Senior Healthcare Economics Consultant - National Remote
Program consultant job at UnitedHealth Group
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Serve as key healthcare economics and analytics contact for local, regional, and national OptumCare leadership
+ Lead projects to develop new project models or enhancements to existing models, leveraging data from multiple sources
+ Identify and implement appropriate analytic and modeling methodologies
+ Develop, produce and support comprehensive data visualization tools and dashboards that enables efficient communication of data-driven insights
+ Solve complex problems and develop innovative, sustainable solutions
+ Assist in the management of DataMart architecture that can support analytic insights and Key Performance Indicators
+ Work with a variety of teams to identify areas of opportunity in order to drive financial performance of programs
+ Provides consistent and timely communication on projects, results and conclusions from analyses. Apply feedback into future iterations and new analytic development
+ Multitask, prioritize, adapt to change, work well under pressure in an entrepreneurial environment, meet deadlines, and manage a project from start to finish
+ Serve as a senior member of analytics team in mentoring junior consultants and analysts
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ High School Diploma/GED (or higher)
+ 5+ years of healthcare analytics experience that focused on healthcare data, and expertise in data visualization (Tableau, PowerBI or similar), data analysis, data manipulation, data extraction, statistical analysis and reporting in a data warehouse environment
+ 5+ years of experience creating SQL queries including data querying, manipulation and transformation, table creation, complex joins across multiple sources, subquery, indexing, and summary reporting
+ 5+ years of experience in advanced Proficiency with MS Excel including PowerPivot, Data Models, DAX, etc
**Preferred Qualifications:**
+ Bachelor's Degree in Economics, Statistics, Finance, Health Administration, Mathematics or related field
+ Proficiency using Tableau (PowerBI or similar)
+ Proficient at query techniques to access complex relational databases to develop sophisticated datasets resulting in insightful analytics
+ Ability to multitask, prioritize, adapt to change, work well in a fast-paced environment, meet deadlines, and manage a project from start to finish
+ Demonstrated ability to meet tight deadlines, follow development standards and effectively raise critical issues with potential solutions
+ Proficient in assessing customer needs and making required enhancements to analyses and dashboards.
+ Strong verbal and written communication skills, including ability to present ideas and concepts effectively
*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
The salary range for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
**_Application Deadline:_** _This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants._
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._
\#RPO #GREEN
Agency Consultant
Ripon, WI jobs
Horace Mann is a purpose-driven company that is passionate about educators. The Agency Consultant will lead and consult with new agents to help them develop strong, successful agencies, increase revenue, and contribute to long-term, profitable company growth. This field leader position will require extensive travel, 80% of the time.
This position reports to the Agency Consultant Executive.
Job Responsibilities:
Articulate the HM story and value proposition.
Build and maintain the agent/agency relationship with the Company.
Consult with agents to help them identify issues and opportunities and recommend possible actions that may be taken to correct problems and improve agency operations and sales production.
Help agencies understand and implement processes that may improve agency operations and enhance economic interest at the time of agency sale or appointment termination.
Connect Horace Mann capabilities with local market and/or agent opportunities.
Coach and assist agents with agency business planning to achieve targeted agency results.
Lead agent growth through school access programs, association relationships, and marketing strategies.
Utilize available technology, tools, and resources to analyze agent business results and improve agency operations, growth, and profitability.
Leverage available growth programs with agents in marketplace.
Joint work with new agents to show how to execute in-school activities, sales presentations, etc.
End agent engagements for underperforming agents
Coordinate with recruiting function on agent pipeline
Thorough knowledge and understanding of repeatable sales processes, business planning, and installation of new agents.
Travel >80%
Education & Experience:
Business degree or equivalent experience
3+ years in successful field or agency experience
Licenses: P&C, L&H; no securities training will be performed.
Strong business knowledge with ability to develop effective internal relationships across business functions
Pay Range:
Base Salary: $89,000 - $114,000
Target Incentive: $60,000 (0-200%); subject to annual review
Note: Salary is commensurate with experience, location, and other relevant factors
#vizi
#LI-JC1
#IND1
#APP
Horace Mann was founded in 1945 by two Springfield, Illinois, teachers who saw a need for quality, affordable auto insurance for teachers. Since then, we've broadened our mission to helping all educators protect what they have today and prepare for a successful tomorrow. And with our broadened mission has come corporate growth: We serve more than 4,100 school districts nationwide, we're publicly traded on the New York Stock Exchange (symbol: HMN) and we have more than $12 billion in assets.
We're motivated by the fact that educators take care of our children's future, and we believe they deserve someone to look after theirs. We help educators identify their financial goals and develop plans to achieve them. This includes insurance to protect what they have today and financial products to help them prepare for their future. Our tailored offerings include special rates and benefits for educators.
