34 Policy Processing jobs in the United States
Dealer Inventory Insurance - Underwriting Administration Supervisor

Posted 1 day ago
Job Viewed
Job Description
**Ref #** 19772
**Remote?** No
**Ally and Your Career**
*
Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too?
**The Opportunity**
Ally is seeking a dynamic and experienced Underwriting Administration Supervisor to join our Ally Dealership Insurance Team. This role is pivotal in managing and overseeing various administrative and operational functions related to floorplan insurance. The successful candidate will work closely with the underwriting team and shared stakeholders to ensure seamless execution of processes and projects.
**The Work Itself**
* Dealer Waiver Process: Perform and manage premiums waiver and refund process. Ensure all transactions are processed in a timely manner.
* Audit Responsibilities: Conduct audit duties, focusing on due diligence processes with third-party vendors. Verify vendor compliance with company standards and regulatory requirements.
* Quality Control: Maintain quality control over dealer inventory insurance binding documents. Ensure all documents meet company standards and are accurately processed.
* Service Level Agreements: Implement and uphold service level agreements with third-party vendors. Monitor vendor performance to ensure adherence to agreed terms.
* Team Management: Management of underwriting assistants and contractors (may include offshore resources). Provide leadership and guidance to ensure efficient and effective team operations.
* Issue Management: Address and resolve issues related to underwriting and administrative processes. Implement solutions to improve efficiency and accuracy.
* Special Projects: Handle special projects as assigned, ensuring successful execution and alignment with organizational goals. Collaborate with cross-functional teams to drive project outcomes. Perform additional tasks to ensure compliance with internal and external standards for insurance documentation and processes.
**The Skills You Bring**
* 2+ years' experience of managerial experience
* Strong background in insurance with a comprehensive understanding of industry practices
* Bachelor's degree preferred
* Excellent verbal and written communication abilities
* Strong PC and data entry skills
* Proficiency in Microsoft Office applications (Outlook, Excel, Word) required
* Ability to multi-task in a fast-paced environment
**How We'll Have Your Back**
*
Ally's compensation program offers market-competitive base pay and pay-for-performance incentives (bonuses) based on achieving personal and company goals. But Ally's total compensation - or total rewards - extends beyond your paycheck and is designed to support and enrich your personal and professional life, including:
* Time Away: competitive holiday and flexible paid-time-off, including time off for volunteering and voting.
* Planning for the Future: plan for the near and long term with an industry-leading 401K retirement savings plan with matching and company contributions, student loan and 529 educational assistance programs, tuition reimbursement, and other financial well-being programs.
* Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings Account with employer contributions and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially.
* Building a Family: adoption, surrogacy, and fertility support as well as parental and caregiver leave, back-up child and adult/elder day care program and childcare discounts.
* Work-Life Integration: other benefits including LifeMatters® Employee Assistance Program, subsidized and discounted Weight Watchers® program and other employee discount programs.
Who We Are:
Ally Financial is a customer-centric, leading digital financial services company with passionate customer service and innovative financial solutions. We are relentlessly focused on "Doing it Right" and being a trusted financial-services provider to our consumer, commercial, and corporate customers. For more information, visit is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, pregnancy status, marital status, military or veteran status, genetic disposition or any other reason protected by law.
Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered, if not currently employed by Ally.
We are committed to working with and providing reasonable accommodation to applicants with physical or mental disabilities. For accommodation requests, email us at Ally will not discriminate against any qualified individual who is capable of performing the essential functions of the job with or without reasonable accommodation.
**_Base Pay Range:_**
An individual's position in the range is determined by the scope and responsibilities of the role, work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior to extending an offer.
**Emerging:** 70,000
**Expert:** 120,000
Incentive Compensation: This position is eligible to participate in our annual incentive plan
Dealer Inventory Insurance - Underwriting Administration Supervisor
Posted 6 days ago
Job Viewed
Job Description
**Ref #** 19772
**Remote?** No
**Ally and Your Career**
*
Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too?
**The Opportunity**
Ally is seeking a dynamic and experienced Underwriting Administration Supervisor to join our Ally Dealership Insurance Team. This role is pivotal in managing and overseeing various administrative and operational functions related to floorplan insurance. The successful candidate will work closely with the underwriting team and shared stakeholders to ensure seamless execution of processes and projects.
**The Work Itself**
* Dealer Waiver Process: Perform and manage premiums waiver and refund process. Ensure all transactions are processed in a timely manner.
