What Jobs are available for Insurance in Des Moines?
Showing 22 Insurance jobs in Des Moines
Insurance Coordinator
 
                        Posted 1 day ago
Job Viewed
Job Description
Explores, recommends, and coordinates the insurance and potential financial assistance options available to kidney dialysis patients in a specified geographic area, while maximizing revenue for the company. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and company policy requirements
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Meets regularly with dialysis patients at the clinic(s) in the assigned region to educate and coordinate insurance options:
+ Educates on the availability of alternative insurance options (i.e., Medicare, Medicaid, Medicare Supplement, State Renal programs and COBRA).
+ Ensures patients have followed through with the application process.
+ Obtains premium statements and signatures from patients.
+ Discusses situation and options if employment status changes or other situations change.
+ Completes and follows up with paperwork when claims are disputed for non-payment.
+ Collects necessary documents to completed initial and annual indigent waivers.
+ Discusses insurance options when insurance contracts are terminated.
Responsibilities involving Medicare and Medicaid include but are not limited to:
+ Determining Medicare eligibility by meeting with the patients and contacting local Social Security offices to verify eligibility.
+ Discussing the Medicare application with eligible patients and assisting with the application process.
+ Acting as liaison between the patient and the local agents for Medicare terminations and re-in statements.
+ Completing the annual open enrollment and Medicare reinstatement papers with the patients.
+ Tracking 30-month coordinator period each month for those patients on employer Group Health Plans to ensure Medicare will be in place once coordination ends.
+ Monitoring and verifying the Medicaid status of each patient on a monthly basis and determining the spend down amounts
+ Works with patients to evaluate personal financial information and make determination for indigent program.
+ Completes initial Indigent waiver applications.
+ Tracks and completes annual indigent waiver applications.
+ Monitors all patients' insurance information to ensure that it is updated and accurate for the Accounts Receivable Department.
+ Addresses any identified anomalies or discrepancies, researches and answers questions as needed.
+ Meets with patients receiving direct payments from insurance companies to ensure payment of dialysis treatments owed to Fresenius.
+ Prepares, analyzes and reviews monthly reports to track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the correct insurance information is entered into the billing system and that other changes are not overlooked. Researches and corrects any discrepancies identified.
+ Provides QA team members with monthly information regarding the details of the patients' primary and secondary insurance status as well as documentation regarding the plans of actions currently in place on a monthly basis as required by QA processes
+ Completes monthly audit exam to stay current on internal policies.
+ May present on insurance and financial assistance options to patients as necessary.
+ Assist with various projects as assigned by direct supervisor.
+ Other duties as assigned.
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Day to day work includes desk and personal computer work and interaction with patients and facility staff. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Extensive local travel to clinics in a specified geographic area; must have a valid Driver's License.
EDUCATION:
+ Bachelor's Degree required; Social Work or other Healthcare focus preferred.
EXPERIENCE AND REQUIRED SKILLS:
+ 2 - 5 years' related experience; healthcare industry preferred.
+ Experience with Medicare, Social Security and Medicaid systems a plus.
+ Past patient interaction a plus.
+ Excellent written and communication skills.
+ A strong customer service philosophy.
+ Strong organizational and time management skills.
+ Ability to work independently.
+ Proficient with PCs and Microsoft Office applications.
+ Valid Driver's License
EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity
**Fresenius Medical Care North America maintains a drug-free workplace in accordance with applicable federal and state laws.**
**EOE, disability/veterans**
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Staff Product Manager, Legal & Insurance
 