EOE/Minorities/Females/Veterans/Disabled. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status
For applicants that are California residents, please review our California Consumer Privacy Notice
All applicants should review our Horace Mann Privacy Policy
ERP Data Migration Consultant
Lakewood, CO jobs
Oscar is working with a leading ERP Advisory firm that is looking for an experienced ERP Data Migration Consultant to join their team.
As the ERP Data Migration Consultant, you will be responsible for extracting, transforming, and loading legacy data into modern ERP platforms such as NetSuite, Microsoft Dynamics, Acumatica, and others. The ideal candidate is skilled in ETL processes, data mapping, cleansing, and scripting, and is comfortable collaborating directly with clients and cross-functional teams.
Key Responsibilities:
Develop and maintain ETL scripts to extract, transform, and load data between legacy and ERP systems.
Access client legacy systems and convert raw data into structured database formats.
Map source data fields to target ERP data structures.
Cleanse, verify, and validate data using advanced SQL queries to ensure accuracy and quality.
Build SQL stored procedures to convert and prepare legacy data for new ERP environments.
Document and optimize data transformation steps and processes.
Automate data processing tasks using Microsoft SQL Server tools and scripting.
Load validated and transformed data into client ERP systems.
Coordinate with Accounting, Operations, and IT teams to ensure technical processes align with business objectives.
Deliver accurate, high-quality data migration results within project timelines.
Collaborate regularly with the EAG Data Migration team and client stakeholders.
Maintain clear communication with the consulting team to support seamless project execution.
Qualifications:
Bachelor's degree in Business Administration, Information Technology, Computer Information Systems, or a related discipline.
2-4+ years of hands-on experience with SQL Server or MySQL.
Experience with Microsoft Access and application development tools.
Exposure to leading ERP systems such as NetSuite, Microsoft Dynamics, Acumatica, Infor, Epicor, Sage, Oracle, Workday, etc.
Knowledge of business processes in Accounting, Manufacturing, Distribution, or Construction.
Advanced proficiency in Microsoft Office applications (Excel, Word, PowerPoint).
Professional, approachable, and confident communication style.
Recap:
Location: Lakewood, CO (Hybrid)
Type: Full time Permanent
Rate: $80k - $150k annual salary dependent on relevant experience
If you think you're a good fit for the role, we'd love to hear from you!
Compliance Program Consultant, Mental Health Parity
Minnetonka, MN jobs
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.
We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.
This position provides mental health parity compliance support to all lines of Medica's business. This role partners with business units, particularly those aligned under Health Services, to ensure compliance with applicable state and federal mental health parity regulations, including the requirements to ensure financial requirements, quantitative treatment limitations, and non-quantitative treatment limitations are designed and applied no more stringently for mental health/substance use services than medical/surgical services. The consultant also contributes to enterprise risk assessments, facilitates the implementation of regulatory changes pertaining to mental health parity with external partners, and leads or supports other compliance activities such as federal regulatory investigations and state market conduct exams. Operating at a senior professional level, this role exercises decision-making authority and serves as a key resource in navigating complex compliance projects.
The individual will be responsible to maintain and review regulatory documentation necessary to maintain corporate standards which includes maintenance and implementation of department policies, procedures, and work processes. This individual will work closely with other members of the Mental Health Parity (MHP) Team and will partner with business leads and subject matter experts across the organization to establish and maintain the tenets of the mental health parity program and execute related activities accurately and timely. This position will serve as the primary point of contact for Health Services to provide guidance to internal partners and will assist with mental health parity efforts of the compliance program. Performs other duties as assigned.
Key Accountabilities
Compliance Adherence
Partner with internal business areas and external vendors to ensure compliance with mental health parity's requirements for Quantitative Treatment Limitations, Non-Quantitative Treatment Limitations, and Financial Requirements
Draft and update the Non-Quantitative Treatment Limitation Comparative Analysis for multiple states with a focus on clinical NQTLs
Assists partners with implementation of new laws or regulations related to mental health parity
Act as a resource for mental health parity questions and training
Assists in the maintenance and implementation of department policies, procedures, and work processes
Regulatory Filings
Prepare mental health parity filings for regulators in multiple states; coordinate submission of responses to questions/objections regarding the filings
Participate in the product development process to ensure products comply with mental health parity prior to the products being filed with regulators for approval
Audit Support
Participate in mental health parity-focused internal and external investigations, market conduct examinations, and audits (collectively, “audits”)
Respond to document requests for audits
Conduct extensive audit research
Prepare comprehensive analyses and audit reports
Monitor & Report
Conducts assigned special projects, provides program support, and performs reporting.
Assists in the maintenance and implementation of department policies, procedures, and work processes.
