learning, develop skills, grow professionally and serve our local communities. We invite you to apply for a career with Blue Cross. Residency in or relocation to Louisiana is preferred for all positions. POSITION PURPOSE The ABA and Autism Services Coordinator is responsible for providing both administrative and clinical support in the behavioral health authorization process for ABA and Autism Services at Louisiana Blue. This position entails managing incoming communications, monitoring work queues within Epic, Enterprise Workflow, and fax systems, reviewing and entering ABA therapy authorization requests, and facilitating approvals in accordance with established criteria. The role also involves engaging with providers to obtain necessary documentation, clarify treatment plans, and communicate authorization decisions to members and providers. How You Contribute to the Company's Mission In This Role Responds to incoming inquiries related to ABA service requests, initiates authorization workflows, and appropriately routes cases to the BCBA Utilization Reviewer. Communicates authorization decisions and procedural guidance to members and providers, including instructions for accessing the iLinkBlue portal and submitting requests. Coordinates and schedules meetings between providers and the BCBA as directed. Assists in the collection of relevant data and enters pre-authorization information into Epic or other designated systems under the supervision of licensed health professionals. This includes demographic and service-related details. Conducts benefit reviews to determine member coverage for requested services and relays findings to professional staff. Supports the review and approval of routine service requests that meet established criteria, as authorized by licensed professional staff, including the Behavioral Health Medical Director. Organizes and summarizes clinical documentation submitted with requests-such as treatment plans, progress notes, and assessments-for evaluation by the BCBA Utilization Reviewer. Prepares and disseminates written and verbal notifications regarding authorization decisions, ensuring accuracy and completeness of correspondence. Investigates databases and systems (e.g., Facets, Epic) to identify duplicate or misrouted requests, forwarding them to appropriate departments and initiating workflows accordingly. Performs additional duties as assigned. Required Qualifications High school diploma or equivalent 2 years of experience in healthcare, specifically autism-related services Familiarity with medical terminology, particularly terminology associated with ABA therapy and developmental disorders Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, etc.) Strong organizational skills and attention to detail Ability to manage multiple tasks and prioritize effectively in a dynamic environment Excellent verbal and written communication skills Demonstrated ability to interact professionally with individuals at all organizational levels Preferred Qualifications Active or previous certification as a Registered Behavior Technician (RBT) or Registered Line Technician (RLT) Experience supporting utilization management processes or working with Electronic Health Records/Systems The Physical Demands described here are representative of those that must be met by an employee to successfully perform the Accountabilities and Essential Functions of the job. Reasonable accommodations may be made to enable an individual with disabilities to perform the essential functions Perform other job-related duties as assigned, within your scope of responsibilities. Job duties are performed in a normal and clean office environment with normal noise levels. Work is predominately done while standing or sitting. The ability to comprehend, document, calculate, visualize, and analyze are required. An Equal Opportunity Employer All BCBSLA EMPLOYEES please apply through Workday Careers. PLEASE USE A WEB BROWSER OTHER THAN INTERNET EXPLORER IF YOU ENCOUNTER ISSUES (CHROME, FIREFOX, SAFARI) Additional Information Please be sure to monitor your email frequently for communications you may receive during the recruiting process. Due to the high volume of applications we receive, only those most qualified will be contacted. To monitor the status of your application, please visit the "My Applications" section in the Candidate Home section of your Workday account. If you are an individual with a disability and require a reasonable accommodation to complete an application, please contact ********************* for assistance. In support of our mission to improve the health and lives of Louisianians, Blue Cross encourages the good health of its employees and visitors. We want to ensure that our employees have a work environment that will optimize personal health and well-being. Due to the acknowledged hazards from exposure to environmental tobacco smoke, and in order to promote good health, our company properties are smoke and tobacco free. Blue Cross and Blue Shield of Louisiana performs background and pre-employment drug screening after an offer has been extended and prior to hire for all positions. As part of this process records may be verified and information checked with agencies including but not limited to the Social Security Administration, criminal courts, federal, state, and county repositories of criminal records, Department of Motor Vehicles and credit bureaus. Pursuant with sec 1033 of the Violent Crime Control and Law Enforcement Act of 1994, individuals who have been convicted of a felony crime involving dishonesty or breach of trust are prohibited from working in the insurance industry unless they obtain written consent from their state insurance commissioner. Additionally, Blue Cross and Blue Shield of Louisiana is a Drug Free Workplace. A pre-employment drug screen will be required and any offer is contingent upon satisfactory drug testing results.
    $36k-47k yearly est. Auto-Apply 4d ago
  • Medicare File Coordinator