* Audit Responsibilities: Conduct audit duties, focusing on due diligence processes with third-party vendors. Verify vendor compliance with company standards and regulatory requirements.
* Quality Control: Maintain quality control over dealer inventory insurance binding documents. Ensure all documents meet company standards and are accurately processed.
* Service Level Agreements: Implement and uphold service level agreements with third-party vendors. Monitor vendor performance to ensure adherence to agreed terms.
* Team Management: Management of underwriting assistants and contractors (may include offshore resources). Provide leadership and guidance to ensure efficient and effective team operations.
* Issue Management: Address and resolve issues related to underwriting and administrative processes. Implement solutions to improve efficiency and accuracy.
* Special Projects: Handle special projects as assigned, ensuring successful execution and alignment with organizational goals. Collaborate with cross-functional teams to drive project outcomes. Perform additional tasks to ensure compliance with internal and external standards for insurance documentation and processes.
**The Skills You Bring**
* 2+ years' experience of managerial experience
* Strong background in insurance with a comprehensive understanding of industry practices
* Bachelor's degree preferred
* Excellent verbal and written communication abilities
* Strong PC and data entry skills
* Proficiency in Microsoft Office applications (Outlook, Excel, Word) required
* Ability to multi-task in a fast-paced environment
**How We'll Have Your Back**
*
Ally's compensation program offers market-competitive base pay and pay-for-performance incentives (bonuses) based on achieving personal and company goals. But Ally's total compensation - or total rewards - extends beyond your paycheck and is designed to support and enrich your personal and professional life, including:
* Time Away: competitive holiday and flexible paid-time-off, including time off for volunteering and voting.
* Planning for the Future: plan for the near and long term with an industry-leading 401K retirement savings plan with matching and company contributions, student loan and 529 educational assistance programs, tuition reimbursement, and other financial well-being programs.
* Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings Account with employer contributions and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially.
* Building a Family: adoption, surrogacy, and fertility support as well as parental and caregiver leave, back-up child and adult/elder day care program and childcare discounts.
* Work-Life Integration: other benefits including LifeMatters® Employee Assistance Program, subsidized and discounted Weight Watchers® program and other employee discount programs.
Who We Are:
Ally Financial is a customer-centric, leading digital financial services company with passionate customer service and innovative financial solutions. We are relentlessly focused on "Doing it Right" and being a trusted financial-services provider to our consumer, commercial, and corporate customers. For more information, visit is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, pregnancy status, marital status, military or veteran status, genetic disposition or any other reason protected by law.
Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered, if not currently employed by Ally.
We are committed to working with and providing reasonable accommodation to applicants with physical or mental disabilities. For accommodation requests, email us at Ally will not discriminate against any qualified individual who is capable of performing the essential functions of the job with or without reasonable accommodation.
**_Base Pay Range:_**
An individual's position in the range is determined by the scope and responsibilities of the role, work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior to extending an offer.
**Emerging:** 70,000
**Expert:** 120,000
Incentive Compensation: This position is eligible to participate in our annual incentive plan
Supervisor Underwriting Support
Posted today
Job Viewed
Job Description
Schedule: Full-Time Salary Range: USD $78000.00 - $133000.00 Job Category: Underwriting Description Are you looking for an opportunity to significantly contribute to a fast-growing business? Then the UW Support Supervisor of our Equipment Breakdown team might be right for you. We have experienced rapid growth and as an UW Support Supervisor, you will manage Account Analysts who provide timely and high-quality customer service to underwriters and agencies/brokers by performing basic underwriting activities, such as gathering and analyzing data, selecting rates and forms for coverage options, and entering information into databases for account pricing. This is a hybrid position. You will be required to go into the office twice a week if you reside within 50 miles of Warrenville, IL; Boston, MA; Philadelphia, PA or Plano, TX office. Please note this policy is subject to change. Responsibilities: Selects, develops and manages a talented team that supports the underwriters in achieving a balanced, profitable and quality book of business by performing various pre-underwriting activities, gathering data, and entering information into databases. Partners with underwriting to direct the day-to-day activities of team by facilitating communication and establishing priorities, redirecting work when needed and assisting others with resolving problems in order to make improvements in the work or meet established operations service standard (e.g., Operational Objectives, Billing Instructions, Policy Writing Instructions, Endorsements, etc.). Elevates issues