                        Posted 1 day ago
Job Viewed
Job Description
Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care.
By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare.
**The Role**
We're looking for a **Staff Product Manager** to lead the product strategy, roadmap, and execution for Datavant's new Legal & Insurance vertical. This vertical's mission is to enable seamless medical record retrieval and value-added services for attorneys, copy services, and insurance requesters.
In this role, you will:
+ **Define and own the long-term product vision and strategy** for the Legal & Insurance vertical.
+ Work across engineering, data science, operations, and design to **build the business line from the ground up** .
+ Shape the **underlying workflows, data models, and platform logic** that enable scalable, compliant solutions.
+ Partner with executive leadership to **set priorities, guide investments, and drive cross-functional alignment** .
+ **Leverage cutting-edge AI technology** to design innovative solutions in complex, data-rich environments.
+ Act as a **thought leader and mentor** , helping to elevate the product management discipline within Datavant.
+ This is a **senior individual contributor role** : you will drive strategy and vision while also owning execution details to bring products to market.
This is a unique opportunity to shape a new vertical at Datavant from inception, ideal for a Staff-level PM who thrives in ambiguity, drives clarity in complexity, and enjoys building at the intersection of healthcare, law, insurance, and data.
**What You'll Bring**
+ 8-12+ years of product management experience, with a proven record of **leading complex, enterprise-grade, data-centric products** .
+ Demonstrated ability to **define product strategy and influence company direction** , not just deliver a roadmap.
+ Experience in **data exchange, retrieval, or healthcare data products** ; bonus points for legal/insurance/medical record retrieval expertise.
+ Comfort designing products in **highly regulated, high-stakes environments** , balancing compliance with user experience.
+ Skilled at distilling complexity and influencing **executives, technical leaders, and non-technical stakeholders** .
+ Track record of **mentoring other PMs** and raising the bar for product craft and impact.
+ A collaborative team player with a **self-starter, entrepreneurial mindset** - thrives in ambiguity, learns quickly, and executes relentlessly.
+ A strategic thinker who can **seamlessly move between vision and execution** , with the ability to balance long-term strategy and hands-on product delivery.
We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
At Datavant our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services.
The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.
The estimated total cash compensation range for this role is:
$192,000-$240,000 USD
To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion.
This job is not eligible for employment sponsorship.
Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here ( . Know Your Rights ( , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay.
At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way.
Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, ( by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here ( . Requests for reasonable accommodations will be reviewed on a case-by-case basis.
For more information about how we collect and use your data, please review our Privacy Policy ( .
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Seasonal Tax-FSO- GCR Tax Accounting and Risk Advisory-Insurance-Manager
 
                        Posted 1 day ago
Job Viewed
Job Description
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
New York or Remote-Seasonal Tax Manager-FSO Insurance
EY is a leader in serving the global financial services marketplace and the only professional services firm with a separate business unit dedicated to the financial services industry - the Financial Services Organization (FSO). Our focused model and bold ambition have put us at the center of the events that continue to reshape and redefine our industry, working side by side with a range of clients from our most venerable institutions to dynamic new entrants across Banking and Capital Markets, Wealth and Asset Management and Insurance, and Real Estate, Hospitality and Construction. Our purpose is to help build a financial services industry in which financial institutions are trusted and flourish, and the global economy is healthy, growing and secure. If you have a passion for rallying together to solve complex challenges, then come join our dynamic FSO team! **Your key responsibilities**
As a Seasonal Manager, you'll provide clients with tax guidance and consulting related to tax accounting and planning (internal restructurings, acquisitions, dispositions, carve-out financial statements, GAAP conversions from US GAAP to IFRS or IFRS to US GAAP, share based compensation, financial statement restatements and balance sheet remediation of tax accounts). You'll also assist companies with all aspects of their preparation of the tax provision. In addition, you'll also have the opportunity review of the tax provision process to improve efficiency and accuracy and enhance the control environment and assessing tax risk and control environments inclusive of and beyond the boundaries of Sarbanes-Oxley Section 404.
**Skills and attributes for success**
+ Tax Accounting Projects and Consulting
+ Tax Provision Preparation/Review ' assist companies with all aspects of their preparation of the tax provision
+ Process and Controls Enhancement
+ Key Risks Identification, Prioritization, Monitoring and Remediation
**To qualify for the role you must have**
+ A bachelor's degree in a related field, supported by significant tax or legal experience; MST, MAcc, or JD/LLM preferred
+ Valid US Certified Public Accountant (CPA) license or active state bar membership
+ Minimum of 5 years of work experience in professional services, tax organization, law firm, or IRS
+ Broad understanding and experience with federal income taxation
+ Strong analytical skills, written/verbal communication skills, interpersonal; problem-solving ability and attention to detail
**Ideally, you'll also have**
Strong ASC 740 and/or IAS 12 experience as well as experience in corporate tax planning and compliance; Relevant tax experience or equivalent experience in business or industry with a broad exposure to federal income taxation
**What we look for** We seek candidates with strong tax and tax accounting knowledge, the ability to team with and motivate others, the skills to manage large engagements and build meaningful relationships with clients and colleagues.
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ The salary range for this job in all geographic locations in the US is $90/hr to $120/hr. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
+ Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Seasonal Tax-FSO- GCR Tax Accounting and Risk Advisory-Insurance-Senior Manager
 
