201 Insurance Operations jobs in the United States

Insurance Operations Manager

70181 New Orleans, Louisiana Insight Global

Posted 2 days ago

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Job Description
The Insurance Operations Manager oversees the day-to-day operations of the Insurance Agency. This position will train employees on the TAMS (The Agency Management System) operating system and work with employees to maintain accuracy and works directly with company representatives regarding underwriting and rate changes.
The Insurance Operations Manager is also directly responsible for the growth and profitability of the agency by achieving annual business sales goals with a focus on cross-selling products and generating new customers. Additionally, this position is responsible for working with direct reports set sales goals and ensure they understand and meet those goals.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
* Cross-sells insurance products that clients may have an interest in to produce more business for the Agency.
* Assesses customer needs and introduces agency and retail products and services to achieve or exceed annual business goals.
* Generates new business by requesting referrals and obtaining AOR (Agent of Record) for continuing business.
* Designs and implements effective marketing strategies to sell new insurance business or adjust existing
* Coaches employees on account concerns and keep them informed of upcoming changes with Carriers and other policies
* Monitors and reviews the Insurance Agencies operating and trust banking accounts, direct billed company commission statements and create statements so they can be posted.
* Prepares bank deposits and receive payments from clients and loan services and other entities ensuring TAMS is updated when payments post.
* Reviews financial reports and dashboards.
* Prepares client statements for collection of policy premiums.
* Reviews bother Commercial and Personal policies with employees for accuracy and request any changes as necessary.
* Reviews employee work tasks inside of TAMS database including closing the previous day's work and documenting activity log.
* Works with carriers on recommendations for specific accounts.
* Serves as a liaison to the Sales team, Commercial Lenders, Mortgage Department and Loan Servicing team to provide excellent internal customer service.
* Attends offsite visits with sales, customers and to represent the company in the community.
* Facilitates First Time Home Buyer courses for clients and potential clients as needed.
* Reviews all Commercial and Personal expirations reports at least 90 days prior to the expiration date and discuss with employees.
* Prepares applications for closing and work with carriers for a timely closing as needed.
* Corresponds with Underwriters for new insurance products and keep upper management informed of upcoming changes.
* Prepares home replacement cost estimators for clients.
* Sets annual sales goals for the Insurance Agency and ensures subordinates meet or exceed all established annual sales goals.
* Ensures a positive management environment is created so that subordinates can maximize their performance and individual contributions.
* Rewards and recognizes the performance of employees by utilizing established programs and sources.
* Measures and documents staff performance, and compliance with job duties, expectations, regulations, guidelines, policies, and procedures.
* Ensures observation and performance coaching is conducted in a timely and effective manner.
* Establishes development goals and plans for subordinates, regularly guides and coaches employees to meet those goals.
Compensation/Salary: up to $90k (possible flex., based on experience) + Health/Dental/Vision/Life insurance/Tuition Reimbursement/401k Matching benefits
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: and Requirements
* 5+ years of Insurance Industry experience (thorough understanding of the industry)
* Bachelor's degree or 5-10yrs related experience and/or training
* Must hold and maintain Property & Casualty License
* Experience Leading/Managing overall direction, coordination, and evaluation of 3-5 employees
o Interviewing, hiring, training, planning, assigning and directing work
* Working knowledge of MS-Office (Word, Excel, PowerPoint and Outlook)
* Commercial, Personal or Corporate lines/Insurance experience
* CISR & CPIA
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Insurance Operations Specialist - Hybrid

66213 Overland Park, Kansas The Amynta Group

Posted 3 days ago

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We're thrilled that you are interested in joining us here at the Amynta Group!

We are seeking a detail-oriented and organized Insurance Operations Specialist to join our team. The Insurance Operations Specialist provides administrative and coordination support to the Operations Manager to ensure timely completion of various projects.

Amynta Dealer Solutions, a prominent program of Amynta Group, provides a comprehensive range of top-tier property, casualty, and specialty products for dealerships across various industry verticals. As our team continues to expand, we are seeking individuals with either prior insurance experience or a strong dedication to creating an exceptional customer experience.