as needed through Tier huddles and problems solving. Maintain compliance regulatory requirements as well as internal policies, procedures and processing with all standards through process confirmations, regular reporting and follow up as appropriate; works with the Underwriting Management to ensure underwriting files are documented, follow filing protocol and maintain accurate account history. Responsible for the acquisition, retention and development of Underwriting Account Analyst talent. Formally manages, guides and mentors Account Analysts to improve technical and behavioral capabilities. Fosters a collaborative team environment that is conducive to continuous improvement and root cause problem solving activities. Promotes an environment of continuous improvement, collaboration and partnership to improve customer relationships, quality and work processes. Ensures that the unit develops and maintains effective business relationships with underwriters, internal partners and external clients, fosters and environment of collaboration and partnership with peers, Underwriting, Delivery Center, Claims and other areas. Qualifications Intermediate knowledge of property and or casualty insurance coverage, risk analysis/selection, risk assessment, rating procedures, rating plans and systems/workflow, pricing and MS Excel/Word. In-depth knowledge of commercial lines underwriting products and processes. Ability to get work done through others (delegate), communicate effectively (including listening, writing clearly, giving constructive feedback, etc.), get support from above. Plan/organize work, analyze and solve problems, focus on the larger picture as normally acquired through a bachelor's degree or equivalent experience and experience supporting a commercial lines underwriting operation. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. As a purpose-driven organization, Liberty Mutual is committed to fostering an environment where employees from all backgrounds can build long and meaningful careers. Through strong relationships, comprehensive benefits and continuous learning opportunities, we seek to create an environment where employees can succeed, both professionally and personally. At Liberty Mutual, we believe progress happens when people feel secure. By providing protection for the unexpected and delivering it with care, we help people embrace today and confidently pursue tomorrow. We are dedicated to fostering an inclusive environment where employees from all backgrounds can build long and meaningful careers. By actively seeking employee feedback and amplifying the voices of our seven Employee Resource Groups (ERGs), which are open to all, we create an environment where every individual can make a meaningful impact so we continue to meet the evolving needs of our customers. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco Employment Type: Full Time
Underwriting Support Specialist
Posted 1 day ago
Job Viewed
Job Description
We are looking for an Underwriting Support Specialist to join our team on a long-term contract basis in Sacramento, California. This role will focus on supporting project-based initiatives, including testing and reviewing submissions data, as well as assisting with documentation tasks. If you have a strong attention to detail and a background in quality assurance, we encourage you to apply.
Responsibilities:
- Verify that uploaded information is processed correctly and meets required standards.
- Identify and document system errors or inconsistencies encountered during the review process.
- Provide detailed feedback and summaries of findings to management for process improvement.
- Collaborate on proofreading and refining procedure documentation to ensure clarity and accuracy.
- Support the team with backend testing tasks to ensure system functionality aligns with project goals.
- Assist in maintaining organized project documentation and reporting.
- Contribute to the overall success of department projects by offering quality assurance expertise.
Requirements - Proven experience in quality assurance or a related field requiring strong attention to detail.
- Familiarity with reviewing digital applications and identifying data discrepancies.
- Strong ability to document findings clearly and provide actionable feedback.
- Experience with backend testing and ensuring system accuracy.
- Excellent written communication skills for proofreading and documentation tasks.
- Ability to work independently and manage time effectively in a project-based role.
- Proficiency with tools and systems used in digital submissions or similar processes. TalentMatch®
Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app ( and get 1-tap apply, notifications of AI-matched jobs, and much more.
All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
© 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use ( .
Underwriting Support Assistant

Posted 3 days ago
Job Viewed
Job Description
We need a detail-oriented professional to support the migration of insurance policy data to our new platform. This role ensures the accuracy and integrity of policy information. The ideal candidate will have strong data handling skills, attention to detail, and effective collaboration abilities.
We are a company committed to creating inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity employer that believes everyone matters. Qualified candidates will receive consideration for employment opportunities without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, disability, 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 Human Resources Request Form ( . The EEOC "Know Your Rights" Poster is available here ( .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: .