                        Posted 1 day ago
Job Viewed
Job Description
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
New York or Remote- Seasonal Tax Senior Manager-Insurance
EY's National Tax Department (NTD) serves high-profile, national and multinational clients, providing a range of domestic and international transactional tax planning services and tax-related advisory services. Our Tax Accounting and Risk Advisory Services (TARAS) practice operates within the NTD, and assists companies with all aspects of their financial reporting for income taxes including tax accounting, tax provision procedures, and controls design and testing. The TARAS practice is an established practice that has been serving the complex and global tax reporting needs of companies for approximately ten years. We believe that by managing our clients' tax obligations responsibly and proactively we can make a critical difference, and you'll be at the heart of this mission.
**Your key responsibilities**
As a Seasonal Senior Manager, you'll provide clients with tax guidance and consulting related to tax accounting and planning (internal restructurings, acquisitions, dispositions, carve-out financial statements, GAAP conversions from US GAAP to IFRS or IFRS to US GAAP, share based compensation, financial statement restatements and balance sheet remediation of tax accounts). You'll also assist companies with all aspects of their preparation of the tax provision. In addition, you'll also have the opportunity review of the tax provision process to improve efficiency and accuracy and enhance the control environment and assessing tax risk and control environments inclusive of and beyond the boundaries of Sarbanes-Oxley Section 404.
**Skills and attributes for success**
+ Tax Accounting Projects and Consulting
+ Tax Provision Preparation/Review ' assist companies with all aspects of their preparation of the tax provision
+ Process and Controls Enhancement
+ Key Risks Identification, Prioritization, Monitoring and Remediation
**To qualify for the role you must have**
+ A bachelor's degree in a related field, supported by significant tax or legal experience; MST, MAcc, or JD/LLM preferred
+ Valid US Certified Public Accountant (CPA) license or active state bar membership
+ Minimum of 10 years of work experience in professional services, tax organization, law firm, or IRS
+ Broad understanding and experience with federal income taxation
+ Strong analytical skills, written/verbal communication skills, interpersonal; problem-solving ability and attention to detail
**Ideally, you'll also have**
Strong ASC 740 and/or IAS 12 experience as well as experience in corporate tax planning and compliance; Relevant tax experience or equivalent experience in business or industry with a broad exposure to federal income taxation
**What we look for** We seek candidates with strong tax and tax accounting knowledge, the ability to team with and motivate others, the skills to manage large engagements and build meaningful relationships with clients and colleagues.
**What we offer you**
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
+ The salary range for this job in all geographic locations in the US is $120/hr to $150/hr. Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography.
**Are you ready to shape your future with confidence? Apply today.**
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
**EY | Building a better working world**
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law.
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Senior Property Risk Engineer
 