ESSENTIAL DUTIES AND RESPONSIBILITIES

  • Become a power user of our online policy management platforms to deliver creative solutions and new operational procedures.
  • Develop and improve procedures and processes within the underwriting operations workflow.
  • Collaborate with underwriting leadership to optimize workflows and underwriting systems, with the aim of improving the lives of our teammates and customers.
  • Manage the underwriting technology platform and rating tools while creating a collaborative, supportive and high performing culture.
  • Maintain alignment and support through communication, encouraging the sharing of information and continually seeking ways to improve.
  • Participate and lead broader organizational projects and initiatives, representing the needs of Amynta Dealer Solutions and Amynta.
  • Evaluate potential problems and technical hitches and develop solutions.
QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The qualifications listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Insurance systems, underwriting or operations experience with an understanding of commercial package insurance.
  • Strong organizational and planning skills with the ability to multitask and prioritize effectively.
  • Ability to collaborate effectively in a team setting with strong communication and interpersonal skills.
  • Critical thinker with the ability to bring together multiple solutions in a collaborative and cohesive way.
  • Ability to work independently and take initiative to identify and resolve project issues.
  • Excellent communication, interpersonal, organizational, negotiating and planning skills.
  • Intermediate skills in Microsoft Outlook, Excel, Word, and PowerPoint.
EDUCATION AND EXPERIENCE
  • A minimum of 2 years of direct, commercial Property & Casualty experience.
  • Bachelor's degree in business administration, project management, or a related field.
BENEFITS
  • Hybrid work schedule
  • Leader in the commercial insurance industry
  • Major holidays off
  • Paid Vacation
  • Benefits including heath, dental, vision and 401(k)

The Amynta Group (the "Company ") is committed to a policy of Equal Employment Opportunity and will not discriminate against an applicant or employee on the basis of any ground of discrimination protected by applicable human rights legislation. The information collected is solely used to determine suitability for employment, verify identity and maintain employment statistics on applicants.

Applicants with disabilities may be entitled to reasonable accommodation throughout the recruitment process in accordance with applicable human rights and accessibility legislation. A reasonable accommodation is an adjustment to processes, procedures, methods of conveying information and/or the physical environment, which may include the provision of additional support, in order to remove barriers a candidate may face during recruitment such that each candidate has an equal employment opportunity. The Company will accommodate a candidate to the point of undue hardship. Please inform the Company's personnel representative if you require any accommodation in the application process.
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Insurance Operations Specialist III

78716 Austin, Texas Marsh & McLennan

Posted 3 days ago

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Insurance Operations Specialist III

We are seeking a talented individual to join our team at Marsh. This role will be based in Austin, TX. This is a hybrid role that has a requirement of working at least three days a week in the office.

The Insurance Operations Specialist III prepares insurance documents on industry-standard forms for our clients and is responsible for reviewing submitted documentation, consulting insurance information, and preparing and distributing the Certificates of Insurance to appropriate parties.

We will count on you to:

  • Handle end-to-end standard client renewal process including timely and accurate updates of master templates, following directions regarding final document aggregation and distribution
  • Create and manage non-Acord documents as assigned, including endorsement creation, uploads, and swaps
  • SME and primary point of contact for a high visibility book of business. Scope of support includes facilitating client calls to proactively support certificate-related items. Support new team members by providing training and answering questions for a book of business. Autonomously support certificates onboarding for new clients, acquisitions, mergers etc. Research client feedback, complete RCA, and provide organized findings to stakeholders
  • Support workflow management as needed, act as a liaison/point of contact for the extended team, assist Client Team users in CSI provisioning and navigation, and assist supervisor in supporting COD including provisioning requests, administrative tasks, providing demos, and troubleshooting

What you need to have:

  • Experience in customer service supporting clients in a fast-paced office environment, reviewing business documents and identifying relevant information to complete tasks, and working with multiple applications effectively to complete transactions.
  • Proficient within MS Office - Word, Excel, and Outlook
  • Ability to work Monday-Friday 11:00 am - 8:00 pm or 10:00 am - 7:00 pm after training, which is on-site for 5 weeks Monday-Friday 8:00 am - 5:00 pm.

What makes you stand out:

  • 1+ year of experience in the insurance industry, commercial or corporate preferred.
  • Familiar with insurance documentation such as endorsements, policies, and certificates.
  • Expert knowledge of compliance and regulatory requirements regarding proof of insurance in the United States

Why join our team:

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.
  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.
  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
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Senior Insurance Operations Specialist

78716 Austin, Texas Marsh & McLennan

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Join our dynamic team at Marsh as a Senior Insurance Operations Specialist! This role is based in Austin, TX, and offers a hybrid work environment, requiring at least three days a week in the office.

