6 Anthem jobs in Marion County

Crop Insurance Claims Adjuster, Indianapolis, Indiana

American Farm Bureau Insurance Services, Inc. (AFBIS, Inc.) is looking for a Crop Insurance Claims Adjuster to work remotely in Indianapolis, Indiana and the surrounding area. As a member of our Claims Team, you will be responsible for performing loss adjustment, pre-acceptance and quality control activities for Crop Hail and Federally Reinsured Crop Insurance products.

If you are an experienced Claims Adjuster or if you have an interest in agriculture and enjoy helping people, this might be a great opportunity for you.

Reporting to the Claims Supervisor, the Crop Insurance Claims Adjuster will be responsible for:

• Communicating directly and following up with insureds to perform loss adjustments, pre-acceptance or quality control inspections to gather facts involved with the settlement of reported claims or inspections.
• Staying abreast of crop insurance industry procedures relating to proper adjustment of claims.
• Analyzing and making recommendations for enhancements for company software products to assure compliance with company and RMA procedures.
• Performing claim audits and reviews.

What you will bring to this position:

• A Bachelor's degree and/or 2+ years of claims adjusting experience.
• Crop insurance experience with emphasis in the claims area.
• Knowledge of Crop Hail and Multi-Peril Insurance Policies forms, endorsements, and approved claims adjusting procedures.
• Knowledge of farming practices and crops typical to the territory.
• The ability to obtain and/or maintain the required adjuster certifications and licenses.
• A valid driver's license.
• The Ability to read, analyze, and interpret policy information and applicable procedures.
• Computer skills including but not limited to Microsoft word and excel.
• Excellent verbal, written, and interpersonal communication skills.
• Effective problem-solving, critical thinking, analytical, organizational, multitasking, and time management skills.

Essential Functions and Physical Demands:

• Ability to drive for extended periods of time.
• Primary territory includes the home state and adjourning states which requires some overnight travel.
• Must be willing to travel and accept assignments in any state serviced by AFBIS.
• Climbing grain bins or other storage structures and walking on uneven ground in field adjusting crops.

The expected starting salary range for this position is between $50,000 and $75,000. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law.

We do not sponsor employment visas and are unable to take over an employment visa from another employer. Applicants must be authorized to work in the U.S. for ANY employer without the need for employment visa sponsorship.

AFBIS offers a competitive benefits package that includes medical, dental, vision, life, and disability insurance; company funded cash balance pension and a 401(k) retirement plan; Flexible Spending and Health Savings Accounts; paid holidays, vacation, and sick time; Employee Assistance Program; and other benefits.

