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World Insurance Associates jobs - 22 jobs

  • Client Service Administrator - Small Business

    World Insurance Associates 4.0company rating

    World Insurance Associates job in Columbus, OH

    World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Primary Responsibilities Primary Activities Respond to client requests for changes Process endorsement with carriers or escalate for quotation of new lines of business or complex changes Follow-up for and deliver endorsements to clients upon receipt Respond to client requests for cancellation and escalate internally Coordinates the delivery of Proofs of Insurance Responds to client billing / payment questions Coordination of claim escalation Position Specific Skills/Qualifications Work Experience 3+ years' experience in Commercial Property & Casualty with a comprehensive understanding of insurance coverages Professional Licenses/Certifications Must hold state Property & Casualty insurance license Essential Skills/Competencies Functional knowledge of Excel specific to creating, formatting, and evaluating formulas and working within templates. Must be skilled in Excel, Word, and other MS Office products. Able to understand new technology platforms quickly. Proficient in agency management systems (EPIC) and carrier sites Hands on personal approach to customer service. Maintains effective relationships with clients, co-workers, and colleagues. Maintains effective relationships with clients, co-workers, and colleagues. Viewed as a team player and is cooperative and collaborative Has an understanding of guaranteed cost program design and coverage forms. Able to provide consultation of coverage needs. Strong written, oral, and interpersonal communication skills. Sets to achieve day-to-day objectives within the context of specified solutions. Develops and implements work plans for completing projects. Able to solve routine problems Education College degree is preferred. Physical Demands & Working Conditions Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #LI-HZ1
    $45k-57k yearly est. Auto-Apply 11d ago
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  • Commercial Lines Senior Client Manager - Iselin, NJ

    World Insurance Associates 4.0company rating

    World Insurance Associates job in Iselin, NJ or remote

    World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 260 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our multiple offices throughout the region. Position Overview The Commercial Lines Senior Client Manager will play an integral role in driving our mission to deliver excellence in client management and retention. Primary Responsibilities Effectively managing a high volume book of Insurance business, ensuring all required tasks are completed accurately and on-time Growing client loyalty by building positive relationships and providing high levels of advocacy, excellent service, and professional communication Handling renewals, service requests, claims, billing and new policies Maintain a thorough understanding of the markets and their appetites, underwriting guidelines, submitting and procedures Review all applications, policies, endorsements and audits for accuracy Coordinate expiration list with department manager to obtain renewal business information Qualifications Bachelor's degree or equivalent work experience, preferred Three years minimum Commercial Account Management experience required Property & Casualty License required Valid driver's license and insurance, required Possess strong administrative and computing skills, including Microsoft Office (Word, Excel and Power Point) Applied/Epic or similar agency management software experience, preferred. Able to work independently and enjoy a high degree of interaction with team members. Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines. Demonstrate effective written and verbal communication, including the ability to actively listen, and problem solve with minimal assistance. The ability to multi task, prioritize, work independently, and use discretion surrounding sensitive information. Ability to maintain a professional demeanor and positive attitude This position is located in New Jersey. The base salary for this position at the time of this posting may range from $75,000 to $80,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Compensation This is a remote position with a competitive benefits package. The base salary ranges from $65,000 to $75,000, with bonus eligibility. Actual compensation will depend on experience, qualifications, and business needs. Learn more about our careers at: **************************************. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MA1
    $75k-80k yearly Auto-Apply 60d+ ago
  • Principal Marketing & Print Category Management Analyst

    Blue Cross Nc 4.8company rating

    Remote job

    Blue Cross NC is looking for an exceptional Principal Marketing & Print Category Management Analyst to shape innovative supplier strategies, oversee critical sourcing initiatives, and cultivate influential partnerships. This exciting role offers the opportunity to manage high-impact contracts, optimize costs, monitor performance, and negotiate valuable agreements. The ideal candidate will deliver substantial savings and transform supplier relationships through visionary leadership and strategic sourcing expertise. What You'll Do Implement Blue Cross NC enterprise sourcing strategy and drive millions in annual savings to meet established targets Understand Blue Cross NC enterprise business needs and act as authoritative voice of Blue Cross NC to the suppliers regarding business needs, requirements, expectations, and direction Lead and coordinate roadmap discussions and engagement with executives to establish the sourcing strategy for critical business capabilities Understand, analyze, and forecast complex market and industry dynamics and share subject matter expertise and industry knowledge within the strategic portfolio of products and services. Conduct complex enterprise sourcing events with strategic suppliers, including development of project work plan, category profile, category strategy, minimum requirements and evaluation criteria, solicitation Find solutions, build proposals, and execute sourcing events to meet business requirements, striking a balance between supply continuity, cost, and delivery Develop and implement assorted bid documents and requests (i.e. RFP, RFI, RFQ); Manage status reporting and performance metrics of sourcing activities for strategic vendors. Partner with stakeholders to source products and services using proven tools, processes, and analytics to drive and achieve business results. Evaluate analyses of sourcing results from a total cost of ownership perspective and provide optimization recommendations Participate in cross-functional teams responsible for complex vendor negotiations, including those that require specialized subject matter expertise, nonstandard risk mitigation solutions, and coordination of multiple arrangements. Lead supplier relationship management and performance for the largest and most complex suppliers in the Enterprise from both an operational and risk management perspective Proactively establish and foster successful, positive working relationships with vendor personnel. Drive vendor engagement through formal and informal transactions. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field In lieu of degree, 10+ years of experience in related field Bonus Points Highly Preferred: Marketing & Print Category Management experience What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Skills Bid Management, Category Management, Category Strategy, Contract Management, Negotiation, Procurement, Sourcing Strategies, Strategic Sourcing, Supplier Relationship Management, Supply Chain, Vendor Engagement, Vendor Management, Vendor Negotiations, Vendor Relationships
    $107.9k-172.6k yearly Auto-Apply 4d ago
  • Director, Privacy Officer & Managing Counsel