Required Qualifications
Bachelor's degree or equivalent experience in related field
5 years of experience beyond degree
Preferred Qualifications
Knowledge of healthcare regulations and compliance program, or demonstrated logic and reasoning abilities and growth mindset
Knowledge of general health plan operations, technology delivery, and vendor management highly desirable
Demonstrated knowledge of health care laws and regulations, including Medicare and Medicaid, or demonstrated ability to read and apply complex written material
High standard of ethics, responsibility, discipline, and professionalism
Excellent conceptual thinking skills to analyze complex and sensitive issues and implement solutions
Excellent written and oral communication, presentation, problem-solving, and analytical skills
Proven ability to communicate effectively with all levels of an organization
PMP or other project management certification is a plus
Demonstrated ability to work well as a team; desire to contribute to a high-performing team
Must be able to appropriately challenge “conventional wisdom”
Must be able to develop innovative solutions that balance legal and business needs
Must demonstrate exceptional analytical strategic planning, issue identification and resolution skills
Ability to operate independently and handle multiple, complex projects with a high degree of initiative required
Demonstrated ability to organize complex information and to effectively report information to leadership
Demonstrated Microsoft Office (Outlook, Word, Excel, PowerPoint, Teams) skills needed, SharePoint desirable
Demonstrated learning mindset
This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, or Madison, WI.
The full salary grade for this position is $77,100 - $132,200. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $77,100 - $115,710. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data.⯠In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Management Fast Track Program
New York, NY jobs
Job DescriptionManagement Fast Track Program At New York Life, we're just as passionate about helping the next generation of insurance and financial services leaders achieve theircareer aspirations as we are about helping our clients accomplish their financial objectives. New York Life, a Fortune 100 company founded in 1845, is the largest mutual life insurance company in the United States and one of the largest life insurers in the world.Headquartered in New York City, we have provided insurance protection, retirement, and investment solutions to individuals,families, and businesses for over 175 years. New York Life has the highest financial strength ratings currently awarded to any U.S. lifeinsurer from all four major credit rating agencies. Program description and qualifications For our 18-month Management Fast Track Program, we're looking for goal-driven leaders who are eager to build and develop theirown unit of financial professionals. Entrepreneurial professionals who are destined to build and lead teams join New York Life with avision for their career and a strong sense of purpose. You may qualify for the program if you've completed your MBA within the past 24 months, have management experience, or haveowned a business. Ideal candidates bring a strong desire to build, lead, and impact, along with proficiency in the following areas:
Listening and presenting
Cultivating relationships
Connecting emotionally
Simplifying complex topics
Educating and coaching
As a candidate of the Fast Track Management Program, you'll join New York Life as a financial professional to gain hands-onexperience. Once you have met the program requirements, which typically takes 12 months, you'll be eligible for a promotion to Associate Partner. In this management role, you'll begin recruiting and developing your own team of financial professionals. You'll also be enrolled in the Associate Partner Training Program, a six-month intensive training designed to help ensure that you succeed when promoted to Partner. You'll build and lead your own team with the support of a Fortune 100 company. Our development managers and productconsultants will support you in teaching your financial professionals everything they'll need to know. And NYLIC University, one ofthe most comprehensive and well-respected training programs in the industry, offers a blended learning curriculum designed tomeet financial professionals' needs throughout the various stages of their career. Compensation and benefits New York Life will value and reward your hard work. You'll have significant income potential, because our managers' compensationis directly aligned with their recruiting performance and the production level of their team of financial professionals. The averageannual income in 2020 among our recruiters was $240,300. Our comprehensive benefits package includes:
Health/Dental/Life/Disability
A 401(k) plan (after one year of service)
A defined benefit pension plan (subject to eligibility and vesting requirements
Reimbursement for certain company-approved industry designations
Program Analyst, Institutional Markets
New York, NY jobs
About Global Atlantic Global Atlantic is a leading provider of retirement security and investment solutions with operations in the U.S., Bermuda, and Japan. As a wholly-owned subsidiary of KKR (NYSE: KKR), a leading global investment firm, Global Atlantic combines deep insurance expertise with KKR's powerful investment capabilities to deliver long-term financial security for millions of individuals worldwide. With a broad suite of annuity, preneed life insurance, reinsurance, and investment solutions, Global Atlantic, through its issuing companies, helps people achieve their financial goals with confidence. For more information, please visit ***********************
The Program Analyst will join NY-based Risk & Modeling arm of Global Atlantic's Commercial team. We are a 7-person team generating the analytics enabling assessing, acquiring and monitoring the performance of insurance liabilities. The new joiner will work closely with other members of the Commercial team and interface with business leaders and senior management to:
* Perform liability modeling for pricing and financial analysis
* Reconcile model output, including single cell analysis, against other sources
* Help with identifying insurance and capital markets risks embedded in different liabilities by stressing liability and markets-related assumptions
* Conduct static and dynamic validations
* Assist with development of deal models under US Stat, Bermuda EBS, and GAAP frameworks
* Assist in experience studies for reinsurance pricing and performance monitoring
* Collaborate with Actuarial, Risk, and Finance on onboarding of new deals and monitoring their performance
* Assist Deal team and Investments team with assessing a range to portfolios / ALM strategies
Experience and Qualifications
* Bachelor's Degree in a quantitative discipline such as Actuarial Science, Statistics, Mathematics, Computer Science, Physics or similar field
* Minimum 2 years modeling experience in any quantitative setting, ideally in finance or insurance setting
* Actuarial modeling experience is preferred but not required
* Exceptional analytical abilities, with the ability to draw and communicate clear conclusions from research
* Ability to combine insatiable curiosity, tenacity and drive to solve problems, big and small
* Ability to thrive in a dynamic and fast-paced environment
#LI-KW1
This is the expected annual base salary range for this Boston-based position. Actual salaries may vary based on factors, such as skill, experience, and qualification for the role. Employees may be eligible for a discretionary bonus, based on factors such as individual and team performance.