    WPS Health Solutions New 4.4company rating

    Madison, WI jobs

    Role Snapshot Our Medicare File Coordinator coordinates and performs maintenance and testing as required by policy changes, Shared System Maintainer mandates, or Centers for Medicare and Medicaid Services (CMS) directives within specified timeframes. This includes updating and maintaining system files to report and test issues. Research and provide written responses to internal and external customer inquiries or system issues pertaining to Shared System or files. Researches and responds to interdepartmental referrals, reviews and updates processes and coding guidelines for accuracy and effectiveness. Salary Range $44,000-53,700 annually The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills and experience. We are open to remote work in the following approved states: Arizona, Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, Nevada, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin In this role, you will: Complete Centers for Medicare and Medicaid Services (CMS) Change Requests to implement required changes/enhancements. Requesting, validating maintenance, performing maintenance, System Control Facility coding, testing, validation of testing/coding, annual profile build, and assuring system accuracy. Maintain documentation. Download, verify, and install Centers for Medicare and Medicaid Services update files as directed. Write, test, and cross copy ECPS events for Claims Processing. Maintain Healthcare Integrated General Ledger Accounting System. Conduct CEM and IVR patch testing. Validate changes in the Direct Data Entry System. Prepare Maintenance Request forms and perform manual system maintenance to load files and updates that cannot be systematically installed. Provide Fee Schedule Disclosures and pricing articles. Review, analyze, and provide contractor feedback. Review, analyze, and test a variety of applications on mainframe and Personal Computer base. Retain, review, compile and submit information needed for support of litigations. Provide technical expertise in interpretation of issues relating to Medicare regulations and claims processing. Prepare and issue notices to inform, educate, or alert operations and customer service areas when systems issues have been identified. Develop excel based worksheets to assist in manual pricing calculations and verification of CMS pricing files. Perform processing guideline updates and/or request coding changes for the Targeted Probe and Educate (TPE) audits as needed. Develop skills to request maintenance to update internal coding and processing guidelines for MCS and FISS. Attend and actively participate in weekly Functional Workgroup (FWG) Calls for MCS and FISS to develop skills collaborating with other MACs and CMS. Review Quarterly MCS Screen Manual changes made by MCS, analyze the changes affecting the processing departments and perform the corresponding updates to the internal manual. What will I gain from this role? Expanding your skillset in a higher-level specialized claims role. Being a part of a supportive and collaborative team while also working independently. Experience working in an environment that serves our Nation's military, veterans, Guard and Reserves and Medicare beneficiaries. Work in a continuous performance feedback environment. Minimum Qualifications Bachelor's Degree in related field or equivalent post high school and / OR related work experience. 1 or more years of experience in Medicare, Medical Review, Claims, Appeals, OR Customer Service in a healthcare environment. Possess excellent reading comprehension, written communication, and interpersonal skillsets. Ability to utilize sound reasoning and analysis for creative problem-solving, as well as ability to overcome regular distractions to meet strict deadlines. Proficiency in Microsoft Office Suite and / OR HART, OnBase, FISS and MCS systems. Experience with Part A and Part B Claims or Appeal processing. Preferred Qualifications Experience with SecureZip, Cute PDF, Adobe Reader, Center for Medicare & Medicaid internal Applications, SnagIt, internet, intranet, office equipment. Knowledge/billing of hospital-based claims using the direct data entry system. Customer Service experience this role includes escalated, or priority experience with Part A and Part B FISS and MCS systems. MAC contractor experience working with the FISS and MCS systems. Remote Work Requirements Wired (ethernet cable) internet connection from your router to your computer High speed cable or fiber internet Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at ********************** Please review Remote Worker FAQs for additional information Benefits Remote and hybrid work options available Performance bonus and/or merit increase opportunities 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately) Competitive paid time off Health insurance, dental insurance, and telehealth services start DAY 1 Professional and Leadership Development Programs Review additional benefits: (******************************************************************* Who We Are WPS, a health solutions company, is a leading not-for-profit health insurer and federal government contractor headquartered in Madison, Wisconsin. WPS offers health insurance plans for individuals, families, seniors and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active-duty and retired military personnel across the U.S. and abroad. WPS has been making healthcare easier for the people we serve for nearly 80 years. Proud to be military and veteran ready. Culture Drives Our Success WPS' culture is where the great work and innovations of our people are seen, fueled and rewarded. We accomplish this by creating an open and empowering employee experience. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams. This results in people bringing their authentic selves to work every day in an organization that successfully adapts to business changes and new opportunities. We are proud of the recognition we have received from local and national organization regarding our culture and workplace: WPS Newsroom - Awards and Recognition. Sign up for Job Alerts FOLLOW US! Instagram LinkedIn Facebook WPS Health Blog This position supports services under Centers for Medicare & Medicaid Services (CMS) contract(s). As such, the role is subject to all applicable federal regulations, CMS contract requirements, and WPS internal policies, including but not limited to standards for data security, privacy, confidentiality, and program integrity. CMS contractors and their personnel are subject to screening and background investigation prior to being granted access to information systems and/or sensitive data to safeguard government resources that provide critical services.
    $44k-53.7k yearly 60d+ ago
  • Strategic Partnership Coordinator