    Blue Cross Nc 4.8company rating

    Remote job

    The Director of Managing Counsel will oversee the delivery of legal services and advice for the Company, acting as the main attorney for Blue Cross NC's Privacy Program. This role manages both attorneys and non-attorneys and oversees Blue Cross NC's Privacy Program related to safeguarding employee, customer and corporate information pursuant to legal, regulatory and contractual requirements and standards that govern Privacy, and reports directly to the Vice President of the Legal Department & Deputy General Counsel. The Managing Counsel brings expertise in several areas of law essential to both the Company and its subsidiaries, works closely with Company Officers and senior executives, and leads the team within the Legal Department. What You'll Do Directs the efforts of the legal staff and related support personnel while utilizing legal expertise to ensure the Company and its subsidiaries are in compliance with various laws and regulations that govern Privacy. Serves as the Privacy Officer for the Company, responsible for overseeing the development, implementation, maintenance, and enforcement of privacy policies and procedures in accordance with state and federal laws and regulations. Serves as primary point of contact for privacy-related matters, including regulatory inquiries, customer concerns, and internal escalations. Develops strategy to accomplish objectives and ensures the Company and its subsidiaries maintain a solid legal foundation upon which to conduct business. Advises and counsels Company Officers, senior management, and the Board of Directors on privacy laws that arise in the Company's business operations; researches and prepares legal memoranda and opinions applying technical legal knowledge to varying business situations and personnel issues; assists Company management with risk identification and management. Assists the Company with business transactions and the development of new products, services, and business relationships. Confers and negotiates with attorneys and management in other companies. Attends high-level conferences involving BCBSNC management and management in other companies or senior government positions. Writes legal opinions or otherwise provides legal advice that require extensive research of statutes, regulations, or court decisions in complex areas of law. Leads practice area team (e.g., corporate, health care plans). Supervises direct reports including performance management, coaching, conflict resolution, motivating and engaging. Manages growth and development of personnel, with career development, performance management and succession planning. Assigns projects to team members, coaches and mentors team members. Participates in development of, interprets, and improves Company policies. Assists the Company with implementing existing and new programs, policies, and procedures. Researches, interprets, and advises on statutory and case law, administrative rules, and regulations. Monitors legislative and regulatory proposals, evaluates such proposals, and assists Company management with formulating the Company's position of these matters. Performs management duties include hiring, training, coaching, counseling and evaluating performance of direct reports. Makes decisions regarding retention of outside counsel and manages substantial budget for external legal services. Performs other duties as assigned. What You Bring JD from an accredited law school 10 years of professional legal experience 5 years of leadership experience In lieu of degree, 12+ years of experience in related field Licensed to practice law in North Carolina or must obtain License within 1 year of employment. Bonus Points Certified in Healthcare Privacy and Security (CHPS) or Certified Information Privacy Professional (CIPP) highly preferred. HIPAA and other similar federal and state privacy, security and data protection regulations highly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $210,268.00 - $336,430.00 Skills Administrative Law, Business Contracts, Commercial Contract Management, Contract Management, Contract Negotiations, Law, Legal Administration, Legal Analysis, Legal Compliance, Legal Consulting, Legal Practices, Legal Research, Legal Services, Legal Support, Negotiation, People Management, Privacy Compliance, Privacy Laws, Procurement, Statutory Interpretation, Vendor Contracts
    $86k-123k yearly est. Auto-Apply 12d ago
  • Director, Provider Service

    Blue Cross Nc 4.8company rating

    Remote job

    As Director, Provider Service, you will play a key role in shaping and advancing the strategic vision for provider customer service. This leadership position empowers you to guide team leaders, drive support initiatives that meet high contractual and service standards and nurture a dynamic culture of excellence. You'll have the opportunity to analyze financial and service results, implementing meaningful strategies that enhance performance and deliver real value to the organization. What You'll Do Develop the strategic vision and key processes for the provider contact center, prioritizing support delivered through vendors, plan-to-plan, and PSA contact channels by business impact Partner with Operational leads and workforce management to supplement strategy with the development of budgets, staffing models, and operational performance standards Direct and improve Strategic Provider Services offering, maintaining close relationships with key (Platinum) providers including use of site visits to inform provider service strategy and resolve escalated claims and service issues Oversee support of non-platinum providers through virtual contact centers while providing oversight for vendor relations. Ensure plan-to-plan contacts are handled in line with BCBSA standards and service level expectations Communicating with managers and team leads on the provider service strategy and align on operational changes necessary for execution Resolve complex escalations and contribute to training development to maintain and improve service delivery Monitor and review service performance ensuring that provider service agreements are met Report operational updates to the Claims AVP and Operations VP; serve as a subject matter expert for provider service End to end inventory management to align with all regulatory, Internal, external and other applicable processing guidelines and timeliness expectations; includes evaluating and adjusting all processing guidelines as required to meet customer expectations. What You Bring Bachelor's degree or advanced degree (where required) 10+ years' experience in Health Care Delivery and Operations In lieu of degree, 12+ years of experience in related field. Deep health plan claims and service expertise. 5+ years of progressive leadership experience. Bonus Points Strong analytical skills with the ability to drive transformational, consumer centric change while managing operations - highly preferred Six Sigma/Continuous improvement experience - highly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $143,616.00 - $229,786.00 Skills
    $34k-44k yearly est. Auto-Apply 6d ago
  • Sr System Configuration Analyst

    Blue Cross Nc 4.8company rating

    Remote job

    The Configuration Manager supports the delivery of IT services by ensuring the Configuration Management Database (CMDB) remains accurate, current, and reliable. Operating within the ITIL framework and reporting into the ITIL Service Operations organization at Blue Cross, this role is responsible for managing the lifecycle of all Configuration Items (CIs), including their attributes and relationships. The Configuration Manager owns the Configuration Management System (CMS) and its integrations with discovery tools and other ITSM applications, ensuring that configuration management processes are clearly defined, consistently executed, and aligned with ITIL standards to maintain a high-quality, up-to-date CMDB. What You'll Do Own and manage the Configuration Management System (CMS), including the ServiceNow CMDB and ITOM modules (Discovery, Service Mapping, Event Management). Lead CMDB upgrades, migrations, and lifecycle management to maintain platform stability and data integrity. Serve as the key liaison between IT service teams, ServiceNow platform teams, and business owners to align configuration data with business processes and service definitions. Build and maintain strong relationships with ServiceNow module owners to ensure configuration data supports desired business outcomes. Translate complex CMDB and ITOM concepts into clear, business‑focused language for non‑technical stakeholders. Define, govern, and enforce ITIL Configuration Management processes to ensure an accurate, trusted CMDB. Design and maintain CMDB architecture, including discovery patterns, data models, CI relationships, service mapping, and access controls. Integrate patching and vulnerability data (e.g., cloud patching, Tenable) across cloud, infrastructure, and containerized environments. Evolve CMDB and discovery capabilities to support modern platforms such as AWS, Kubernetes, and OpenShift. Monitor and validate CMDB accuracy, discovery results, performance, and capacity; drive remediation of inconsistencies. Ensure all authorized Change, Release, Discovery, and Cloud activities are accurately reflected in the CMDB. Provide reporting, audits, and continuous improvement recommendations while operating effectively in a matrixed, shared‑ownership environment. What You Bring Experience working in a ServiceNow CMDB environment Understanding of service mapping concepts and business service relationships Understanding of cloud platforms (AWS) and knowledge of container technologies (Kubernetes or OpenShift) Bachelor's degree or advanced degree 5+ years of experience in related field In lieu of degree, 7+ years of experience in related field Bonus Points Familiarity with ITIL or ITSM frameworks certifications ServiceNow and/or ITIL certifications What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Skills
    $107.9k-172.6k yearly Auto-Apply 5d ago
  • Manager, Medicare Claims