The **Behavioral Health Clinical Consultant** serves as a clinical resource for the investigation and assessment of medical information regarding disability by providing comprehensive medical reviews and analysis of long-term and or short-term disability claims. The Behavioral Health Clinical Consultant identifies restrictions, limitations and duration impacting functional capacity based on medical data, to assist the Case Managers in determining claim liability. The Behavioral Health Clinical Consultant collaborates with treating providers to assist individuals to obtain appropriate care and ensure optimal treatment outcomes and acts with urgency and ownership to resolve customer issues and prioritize the customer experience.
**You are:**
A highly motivated and reliable individual who can work with varying levels of supervision- independently or collaboratively. You are detail-oriented and a decisive decision maker who can manage multiple priorities at the same time.
**You have**
+ A minimum of 5 years in direct patient care settings
+ BSN with strong Behavioral Health background preferred. Will consider LCSW or other licensed Behavioral Health professional with disability experience.
+ Excellent verbal and written communication skills and presentation skills
+ Ability to exercise independent & sound judgment in decision making
+ Strong problem-solving, analytical, clinical, and information research skills
+ Excellent time management & organizational skills
+ Demonstrated ability to multi-task with the ability to manage continually changing priorities and the ability to prioritize work based on customer service needs and departmental regulations
+ The ability to remain flexible due to changing business needs
+ Strong knowledge of medical conditions and how they apply to disability products
+ Professional oral, written and presentation skills
+ Strong PC skills, including Microsoft Office applications (MS Word, Excel, PowerPoint)
+ Knowledge of disability products, business rules and procedures, preferred
+ Experience with DCMS, Claim Facts, and iProcess preferred
+ Disability experience strongly preferred
**You will**
+ Review long-term and or short-term disability claims to assess the impact of claimants' medical condition on their function as well as the impact of their medical treatment in achieving improved functional outcomes.
+ Possess a strong clinical background to understand and apply rationale of how injury or illness may impact the individual's function.
+ Possess excellent verbal and written communication skills to gather and report information accurately, ask appropriate questions to facilitate partnership with treating providers, claimants, and internal partners to encourage participation of claimant in appropriate treatment goals.
+ Conduct analysis of claimant's current treatment plan and collaborate with health care providers and claimants to promote accountability for the appropriateness and status of treatment plan and length of disability.
+ Proactively contact treating providers to discuss treatment plans and clarify treatment and RTW goals. Educate providers and claimants on the positive impact of return to work to ensure improved functional status and medical outcomes.
+ Serve as a technical resource on the medical aspect of long-term and or short-term disability claims.
+ Identify opportunities to educate claim staff and peers on medical aspect of disability.
+ Provide ongoing training and mentoring to claims staff and peers regarding issues impacted by the nature of injury or illness and its impact on function in work or daily activities.
+ Work collaboratively with internal vocational rehab specialists in identifying opportunities for return to work.
+ Work to proactively identify and resolve customer issues, when possible, to enhance the customer experience.
+ Utilize independent vendors to perform independent medical assessments. Specifically define issues to be addressed or clarified by outside physician or provider and oversee quality of review.
+ Manage workflow efficiently, organize priorities, provide timely intervention, and implement continuous quality process improvement.
**Location**
+ This role is remote with occasional in office meetings as required by the people leaders.
**Salary Range:**
$67,450.00 - $110,815.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
**Our Promise**
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
**Inspire Well-Being**
As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._
**Equal Employment Opportunity**
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
**Accommodations**
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact .
**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .

The **Absence Case Management** **Team Leader** leads a team of Absence Management Case Managers to get results within their team and the organization. As the team lead you will support team members, guide goal achievement, present progress updates and ensure meeting standards. The Team Leader also assists staff with career development and progression while encouraging candor while challenging the status quo to improve the way we work. You will partner with internal cross functional areas for program direction, goal setting, service delivery and development of action plans and using bench strength.
