74,990 Policy Services jobs in the United States
Director, Policy Services
Posted 11 days ago
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The Illinois Association of School Boards (IASB) is seeking applicants for a full-time Director in the Policy Services department. This position reports to the Associate Executive Director of Policy Services and will be headquartered in IASB’s Lombard office.
Position Summary: The Policy Services Director is responsible for the management of assigned policy and administrative procedures manual customization projects, visiting school districts throughout the state to facilitate such projects, and development, delivery, marketing, and continuous improvement of existing and new policy services and trainings for IASB members.
Education and/or Experience Requirements: The Policy Services Director position requires a bachelor’s degree; with school board member, education and/or legal experience a plus. Candidates should possess excellent organizational abilities and strong communication skills, attention to detail and accuracy, and the ability to work independently and take initiative to start and finish projects on required deadlines. Additional skills include public speaking; advanced knowledge of Adobe Acrobat Pro; and proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, and Outlook).
The employee must have a valid Illinois drivers’ license and a vehicle; mileage and reasonable travel reimbursement will be provided.
This position requires the employee to be able to be able to lift, move, and safely handle boxes and materials up to 25 pounds. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions of the position.
The position offers an annual salary of $70,000 – $99,000, with a generous benefits package that includes holidays, vacation and sick time, medical, dental, vision, and life insurance, and retirement. Position will be eligible for Hybrid work after 90-days of employment.
Policy Services Representative-(GAIT)
Posted today
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Position Description:
The Policy Services Rep (GAIT) is responsible for customer service, issuance and administrative functions, cases, and products/plans. This position must accurately interpret and fulfill all requirements necessary for accurate processing, follow current procedures in accordance with industry/state regulations, internal/external audit recommendations, and compliance directives. The position must stay abreast to product and case education and associate training/coaching; identify and resolve system/processing related issues.
At Ameritas, our mission is Fulfilling Life. We do that in many ways, but especially by helping people invest in themselves by offering trusted financial products and advice. Because we believe everyone should be happy, healthy and financially secure, we work hard to provide trusted financial products and valued guidance, including individual life and disability insurance, employee benefits, retirement planning, investments, and wealth management services.
Position Location:
- This position is hybrid.in Lincoln, NE
What you do:
- Assist with customer inquiries via telephone, email, or other written correspondence and utilize empathy and patience with all customers.
- Administer functions of Group Administration including new case set up; issue; billing; collection and reconciliation of premium; processing small case policy changes; on-going administration; group terminations and final accounting.
- Research of customer needs and problems; development of informed, innovative solutions; and decisive action within defined parameters of authority; to build customer loyalty while maintaining the financial and procedural integrity of the case. This includes pro-actively calling customers.
- A working knowledge of the functions and systems across the organization as they relate to administrative functions.
- Meeting or exceeding service standards with respect to accuracy, turnaround time and overall quality of work product and service.
- Have the ability to assess situations, communicate issues promptly, and offer thoughtful solutions.
- Handle and complete special assignments and projects within provided timeframes.
- Other duties as assigned.
What you bring:
- H.S. Diploma or GED required
- 0-2 years related experience required Previous experience in Group Policy Services/GAIT highly preferred
What we offer:
A meaningful mission. Great benefits. A vibrant culture
Ameritas is an insurance, financial services and employee benefits provider Our purpose is fulfilling life. It means helping all kinds of people, at every age and stage, get more out of life.