    Blue Cross Nc 4.8company rating

    Remote job

    The Manager, Medicare Claims, oversees end-to-end claims services for provider segments, meeting business goals. This role sets performance targets, manages claims processing and financials, handles submissions, refunds, and recoveries, and ensures claims accounting and reporting. Collaboration with claims leadership ensures alignment with customer needs and contracts. What You'll Do Streamline shared processing to reduce management by exception Set operational process to address market trends, BCBSNC capabilities and customer demand Manage accounting and financial reporting functions in support of the Finance Division including overseeing the gathering, preparation, analysis, and reconciliation of financial data to ensure compliance with accepted accounting principles and standards. Participate in projects to improve and/or facilitate claims processing, recovery, and accounting functions. Manage financial recovery activities including refunds and collections Manage team leads and staff by efficiently driving work volume to keep high level of utilization and engagement in the group Resolve complex claims appeal by coordinating with different stakeholders for certain high value claims Collaborate with Audit and Payment Integrity to sustain a pre-determined level of accuracy and quality Design and develop tools and techniques for improvements. Identifies needed process and procedural changes which will result in improved customer satisfaction. Serve as Medicare Claims Subject Matter Expert and single point of contact for performance monitoring and troubleshooting. Represent Claims Operations on monthly CMS calls with CMS Account manager answering questions, providing status updates and expertise routinely and on demand. Ability to engage as requested by Compliance with regulatory entities, especially CMS on monthly calls and serve as an internal point of contact to prepare feedback on issues under CMS review. Use good judgement in understanding issues and work with compliance to prepare for discussions. Ability to represent claims as a knowledgeable SME. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 1-2 years of Medicare and Medicaid experience or a highly regulated operational environment - highly preferred Strong analytical skills with the ability to drive change and manage operations Ensure risks associated with business activities are effectively identified, measured, monitored and controlled within accordance with compliance policies and procedures What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Accounts Receivable (AR), Claims Analysis, Claims Management, Claims Processing, Claims Resolution, Claims Submission, Documentations, Financial Processing, Health Insurance, Insurance Claim Handling, Insurance Claims Processing, Insurance Industry, Medicare Advantage, People Management, Recruiting
    $98.1k-156.9k yearly Auto-Apply 6d ago
  • Director, Payment Integrity - Coordination of Benefits and Data Mining

    Blue Cross Nc 4.8company rating

    Remote job

    Direct, manage and lead highly complex functional and/or broad foundational business areas within Payment Integrity to define and enable strategic and operational priorities. Lead and set goals for teams responsible for identifying, coordinating, and implementing initiatives/projects and activities that create efficiencies, optimize systems & processes, promote quality, and maximize medical and administrative expense savings. Teams may include Payment Integrity strategy and growth, operations, payment integrity clinical and specialty programs, and/or multiple payment integrity services either performed by vendors or internally. Leadership Responsibilities People leadership Resource management Project planning and management Financial and data analysis What You'll Do Provide leadership, vision, and direction for assigned teams. Direct staff of subject matter experts and analysts to identify & execute growth business initiatives, while managing existing programs: production problem resolution, system enhancements, and configurations. Accountable to define and execute strategy to deliver year-over-year growth and achieve savings target(s) within the COB and Data Mining vertical. Ensure business plans and industry analysis, consider future needs and drive “best in-class" thinking. Builds understanding of market trends and customer needs. Identifies new operational initiatives and modifications to current programs and processes to improve the company's competitive position/increase medical expense savings. Demonstrates understanding of the financial levers that impact business performance and deploys them to improve short- and long-term results. Lead and oversee management and delivery of enterprise and departmental projects including business case development, ROI analysis, planning, business analysis, and project management. Lead and oversee optimization of existing systems, processes, and workflows. Ensure programs and operations are performing successfully and are compliant in accordance with regulations of State, Federal, and other governing bodies; ensures corrective action plans are implemented when applicable. Develop internal PI Provider Education program to enhance provider experience and focus on change in behavior. What You'll Bring Bachelor's Degree 10 years of experience managing multifunctional payment integrity teams In lieu of bachelor's degree, 12 years of experience as stated above Must have direct health plan experience 7 years leadership experience Preferred skills Extensive knowledge of coordination of benefit primacy rules for commercial and Medicare lines of business, including knowledge of MSP demand process Basic claim coding knowledge for better understanding of data mining concepts Experience with project and software life cycle management Experience with vendor management from an operational perspective Experience with vendor contract negotiations Understanding of claims adjudication systems and pricing configuration and architecture Coding and billing experience What You'll Get: The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $157,978.00 - $252,765.00 Skills
    $158k-252.8k yearly Auto-Apply 11d ago
  • Principal Financial Advisor