In addition, the Team Leader will validate that all FML, STD, State, and PFL are accurately adjudicated according to plan provisions, established standard methodologies and within state and federal guidelines. The Team Leader will run and resolve issues that pertain to claim administration procedures, cost containment activities, reports, quality control and complex customer issues. The Team Leader will work with external customers/clients to enhance the overall experience for the customer while facilitating the overall functioning of the team then you will present to leadership on team status and performance.
You will
+ Partner with leadership to develop and communicate objectives and performance goals for the team.
+ Lead direct report performance by coordinating with HR to implement coaching plans and performance improvement plans.
+ Develop employee goals to promote career growth that enhance level of knowledge for future opportunities.
+ Collaborate with internal business partners including Short Term Disability, Long Term Disability, Service, Sales and Account Management, Group Quality Management, and other areas within the Company.
+ Create regular action plans based on results from employee engagement surveys - the Team Leader owns and acts on engagement survey results.
+ Review and analyze daily, weekly, and monthly reports on team productivity 1) for operational reporting and monitoring purposes; 2) to identify trends and training opportunities; and 3) to create action plans for improvement.
+ Review processes/reports regularly for process improvement opportunities.
+ Own relationship with client and get involved, when necessary, in meetings, phone calls, and keeping a tight loop on service issues.
+ Prioritize the customer/client experience in day-to-day interactions and processes.
+ Identify Continuous Improvement opportunities by reviewing process and eliminating unnecessary steps.
+ Empower staff to submit process improvement ideas to revise workflows and procedures.
+ Support claims initiatives by encouraging/providing relevant feedback and being an effective change leader for project rollouts.
+ Schedule and facilitate team meetings and individual touchpoints.
+ Mentor, coach, lead and develop talent by acting as a partner in recommending and coordinating training resources, tools, and plans for individuals to achieve personal and departmental goals and objectives.
+ Review claim staff QA/CMA assessments for training or enhancement opportunities.
+ Use data and analytics to improve or change business process.
You have
+ Bachelor's degree in related field and/or equivalent relevant disability work experience; integrated absence management preferred.
+ 3+ years of disability claims experience.
+ 3+ years of demonstrated leadership experience.
+ Extensive knowledge of disability products, business rules and procedures.
+ Familiarity with mandated state and federal regulations.
+ Professional oral, written and presentation skills.
+ Validated organizational and time management skills.
+ Excellent math proficiency and analytical skills.
+ Strong PC skills, including Microsoft Office applications.
Leadership Behaviors
Team Leadership
+ Hire, develop and retain top talent. Recognize and reward team members. Model leadership behavior and act as a servant leader to ensure team success. Communicate effectively with team, champion, and challenge changes with positivity. Own messaging and decision making. Lead team through ambiguity.
Problem Solving
+ Be creative and take calculated risks to achieve goals and results. Make mistakes and learn quickly from them, model this behavior for your team.
Customer/Client Focused
+ Act with vitality and ownership to resolve customer issues. Proactively identify and resolve issues when possible. Work to ensure self and team prioritize the customer experience.
Results Focused
+ Drive team to achieve results, focusing on desired outcomes. Action plan for team management despite operational challenges.
LOCATION
This is a remote position with preference given to candidates in close proximity to a Guardian office with minimal travel to other locations and conferences.
**Salary Range:**
$57,330.00 - $94,185.00
The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.
**Our Promise**
At Guardian, you'll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.
**Inspire Well-Being**
As part of Guardian's Purpose - to inspire well-being - we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at . _Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits._
**Equal Employment Opportunity**
Guardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.
**Accommodations**
Guardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact .
**Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.**
Every day, Guardian helps our 29 million customers realize their dreams through a range of insurance and financial products and services. Our Purpose, to inspire well-being, guides our dedication to the colleagues, consumers, and communities we serve. We know that people count, and we go above and beyond to prepare them for the life they want to live, focusing on their overall well-being - mind, body, and wallet. As one of the largest mutual insurance companies, we put our customers first. Behind every bright future is a GuardianTM. Learn more about Guardian at guardianlife.com .