                        Posted 1 day ago
Job Viewed
Job Description
Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.
**Job Category**
Risk Control
**Compensation Overview**
The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.
**Salary Range**
$126,500.00 - $208,700.00
**Target Openings**
1
**What Is the Opportunity?**
Under general direction, responsible for the ownership of the Property Technical Discipline in Assigned Territory, which includes: Conducting quality Risk Assessments, assisting customers with Loss Control, providing consultation to Staff and Business Partners, and helping identify needs for Technical Training of Regional Specialist Consultants (RSCs), and Staff in assigned territory. This job serves as a technical resource to Risk Control Consultants and Underwriters and as a mentor to others. As a Senior Risk Control Specialist, has the ability to handle the most complex assignments based on technical complexity, customer service expectations, high challenge, high visibility, etc. Exhibits exceptional technical skills as well as above average interpersonal skills, training ability, etc. Ability to handle some duties of the Technical Director (e.g. job assignment responsibilities in the Director's absence, meeting attendance.) This position influences but does not manage others.
**What Will You Do?**
+ Conducts specialist Risk Assessment surveys at complex applicant or written client locations to determine potential hazards/risk factors and controls at the request of customers or to assist in underwriting/risk selection.
+ Documents findings and recommendations to Account Executives and/or clients.
+ Consults with clients on ways to control hazards in order to reduce or mitigate losses. Exhibits the ability to come up with technically correct yet flexible solutions to meet Travelers as well as the Client's needs. Influences clients to implement recommendations.
+ Serves as a technical expert resource to Risk Control Consultants and Underwriters.
+ Builds and maintains productive relationships with underwriting and service teams assigned to business units, with the broker/agent community, with Claim, with other Risk Control staff, and with clients.
+ May conduct research for underwriters or clients on class of business, operations, or any other technical subject requiring similar analysis.
+ Maintains current knowledge of regulatory environment and emerging issues in the technical specialist discipline.
+ Function as an Account Consultant for certain National Property accounts.
+ Maintains timely, relevant communications with Technical Director, Field Management and Risk Control staff.
+ Perform other duties as assigned.
**What Will Our Ideal Candidate Have?**
+ Bachelor's degree in related field.
+ 8 or more years of Property/ Highly Protected Risk (HPR) skills and experience preferred.
+ Exceptional technical and interpersonal skills preferred.
+ Technical training experience preferred.
+ Communication.
+ Makes complex technical information and recommendations understandable and clear to audiences with varied levels of technical knowledge.
+ Influences others to take action on recommendations.
+ Listens effectively.
+ Strong written communication skills.
+ Business Knowledge:
+ Understands insurance products, services, and risk selection practices.
+ Fully understands Risk Control performance standards, policies and procedures.
+ Technical Expertise:
+ Demonstrated expertise / command in technical specialist discipline.
+ Has working knowledge of relevant Risk Control computer systems applications.
+ Customer Service:
+ Balances customer expectations and expense constraints.
+ Builds credibility with internal and external customers.
+ Creates customer satisfaction by demonstrating the value of risk control services.
+ Resource Management:
+ Continually assesses workload in light of business priorities; directs own efforts accordingly.
+ Identifies methods for improving personal productivity.
+ Makes sound judgments about appropriate service levels for customers.
**What is a Must Have?**
+ Five years of experience in fire science or a technical science, an engineering discipline, or the property fire protection field.
+ Valid driver's license.
+ Must have or be able to attain appropriate certification to meet state-specific requirements, where applicable.
**What Is in It for You?**
+ **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment.
+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.
+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.
+ **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs.
+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.
**Employment Practices**
Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences.
In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions.
If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ( ) so we may assist you.
Travelers reserves the right to fill this position at a level above or below the level included in this posting.
To learn more about our comprehensive benefit programs please visit .
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Claims Examiner | General Liability BI | Captive | Remote
 