    Blue Cross Nc 4.8company rating

    Remote job

    The Principal Financial Advisor is a strategic finance leadership role at the intersection of analysis, business strategy, and transformation. This position goes beyond traditional finance-it's about shaping decisions that drive financial operational expenses and organizational success. You will serve as a trusted advisor to senior leadership, delivering insights that influence strategy, optimize performance, and create measurable impact. This is a high-impact role for a finance leader who combines analytical rigor, strategic thinking, and exceptional communication skills-supported by modern financial systems-to deliver innovation and value. What You'll Do Works directly with staff and senior leadership across the company to proactively identify, prioritize, optimize and implement financial strategies and create meaningful and actionable outputs that drive the development of multi-year financial plans aligned to the company's overall strategic goals Proactively identify, evaluate, and implement financial strategies and plans, leveraging customer and consumer insights to drive business outcomes and maximize ROI, reducing risk and exposure and enable Blue Cross NC to meet growth and cost containment goals. Supports the development of corporate strategic positions on behalf of senior leadership and represents those positions internally and externally including financial modeling and development of executive presentations Builds and manages relationships and collaborates with both internal and external partners to drive highly complex financial analyses focused on significant business strategies and opportunities with substantial levels of importance and visibility Leads annual and long-term financial planning efforts and analyses; provides thought leadership at a divisional, cross-divisional, and enterprise level; prepares and presents results to executive leadership. Drives financial innovation and stewardship through collaboration and consultation with internal stakeholders to identify, plan and execute initiatives with significant financial impact. Partners with internal clients to better understand what problems they are trying to solve, help them articulate their vision and define financial impacts and success. Provides methods and resources to support their execution of those plans and quantification and realization of benefits Utilizes expertise to identify operational improvements and leads the development of new ideas to understand, estimate and minimize the financial impact of existing or emerging issues the business faces. Evaluates those ideas to determine viability and opportunity for success and follows through from implementation to value realization What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points Workday, Adaptive Planning, and OfficeConnect experience a plus What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $98,092.00 - $156,947.00 Skills Finance, Finance Strategy, Financial Advising, Financial Analysis, Financial Execution, Financial Planning and Analysis (FP&A), Operational Process Improvements, Portfolio Management, Process Improvements, Resource Management, Strategic Planning, Strategic Thinking, Strategy Development, Wealth Management
    $98.1k-156.9k yearly Auto-Apply 5d ago
  • Principal Developer

    Blue Cross Nc 4.8company rating

    Remote job

    This is your chance to radically change the game and use your strong technical skills to transform healthcare. You'll be the subject matter expert on assigned projects, leading the work of an agile, high energy and innovative team responsible for the design, development, testing and support of our complex on premise and cloud based software, system and/or information solutions. What You'll Do Act as a technical expert/resource for the team and business partners while leading the analysis, design and development of high volume, low latency applications for mission critical systems delivering high-availability and performance to best meet customer needs. Independently write well designed, testable, efficient code to support varied and highly complex IT solutions Provide technical leadership to other IT specialists to rapidly develop and deliver stunning solutions that meet changing business needs. Perform all necessary discovery and fact finding to fully understand highly complex business problems and opportunities and independently execute all assignments. Evaluate options to provide solution buy vs. build recommendations to management. Independently analyze and recommend solutions to development and production issues while effectively communicating to the project team, applicable vendors and/or the manager in a timely manner. Research and stay abreast of technology trends and IT best practices, with a focus on continuous learning and possible application to the business. Regularly act in a project lead capacity and/or represent the department on enterprise-wise project teams. Provide direction and assistance to less experienced team members and may oversee or coordinate work efforts as needed. Assist management with employee development initiatives, including training. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points Strong experience in Java, Message Queuing (MQ), and database technologies Proficiency in database design and query optimization Familiarity with DevOps practices and experience migrating applications to OpenShift and AWS Ability to learn quickly, adapt to new technologies, and integrate effectively into the team What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $130,560.00 - $208,896.00 Skills
    $130.6k-208.9k yearly Auto-Apply 3d ago
  • AVP, Special Investigations Unit

    Blue Cross Nc 4.8company rating

    Remote job

    The AVP Special Investigations Unit (SIU) is responsible for overseeing and managing fraud, waste, and abuse (FWA) detection, investigation, and prevention efforts to safeguard the organization's assets and reduce healthcare costs. This requires demonstrating vision in positioning the SIU with the right skill sets, cutting edge analytics tools, and robust processes to identify FWA schemes and direct investigations to resolve issues effectively and efficiently. The AVP will develop strategies to create and maintain an organization that has the flexibility, knowledge, business acumen, and capacity to successfully address the dynamic space of FWA. This role involves leading a matrixed team of investigators, analysts, and clinical/coding subject matter experts, working closely with internal and external stakeholders and ensuring compliance with regulatory requirements. The AVP SIU also will coordinate closely within the Payment Integrity team to flag (i.e., pend, review) suspect providers and develop pre-and post-payment approaches to the challenges of FWA. The AVP SIU requires externally facing credibility and leadership to collaborate with government regulators and the Blue Cross Blue Shield Association in connection with FWA investigation and reporting. What You'll Do Leadership: Lead and mentor a team of fraud investigators, analysts, and other staff, providing guidance and support in fraud detection, prevention, and recovery efforts. Establish team goals, monitor performance, and ensure alignment with organizational objectives. Collaborate internally with other departments to create and maintain a seamless claims payment integrity program. Serve as liaison with other key departments (Medical Management, Network Management, Data Analytics, Claims & Enrollment Operations) to develop, monitor, and update respective roles, responsibilities, and strategies related to claims payment integrity activities. Fraud Detection and Prevention: Work closely with analytics teams to contribute to the development of fraud detection strategies using data analytics, machine learning, and other advanced techniques to identify patterns of fraudulent behavior. Conduct risk assessments to identify vulnerabilities in the organization's processes and implement measures to mitigate these risks. Design and manage proactive fraud prevention programs to minimize exposure to fraudulent activities. Investigation Management: Oversee the management of the SIU's intake and investigative procedures and coordinate with Payment Integrity's prepayment analysts including workflow, productivity, accuracy, timeliness, and interaction with SIU and other Blue Cross NC staff members across the organization Ensure timely and accurate reporting of investigation findings and coordinate with legal, healthcare, and data teams to take appropriate action. Collaborate with law enforcement agencies, regulatory bodies, and external partners during investigations. Prepare comprehensive reports summarizing investigation outcomes, risk assessments, and fraud trends. Liaison with Blue Cross NC Legal department on all SIU/Legal interactions including communications with provider attorneys and determinations in the pursuit of criminal and civil actions. Compliance and Regulatory Adherence: Ensure all fraud investigation and prevention activities comply with state, federal, and industry regulations. Stay informed about changes in laws, regulations, and industry practices related to healthcare fraud. Assist in preparing documentation for audits, compliance reviews, and regulatory inquiries. As a critical component of the organization's Compliance Program, support law enforcement in the prosecution of unlawful activity directed against corporate and customer assets. Establish and maintain working relationships with governmental law enforcement agencies. Lead the development and delivery of educational awareness and training programs for the organization as part of the annual Code of Conduct training. Skills: Strong leadership and team management ability Excellent communication and presentation skills. Ability to work cross-functionally with various teams and external partners. What You Bring: Minimum 7+ years of experience in healthcare fraud detection, investigation, or auditing Bachelor's degree preferred in healthcare administration, finance, criminal justice, or related field/specialized training/relevant professional qualification. In-depth knowledge of healthcare systems claims processing, coding/reimbursement, and regulatory requirements related to healthcare fraud. Minimum 5+ years in a leadership role. Bonus Points (preferred qualifications) : Relevant certifications (e.g., Certified Fraud Examiner (CFE), accredited healthcare fraud investigator (AHFI) What You'll Get: The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $191,153.00 - $305,845.00 Skills
    $104k-138k yearly est. Auto-Apply 11d ago
  • Compliance Specialist