Your role will involve:

  • Managing the complete client renewal process efficiently, ensuring timely updates to master templates and accurate document aggregation and distribution.
  • Creating and overseeing non-Acord documents, including endorsements, uploads, and swaps.
  • Acting as a Subject Matter Expert and primary contact for a high-profile book of business, facilitating client calls and proactively addressing certificate-related matters. You will also support new team members through training and guidance.
  • Conducting onboarding for new clients, including acquisitions and mergers, and researching client feedback to provide organized findings to stakeholders.
  • Assisting with workflow management and supporting the client team in navigating various systems and administrative tasks.

What you bring to the table:

  • Experience in customer service in a fast-paced office, particularly in reviewing business documents and multitasking across various applications.
  • Strong proficiency in MS Office Suite, especially Word, Excel, and Outlook.
  • Availability to work Monday-Friday during the hours of 11:00 am - 8:00 pm or 10:00 am - 7:00 pm after an initial on-site training period of 5 weeks, Monday-Friday from 8:00 am - 5:00 pm.

What sets you apart:

  • Over a year of experience in the insurance industry, with a focus on commercial or corporate settings.
  • Familiarity with key insurance documents, such as endorsements, policies, and certificates.
  • In-depth knowledge of compliance and regulatory requirements regarding proof of insurance in the United States.

Why choose us?

  • We empower your professional growth through development opportunities, engaging projects, and supportive leadership.
  • Our vibrant and inclusive culture encourages collaboration with talented colleagues to drive impactful solutions.
  • Benefit from our broad career opportunities and rewards designed to enhance your well-being.
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Director of Insurance Operations

95814 Sacramento, California $130000 Annually WhatJobs

Posted 7 days ago

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full-time
Our client is seeking a seasoned and strategic Director of Insurance Operations to lead their expanding operations in Sacramento, California . This leadership position requires a deep understanding of the insurance industry, coupled with exceptional management and operational expertise. The Director will be responsible for overseeing all day-to-day insurance operations, including policy administration, claims management, underwriting support, and customer service. You will drive operational efficiency, implement best practices, and ensure compliance with all state and federal regulations governing the insurance sector. Key responsibilities include developing and executing strategic plans to enhance profitability and market share, managing departmental budgets, and optimizing resource allocation. The role demands strong analytical skills to monitor key performance indicators, identify areas for improvement, and implement corrective actions. You will also be tasked with fostering strong relationships with agents, brokers, and reinsurers. Experience in developing and leading high-performing teams is essential, as is the ability to inspire and motivate staff. This role requires exceptional communication, negotiation, and problem-solving skills. The ideal candidate will have a proven track record in operational leadership within the insurance industry, preferably with experience in property and casualty or life insurance. Familiarity with insurance software systems and data analytics tools is crucial. You will be instrumental in shaping the future of our insurance services and ensuring a superior customer experience. This is an exciting opportunity for a driven professional to make a significant impact in Sacramento, California . A Bachelor's degree in Business Administration, Finance, or a related field is required; an MBA or relevant insurance designations (e.g., CPCU, ARM) are highly preferred. A minimum of 10 years of progressive experience in insurance operations management is necessary.
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Surplus Lines Coordinator - Insurance Operations

78716 Austin, Texas Marsh LLC

Posted 3 days ago

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Job Description

We are seeking talented individuals to join our Operations team at Marsh. This role will be based in Austin, TX. This is a hybrid role that has a requirement of working at least three days a week in the office.

This Surplus Lines Senior Coordinator role provides an opportunity to develop a career in the Operations of a global insurance brokerage and risk management firm during an exciting time of expansion and transformation. You will be based in our Austin office and will be a part of our Surplus Lines department which is responsible for the support and execution of the filing of Surplus Lines taxes on behalf of Marsh clients and Marsh placing brokers.

We will count on you to:

  • Able to clearly articulate issues, problems, and resolutions within this field.

  • Excellent written and oral communication skills – Influencing/persuasiveness – can explain why a process or rule needs to be followed and gain colleague support/change behavior as a result.

  • Quality & Compliance – high ethical behavior; understanding of rules and why they need to be followed but flexible enough to know when a solution is workable.

  • Drive and self-motivation – able to work independently, follow through on a task/complete a project/meet a deadline without direct on-site supervision.