At Ameritas, youll find energizing work challenges. Flexible hybrid work options. Time for family and community. But dig deeper. Benefits at Ameritas cover things you expect -- and things you dont:
Ameritas Benefits
For your money:
- 401(k) Retirement Plan with company match and quarterly contribution
- Tuition Reimbursement and Assistance
- Incentive Program Bonuses
- Competitive Pay
For your time:
- Flexible Hybrid work
- Thrive Days - Personal time off
- Paid time off (PTO)
For your health and well-being:
- Health Benefits: Medical, Dental, Vision
- Health Savings Account (HSA) with employer contribution
- Well-being programs with financial rewards
- Employee assistance program (EAP)
For your professional growth :
- Professional development programs
- Leadership development programs
- Employee resource groups
- StrengthsFinder Program
For your community:
- Matching donations program
- Paid volunteer time 8 hours per month
For your family:
- Generous paid maternity leave and paternity leave
- Fertility, surrogacy and adoption assistance
- Backup child, elder and pet care support
An Equal Opportunity Employer
Ameritas has a reputation as a company that cares, and because everyone should feel safe bringing their authentic, whole self to work, were committed to an inclusive culture and diverse workplace, enriched by our individual differences. We are an Equal Opportunity/Affirmative Action Employer that hires based on qualifications, positive attitude, and exemplary work ethic, regardless of sex, race, color, national origin, religion, age, disability, veteran status, genetic information, marital status, sexual orientation, gender identity or any other characteristic protected by law.
Policy Services Representative-(GAIT)
Posted 7 days ago
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The Policy Services Rep (GAIT) is responsible for customer service, issuance and administrative functions, cases, and products/plans. This position must accurately interpret and fulfill all requirements necessary for accurate processing, follow curre Policy, Representative, Processing, Service, Retail, Insurance
Policy Services Analyst ( {{city}})
Posted today
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Are you looking for a stable, low-stress job with a supportive team, no sales pressure and a steady schedule?
A well-established insurance brokerage in Alpharetta is looking for a Policy Services Analyst to join their back-office operations team.
This is a behind-the-scenes role focused on policy processing, data entry and support work. If you're someone who thrives in a calm, detail-oriented environment and values consistency this could be a great fit.
What Youll Do:
- Process and invoice new and renewal insurance policies across various lines of business
- Review underwriting information and applications for completeness
- Enter data for new, renewal, and endorsement transactions
- Manage suspense and follow up on outstanding underwriting and brokerage items
- Handle surplus lines tax requirements
- Support binder processing for both MGA and brokerage business
What Were Looking For:
- Someone in short driving distance to Alpharetta area who enjoys structure, consistency and friendly coworkers
- Detail-oriented, organized and comfortable with high-volume data entry
- A strong communicator with solid typing and administrative skills
- Experience working in the insurance indusrty
Work Environment:
- Hybrid schedule: 3 days in-office, 2 days remote
- No travel, no agency development, no sales pressure
- Supportive, family-oriented culture with a focus on doing quality work
- Exposure to a wide variety of business types across commercial, personal and professional lines
- A great role for someone who wants a dependable job
If interested, please email Lance Polikov at for more information.
Keywords:
- Policy Services Analyst
- Insurance Operations
- Insurance Support
- Policy Processing
- Back Office Support
- Data Entry
- Underwriting Support
- Insurance Administration
- Commercial Lines
- Personal Lines
- Professional Liability
- Surplus Lines
- MGA Operations
- Policy Issuance
- Binder Processing
- Renewal Processing
- Endorsement Handling
- Insurance Documentation
- Policy Management
- Account Manager
- CSR
- Agent
- Producer
- Account Executive
- Analyst
Head of Case Design & Policy Services
Posted today
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Job Description
Job Title: Head of Case Design & Policy Services
Location: Greater Chicago Area (Northbrook, IL) Hybrid (At least one day per week)
Overview:
Our client, a well-regarded insurance-focused advisory firm, is seeking a knowledgeable and detail-oriented Head of Case Design & Policy Services to support their high-net-worth clients and advisory team. This role is ideal for a candidate with strong expertise in insurance products, and case design, who is also organized and eager to grow. The position requires a blend of technical skill and client-focused service, assisting Advisors in delivering tailored insurance solutions that meet clients unique financial goals.
Key Responsibilities:
- Assist with insurance case design, supporting advisors in crafting customized strategies for high-net-worth clients.
- Maintain deep knowledge of insurance products, staying informed on industry trends, regulatory changes, and product updates.
- Organize and manage client service tasks, maintaining accurate and up-to-date records, files, and client information.
- Collaborate with the advisory team and provide hands-on client support.
Qualifications:
- Minimum of 5 years of experience in a client service role within the insurance or financial services industry.
- Strong expertise in insurance products, with a background in case design and underwriting.
- Highly organized and able to manage multiple tasks with attention to detail.