    World Insurance Associates 4.0company rating

    World Insurance Associates job in Santa Barbara, CA or remote

    Objective, Typical Duties and Responsibilities We're currently seeking a Compliance Specialist to support the firm's Compliance Program. You will report to Manager-Compliance Operations Develop and manage a Compliance Department activity reporting system. Represent the compliance department in resolving issues involving new accounts set up with Operations and Accounting departments. Monitor general department email inboxes and/or department ticketing system reports to assure timely response or escalation if necessary to inquiries and information received. Provide support, education, and guidance to Financial Representatives and their staff as it relates to business processes, firm policies and procedures, industry rules, and other general inquiries. Assist management and other compliance personnel with the completion of various projects and testing. Other duties as assigned. Position Requirements Bachelor's degree (B.A./B.S.) in a related discipline required. Minimum two (2) years of Compliance and/or regulatory experience within both RIA and broker-dealer business segments., Series 7, 24 (or 26), 63, 65 (or 66), Series 53 (or 51), and Life, Health, & Variable Annuity Insurance Licenses (or the ability to obtain within 120 days of hire). Strong working knowledge of both brokerage and investment advisory business concerning the regulatory framework in which they operate. A deep understanding of industry rules governing supervision, suitability, and registrations. Excellent technology and communication skills Ability to work independently to manage time and prioritize tasks efficiently. Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance. The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes. Preference Given to Candidates with the Following Qualifications: Have previous experience with and a thorough understanding of regulatory requirements under Reg-BI and PTE 2020-02. Already hold a Life, Health, & Variable Annuity license. Compensation The salary for this position generally ranges between $75,000-90,000. This range is an estimate, based on candidate qualifications and operational needs. The firm also has a bonus program. Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Perks & Benefits (continued) Vision Insurance Life Insurance Flexible Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy Remote Work Opportunity About World Investment Advisors As part of World Insurance Associates, LLC World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier wealth management and retirement plan investment advisory services to individuals, high net worth families and employers. Stimulating Environment At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World? Great company culture with an awesome team-oriented atmosphere! Mentorship Opportunities Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.) Professional growth opportunities Friendly and collaborative work environment Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. To Executive Search Firms and Staffing Agencies: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-GP1 #LI-REMOTE
    $75k-90k yearly Auto-Apply 60d+ ago
  • Episodic Care Manager - Behavioral Health

    Blue Cross Nc 4.8company rating

    Remote job

    We're seeking an Episodic Care Manager to join our Behavioral Health Team! The Episodic Care Manager is responsible for performing clinical reviews to assess, facilitate, and coordinate the delivery of health care services for members based on medical necessity and contractual benefits. Effectively coordinate with providers, members, and internal staff to support the delivery of high quality and cost-effective care across the health care system. What You'll Do Clinical Evaluation and Review Receive assigned cases for varied member services (i.e. inpatient, outpatient, DME) Review and evaluate cases for medical necessity against medical policy, benefits and/or care guidelines and regulations. Complete work in accordance with timeliness, production, clinical quality/accuracy and compliance standards Provide notifications to member and/or provider, according to regulatory requirements. Assess appropriateness for secondary case review by the Medical Director (MD) for denials and coordinate as needed. May coordinate peer-to-peer review upon provider request when members' health conditions do not meet guidelines Collaboration and Documentation Communicate and collaborate effectively with internal and external clinical/non-clinical staff (including MDs) to coordinate work Appropriately and fully document outcome of reviews and demonstrate the ability to interpret and analyze clinical information Utilize detailed clinical knowledge to summarize clinical review against the criteria/guidelines to provide necessary information for MDs. What You Bring RN with 3 years of clinical experience or LPN with 5 years of clinical experience. For Behavioral Health specific roles, other applicable licensure may be considered with a minimum of 3 years of clinical experience. Must have and maintain a valid and applicable clinical license (NC or compact multi-state licensure) to perform described job duties. Bonus Points (Preferred qualifications) Previous experience with utilization management in Behavioral Health strongly preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $73,698.00 - $117,917.00 Skills Clinical Analysis, Clinical Documentation Review, Clinical Evaluations, Clinical Experience, Clinical Knowledge, Clinical Review, Decision Making, Medical Care, Medical Information, Medical Review, Medicare, Patient Care, Patient Evaluations
    $73.7k-117.9k yearly Auto-Apply 5d ago
  • Client Service Representative - Small Business