**Description**
The Client Advocate is responsible for maintaining client relationships. The CA role has a strong connection to the client's business and a fundamental understanding of its industry. The Client Advocate contributes to and generates new opportunities with prospects by developing and closing on expanded business services, products and solutions with existing clients. Client Advocates assist in responding to RFPs, oral presentation and help make the pitch. Participation in RFPs may be required on some accounts. As a Client Advocate you should be comfortable with developing innovative solutions.
A Client Advocate (CA) will need to have:
+ Strong negotiation skills
+ Strong management skills (mentoring and leading ACAs)
+ Strong project management skills
+ Strong presentation skills
+ An advocate for change
Note: Employment-based non-immigrant visa sponsorship and/or assistance is not offered for this specific job opportunity.
**The Role**
As a senior member of the organization, you will have additional responsibility serving as:
+ A mentor to colleagues
+ A Subject Matter Expert for one or more lines of business and/or Industry Vertical and/or
+ A Team Leader
+ Contributes to new business opportunities for new clients and develops business opportunities with existing clients
+ Drives the RFP response process, including review, identification, and coordination of resources and expertise required, and ultimate document ownership
+ Engages with sales and broking to understand marketplace changes
+ Retains existing book of business and develop and strengthen client relationships - recognized as primary client relationship contact
+ Establishes comprehensive understanding of client's industry, business, and objectives
+ Provides strategic planning and consulting advice to clients; monitors insurance and risk management needs in collaboration with WTW resource, practice, and industry groups. Recommends appropriate solutions throughout the policy term (including acquisition due diligence)
+ Drives creation and delivery of E365 Plan and Client Stewardship report
+ Identifies, engages, and integrates delivery of all WTW internal resources to deliver on the client experience
+ Leads and mentors account team members
+ Maximizes the profitability and retention of their book of business
+ Negotiates, creates, and delivers fee/compensation agreements to clients
+ Informs client's insurance program design and strategy by working in conjunction with Broking to ensure utilization of appropriate analytical tools
+ Drives design and delivery of client presentations/proposals, client advocacy reports, client service plans and schedules
+ Drives the renewal process to establish and implement the client-specific renewal strategy. Collaborates with WTW resource, practice, and industry groups to develop and deliver renewal to clients.
+ Ensures Group policy requirements (legal, regulatory & compliance) are met
+ Other duties as identified and appropriate to ensure exceptional client experience
**Qualifications**
**The Responsibilities**
+ Targeted 10+ years of commercial Property & Casualty experience in a client facing role or demonstrated capabilities to complete role responsibilities
+ Able to apply knowledge of coverage forms in the analysis of program design, the identification of coverage gaps, and ongoing coverage consultation
+ Ability to interpret, analyze, and present analytical models
+ Relationship Management skills: able to leverage internal and external relationships to bring WTW resources and assets tailored to client needs; ability to drive conflict resolution
+ Negotiation skills: Ability to develop innovative and creative solutions to do complex deals, drive consensus across internal and external stakeholders to close deals and the ability to drive conflict resolution and secure concessions mitigating injury to client relationships
+ Business Acumen; knowledge of strategy, tactics, and solutions for the client, and/or in the marketplace
+ Knowledge of commercial insurance renewal end-to-end process, steps and owners
+ Excellent verbal and written communication skills; group presentation skills, ability to drive complex/technical conversations
+ Excellent project management skills: end-to-end oversight of large, complex, ambiguous, or multi-dimensional projects
+ Effectively advocates for change. Provides encouragement, takes control of team projects, leads key work areas, collaborates with others, provides clear guidance to ensure others fulfill roles effectively
+ Receptive to feedback; critical thinking and problem-solving skills, high adaptability
+ Intellectual curiosity to help develop innovative and creative ideas
+ Proficient Microsoft Office skills and familiarity with other relevant online tools
+ Must achieve and maintain insurance brokers P&C license and complete various continuing education activities as needed
+ Insurance industry designations preferred but not required (CPCU, ARM, CIC, CRIS, CRM)
**This position will remain posted for a minimum of three business days from the date posted or until a sufficient/appropriate candidate slate has been identified.**
**Compensation and Benefits**
Base salary range and benefits information for this position are being included in accordance with requirements of various state/local pay transparency legislation. Please note that salaries may vary for different individuals in the same role based on several factors, including but not limited to location of the role, individual competencies, education/professional certifications, qualifications/experience, performance in the role and potential for revenue generation.
**Compensation**
The base salary compensation range being offered for this role is $130,000 - $150,000 USD per year. This role is also eligible for an annual short-term incentive bonus.
**Company Benefits**
WTW provides a competitive benefit package which includes the following (eligibility requirements apply):
+ **Health and Welfare Benefits:** Medical (including prescription coverage), Dental, Vision, Health Savings Account, Commuter Account, Health Care and Dependent Care Flexible Spending Accounts, Group Accident, Group Critical Illness, Life Insurance, AD&D, Group Legal, Identify Theft Protection, Wellbeing Program and Work/Life Resources (including Employee Assistance Program)
+ **Leave Benefits:** Paid Holidays, Annual Paid Time Off (includes paid state/local paid leave where required), Short-Term Disability, Long-Term Disability, Other Leaves (e.g., Bereavement, FMLA, ADA, Jury Duty, Military Leave, and Parental and Adoption Leave), Paid Time Off ( **Retirement Benefits:** Contributory Pension Plan and Savings Plan (401k). All Level 38 and more senior roles may also be eligible for non-qualified Deferred Compensation and Deferred Savings Plans.
At WTW, we trust you to know your work and the people, tools and environment you need to be successful. The majority of our colleagues work in a "hybrid" style, with a mix of remote, in-person and in-office interactions dependent on the needs of the team, role and clients. Our flexibility is rooted in trust and "hybrid" is not a one-size-fits-all solution.
We understand flexibility is key to supporting an inclusive and diverse workforce and so we encourage requests for all types of flexible working as well as location-based arrangements. Please speak to your recruiter to discuss more.
**EOE, Including Disability/Vets**