  • Manage and record client and carrier communications in a shared document repository to ensure timely follow up and review by the client team

  • Remain current by understanding and following all Marsh compliance, professional and transparency standards

What you need to have:

  • Intermediate Microsoft Office proficiency, knowledge of basic Excel formulas, pivot tables, and Outlook organization is beneficial

  • Strong communication skills, exceptional time management skills, and ability to multi-task

  • Attention to detail is critical to ensure we’re entering accurate information into our forms and systems

  • Ability and aptitude to conduct research

What makes you stand out:

  • 1+ years of experience in tax filing

  • Bachelor’s Degree

Why join our team:

  • We help you be your best through professional development opportunities, interesting work and supportive leaders.

  • We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have impact for colleagues, clients and communities.

  • Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.

#LI-JG3

Marsh, a business of Marsh McLennan (NYSE: MMC), is the world’s top insurance broker and risk advisor. Marsh McLennan is a global leader in risk, strategy and people, advising clients in 130 countries across four businesses: Marsh, Guy Carpenter, Mercer and Oliver Wyman. With annual revenue of $24 billion and more than 90,000 colleagues, Marsh McLennan helps build the confidence to thrive through the power of perspective. For more information, visit marsh.com, or follow on LinkedIn and X.

Marsh McLennan is committed to embracing a diverse, inclusive and flexible work environment. We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law. If you have a need that requires accommodation, please let us know by contacting

Marsh McLennan is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office. All Marsh McLennan colleagues are expected to be in their local office or working onsite with clients at least three days per week. Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.

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Business Data Analyst - Insurance Operations

10261 New York, New York AmTrust Financial

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Business Data Analyst - Insurance Operations Job Locations US Requisition ID JR Category Analytics Position Type Regular Full-Time Overview

AmTrust Financial is seeking a data-driven professional to support reporting and analytics initiatives focused on pricing and submission workflows. This role involves designing and building reports for submission tracking, collaborating with product teams to integrate vendor data, and contributing to continuous improvement through analytics projects.

Responsibilities
    Submissions Reporting: Design and build reports to track and manage front-end pricing and submission workflow
  • Third Party Data: Collaborate with product teams to create and optimize utilization of vendor data
  • Continuous Improvement: Learn to leverage more advanced analytics techniquires through adhoc projects and collaborative efforts
  • Provide Insight: Deliver actionable information to senior leadership through adhoc reports and projects while owning the full lifecycle of data from query to analysis to reporting
Qualifications
  • Bachelor's degree. Preference for Data Science, Computer Science, Economics, Business Statistics, Operational Research, or a related quantitative field
  • 2+ years experience in R/Python including
    • Basic automation and algorithm tasks, reading/writing to excel, API requests
    • Data wrangling in tidyverse and/or pandas
  • 2+ years experience in SQL
  • Good understanding of basic statistical inference and computer science concepts
  • Demonstrated ability to learn quickly and apply new ideas
  • Comfortable with excel pivot tables &formulas
  • Good interpersonal and communication skills

Preferred

  • Comfortable generating wide arange of visuals in either ggplot2 or matplotlib
  • Experience with PowerBI or Tableau
  • Experience with performing data analysis and generating reports/dashboards
  • Experience with any DevOps platform and agile methodology (Azure, etc.)
  • Familiarity with predictive modelling, ML & AI applications an advantage
  • Prior role at insurance carrier, brokerage, or other pricing/customer-centric analyst

#LI-BL1

#LI-REMOTE

#AmTrust

What We Offer

AmTrust Financial Services offers a competitive compensation package and excellent career advancement opportunities. Our benefits include: Medical & Dental Plans, Life Insurance, including eligible spouses & children, Health Care Flexible Spending, Dependent Care, 401k Savings Plans, Paid Time Off.

AmTrust strives to create a diverse and inclusive culture where thoughts and ideas of all employees are appreciated and respected. This concept encompasses but is not limited to human differences with regard to race, ethnicity, gender, sexual orientation, culture, religion or disabilities.

AmTrust values excellence and recognizes that by embracing the diverse backgrounds, skills, and perspectives of its workforce, it will sustain a competitive advantage and remain an employer of choice. Diversity is a business imperative, enabling us to attract, retain and develop the best talent available. We see diversity as more than just policies and practices. It is an integral part of who we are as a company, how we operate and how we see our future.

Connect With Us! Not ready to apply? Connect with us for general consideration.
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About the latest Insurance operations Jobs in United States !