    World Insurance Associates 4.0company rating

    World Insurance Associates job in Columbus, OH

    World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Primary Responsibilities Primary Activities Set up and maintain accurate account details, contacts, and policy information in EPIC, CSR24, and Indio as applicable throughout the renewal process Coordination of loss runs & experience modifications as applicable Draft carrier submissions Support obtaining client online portal quotes Draft client proposals Leverage templates and system generated letters and forms to produce standard communications to clients and carriers, including BOR, client pre-renewal letters, proposal letters, etc. Attach, organize, and name documents in EPIC Create activities in EPIC and assign to applicable team member Ensure renewals are processed accurately and key data elements are managed appropriately Delivers audits to clients upon receipt Supports point of Escalation for Client Administration Call Center for the Following Activities (coordinated with outsourced services): Respond to client requests for changes Process endorsement with carriers or escalate for quotation of new lines of business or complex changes Follow-up for and deliver endorsements to clients upon receipt Respond to client requests for cancellation and escalate internally Coordinates the delivery of Proofs of Insurance Responds to client billing / payment questions Coordination of claim escalation Position Specific Skills/Qualifications Work Experience 3+ years' experience in Commercial Property & Casualty with a comprehensive understanding of insurance coverages Professional Licenses/Certifications Must hold state Property & Casualty insurance license Essential Skills/Competencies Functional knowledge of Excel specific to creating, formatting, and evaluating formulas and working within templates. Must be skilled in Excel, Word, and other MS Office products. Able to understand new technology platforms quickly. Proficient in agency management systems (EPIC) and carrier sites Hands on personal approach to customer service. Maintains effective relationships with clients, co-workers, and colleagues. Maintains effective relationships with clients, co-workers, and colleagues. Viewed as a team player and is cooperative and collaborative Has an understanding of guaranteed cost program design and coverage forms. Able to provide consultation of coverage needs. Strong written, oral, and interpersonal communication skills. Sets to achieve day-to-day objectives within the context of specified solutions. Develops and implements work plans for completing projects. Able to solve routine problems. Able to develop short- and long-term strategies that have high impact on client/prospects and the business. Anticipates obstacles and identifies ways to overcome them. Provides resolution to a diverse range of problems. Uses critical thinking to identify key barriers to resolve complex situations. Able to solve complex problems by taking a new perspective using standard product/service. Education College degree is preferred. Physical Demands & Working Conditions Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #LI-HZ1
    $33k-40k yearly est. Auto-Apply 12d ago
  • Commercial Lines Broking Specialist, Transportation

    World Insurance Associates, LLC 4.0company rating

    World Insurance Associates, LLC job in Eatontown, NJ or remote

    Job Description World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 260 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our multiple offices throughout the region. Primary Responsibilities Collaborate with colleagues to facilitate the movement of business to partner carriers Run reports with specific parameters Review existing books of business for purpose of consolidation Regular discussion with partner carriers Responsible for independently managing assigned projects with partner carriers Distribute carrier quotes to servicers Regular follow ups/communication with servicers on bind status Negotiate coverage/premium on quotes with carriers Bind business including processing payments Tracking results of business movement Managing and meeting monthly production goals Qualifications Property & Casualty, Commercial Lines licensed at least 5 years Strong knowledge in commercial lines servicing experience including remarketing and new business placement. Expertise in Middle Market Accounts, Specialty P&C Market Segments including Surplus Lines Strong functional knowledge of Excel specific to creating, formatting, and evaluating formulas and working within spreadsheets. Must be proficient in Excel, Word, and other MS Office products Applied/Epic or similar agency management software experience, preferred. Strong organizational skills, ability to work in a fast-paced environment with minimal instruction and a high degree of accuracy and attention to detail. Maintain effective relationships with co-workers, and trading partners. Ability to work in a team environment Able to work independently and enjoy a high degree of interaction with team members. Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines. Demonstrate effective written and verbal communication, including the ability actively listen, and problem solve with minimal assistance. The ability to multitask, prioritize, work independently, and use discretion surrounding sensitive information. Ability to maintain a professional demeanor and positive attitude Compensation This position is located in New Jersey.. The base salary for this position at the time of this posting may range from $75,000 to $80,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Compensation This is a remote position with a competitive benefits package. The base salary ranges from $75,000 to $80,000, with bonus eligibility. Actual compensation will depend on experience, qualifications, and business needs. Learn more about our careers at: **************************************. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MA1 Powered by JazzHR vr Hsl0omz6
    $75k-80k yearly 9d ago
  • Senior Program Manager, Maternal Health

    Blue Cross Nc 4.8company rating

    Remote job

    Leads and manages the strategic and operational aspects of complex initiatives for the maternal health program. Leads and coordinates the cross-functional maternal health workgroup to meet program goals and accreditation requirements. Collaborates closely with project team members, business owners and sponsors to develop, implement and monitor initiatives. What You'll Do Gathers input from across the enterprise, division, community, members and through competitive intelligence to identify opportunities, assess needs and develop strategic design of solutions. Ensures alignment of solutions across the enterprise. Develops business cases, strategy concept designs and program requirements. Serves as a subject matter expert, routinely briefing leaders and key stakeholders on program goals and initiatives. Develops project plans and recommendations in support of compliance objectives and leads implementation. Tracks and reports on the status of projects. Assesses project risks, develops mitigation and contingency plans. Identifies analyzes and understands target audiences and their specific program needs. Develops and deploys marketing strategy to increase member engagement in maternal health programs. Leads vendor identification, evaluation, selection and contract negotiations for new vendor relationships. Manages and coordinates activities, analyzes datasets and writes population health reports to meet NCQA accreditation requirements. Establishes and monitors performance metrics and goals for assigned programs, including process measures, outcomes measures, financial measures and methodologies for implementing programs. Documents and presents program results through operational reports, outcomes studies and presentations. Owns and makes needed decisions to ensure the successful resolution of issues within the program to achieve milestones and program deliverables. Incorporates evaluation planning into the overall strategy. Establishes key performance indicators for programs, including process measures, outcomes measures and financial measures. Ensure program is designed in such a way that these metrics can be collected and monitored. What You'll Bring Bachelor's degree or advanced degree (where required) 5+ years of experience in related field (strategic planning and program management) In lieu of degree, 7+ years of experience in related field Bonus Points Clinical experience in maternal health Health Plan experience preferred What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community Work-life balance, flexibility, and the autonomy to do great work Medical, dental, and vision coverage along with numerous health and wellness programs Parental leave and support plus adoption and surrogacy assistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution Learn more Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $89,174.00 - $142,679.00 Skills
    $89.2k-142.7k yearly Auto-Apply 3d ago
  • Director of Finance, Financial Services