Global Atlantic EEOC Statement
Global Atlantic is an equal opportunity employer. Individuals seeking employment are considered without regard to race, color, religion, national origin, age, sex, marital status, ancestry, physical or mental disability, veteran status, sexual orientation, or any other category protected by applicable law.
The base salary range for this role
$125,000-$160,000 USD
Privacy Statement
Our employees are in the office 5 days per week in New York and 4 days per week in all other offices. If you have questions on this policy or the application process, please reach out to *****************
Global Atlantic reserves the right to modify the qualifications and requirements for this position to accommodate business needs and regulatory changes. Future adjustments may include obtaining specific licenses or certifications to comply with operational needs and conform to applicable industry-specific regulatory requirements, state and federal laws.
Easy ApplyRegional Wealth Management Consultant
Lincoln, NE jobs
Responsible for driving sales and growth throughout the products and platforms offered by the broker dealer and RIA. This position is focused on developing meaningful relationships with advisors, growing firm level assets under management, and driving new business to the Ameritas Wealth Platform. Candidates should be highly motivated, strategic, self-driven and results oriented, yet capable of working in a collaborative manner both internally and across the organization.
Candidates will have a passion for delivering high-quality engagements to a demanding and growing advisor base while leveraging a needs-based selling approach and consultative sales techniques. Demonstrate a polished professional demeanor, sales acumen, strong presentation and public speaking skills, and distinguished written communication skills.
Utilize in-depth knowledge of securities industry best practices, regulatory landscape, and terminologies to guide advisors. You will demonstrate a thorough understanding of investment advisory platforms in deploying strategies through both advisor managed or outsourced solutions. Application of broad product knowledge in the advisory, RIA, clearing, brokerage and custody, technology, research, equity-trading, mutual funds, ETFs, and managed assets networks will be important.
Position Location:
This role could be hybrid or remote based on proximity to an office location. This role will require travel.
What you do:
Execute a sales strategy to meet or exceed sales goals by managing a territory with a strong focus on proactive, outbound sales activities to drive net new assets to increase AUM on advisory platforms.
Maintain client focus and commitment to profitability, competitiveness, increasing assets, client satisfaction, and greater awareness of the Ameritas Wealth Platform.
Communicate to current advisors an in-depth understanding of a comprehensive wealth management business model and articulate the values/benefits of the firm's programs and products.
Utilize needs-based consulting skills to identify the needs of advisors and provide an opportunity for those needs to be met through the development of a fee-based business model and utilization of the Ameritas Wealth Platform. Support advisors in designing an implementation plan to transition business to a fee-based model.
Extensively collaborate with key constituents across the organization including Recruiting, RVP/DVP team, Relationship Management Teams, Wealth Management areas, Practice Management, Enterprise planning staff, Marketing, and other shared services teams.
Contribute to the growth of an advisor's practice across varying stages from inception to mature growth, while establishing relationships with new or existing advisors, across a range of sizes and product levels.
Maintain a strong presence at regional and national conferences through attending and presenting at all events and identifying and creating opportunities to enhance Ameritas Wealth Platform visibility at each event, including OSJ and Branch meetings.
What you bring:
Bachelor's degree in finance or a similar business-related field or equivalent combination of education and experience required.
4 or more years of securities industry related experience required.
4 or more years of experience in field sales, focused on advisory based concepts required.
Strong sales acumen, competitive mindset, desire to help others.
Envestnet and ORION platform experience strongly desired.
FINRA Series 7, Series 65 or 66 required.
CIMA, CFP, or ChFC designations desired.
Travel of 10% to 25% of time will be required. Must live within a reasonable distance of a major airport.
