Location: Rico, CO
Company: Elevance Health
than 118 million people. MMM Holdings, LLC es una compañía que provee cubiertas de Medicare Advantage y Medicaid en Puerto Rico. Actualmente, MMM Holdings, LLC opera en Puerto Rico bajo Elevance Health, Inc. una compañía líder en servicios de salud dedicada a mejorar la calidad de vida de las comunidades en los Estados Unidos.
Por medio, de sus empresas afiliadas. Claims Representative II (Health & Dental) Location: Puerto Rico The Claims Representative II (Health & Dental) is responsible for keying, processing health claims in accordance with claims policies and procedures. Works without significant guidance w/ basic understanding of multiple products (HMO, PPO, COB, etc. ). How you
will make an impact Primary duties may include, but are not limited to: Able to handle more complex claim with a good understanding of the application of benefit contracts, pricing, processing, policies, procedures, government regs, coordination of benefits, healthcare terminology and/or adjust claims.
Good working knowledge of claims and products, including the grievance and/or re-consideration process. Excellent knowledge of the various operations of the organization, products, and services. Reviews, analyzes and processes claims/policies related to events to determine extent of company's liability and entitlement. Researches and analyzes claims issues. Responds to inquiries, may
involve customer/client contact. Minimum Requirements: Requires a HS diploma or equivalent and a minimum of 1 year of claims processing experience; previous experience using PC, database system, and related software (word processing, spreadsheets, etc.
); or any combination of education and experience which would provide an equivalent background. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler.
We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation.
Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, interaction, interactionual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.
Applicants who require accommodation to participate in the job application process may contact elevancehealthjobssupport@for assistance.
Insurance jobs are positions in the insurance industry where professionals help individuals and businesses manage risk and protect against financial loss. They encompass a variety of roles such as insurance agents, underwriters, claims adjusters, and actuaries. Key characteristics of these jobs include assessing risk, determining policy terms, negotiating contracts, and assisting clients with claims. Insurance careers often require strong analytical skills, attention to detail, and excellent interpersonal communication. These roles are crucial for the functioning of a stable economy as they provide a safety net for unforeseen events.
Insurance jobs are positions in the insurance industry where professionals help individuals and businesses manage risk and protect against financial loss. They encompass a variety of roles such as insurance agents, underwriters, claims adjusters, and actuaries. Key characteristics of these jobs include assessing risk, determining policy terms, negotiating contracts, and assisting clients with claims. Insurance careers often require strong analytical skills, attention to detail, and excellent interpersonal communication. These roles are crucial for the functioning of a stable economy as they provide a safety net for unforeseen events.
Location: Remote Compensation: $125,000 per year Underwriter Job Description: The Underwriter will be responsible for reviewing, underwriting, and rating broker submissions for new and renewal business. This position will ensure the content of submissions is complete and market to carriers to obtain quotes, negotiate pricing, define coverage, and determine commissions.
What you'll do as an Underwriter: Underwrite a book of business both new and renewal in accordance with underwriting guidelines Analyze policies and endorsements to identify errors, omissions, or discrepancies to ensure agreement with application, quote, proposal, and/or binder Analyze inspection reports to accept or reject
new business Issue policies and endorsements; bind coverage and coordinate binders/evidence Maintain and manage coverage bordereaux Coordinate the preparation of policy delivery with all related documents Maintain files for submissions and written or lost business Maintain client suspense and conduct follow-ups as appropriate Comply with agency management system data standards and data integrity (enters and maintains complete and accurate information) What you'll bring to the Underwriter role: Bachelor's degree or equivalent combination of education and experience 6+ years of related work experience; knowledge of the insurance industry preferred Valid insurance license; must continue to meet
requirements for license renewal Valid driver's license Good customer service skills, including telephone and listening skills Good problem-solving and time-management skills Excellent planning, organizational, and prioritization skills Proficient in Microsoft Office products Take the first step on your new career path!
To submit yourself for consideration for this role, simply click the apply button and complete our mobile-friendly online application. Once we've reviewed your application details, a recruiter will reach out to you with the next steps! For questions or more information about this role, please call our office at (651) 772-xyz X. As an equal-opportunity employer, Dahl Consulting welcomes candidates of all backgrounds and experiences to apply.
If this position sounds like the right opportunity for you, we encourage you to take the next step and connect with us. We look forward to meeting you! Our client is proud to provide comprehensive, high quality employee programs to meet employees' needs now and in the future, including comprehensive medical, dental, vision, FSA, 401k, EAP, etc. #BP. Indeed#LI-LK1PDN-9a57166a-8814-4f1a-ac88-6b1f35500a56
Insurance jobs refer to a variety of roles within the insurance industry, including positions such as actuaries, underwriters, claims adjusters, insurance agents, and customer service representatives. These jobs are characterized by their focus on evaluating risks, determining policy terms, managing claims, selling insurance products, and providing customer support. Notable features of insurance careers include a blend of analytical and interpersonal skills, opportunities for professional growth, and the importance of staying updated with legal and regulatory changes. Insurance professionals often play a crucial part in helping individuals and businesses mitigate financial risks through tailored insurance solutions.