    World Insurance Associates 4.0company rating

    World Insurance Associates job in Santa Barbara, CA or remote

    Objective World Investment Advisors is currently seeking a Director of Finance to provide strategic financial leadership and oversight to drive the financial health and performance of the organization. The Director of Finance will be responsible for developing and implementing financial strategies, managing budgeting and forecasting processes, ensuring compliance with regulatory standards, and delivering data-driven insights to support executive decision-making. This role will play a key part in optimizing capital structure, enhancing profitability, and supporting sustainable growth within the dynamic landscape of the financial services industry. Typical Duties and Responsibilities Creating forecasts that get updated on a regular basis (e.g., each month or maybe 1x/quarter). Running point on creating the budget each year Building the templates and/or implementing the tools to obtain input from unit leaders, department heads, etc. Loading the data into NetSuite once the budget is complete Meeting with unit leaders and/or department heads to review their budgets Provide detailed analysis/write-up on budget vs. actual each month Review reported results vs. budget to identify variances Meet with unit leaders and/or department heads to review variances (both positive and negative) Identify opportunities to either grow revenue or improve margins Prepare board materials to support Renae/Troy when they meet with the board Work with accounting to identify ways to improve analytical reporting capabilities E.g., review results with Controller to identify any data anomalies Work with colleagues to transition new acquisitions into “standard FPA process” for forecasting and reviewing budget vs. actual Identify data sources that we can leverage to improve analytical capabilities Support Accounting team with miscellaneous projects Participate in the M&A process to help evaluate acquisition targets Position Requirements A Bachelor's degree in accounting, or a Bachelor's degree in business with emphasis in accounting, is required. Degree(s) must be from a credible college or university Excellent technology and communication skills Ability to work independently to manage time and prioritize tasks efficiently. Be a motivated self-starter who can make thoughtful, deliberate decisions with minimal assistance. The desire to be an enthusiastic, cooperative team player who is always seeking ways to improve processes. Compensation The salary for this position generally ranges between $170,000-$180,000. This range is an estimate, based on candidate qualifications and operational needs. The position will also be eligible for up to a 15% annual bonus. Perks & Benefits 401(k) with Employer Match Health Insurance (with HSA option) Dental Insurance Vision Insurance Life Insurance Flexible Paid Time Off Policy Flexible Spending Account (FSA) Healthy Work/Life Balance Maternity/Paternity Leave Policy Remote Work Opportunity About World Investment Advisors As part of World Insurance Associates, World Investment Advisors is a nationally recognized financial services firm dedicated to providing the industry's premier wealth management and retirement plan investment advisory services to individuals, high net worth families and employers. Collectively, WIA and its affiliates advise pm $76B assets 1 across 65 offices and 310 team members. Stimulating Environment At World Investment Advisors, we strive to provide a challenging, stimulating environment for the best and brightest in the industry. We believe our employees can best serve our clients and advisors in an atmosphere where individuals are treated fairly, where professional growth is fostered and encouraged, and where a healthy balance between work and home life is respected and preserved. We promote a friendly and collaborative work environment. We are motivated by team camaraderie and are obsessed with doing the right thing for our plan sponsor clients and their plan participants. Team-Oriented Professionals typically work together in teams with multiple people from different departments to meet our clients' needs. Our junior staff works with their team members to develop the skills and knowledge to succeed and assume more senior level positions as they progress at our firm. We welcome team members from different backgrounds with different perspectives to help us innovate and make a difference for our customers and our communities. Why World? Great company culture with an awesome team-oriented atmosphere! Mentorship Opportunities Ability to serve on different internal steering committees (Charitable Giving, DEI, Social, etc.) Professional growth opportunities Friendly and collaborative work environment Employee perks including fun team building opportunities, yoga/wellness, charitable giving/volunteering World Investment Advisors is an equal opportunity employer. We believe the most effective way to attract, develop and retain a diverse workforce is to build an enduring culture of inclusion and belonging. World is committed to equality and deeply believes in diversity in sexual orientation, gender, race, religion, ethnicity and other qualities that makes us all different. 1 As of December 31, 2023, the WIA network of advisors and firms collectively provides support to over $55.4 billion in assets across a variety of channels including investment management and retirement plan consulting services. This includes regulatory assets under management (AUM) of over $24.5 billion TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department.
    $170k-180k yearly Auto-Apply 60d+ ago
  • Manager, IT Category Management

    Blue Cross Nc 4.8company rating

    Remote job

    The Manager, IT Category Management, is responsible for directing all sourcing and vendor contracting activities within the assigned categories. This role supervises staff engaged in the sourcing process for high-value and complex goods, services, or projects and initiatives. The incumbent focuses on reducing organizational costs by implementing effective sourcing strategies, tools, and processes. Coordination with third-party vendors, business owners, and the legal team is essential for the preparation, analysis, and negotiation of vendor contracts. Additionally, this position supports business owners across all functional areas in technology vendor selection and ensures that vendor obligations are documented in alignment with business requirements. What You'll Do Manage staff responsible for the development and execution of sourcing strategies in one or more technology categories. Direct and train staff in conducting sourcing events, including development of project work plan, category profile, category strategy, minimum requirements and evaluation criteria, solicitation Guide staff in the development and implementation assorted bid documents and requests (i.e. RFP, RFI, RFQ); and manage status reporting and performance metrics of sourcing and category management activities. Understand, analyze and forecast complex market and industry dynamics and share subject matter expertise and industry knowledge within the established portfolio of products and services Partner with stakeholders to develop business and sourcing strategy and source products and services using proven tools, processes, and analytics to drive and achieve business results. Coordinate the evaluation and analyses of sourcing results from a total cost of ownership perspective, and provide optimization recommendations Lead cross-functional teams responsible for complex vendor negotiations, including those that require specialized subject matter expertise, nonstandard risk mitigation solutions, and coordination of multiple arrangements. Proactively establish and foster successful, positive working relationships with vendor personnel. Drive vendor engagement through formal and informal transactions. Manage contract management function and facilitate effective collaboration with Corporate Compliance, Legal, Audit and Risk Management and other internal stakeholders for compliance activities to ensure regulatory conditions are met. Develop new procedures, training, initiatives, specifications and recommendations for process or policy changes and improvements, as appropriate. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. Bonus Points 8+ years Technology procurement experience Highly Preferred Procurement experience at a healthcare company Highly Preferred Procurement experience with key vendors including IBM, Microsoft, Salesforce, ServiceNow, Cognizant, Accenture, NTT Data and HCL Technologies Experience purchasing hardware and software through Value Added Resellers What You'll Get The opportunity to work at the cutting edge of health care delivery with a team that's deeply invested in the community. Work-life balance, flexibility, and the autonomy to do great work. Medical, dental, and vision coverage along with numerous health and wellness programs. Parental leave and support plus adoption and surrogacy assistance. Career development programs and tuition reimbursement for continued education. 401k match including an annual company contribution Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs. Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $107,901.00 - $172,642.00 Skills IT Procurement, Negotiation, Strategic Sourcing, Vendor Procurement
    $107.9k-172.6k yearly Auto-Apply 5d ago
  • Client Service Representative - Small Business