Assistant Manager of Insurance Operations

30078 Redan, Georgia Insight Global

Posted 2 days ago

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Job Description
Insight Global is currently hiring an Assistant Manager of Insurance Operations for one of our clients in Snellville, GA. Our client is a regional insurance agency specializing in insurance and lending services for financial institutions. For 50 years, our client has delivered innovative risk management solutions with exceptional customer service. This role involves workflow management, system administration, client support, and team leadership.
Key Responsibilities:
-Oversee daily operations: scanning, data entry, call center, printing
-Resolve processing issues and support clients and internal teams
-Train staff and document procedures
-Identify and implement process improvements
-Assist with system enhancements and quality control
-Support department manager as needed
The annualized salary for this position is $100k - $120k.
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: and Requirements
-Bachelor's degree in Business, MIS, or related field
-5+ years in a supervisory role (team of 5+), including training and quality control
-Proficiency in Microsoft Excel and operating systems -Previous experience in the financial services/insurance industry
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Life Insurance Operations Technical Analyst

55405 Saint Paul, Minnesota TEKsystems

Posted 8 days ago

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Job Description
We are seeking a detail-oriented and innovative Life Insurance Operations Technical Analyst to join our team. This role will focus on the development, testing, and maintenance of life insurance illustration platforms, supporting new product launches, regulatory compliance, and operational excellence. The ideal candidate will have a strong technical bckgd , experience with life insurance products, and a passion for process improvement.
___
Key Responsibilities
- Develop, test, and maintain life insurance illustration models using tools such as VPMS, Excel, and Assure Product Engine.
- Collaborate with actuarial, product, and IT teams to ensure illustration calculations are accurate, consistent, and compliant with regulatory requirements.
- Map complex product structures into the illustration platform, supporting new product launches and system conversions.
- Build and validate life and annuity product illustrations in Excel, including creating robust testing frameworks and performing calculation audits.
- Script calculation logic using Excel VBA, JavaScript, or similar tools to prototype or troubleshoot illustration outputs.
- Document model assumptions, test results, and illustration rules to support audit and business review processes.
- Support quality assurance by performing regression and compliance testing for new product launches and updates.
- Ensure alignment with industry data standards such as ACORD, where applicable.
- Use version control tools (e.g., GIT) for illustration models and testing assets.
- Translate business and regulatory requirements into clear, actionable artifacts for development and QA teams.
- Own the documentation process: requirements, workflow diagrams, data mapping, and process maps.
- Participate in cross-functional meetings to explain requirements, testing results, and system logic to both technical and non-technical stakeholders.
- Stay current with industry trends and regulatory changes affecting life insurance illustrations and operations.
Skills
vba, excel analysis, Sql, Data analysis, Forecasting
Top Skills Details
vba,excel analysis
Additional Skills & Qualifications
- Bachelor's degree in Computer Science, Mathematics, Actuarial Science, or related field.
- 3+ years of experience with life insurance illustrations, preferably in a modeling, testing, or business analyst capacity.
- Strong working knowledge of illustration platforms (VPMS, Assure Product Engine).
- Solid actuarial foundation or experience in life/annuity calculations.
- Proficiency in Excel-based calculations and scripting (Excel VBA, JavaScript).
- Deep understanding of life insurance product structures (Term, UL, IUL, SUL, riders).
- Familiarity with regulatory compliance (CVAT, guideline premiums, etc.) in illustration logic.
- Excellent analytical, problem-solving, and communication skills.
- Experience with digital product launches, UX journeys, and technical documentation is a plus.
Pay and Benefits
The pay range for this position is $27.00 - $30.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a hybrid position in Minneapolis,MN.
Application Deadline
This position is anticipated to close on Oct 8, 2025.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
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HC and Insurance Operations Analyst