                        Posted 1 day ago
Job Viewed
Job Description
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Examiner | General Liability BI | Captive | Remote
As a Claims Examiner at Sedgwick, you'll have the opportunity to take on new challenges and help solve complex problems.
+ Enjoy flexibility and autonomy in your daily work and your career path. This is a remote, work-at-home, telecommuter position.
+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
**ARE YOU AN IDEAL CANDIDATE?** Do you have experience as a **Bodily Injury General Liability Claims Examiner** working within **commercial (** **captive) insurance program(s)** ? Are you skilled in **coverage determination** , handling **litigated claims** , and interpreting **endorsements, nature of loss, and excluded coverages** ? If so, and you're looking to join one of the premier teams in the industry, we're looking for someone with your level of expertise.
**PRIMARY PURPOSE** : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
**ESSENTIAL FUNCTIONS and RESPONSIBILITIES**
+ Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
+ Assesses liability and resolves claims within evaluation.
+ Negotiates settlement of claims within designated authority.
+ Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
+ Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
+ Prepares necessary state fillings within statutory limits.
+ Manages the litigation process; ensures timely and cost effective claims resolution.
+ Coordinates vendor referrals for additional investigation and/or litigation management.
+ Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
+ Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
+ Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
+ Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
+ Ensures claim files are properly documented and claims coding is correct.
+ Refers cases as appropriate to supervisor and management.
**ADDITIONAL FUNCTIONS and RESPONSIBILITIES**
+ Performs other duties as assigned.
+ Supports the organization's quality program(s).
+ Travels as required.
**QUALIFICATION**
**Education & Licensing**
Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
**Experience**
Five (5) years of claims management experience or equivalent combination of education and experience required.
**Skills & Knowledge**
+ Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
+ Excellent oral and written communication, including presentation skills
+ PC literate, including Microsoft Office products
+ Analytical and interpretive skills
+ Strong organizational skills
+ Good interpersonal skills
+ Excellent negotiation skills
+ Ability to work in a team environment
+ Ability to meet or exceed Service Expectations
**WORK ENVIRONMENT**
When applicable and appropriate, consideration will be given to reasonable accommodations.
**Mental:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines
**Physical:** Computer keyboarding, travel as required
**Auditory/Visual:** Hearing, vision and talking
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$85,000.00 - $100,000.00_** _annual salary. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Always accepting applications._
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.
#LI-REMOTE #claimsexaminer
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Middle Markets Underwriter (Mid-Senior-Senior)
 
                        Posted 1 day ago
Job Viewed
Job Description
Zurich Middle Markets has delivered double-digit growth over the last four consecutive years, and we strive to exceed that growth in the years ahead! We've been dedicated to assembling a team of dedicated Middle Market leaders and underwriters who understand this space very deeply and who grasp the unique challenges of the various industry segments and the individual customers we serve. We are looking to add to our team in our Iowa market and hire an experienced Middle Markets Underwriter at the Mid-Senior or Senior level. In this role, you will serve as a customer advocate with a focus on improving the customer experience by understanding their unique risks and offering the best end-to-end solution for their Middle Markets insurance needs.
What you can expect in an Underwriting Position in Middle Markets at Zurich:
+ You will develop and maintain relationships with brokers partners and customers across all industries in support of business objectives.
+ You will leverage your Middle Markets underwriting acumen across risk assessment, exposure evaluation and pricing to generate and maintain a profitable book of new and renewal business.
+ You will work collaboratively across business units including but limited to; claims, finance, risk engineering, actuary, and technical underwriting while gaining extensive knowledge in a growing and innovative industry.
+ You will be empowered to use your technical underwriting, negotiation, and interpersonal skills to grow and develop relationships with preferred distribution partners in an assigned territory.
This role will be filled at either the Mid-Senior or Senior. The hiring manager will determine the appropriate level based upon the selected applicant's experience and skill set relative to the qualifications listed for this position.
Basic Qualifications:
Mid-Senior:
+ High School Diploma or Equivalent and 3 or more years of experience in the Underwriting or Market Facing area.OR
+ High School Diploma or Equivalent and 6 or more years of experience in the Claims or Underwriting Support areaOR
+ Zurich Certified Insurance Apprentice including an Associate Degree and 1 or more years of experience in the Underwriting or Market Facing areaOR
+ Zurich Certified Insurance Apprentice including an Associate Degree and 4 or more years of experience in the Claims or Underwriting Support areaAND
+ Knowledge of line/s of business and the legal and regulatory guidelines
+ Knowledge of time restraints for quotes on new and renewal business
+ Experience with Microsoft Office
OR
Senior Level:
+ High School Diploma or Equivalent and 5 or more years of experience in the Underwriting or Market Facing area.OR
+ High School Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR
+ Zurich Certified Insurance Apprentice including an Associate Degree and 3 or more years of experience in the Underwriting or Market Facing areaOR
+ Zurich Certified Insurance Apprentice including an Associate Degree and 8 or more years of experience in the Claims or Underwriting Support areaAND
+ Knowledge of Microsoft Office
+ Experience working on time restraints for quotes on new and renewal business
+ Experience working in a team environment
Preferred Qualifications:
+ Bachelors Degree
+ Strong verbal and written communication skills
+ Microsoft Office experience
At Zurich, compensation for roles is influenced by a variety of factors, including but not limited to the specific office location, role, skill set, and level of experience. In compliance with local laws, Zurich commits to providing a fair and reasonable compensation range for each role. For more information about our Total Rewards, please clickhere ( . Additional rewards may encompass short-term incentive bonuses and merit increases. We encourage candidates with salary expectations beyond the provided range to apply as they will be considered based on their experience, skills, and education.
The combined salary range for this position is $70,600.00 - $53,000.00.The proposed salary range for the Mid-Senior is 70,600.00 - 115,700.00, with short-term incentive bonus eligibility set at 10%.The proposed salary range for the Senior is 93,400.00 - 153,000.00, with short-term incentive bonus eligibility set at 15%.
As an insurance company, Zurich is subject to 18 U.S. Code § 1033.
A future with Zurich. What can go right when you apply at Zurich?
Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere ( to learn more.
Zurich in North America is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.
Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.
Location(s): AM - Iowa Virtual Office
Remote Working: Yes
Schedule: Full Time
Employment Sponsorship Offered: No
Linkedin Recruiter Tag: #LI-AK1 #LI-ASSOCIATE #LI-REMOTE
EOE Disability / Veterans
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Be The First To Know
About the latest Insurance Jobs in Des Moines !
Senior Underwriter
 