Skills and Requirements
1-2 years of experience with:
Microsoft office suite (excel, outlook, teams)
Data entry, data processing, administrative support
Preferably in insurance or financial services
Typing speed of at least 55-65 WPM with minimal errors (there will be an assessment)
High School Diploma Bachelors or Associates
Horse industry knowledge null
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 employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to 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 oruniformed service member status, or any other status or characteristic protected by applicable laws, regulations, andordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to
Operations and Underwriting Support Coordinator
Posted today
Job Viewed
Job Description
_If you have a disability and need assistance with the application, you can request a reasonable accommodation. Send an email to_ Accessibility ( ?subject=Accommodation%20request) _(accommodation requests only; other inquiries won't receive a response)._
**Regular or Temporary:**
Regular
**Language Fluency:** English (Required)
**Work Shift:**
1st Shift (United States of America)
**Please review the following job description:**
The Operations and Underwriting Support for CRC Insurisk will directly report to CRC Insurisk, Director of Operations. This role will support an array of functions across all Insurisk lines of business (Property, Casualty, Inland Marine, Professional Lines). Role will include but not limited to supporting and analyzing underwriting workflows throughout the team. Assist on projects like onboarding new programs, assist in system implementations, training, compliance reviews, troubleshooting and supporting underwriting teams on day-to-day workflow.
**KEY RESPONSIBILITIES**
Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
+ Gain a strong understanding of the business process, programs and systems utilized by Insurisk, including the general underwriting workflow (clearance, quoting, binding, issuance, post bind transactions, invoices, etc.).
+ Performs other job-related duties as assigned, including technical, administrative, and clerical support as required by Insurisk leadership.
+ Support LOB program managers with new program implementations.
+ Utilize underwriting platform(s) to run monthly carrier BDXs and operational reports for management.
+ Liaise with internal teams (finance, compliance, IT), insurance carriers, producers, reinsurers for data collection and follow-up on action items.
+ Support internal operational or underwriting audits.
+ Work with operations and other functional leadership teams to document underwriting processes and recommend improvements.
+ Establishes, communicates, and implements operations guidelines, standard practices and security measures to ensure effective and consistent support and execution.
**EDUCATION AND EXPERIENCE**
The requirements 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.
+ Bachelor's degree or equivalent work experience in Business, Operations, or a related field. (required)
+ 3+ years of experience in underwriting support roles (required)
+ Experience in P&C lines (preferred)
+ Experience with IMS, ODEN, AIM and other similar insurance applications (preferred)
**CERTIFICATIONS, LICENSES, REGISTRATIONS**
+ None
**FUNCTIONAL SKILLS**
+ Agility to work in a fast-paced startup environment.
+ Ability to manage multiple competing priorities
+ Skilled in Microsoft Excel and ability to analyze data
+ Excellent communication skills and desire operate in a collaborative environment.
**General Description of Available Benefits for Eligible Employees of CRC Group:** All regular teammates (not temporary or contingent workers) working 20 hours or more per week are eligible for benefits, though eligibility for specific benefits may be determined by the division of CRC Group offering the position. CRC Group offers medical, dental, vision, life insurance, disability, accidental death and dismemberment, tax-preferred savings accounts, and a 401k plan to teammates. Teammates also receive no less than 10 days of vacation (prorated based on date of hire and by full-time or part-time status) during their first year of employment, along with 10 sick days (also prorated), and paid holidays. Depending on the position and division, this job may also be eligible for restricted stock units, and/or a deferred compensation plan. As you advance through the hiring process, you will also learn more about the specific benefits available for any non-temporary position for which you apply, based on full-time or part-time status, position, and division of work.
**_CRC Group supports a diverse workforce and is an Equal Opportunity Employer that does not discriminate against individuals on the basis of race, gender, color, religion, citizenship or national origin, age, sexual orientation, gender identity, disability, veteran status or other classification protected by law. CRC Group is a Drug Free Workplace._**
EEO is the Law ( Pay Transparency Nondiscrimination Provision E-Verify ( CRC Group, a leader in specialty wholesale insurance, and take your career to new heights. We're a dynamic team dedicated to innovation, collaboration, and excellence.
Why CRC Group?
- Growth: Advance your career with our learning and leadership development programs.
- Innovation: Work in a forward-thinking environment that values new ideas.
- Community: Be part of a supportive team that celebrates success together.
- Benefits: Enjoy competitive compensation, health benefits, and retirement plans.
Who We're Looking For
We seek passionate individuals who thrive in a fast-paced, collaborative environment. If you value integrity and are driven to succeed, CRC Group is the place for you.