What we offer:
A meaningful mission. Great benefits. A vibrant culture
Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, you'll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you don't:
Ameritas Benefits
For your money:
401(k) Retirement Plan with company match and quarterly contribution
Tuition Reimbursement and Assistance
Incentive Program Bonuses
Competitive Pay
For your time:
Flexible Hybrid work
Thrive Days - Personal time off
Paid time off (PTO)
For your health and well-being:
Health Benefits: Medical, Dental, Vision
Health Savings Account (HSA) with employer contribution
Well-being programs with financial rewards
Employee assistance program (EAP)
For your professional growth:
Professional development programs
Leadership development programs
Employee resource groups
StrengthsFinder Program
For your community:
Matching donations program
Paid volunteer time- 8 hours per month
For your family:
Generous paid maternity leave and paternity leave
Fertility, surrogacy and adoption assistance
Backup child, elder and pet care support
An Equal Opportunity Employer
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, we're committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
Complex Claims Consultant - Healthcare Medical Malpractice
Irvine, CA jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Louisville, KY jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
Strong work ethic, with demonstrated time management and organizational skills.
Ability to work in a fast-paced environment at high levels of productivity.
Demonstrated ability to negotiate complex settlements.
Experience interpreting complex commercial insurance policies and coverage.
Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
Knowledge of Microsoft Office Suite and ability to learn business-related software.
Demonstrated ability to value diverse opinions and ideas.
Education & Experience
Bachelor's Degree or equivalent experience. JD a plus.
Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
Prior negotiation experience.
Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut,
Illinois
,
Maryland,
Massachusetts
,
New York and Washington,
the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Walnut Creek, CA jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Atlanta, GA jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Littleton, CO jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Los Angeles, CA jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Scottsdale, AZ jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyComplex Claims Consultant - Healthcare Medical Malpractice
Lake Mary, FL jobs
You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential.
Due to an internal promotion, CNA Insurance is searching for a Complex Claims Consultant focused on Allied Healthcare Providers/Medical Malpractice. CNA is a market leader in insuring Allied Healthcare Providers, including nurses, nurse practitioners, physical therapists, counselors, pharmacists, massage therapists and more than 100 other categories of medical service providers. This role will support the business and interact with these key customers.
In this position you will be responsible for the overall investigation, management and resolution of Allied Healthcare Provider claims in multiple states within your assigned jurisdiction including matters involving nurses, therapists, counselors or other healthcare provider or facility insureds. Recognized as a technical expert in the interpretation of complex or unusual policy coverages, you will work with autonomy and broad authority limits, to manage professional liability healthcare claims with moderate to high complexity and exposure in accordance with company protocols, quality and customer service standards. You will also partner with internal business partners such as Underwriting, to share claim insights that aid in good underwriting decisions.
This role collaborates with insureds, attorneys, other insurers and account representatives regarding the handling and/or disposition of complex litigated and non-litigated claims in multi-state jurisdictions. You will investigate and resolve claims, coordinate discovery and team with defense counsel on litigation strategy. You will utilize claims policies and guidelines, review coverage, determine liability and damages, set financial reserves, secure information to negotiate and settle claims.
This position enjoys a flexible, hybrid work schedule and is available in any location near a CNA office.
JOB DESCRIPTION:
Essential Duties & Responsibilities
Performs a combination of duties in accordance with departmental guidelines:
* Manages an inventory of highly complex commercial claims, with large exposures that require a high degree of specialized technical expertise and coordination, by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits.
* Ensures exceptional customer service by managing all aspects of the claim, interacting professionally and effectively, achieving quality and cycle time standards, providing timely updates and responding promptly to inquiries and requests for information.
* Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters, estimating potential claim valuation, and following company's claim handling protocols.
* Leads focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim.
* Resolves claims by collaborating with internal and external business partners to develop, own and execute a claim resolution strategy, that includes management of timely and adequate reserves, collaborating with coverage experts, negotiating complex settlements, partnering with counsel to manage complex litigation and authorizing payments within scope of authority.
* Establishes and manages claim budgets by achieving timely claim resolution, selecting and actively overseeing appropriate resources, authorizing expense payments and delivering high quality service in an efficient manner.
* Realizes and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Claim, Recovery or SIU resources for further investigation.
* Achieves quality standards by appropriately managing each claim to ensure that all company protocols are followed, work is accurate and timely, all files are properly documented and claims are resolved and paid timely.
* Keeps senior leadership informed of significant risks and losses by completing loss summaries, identifying claims to include on oversight/watch lists, and preparing and presenting succinct summaries to senior management.
* Maintains subject matter expertise and ensures compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business.
* Mentors, guides, develops and delivers training to less experienced Claim Professionals.
May perform additional duties as assigned.
Reporting Relationship
Typically Director or above
Skills, Knowledge & Abilities
* Thorough knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices.
* Strong communication and presentation skills both verbal and written, including the ability to communicate business and technical information clearly.