    The Strickland Group 3.7company rating

    Austin, TX jobs

    Now Hiring: Strategic Partnership Coordinator 🚀 Are you passionate about making a difference through sales? Do you thrive in a dynamic environment where your efforts directly impact success? If so, we're looking for a Strategic Partnership Coordinator to join our team! What We're Looking For: ✅ Licensed Life & Health Agents OR ✅ Motivated Individuals (We'll help you get licensed!) We need goal-oriented professionals who are ready to create impact-whether that means stepping into leadership or building a flexible, high-earning income stream. Are You a Good Fit? ✔ Excited about making a real impact through sales and client relationships? ✔ Ready to invest in yourself and take your career to new heights? ✔ Self-motivated and driven to succeed without constant supervision? ✔ Coachable and eager to learn from top sales professionals? ✔ Looking for a business that is recession- and pandemic-proof? If you answered YES, keep reading! What We Offer: 💼 Flexible Work Environment - Work remotely, full-time or part-time, on your own schedule. 💰 Unlimited Earning Potential - Part-time: $40,000-$60,000/month | Full-time: $70,000-$150,000+++/month. 📈 Warm Leads Provided - No cold calling, no chasing friends & family. ❌ No Sales Quotas, No High-Pressure Tactics, No Micromanagement. 🧑 🏫 Comprehensive Training & Mentorship - Learn from top-performing professionals. 🎯 Daily Pay - Earn directly from insurance carriers. 🎁 Bonuses & Performance Incentives - 80%+ commissions + salary 🏆 Leadership & Growth Opportunities - Build your own agency (optional). 🏥 Health Insurance Available for qualified agents. 🚀 Create real impact, grow your career, and unlock your potential. 👉 Apply today and start making a difference! ( Your success depends on effort, skill, and commitment to training and sales systems. )
    $35k-56k yearly est. Auto-Apply 60d+ ago
  • Permit Coordinator