73163 Oklahoma City, Oklahoma NTT DATA North America

Posted 15 days ago

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**Req ID:**
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.
We are currently seeking a HC and Insurance Operations Analyst to join our team.
**Posisition:** **Claims Case Manager**
**This position is eligible for company benefits including medical, dental, and vision insurance with an employer contribution, flexible spending or health savings account, life and AD&D insurance, short- and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.**
**Role Overview:** We are seeking a dedicated Claims Case Manager to provide comprehensive claim servicing to our insurance policyholders. This role involves managing the entire claims process from intake to final decision, ensuring frequent status updates to claimants through their preferred communication channels (email, phone, mail, etc.). The ideal candidate will have a strong analytical skill set, a thorough understanding of the claims process, and the ability to communicate with empathy and detail.
Pay for this Role $22hr
**Key Responsibilities:**
+ **End-to-End Claim Management:** Handle every aspect of the claim process, from intake to final decision.
+ **Status Updates:** Provide frequent updates to claimants through their preferred communication channels.
+ **Document Review:** Thoroughly review medical documents, claim forms, and policy notes.
+ **Communication:** Interact with claimants with empathy and attention to detail.
+ **Team Collaboration:** Work with team members to ensure high-quality service and resolution of issues.
+ **Record Keeping:** Maintain accurate records and reports throughout the claims process.
+ **Data Analysis:** Compile and analyze data to identify trends and perform root cause analysis.
**Basic Qualifications:**
+ **Experience:**
+ 2 years in an analytical role reviewing medical benefits and claims.
+ 2 years of claims adjudication experience, preferably in life, and supplemental products (e.g., critical illnesses such as cancer, stroke, heart attack, kidney disease).
+ 4 years of experience reviewing and assessing medical records.
+ Experience articulating claim requirements clearly and concisely.
+ **Education:** Minimum high school diploma or GED; college degree preferred.
+ **Work Environment:**
+ At least 1 year of experience working from home with proven productivity and quality.
+ Designated quiet area for completing calls.
**Responsibilities:**
+ **Claim Initiation:** Gather information and initiate claims through various channels.
+ **Detailed Logging:** Log and update pertinent information throughout the claim lifecycle.
+ **Omni-Channel Correspondence:** Communicate required medical records and claim information via email, mail, and phone.
+ **Proactive Follow-Up:** Follow up on pending claims and assist in gathering required medical records.
+ **Benefit Calculation:** Calculate benefit amounts and process payments through the claims system.
+ **Fraud Detection:** Identify and flag potential fraudulent activities.
+ **Multitasking:** Manage a caseload of active claims and perform end-to-end steps.
+ **Attention to Detail:** Ensure accuracy and organization in logging, tracking, and reviewing claims.
+ **Collaboration:** Work with management and team members to address service issues and concerns.
+ **Empathy:** Communicate with claimants with empathy and a willingness to help.
If you are passionate about delivering exceptional customer service and have the required qualifications, we encourage you to apply for this rewarding opportunity.
Any state specific certification related to performing the job duties shall be sponsored by the company and successful completion of the certification program is desired.
Required schedule availability for this position is between Monday-Friday 7:00 am to 7:00 pm (Central Time), OT during evenings and Saturdays could also be required based on business need, particularly during the months of Nov - Feb.
New hire must have a working device (such as cell phone or tablet) for the 2-Factor Authentication process
Must Pass Drug screen
Must Pass a background check with Education check and employment verification check.
**Remote Working and Technology Requirements**
To work remote, individuals must meet all the established Remote requirements including those pertaining to a home workspace and related technology.
**Technology**
1. NTT DATA will provide a computer and headset for remote work.
2. Employees are responsible for the care and security of all equipment provided. They must return it immediately upon separation from the company following company protocols.
3. Failure to return equipment may result in collection actions and/or other consequences.
4. Individuals must provide their own high speed internet access with speeds at or above 50 Mbps.
5. A hard-wired ethernet connection is required. Wi-Fi, mobile, wireless and public internet connections are forbidden as are connections outside of one's personal dwelling or location.
**Technical Performance and Issue Tracking**
1. Management monitors all technical issues and agent downtime. Consistent availability is critical to business operations.
2. Remote employees must adhere to all technical support procedures and protocols.
3. Chronic connectivity issues or recurring downtime that impede job performance, including internet outages, may result in the remote status changing to onsite.
**Remote Workspace**
Remote work demands a high degree of professionalism, self-discipline, and accountability. The following workspace standards are vital to delivering exceptional service.
1. Employees must have a **dedicated, professional workspace** conducive to servicing Customer Service customers with the same quality as an onsite environment.
2. The workspace must be a **permanent, unencumbered location** used daily for work.
3. Employees must work with **minimal distractions** that do not interfere with business operations or service delivery.
4. Ideally, the workspace is **isolated from other household members** and used exclusively for job duties.
5. **Background noise, interruptions from people or pets, and other distractions** must be kept to an absolute minimum to avoid disruptions to customer service.
6. Employees must work from the **same location consistently** unless prior approval is obtained.
7. If a change in work location is necessary:
+ The new location must meet all **Remote Workspace and Technology Requirements** .
+ **Notification to NTT DATA Management** is required before relocating
#INDBPO
**About NTT DATA**
NTT DATA is a $0 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over 3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com ( DATA endeavors to make_** **_ **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_ **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here ( . If you'd like more information on your EEO rights under the law, please click here ( . For Pay Transparency information, please click here ( ._**
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