                        Posted 1 day ago
Job Viewed
Job Description
When you join the team at Unum, you become part of an organization committed to helping you thrive.
Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
+ Award-winning culture
+ Inclusion and diversity as a priority
+ Performance Based Incentive Plans
+ Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
+ Generous PTO (including paid time to volunteer!)
+ Up to 9.5% 401(k) employer contribution
+ Mental health support
+ Career advancement opportunities
+ Student loan repayment options
+ Tuition reimbursement
+ Flexible work environments
**_*All the benefits listed above are subject to the terms of their individual Plans_** **.**
And that's just the beginning.
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
**General Summary:**
The Senior Underwriter will demonstrate strong risk evaluation, selection and retention of profitable business within assigned authority limits. This also requires a strong ability to partner with Company sales teams, brokers and all internal partners.
**Principal Duties and Responsibilities**
+ Consult with sales and service partners to provide the products and plan options that best meet the needs of our customers.
+ Evaluate and select risk to ensure the profitable acquisition of new cases and the continued profitable retention of in force cases.
+ Conduct high quality risk assessments on all cases to assure business guidelines, target profit and metrics are met. Identify and analyze risk trends, making recommendations for addressing these
+ Maintain a fully developed knowledge of the Company's products, the sales, implementation, and enrollment processes, and market place influences
+ Deliver dependable, accurate, and timely service while maintaining relationships with internal and external partners
+ Assist with training, technical development and mentoring more junior underwriters
**Job Specifications**
+ Bachelors degree or equivalent, relevant business experience
+ Demonstrated, consistent proficiency at Underwriter level
+ Fully developed knowledge of product provisions, plan designs, pricing and contractual benefits
+ Strong technical expertise in risk selection
+ Demonstrated understanding of top-line and bottom-line objectives
+ Exhibit strong knowledge of sales/distribution process and market trends
+ Solid mentoring and coaching skills
+ Strong creative problem solving skills
+ Strong critical thinking/analytical reasoning skills
+ Strong communication skills, both verbal and written
+ Strong organizational skills and ability to handle multiple priorities
+ Strong ability to be persuasive and to negotiate
+ Demonstrated ability to work both independently and in a team environment
+ Exhibit a strong commitment to quality and personal ownership of results
#LI-JQ1
~IN1
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$53,300.00-$100,700.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    Underwriting Consultant
 