Supervisor, Claims Processing
Posted today
Job Viewed
Job Description
Reporting to the Director of Claims, the Supervisor, Claims Processing organizes and supervises the work of Claims staff and leads daily operations according to industry and SFHP standards. The Supervisor, Claims Processing ensures the processing of claims complies with all regulatory and contractual requirements. You are responsible for the performance of Claims staff under their supervison, participates in cross-functional projects and audits, creates claims reports and desktop procedures, resolves claims issues, and achieves departmental goals. Please note that while SFHP supports a hybrid work environment, you are required to be onsite and in-office a minimum of 4 days per month. This is a hybrid position, based in our Downtown San Francisco office. Salary: $88,000 - $103,000 per year WHAT YOU WILL DO: Ensures claims processing follows all regulatory and contractual requirements, and that Claims departmental metrics are met. Works diligently to ensure accurate claims payment and associated documentation (remits). Identifies trends and resolutions to reduce provider disputes. Addresses escalated issues in accordance with policies, procedures, and regulations. Reviews and processes complex claims when needed. Monitors staff's work regularly for quality and efficiency. Provides training, feedback, coaching, and disciplinary action to staff, if necessary. Supports staff in meeting standards, solving problems, and enhancing performance. Works collaboratively with other departments to resolve issues efficiently. Identifies and communicates problems to the Director, Claims timely. Works closely with Claims Quality Assurance team to review audit findings, provide feedback, resolve issues, and improve claims accuracy. Consults with Director, Claims to develop and revise policies and desktop procedures for the Claims team Communicates goals to staff members and motivates them to achieve departmental goals. Participates in cross-functional projects to support and enhance operational processes. Maintains good communication and relationships with staff, providers and stakeholders. Leads department participation in all regulatory and financial audits, including resolution of audit findings. Keeps abreast with claims related to SFHP policies, procedures, and regulations. WHAT YOU WILL BRING: At least five years of experience in managed health care and Medi-Cal and/or Medicare program. One to three years of management experience. Experience with standard claims processing and claims data analysis. Solid working knowledge of claims coding and medical terminology. Superb skills in collecting and analyzing data. PC proficiency including but not limited to MSOffice skills (Outlook, Word, Excel, and PowerPoint). WHAT WE OFFER: Health Benefits Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP. Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage. Vision: Employee vision care coverage is available through Vision Service Plan (VSP). Retirement - Employer-matched CalPERS Pension and 401(a) plans, 457 Plan. Time off - 23 days of Paid Time Off (PTO) and 13 paid holidays. Professional development: Opportunities for tuition reimbursement, professional license/membership. ABOUT SFHP: Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. San Francisco Health Plan is an E-Verify participating employer. Hiring priority will be given to candidates residing in the San Francisco Bay Area and California. #LI-Hybrid (Hybrid remote/in-office) Please see job description PI275266504 #J-18808-Ljbffr
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Claims Processing Specialist
Posted 4 days ago
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Job Description
Under the supervision of the Business Services Supervisor, the Claim Edit Follow-Up Representative is responsible for processing the electronic claims edits, "front end "edits, as well as claims edits from secondary claims. In the event a claim edit does not pass, the Follow-Up Representative must determine the required action and steps necessary to resolve the claim issue. The Claim Edit Follow-Up Representative will be expected to review and resolve a No-Activity Workfile/Workqueue, which consist of accounts that have no payment or rejection posted on the account and follow Kelsey-Seybold Clinic Central Business Office policies and procedures to determine the appropriate action. The representative will be expected to follow up with daily workloads and also be able to meet work standards and performance measures for this position
**Job Title: Claims Processing Specialist**
**Location: Pearland Administrative Office**
**Department:** **BOfc-PrAuth&Clm Edit**
**Job Type: Full Time**
**Salary Range: $39,179 - $48,397 (Pay is based on several factors including but not limited to education, work experience, certifications, etc.)**
**Qualifications**
**Education**
Required: High School diploma or GED
Preferred: Additional training as a medical office assistant, medical claims processor, or medical claims follow
up specialist.
**Experience**
Required: Minimum of 3 years billing experience, knowledge of healthcare business office functions and their
relationships to each other. (i.e. billing, collections, customer service, payment posting) and insurance
products such as managed care, government and commercial products.
Preferred: Three or more years' experience in a healthcare business office setting, preferably in electronic
claims billing, or insurance follow up.
**License(s)**
Required: N/A
Preferred: N/A
**Special Skills**
Required: Must be familiar with laws and regulations governing Medicare billing practices, medical billing
systems, and claims processing.
Preferred: IDX/EPIC, PC skills, and understanding of billing invoice activity such as credits, debits, adjustments,
contractual agreements, etc.