* Demonstrated analytical and investigative mindset with critical thinking skills and ability to make sound business decisions, and to effectively evaluate and resolve ambiguous, complex and challenging business problems.
* Strong work ethic, with demonstrated time management and organizational skills.
* Ability to work in a fast-paced environment at high levels of productivity.
* Demonstrated ability to negotiate complex settlements.
* Experience interpreting complex commercial insurance policies and coverage.
* Ability to manage multiple and shifting priorities in a fast-paced and challenging environment.
* Knowledge of Microsoft Office Suite and ability to learn business-related software.
* Demonstrated ability to value diverse opinions and ideas.
Education & Experience
* Bachelor's Degree or equivalent experience. JD a plus.
* Typically a minimum six years of relevant experience, preferably in claim handling or medical malpractice litigation.
* Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable.
* Prior negotiation experience.
* Professional designations preferred (e.g. CPCU).
#LI-KP1
#LI-Hybrid
In Chicago/New York/California, the average base pay range for the Complex Claims Consultant role is $113,000 to $160,000. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location.
In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $72,000 to $141,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com.
CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.
Auto-ApplyAssociate Wealth Consultant
Boston, MA jobs
This is an exciting opportunity for the ideal candidates to join a dynamic team within Personal Investing that will be transforming the Manulife John Hancock Wealth business with personalized investment recommendations using our Manulife John Hancock product offering(s).
Supported with an array of resources, Financial Consultants at Manulife John Hancock Wealth spend their time deepening relationships with an established base of customers and organically growing our practice through internal referrals to deliver financial solutions and retirement goals of the customers we serve. We hire and develop Financial Consultants who believe in our mission of helping our customers find confidence in retirement and who personify our values.
If these qualities reflect who you are and who you aspire to be, you'll thrive as a Financial Consultant at Manulife John Hancock Wealth:
Demonstrates curiosity in exploring client needs
Efficient and resourceful, delivering consistent value
Passionate about discovering solutions with an entrepreneurial approach
Proud of your investment knowledge and driven to match clients with the right solutions
Embraces accountability, learns from setbacks, and strives for continuous improvement
Position Responsibilities:
You are a vital member of our employee channel phone-based team focused on providing point-in-time advice to our exiting IRA customers, referrals from other service centers and then helping these customer's make good decisions about their existing retirement assets.
You are part of our team of financial consultants primarily responding to inbound calls, but also you may proactively engaging disengaged customers to become re-engaged with John Hancock.
Your advice involves discussing the customer's current investment situation and knowing about the available John Hancock mutual fund products to help the customers make informed decisions on what might be the best fit for their unique needs.
Required Qualifications:
FINRA SIE, Series 6, 63 and 65. FINRA Series 7 and State Insurance Licenses will be required as our product offering expands and for advancement.
Preferred Qualifications:
Bachelor's degree preferred.
1-3+ years of Financial Services experience, preferably in phone and/or sales roles
Advancement opportunities within role or Sr Financial Consultant requires time spent working in the role, consistent level of performance and the obtainment of securities licenses and working towards CFP certification will be required.
When you join our team:
We'll empower you to learn and grow the career you want.
We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
As part of our global team, we'll support you in shaping the future you want to see.
#LI-JH
About Manulife and John Hancock
Manulife Financial Corporation is a leading international financial services provider, helping people make their decisions easier and lives better. To learn more about us, visit *************************************************
Manulife is an Equal Opportunity Employer
At Manulife/John Hancock, we embrace our diversity. We strive to attract, develop and retain a workforce that is as diverse as the customers we serve and to foster an inclusive work environment that embraces the strength of cultures and individuals. We are committed to fair recruitment, retention, advancement and compensation, and we administer all of our practices and programs without discrimination on the basis of race, ancestry, place of origin, colour, ethnic origin, citizenship, religion or religious beliefs, creed, sex (including pregnancy and pregnancy-related conditions), sexual orientation, genetic characteristics, veteran status, gender identity, gender expression, age, marital status, family status, disability, or any other ground protected by applicable law.
It is our priority to remove barriers to provide equal access to employment. A Human Resources representative will work with applicants who request a reasonable accommodation during the application process. All information shared during the accommodation request process will be stored and used in a manner that is consistent with applicable laws and Manulife/John Hancock policies. To request a reasonable accommodation in the application process, contact ************************.
Working Arrangement
Hybrid
Salary & Benefits
Salary will vary depending on local market conditions, geography and relevant job-related factors such as knowledge, skills, qualifications, experience, and education/training. Employees also have the opportunity to participate in incentive programs and earn incentive compensation tied to business and individual performance. Please contact ************************ for additional information.
Manulife/John Hancock offers eligible employees a wide array of customizable benefits, including health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans. We also offer eligible employees various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions) and financial education and counseling resources. Our generous paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law) each year, and we offer the full range of statutory leaves of absence.