    Interagency 3.6company rating

    Washington, DC jobs

    is open for continuous recruitment. We are always looking for talented professionals. Applications are review as they are received. InterAgency Inc. is a minority-owned DC-based small business specializing in permit management services for some of the DC Metro region's largest developers, builders, and property managers. We provide a full array of permitting support for all project scales and all project phases. Description: InterAgency is seeking a Permit Coordinator to join our growing commercial permitting practice. The successful candidate will work on construction and transportation right-of-way permitting for a variety of small to midsize building construction and renovation projects. These permits will be filed in any of the jurisdictions in the Washington, DC metropolitan region. The candidate will be responsible for interfacing between Client Project Managers and third-party regulators to proactively address permitting needs and resolve permitting-related issues. Candidate must be self-motivated, organized, and be able to communicate information clearly and in a timely manner between multiple project stakeholders. Education and Experience Requirements: Minimum Requirements: Education Level: associate degree Experience: 2-years in detail-oriented work environment Communication: Excellent written and verbal communication skills Project Management: Ability to manage multiple tasks under tight deadlines. Preferred Qualifications: Bachelor's degree Prior experience in a construction-related field, with handling permits. Responsibilities: Project types will likely include but are not limited to: tenant fit-outs, building alterations, repairs, and additions, building demolition, exterior improvements in public right-of-way, elevator certificates, and occupancy certificates. Primary responsibilities will include, but are not limited to: Gathering supporting documents from clients Performing QC on permit application documents from clients Filing for permits using the portal/database system for the applicable jurisdiction Tracking all permit applications, and reporting up to senior management Tracking permit review comments Attending regular meetings and documenting meeting notes Coordinating with local government regulators Facilitating clear communication between the project team and external parties Accurate and detailed daily timekeeping required. Timely communication with client during regular business hours (8:00 am - 5:00 pm) Physical Requirements: Must be able to perform essential duties satisfactorily with reasonable accommodation. Work is generally done sitting, talking, hearing, and typing. Visual acuity to use a keyboard, prepare and analyze data and figures; transcribing, viewing a computer terminal; extensive reading. Must be able to meet with permit regulators at their place of work when needed, providing own transportation. Employment Conditions: Type: Full-time employment Hybrid work arrangement: Three (3) days at client location in Blue Plains, D.C. Two (2) days of remote work per week. Hours: regular business hours, 8:00 am to 5:00 PM (EST). Compensation and Benefits: Annual salary commensurate with experience. Salary Range: $ 40,000 - $60,000 /year Health, vision, and dental insurance 401(k) Safe Harbor employer match project Paid holiday leave: 11 Federal holidays Paid Time Off: 20 days / year Professional Development Reimbursement Flexible spending account program Dependent care account program Eligible for annual performance bonus and raise. Company provided equipment and software, as needed. InterAgency employment practices are in accordance with the laws that prohibit discrimination against qualified individuals on the basis of race, religion, color, gender, age, national origin, physical or mental disability, genetic information, veteran's status, marital status, gender identity and expression, sexual orientation, or any other status protected by applicable law. InterAgency Inc. is an equal opportunity employer.
    $40k-60k yearly 60d+ ago
  • Room Service Coordinator, (Part-Time 16-20 hours)

    Western Reserve Careers 4.2company rating

    Cuyahoga Falls, OH jobs

    Answers phone in dietary office; greets and assists patients in selection of regular and modified diets; enters meal selections into computer for printout in kitchen; and monitors diabetic, renal and other modified diets. Educates patient on menu selections allowed within diet prescription and maintains and updates diet orders. Functions as work leader during assigned shifts. This part-time position works a variable shift and can include: 5:30 am - 2:00 pm 1:00 pm - 7:30 pm Every other weekend 16-20 hours per week
    $39k-55k yearly est. 8d ago
  • Authorization Coordinator-Hybrid

    VNS Health 4.1company rating

    New York, NY jobs

    We invite you to come be a part of a growing, cutting-edge health plans department and leading home care organization with over 130 years in the business. In this role, you'll be responsible for efficiently handling authorization/service requests, collaborating across departments to resolve issues promptly, and ensuring effective and timely delivery of services. What We Provide * Referral bonus opportunities * Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays * Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability * Employer-matched 401k retirement saving program * Personal and financial wellness programs * Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program * Generous tuition reimbursement for qualifying degrees * Opportunities for professional growth and career advancement and CEU credits What You Will Do * Creates and modifies authorizations and/or orders for new and existing Members in an accurate and timely manner * Researches, troubleshoots, resolves authorization and/or order processing issues and discrepancies * Completes activities, including but not limited to, inbound/outbound calls, as assigned, faxes and emails * Coordinates with Providers and Members regarding authorization requests and/or activities * Communicates with Care Management, Member Services, Membership and Eligibility and other internal departments regarding Member services, authorization requests and issues Qualifications Education: * High School Diploma or equivalent required Work Experience: * Minimum of two years of experience in a customer service role required * Excellent oral and written communication skills required * Advanced personal computer skills, including Word, Excel or Access required * Utilization Management experience preferred Pay Range USD $20.98 - USD $26.23 /Hr. About Us VNS Health is one of the nation's largest nonprofit home and community-based health care organizations. Innovating in health care for more than 130 years, our commitment to health and well-being is what drives us - we help people live, age and heal where they feel most comfortable, in their own homes, connected to their family and community. On any given day, more than 10,000 VNS Health team members deliver compassionate care, unparalleled expertise and 24/7 solutions and resources to the more than 43,000 "neighbors" who look to us for care. Powered and informed by data analytics that are unmatched in the home and community-health industry, VNS Health offers a full range of health care services, solutions and health plans designed to simplify the health care experience and meet the diverse and complex needs of the communities and people we serve in New York and beyond.
    $21-26.2 hourly 35d ago

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