**Other**
Required: N/A
Preferred: N/A
**Working Environment:** Office
**About Us**
Start your career journey and become a part of a community of renowned Healthcare professionals. Kelsey-Seybold Clinic is Houston's fastest growing, multispecialty organization with more than 40 premier locations and over 65 specialties. Our clinics are comprised of more than 600 physicians and as we continue to grow, our focus is providing quality patient care by adding to our team of clinical and non-clinical professionals that work together in a convenient, coordinated, and collaborative manner. Enjoy the rewards of a successful career while maintaining a work/life balance by joining our team today and changing the way health cares.
**Why Kelsey-Seybold Clinic?**
+ Medical, Vision, and Dental
+ Tuition Reimbursement
+ Company Matching 401K
+ Employee Reward and Recognition Program
+ Paid time off for vacation, sick, and holidays
+ Employee Assistance Program
+ Continuing Medical Education allowance
Kelsey-Seybold Clinic strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by organizational policy or by federal, state, or local laws unless such distinction is required by law. Kelsey-Seybold is a VEVRAA Federal Contractor and desires priority referrals of protected veterans.
Claims Processing - Representative I

Posted 1 day ago
Job Viewed
Job Description
As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
**Position Summary**
Our Claims team is looking for experienced Claims Processors to join our fast-paced Claims Department. As a Claims Processor, you will be responsible for accurate and efficient adjudication of paper claims from electronic images in a production environment.
Primary Responsibilities of the Claims Processor include:
+ Outbound calls to Members and/or Providers for verification of information
+ Processing and adjudicating paper claims.
+ Maintaining integrity of claims receipts in accordance with standard claims operating and adjudication procedures.
+ Accurately resolving pending claims using state and federal regulations and specific health plan criteria.
+ Working within turnaround times to meet client performance guarantees for claims processing.
+ Meeting productivity and accuracy standards.
**Required Qualifications**
+ 1 year of work experience with a progressive trend in responsibility and accountability, preferably in a Healthcare setting
+ Excellent verbal and written communication skills
+ In-depth experience working with Microsoft Office Suite products
+ This position is fully remote, but must be able to work the Arizona Time Zone hours.
**Preferred Qualifications**
+ Previous PBM Experience
+ Strong typing skills with speed and accuracy
+ Team-oriented while also able to pursue personal and departmental production goals daily
+ Ability to stay organized in a multi-demand and multi-priority environment
+ Ability to work overtime as necessary
+ Strong time management skills with ability to meet production goals
**Education**
High School Diploma or equivalent GED
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$17.00 - $28.46
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit anticipate the application window for this opening will close on: 07/21/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Assistant of Claims Processing

Posted 1 day ago
Job Viewed
Job Description
+ **Department:** Billing/Claims
+ **Schedule:** Full-Time, Days Mon. - Fri. 8AM-5PM
+ **Hospital:** Ascension St. Vincent's
+ **Location:** 3 Shircliff Way Jacksonville, Florida 32204-4757 United States
**Benefits**
Paid time off (PTO)
Various health insurance options & wellness plans
Retirement benefits including employer match plans
Long-term & short-term disability
Employee assistance programs (EAP)
Parental leave & adoption assistance
Tuition reimbursement
Ways to give back to your community
_Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance and salary range at the time of the offer._
**Responsibilities**
Prepare and issues bills for reimbursement to individual and third party payers in an out-patient or medical office environment.
+ Prepare insurance claims for submission to third party payers and/or responsible parties.
+ Review claims for accuracy, including proper diagnosis and procedure codes.
+ Review claim rejections and communicates with payers to resolve billing issues.
+ Prepare and review routine billing reports.
+ Recommend process improvements based on findings.
+ Respond to complex telephone and written inquiries from patients and/or third party payers and physician practices.
**Requirements**
Education:
+ High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
+ Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.
**Additional Preferences**
No additional preferences.
**Why Join Our Team**
Ascension St. Vincent's is expanding in the fastest-growing county in Northeast Florida with the addition of a fourth regional hospital, Ascension St. Vincent's St. Johns County. Serving Northeast Florida and Southeast Georgia, Ascension St. Vincent's has been providing caregivers in every discipline a rewarding career in healthcare since 1873.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
**Equal Employment Opportunity Employer**
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
For further information, view the EEO Know Your Rights (English) ( poster or EEO Know Your Rights (Spanish) ( poster.
As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.
Pay Non-Discrimination Notice ( note that Ascension will make an offer of employment only to individuals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.
**E-Verify Statement**
This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.
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