Know Your Rights I Family & Medical Leave I Employee Polygraph Protection I Right to Work I E-Verify
Company: John Hancock Life Insurance Company (U.S.A.)
Auto-ApplyAssociate Consultant
Kansas City, MO jobs
* Responsible for approximately 40-60 total accounts (depending on other responsibilities and factors), with assistance from an Account * Coordinator or Senior Account Coordinator * Sends final client deliverable, as well as written recommendation, to dedicated team member for peer review
* Responsible for presenting client deliverable, as needed, to core team and/or client with leadership supervision
* Potential responsibility related to growth (build relationship and working parameters with growth team)
* Seen as Subject Matter Expert by core teams and/or clients
* Minimal escalations required to complete traditional renewals
* First line of defense for escalated issues related to marketing, claims and/or clinical with ability to discern further escalation to Manager
* Obtain/maintain license
This is a remote eligible position.
Compensation and Benefits
Lockton Companies LLC is committed to offering competitive pay and benefits and complies with all relevant sate/local pay transparency laws. The entry base salary offered for this opportunity may vary, and is contingent upon candidate education, skills, abilities, essential competencies, experience, professional designations, unique qualifications, and geographic location.
Compensation
* Base salary: $100,000 USD
* Performance Bonus: This role is also eligible for an annual performance bonus, based upon the financial performance of the organization and the individual contributions of the Associate.
Lockton Benefits Offerings
At Lockton, our caring culture means we're invested in your health and wellbeing. That's why we've developed a benefits program that is all about helping you reach your ultimate potential, both at the office and at home. From health and wellness to financial wellbeing and everything in between, we have you covered. We encourage you to take advantage of the broad range of available offerings.
* Health Plans - Options include United Healthcare Consumer-driven health plan or Surest variable copay plan
* Wellness incentive program for health premium savings
* Dental Plans - MetLife PPO & Copay option
* Vision Plan - VSP Choice Plan
* Health Savings Account
* Flexible Spending Accounts - Dependent Care, Ltd. Purpose, Healthcare, Transportation
* Life Insurance - Group term life, AD&D plus voluntary life options
* Paid parental leave
* Disability benefits - salary continuation & long-term disability for qualifying events
* Legal services
* Critical illness care
* Hospital indemnity
* Pet insurance
* Gym membership discount programs
* Retirement 401(K) Plan - 100% match up to 6% with immediate vesting
* Student loan 401(K) match option
* Associate assistance mental health program
* Merchant discounts
* Paid time off including vacation, holidays, personal days, volunteer days, and sick time
* Associate referral bonus & new business finder's fee
* Company sponsored charitable and community events
* Note: the above applies to regular full-time Associates; see Human Resources for part-time benefits
Associate Consultant
Kansas City, MO jobs
* Responsible for approximately 40-60 total accounts (depending on other responsibilities and factors), with assistance from an Account Coordinator or Senior Account Coordinator * Sends final client deliverable, as well as written recommendation, to dedicated team member for peer review
* Responsible for presenting client deliverable, as needed, to core team and/or client with leadership supervision
* Potential responsibility related to growth (build relationship and working parameters with growth team)
* Seen as Subject Matter Expert by core teams and/or clients
* Minimal escalations required to complete traditional renewals
* First line of defense for escalated issues related to marketing, claims and/or clinical with ability to discern further escalation to Manager
* Obtain/maintain license
Associate Consultant, Stop Loss Carrier Consulting
Alabama jobs
Fueled by our success and expanding business opportunities, we are seeking an Associate Consultant to join our growing Stop Loss Carrier Consulting team. This team is dedicated to evaluating, supporting, and enhancing the services available to our Stop Loss Carrier Partners, with a focus on delivering innovative solutions, strengthening market competitiveness, and creating long-term value for both carriers and employer clients.
The Associate Consultant will provide analytical and operational support to senior consultants and carrier partners. This role is ideal for a professional with a foundation in employee benefits and/or healthcare/insurance and is eager to deepen their expertise in the stop loss market.
Unlocking Market Insights
* Review and analyze current and historical stop loss carrier data (book of business, marketing results, renewal activity) to identify trends and market opportunities.
* Conduct competitive and market research on carrier products, pricing, and distribution strategies.
* Assist in preparing carrier consulting deliverables, including market experience reports, purchasing insights, and competitive positioning analyses.
Collaborating with Carrier Partners
* Prepare materials for regular carrier partner meetings, including performance updates, strategic initiatives, and market intelligence.
* Support documentation of carrier goals, priorities, and follow-up items to ensure alignment across teams.
* Participate in calls with carrier partners alongside senior consultants, tracking and executing action items.
Shaping Operational Strategy
* Evaluate carrier product offerings, services, operational processes (distribution, underwriting, claims, clinical engagement, client delivery), and competitive capabilities to identify opportunities for improvement.