    World Insurance Associates, LLC 4.0company rating

    World Insurance Associates, LLC job in Columbus, OH

    World Insurance Associates (“World”) is a unique financial services organization with a global network of brokers and specialists who empower people to make informed decisions to improve their risk management outcomes, modernize their benefits programs, and help them achieve their long-term financial goals. Founded in 2011, World is one of the fastest-growing, Top 25 insurance brokers in the U.S. with nearly 3,000 employees in more than 300 offices across North America and the U.K. World specializes in personal and commercial insurance, surety and fidelity bonding, employee and executive benefits, investment advisory and retirement plan services, and payroll & HR solutions. Primary Responsibilities Primary Activities Set up and maintain accurate account details, contacts, and policy information in EPIC, CSR24, and Indio as applicable throughout the renewal process Coordination of loss runs & experience modifications as applicable Draft carrier submissions Support obtaining client online portal quotes Draft client proposals Leverage templates and system generated letters and forms to produce standard communications to clients and carriers, including BOR, client pre-renewal letters, proposal letters, etc. Attach, organize, and name documents in EPIC Create activities in EPIC and assign to applicable team member Ensure renewals are processed accurately and key data elements are managed appropriately Delivers audits to clients upon receipt Supports point of Escalation for Client Administration Call Center for the Following Activities (coordinated with outsourced services): Respond to client requests for changes Process endorsement with carriers or escalate for quotation of new lines of business or complex changes Follow-up for and deliver endorsements to clients upon receipt Respond to client requests for cancellation and escalate internally Coordinates the delivery of Proofs of Insurance Responds to client billing / payment questions Coordination of claim escalation Position Specific Skills/Qualifications Work Experience 3+ years' experience in Commercial Property & Casualty with a comprehensive understanding of insurance coverages Professional Licenses/Certifications Must hold state Property & Casualty insurance license Essential Skills/Competencies Functional knowledge of Excel specific to creating, formatting, and evaluating formulas and working within templates. Must be skilled in Excel, Word, and other MS Office products. Able to understand new technology platforms quickly. Proficient in agency management systems (EPIC) and carrier sites Hands on personal approach to customer service. Maintains effective relationships with clients, co-workers, and colleagues. Maintains effective relationships with clients, co-workers, and colleagues. Viewed as a team player and is cooperative and collaborative Has an understanding of guaranteed cost program design and coverage forms. Able to provide consultation of coverage needs. Strong written, oral, and interpersonal communication skills. Sets to achieve day-to-day objectives within the context of specified solutions. Develops and implements work plans for completing projects. Able to solve routine problems. Able to develop short- and long-term strategies that have high impact on client/prospects and the business. Anticipates obstacles and identifies ways to overcome them. Provides resolution to a diverse range of problems. Uses critical thinking to identify key barriers to resolve complex situations. Able to solve complex problems by taking a new perspective using standard product/service. Education College degree is preferred. Physical Demands & Working Conditions Office work involves working at a desk most of the time, using a stand-up/sit-down adjustable desk. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects. Typing, grasping, and repetitive motion typically is required every day, and walking and standing are required occasionally. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #LI-HZ1 Powered by JazzHR RwdVpStt19
    $33k-40k yearly est. 12d ago
  • Commercial Lines Senior Client Manager - Iselin, NJ

    World Insurance Associates, LLC 4.0company rating

    World Insurance Associates, LLC job in Iselin, NJ or remote

    Job Description World Insurance Associates is a unique insurance organization offering top products and services from major providers, combined with attentive service from local agents. Founded in 2011, World is one of the fastest-growing insurance brokers in the U.S. with over 2,200 employees in over 260 offices across North America. We specialize in personal and commercial insurance lines, surety and bonding, employee benefits, financial and retirement services, and human capital management solutions. Our rapid growth and market leading presence has created opportunities throughout the state and we offer top talent the choice to work from one of our multiple offices throughout the region. Position Overview The Commercial Lines Senior Client Manager will play an integral role in driving our mission to deliver excellence in client management and retention. Primary Responsibilities Effectively managing a high volume book of Insurance business, ensuring all required tasks are completed accurately and on-time Growing client loyalty by building positive relationships and providing high levels of advocacy, excellent service, and professional communication Handling renewals, service requests, claims, billing and new policies Maintain a thorough understanding of the markets and their appetites, underwriting guidelines, submitting and procedures Review all applications, policies, endorsements and audits for accuracy Coordinate expiration list with department manager to obtain renewal business information Qualifications Bachelor's degree or equivalent work experience, preferred Three years minimum Commercial Account Management experience required Property & Casualty License required Valid driver's license and insurance, required Possess strong administrative and computing skills, including Microsoft Office (Word, Excel and Power Point) Applied/Epic or similar agency management software experience, preferred. Able to work independently and enjoy a high degree of interaction with team members. Self-motivated and driven. Maintain a sense of urgency and ability to work with and meet deadlines. Demonstrate effective written and verbal communication, including the ability to actively listen, and problem solve with minimal assistance. The ability to multi task, prioritize, work independently, and use discretion surrounding sensitive information. Ability to maintain a professional demeanor and positive attitude This position is located in New Jersey. The base salary for this position at the time of this posting may range from $75,000 to $80,000. Individual compensation varies based on job-related factors, including business needs, experience, level of responsibility, and qualifications. We offer a competitive benefits package and variable pay programs, please visit ************************************** for more details. Equal Employment Opportunity At World Insurance Associates (WIA), we celebrate and support our differences. We know employing a team rich in diverse thoughts, experiences, and opinions allows our employees, our products, and our community to flourish. WIA is honored to be an equal opportunity workplace. We are dedicated to equal employment opportunities regardless of race, color, ancestry, religion, sex, national orientation, age, citizenship, marital status, disability, gender identity, sexual orientation, or Veteran status. In addition, WIA makes reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant or employee with a disability, unless the accommodation would impose an undue hardship on the operation of our business. Compensation This is a remote position with a competitive benefits package. The base salary ranges from $65,000 to $75,000, with bonus eligibility. Actual compensation will depend on experience, qualifications, and business needs. Learn more about our careers at: **************************************. TO EXECUTIVE SEARCH FIRMS AND STAFFING AGENCIES: World does not accept unsolicited resumes from any agencies that have not signed a mutual service agreement. All unsolicited resumes will be considered World's property, and World will not be obligated to pay a referral fee. This includes resumes submitted directly to Hiring Managers without contacting World's Human Resources Talent Department. #LI-MA1 Powered by JazzHR mp HidQu5od
    $75k-80k yearly 6d ago

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World Insurance Associates may also be known as or be related to World Insurance Associates, World Insurance Associates LLC and World Insurance Associates, Llc.