- Coachable and willing to learn from experienced advisors and improve processes as needed.
- Excellent communication skills, with a client-centered approach and the ability to build trusting relationships.
Benefits:
- Hybrid work schedule with flexible in-office days
- Comprehensive benefits package, including health insurance, retirement plans, and ongoing professional development opportunities.
Compensation:
Base Salary: $85,000 - $110,000, depending on experience and qualifications
Supervisor, Claims Processing
Posted 1 day ago
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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: $99,000 - $119,000 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.
- 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).
- 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)
Claims Processing Manager
Posted today
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This position will be responsible for managing the day to day operations of the claims processing Team. This position is responsible for accuracy of claims payment posting according to company policies in accordance within the established reporting cycles. The role will be responsible for maintaining Team moral, accountability & productivity.
This position is located at the GEDC Practice Support Center in Southfield, MI and would require an on-site presence 5 days per week.
What you'll bring to the team.
- Motivate the Team to meet required goals & encourage personal growth within the Team and GEDC
- Ensure accurate processing of all claims payments in a timely manner
- Manage overtime within allotted budget
- Supervision of cash posting staff, training, performance evaluation, and workload prioritization
- Investigating discrepancies, handling unapplied payments, and resolving payment issues with payers or internal teams
- Work with billing, claims resolution, and IT to resolve issues and ensure seamless cash flow processes
- Other claims processing or administrative tasks as requested by direct Manager
- High level of detail orientation and organizational skills
- Basic math and analytical abilities
- Intermediate computer skills including Microsoft Excel and PowerPoint
- Strong 10 key skills with data entry accuracy track record
- Excellent written and interpersonal communication skills
- Ability to work independently and professionally
- Ability to manage multiple priorities and deadlines in a high-volume environment with tight timelines
- Ability to maintain confidentiality of Team Member information
- Ability to analyze workflows, identify bottlenecks, and implement improvements for efficiency and accuracy
- Familiarity with Explanation of Benefits (EOBs), Electronic Remittance Advice (ERAs), and denials preferred
- High School Diploma or GED equivalent
- 2-3 supervisory experience
- 5-7 years' experience in claims processing preferred but not required
#IND8
GEDC is committed to diversity and inclusion and is proud to be an equal opportunity employer. All qualified applicants are welcomed and encouraged to apply.
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Claims Processing Specialist

Posted 19 days ago
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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.
Assistant of Claims Processing

Posted today
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+ **Department:** Billing and 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, location 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.
E-Verify (
Healthcare Claims Processing - Remote
Posted 13 days ago
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Job Description
Pay rate $18 per hour.
**In this Role the candidate will be responsible for:**
+ Processing of Professional claim forms files by provider
+ Reviewing the policies and benefits
+ Comply with company regulations regarding HIPAA, confidentiality, and PHI
+ Abide with the timelines to complete compliance training of NTT Data/Client
+ Work independently to research, review and act on the claims
+ Prioritize work and adjudicate claims as per turnaround time/SLAs
+ Ensure claims are adjudicated as per clients defined workflows, guidelines
+ Sustaining and meeting the client productivity/quality targets to avoid penalties
+ Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA.
+ Timely response and resolution of claims received via emails as priority work
+ Correctly calculate claims payable amount using applicable methodology/ fee schedule
**Requirements:**
+ 1+ year(s) hands-on experience in Healthcare Claims Processing
+ 2+ year(s) using a computer with Windows applications using a keyboard, navigating multiple screens and computer systems, and learning new software tools
+ Previous work from home experience
+ 2+ years Key board skills and computer familiarity including toggling back and forth between screens and navigating multiple systems.
+ 2+ years(s) Working knowledge of MS office products - Outlook, MS Word and MS-Excel.
**Preferred Skills & Experiences:**
+ Amisys Preferred
+ Ability to communicate (oral/written) effectively in a professional office setting
+ Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities
+ Time management with the ability to cope in a complex, changing environment
Education: Verifiable-High school diploma or GED
Hours: Must be able to work 7am - 4 pm CST online/remote (training is required on-camera).
NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The pay rate for this remote role is $18 Hourly **.** This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.