                        Posted 1 day ago
Job Viewed
Job Description
When you join the team at Unum, you become part of an organization committed to helping you thrive.
Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide:
+ Award-winning culture
+ Inclusion and diversity as a priority
+ Performance Based Incentive Plans
+ Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability
+ Generous PTO (including paid time to volunteer!)
+ Up to 9.5% 401(k) employer contribution
+ Mental health support
+ Career advancement opportunities
+ Student loan repayment options
+ Tuition reimbursement
+ Flexible work environments
**_*All the benefits listed above are subject to the terms of their individual Plans_** **.**
And that's just the beginning.
With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today!
**General Summary:**
The Underwriting Consultant will demonstrate expert risk evaluation, selection and retention of profitable business within assigned authority limits. This also requires a strong ability to partner with Company sales teams, brokers and all internal partners. This role may also assist with the training, technical development and mentoring of other underwriters. Additionally, the incumbent will lead and influence others in the organization to support change and drive profitable results.
**Principal Duties and Responsibilities**
+ Consult with sales and service partners to provide the products and plan options that best meet the needs of our customers.
+ Evaluate and select risk to ensure the profitable acquisition of new cases and the continued profitable retention of in force cases.
+ Conduct high quality risk assessments on all cases to assure business guidelines, target profit and metrics are met. Identify and analyze risk trends, making recommendations for addressing these
+ Contribute to the development of policies and procedures in support of product development initiatives.
+ Demonstrate a mastery of the Company's product portfolio, the sales, implementation, and enrollment processes, and market place influences
+ Deliver dependable, accurate, and timely service while maintaining relationships with internal and external partners
+ Act as a technical resource for junior underwriters and provide developmental feedback on case level decisions within the context of a mentoring relationship
+ Act as a mentor and coach, providing input to management regarding mentee performance
**Job Specifications**
+ Bachelors degree or equivalent, relevant business experience
+ Demonstrated, consistent proficiency at Senior Underwriter level
+ Mastery of product provisions, plan designs, pricing and contractual benefits
+ Excellent technical expertise in risk selection
+ Demonstrated strong understanding of top-line and bottom-line objectives
+ Exhibit complete understanding of sales/distribution process and market trends
+ Strong mentoring and coaching skills
+ Strong creative problem solving skills
+ Strong critical thinking/analytical reasoning skills
+ Excellent communication skills, both verbal and written
+ Strong organizational skills and ability to handle multiple priorities
+ Highly skilled in persuasiveness and negotiation
+ Demonstrated ability to work both independently and in a team environment
+ Exhibit a strong commitment to quality and personal ownership of results
#LI-JQ1
~IN1
Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide.
Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.
The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience.
$63,500.00-$120,000.00
Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans.
Company:
Unum
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                    (Remote) California Claims Examiner - Workers Compensation
 
                        Posted 1 day ago
Job Viewed
Job Description
Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies
Certified as a Great Place to Work®
Fortune Best Workplaces in Financial Services & Insurance
Claims Examiner - Workers Compensation REMOTE | California Experience
Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
+ Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture.
+ Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations.
+ Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service.
+ Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights.
+ Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career.
+ Enjoy flexibility and autonomy in your daily work, your location, and your career path.
+ Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.
**ARE YOU AN IDEAL CANDIDATE?** We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion.
**OFFICE LOCATIONS**
Position offered remotely.
Rancho Cordova & San Diego hybrid if candidate prefers office environment.
**PRIMARY PURPOSE OF THE ROLE:** To analyze California jurisdiction Workers Compensation claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
**ESSENTIAL RESPONSIBLITIES MAY INCLUDE**
+ Analyzing and processing claims through well-developed action plans to an appropriate and timely resolution by investigating and gathering information to determine the exposure on the claim.
+ Negotiating settlement of claims within designated authority.
+ Communicating claim activity and processing with the claimant and the client.
+ Reporting claims to the excess carrier and responding to requests of directions in a professional and timely manner.
**QUALIFICATIONS**
Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required.
+ High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred.
+ Professional certification as applicable to line of business preferred.
**Licensing / Jurisdiction Knowledge: California experience required. License may be obtained upon hire.**
**TAKING CARE OF YOU**
+ Flexible work schedule.
+ Referral incentive program.
+ Career development and promotional growth opportunities.
+ A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one.
_As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_($71,136 - $99,000_** **_)_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claimsexaminer #claims #remote #hybrid_
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers, the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Diego Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, the California Fair Chance Act, and all other applicable laws.
Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.
**If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.**
**Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**
Is this job a match or a miss?
 
            
        
                                            
            
                 
            
        
                     Explore insurance job opportunities in
 Explore insurance job opportunities in