* Conduct research on emerging industry trends (e.g., high-cost claim conditions, stop loss pricing innovations, carve-in/out programs).
Telling the Story with Data
* Compile reports and carrier insights to develop PowerPoint presentations for internal and external use, ensuring data accuracy, clarity, and strategic storytelling.
* Collaborate with senior consultants to translate analytical findings into actionable insights for carrier partners.
Teaming Up for Success
* Work closely with Stop Loss Carrier Consulting senior team members, data analysts, clinical consulting, and other specialty practices to deliver integrated insights.
* Contribute to special projects such as new carrier onboarding, product development support, and technology integrations.
#LI-LL1
Stock Plan Consultant
Program consultant job at UnitedHealth Group
UnitedHealth Group is a health care and well-being company that's dedicated to improving the health outcomes of millions around the world. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others. Join us to start **Caring. Connecting. Growing together.**
Individual responsible for the accurate administration of UnitedHealth Group's stock plan award and employee stock purchase plans; ensures administrative processes, procedures and controls facilitate effective administration and service delivery. Responsible for program compliance with company policies and controls, and with the laws, regulations and rules issued or enforced by state, federal and foreign regulatory authorities on the subject of program administration, reporting, disclosures and filing requirements.
Develops, executes, and supervises projects in partnership with human capital, legal, finance, accounting, payroll, communications, information technology, and other company professionals.
You'll enjoy the flexibility to work remotely as you take on some tough challenges. For all hires within 30 minutes of an office in Minnesota or Washington, D.C., you'll be required to work a minimum of four days per week in-office.
**Primary Responsibilities:**
+ Responsible for the accurate administration of domestic and international stock plan award and employee stock purchase plans through third-party record keepers, trustees, actuaries and consultants
+ Oversees daily administrative activities; provides guidance and work direction to analyst-level team members
+ Establishes, maintains and fosters relationships with third-party record keepers, trustees, actuaries and consultants
+ Ensures compliance with company policies and controls, and with the laws, regulations and rules issued or enforced by state, Federal and foreign regulatory authorities on the subject of program administration, reporting, disclosure and filing requirements
+ Ensures program policies, procedures, and provisions are documented, effective and followed. Recommend changes to reduce incidence of error
+ Resolves issues. Ensures consistent application of provisions and compliance with applicable laws and regulations. Escalates issues to management team as needed to assure prompt and accurate resolution. Identifies root cause of issues and leads issue resolution efforts
+ Main point of contact for internal and external audits
+ Ensures plan documents and materials are timely and accurately amended
+ Collaborates on the implementation of new plans, program features and changes to plans and/or administrative procedures
+ Oversees the merger of acquired plans into UnitedHealth Group's stock plans
+ Interacts with third-party vendors and internal team to ensure appropriate levels of performance. Periodically reviews internal and third party activities for quality
+ Reviews communication drafts for accuracy, detail and completeness. Works with business partners and human capital team members as needed to identify education and training needs. Coordinates benefit education and training initiatives
+ Measures program effectiveness based on established criteria to determine whether programs are 1) meeting their objectives, 2) furthering specific business outcomes and 3) complimenting the total rewards strategy. Responsible for plan reporting and analysis
+ Prepares documentation of change needs and assists with the review and testing of related materials and systems
+ Participates in team special projects
+ Stays up-to-date on trends and developments related to stock plan award and employee stock purchase plans
+ Oversees stock plan award grant load and transaction reporting, and employee stock purchase plan enrollment and purchase activities
+ Prepares month-end reports in support of the GL close process
+ Prepares quarter-end reports in support of SEC filings
+ Prepares reports and stock plan award tables in support of annual Proxy Report
+ Provides reporting support for Executive Compensation, including material prepared for Board of Director/Compensation Committee meetings
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ 5+ years stock plan experience including: plan sponsor, consulting, or administration experience with stock plans
+ Experience collaborating with outsourced stock plan service providers
+ Technical knowledge of administrative practices and all pertinent federal and state regulations affecting stock plan programs
+ Solid interpersonal, communication and collaborative team skills. Ability to effectively interact with and influence all levels of internal and external business partners
+ Solid consultative, facilitation, and project management skills
+ Ability to exercise independent judgment
+ Solid knowledge of MS-Office tools - Word, Excel, PowerPoint
+ Ability to work in a team environment with a client service focus
+ Ability to handle confidential and sensitive information with the appropriate discretion
+ Ability to manage time well, prioritize effectively and handle multiple deadlines
**Preferred Qualifications:**
+ Experience in a complex matrixed Fortune 100 organization
+ Professional designation (CEP)
+ Proven organizational, analytical and problem-solving skills
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $89,900 to $160,600 annually based on full-time employment. We comply with all minimum wage laws as applicable.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._