Location: Gainesville, FL
Company: Sentara Health
function. Essential Job Functions: Analyzes employer group experience reports from both internal and external sources in connection with group-specific premium rate development. Develops studies, reports and analysis to respond to specific underwriting issues.
Evaluates medical risk for employer groups. Determines premium rates for prospective clients. Determines rates and fees for self-funded employer groups, procures stop loss quotations from outside insurance carriers, and produces and presents final proposals based on client-specific requirements. Processes requests for self-funded renewals, completes stop-loss carrier requirements for renewal rate changes, disclosures, and final
offers. Collaborates with sales by participating in meetings and/or conference calls with employer groups, outside brokers and consultants. Attends and participates in Pricing Strategy Council meetings for review of Strategic Account prospects and renewals.
Interacts with SVPs and Marketing Directors concerning final recommendations for rating actions or fee recommendations. Collaborates with other departments to implement new rates, rating methodologies and applications. Performs implementation testing for changes to rating and workflow programs needed to underwrite prospects and renewing clients. Recommend changes to programs when necessary. Assists in the development and maintenance
of documentation on quote processes and underwriting guidelines, including department Underwriting Manual.
Maintain ASO database, Retention Tracker and Block Budget. Documents risk evaluation findings and maintain acceptable records for review and audit by regulatory authorities. Produces and maintains reports and reporting systems to monitor and assist in renewal and new business processes. Presents report findings and recommendations to leadership for review and approval. Develops, produces and maintains Block Renewal reporting for presentation to Senior Management at monthly Block Renewal meetings. Coordinate development and maintenance of methodologies and data sources with Group Actuarial.
Develop and maintain Block Renewal Report for Senior Management review on a monthly basis. Performs additional duties and responsibilities as assigned by management You have: Bachelors required6-10 years of experience in Underwriting in HMO or health insurance or related field with medical risk evaluation and financial analysis experience An equivalent combination of education and experience may be considered You May Also Have Health Insurance Portability and Accountability Act (HIPAA)-Proficiency: Advanced Manage Projects- Proficiency: Advanced Problem Solving- Proficiency: Advanced SQL, VBA and/or SAS- Proficiency: Intermediate Microsoft Office (Word, Excel Access, Outlook)-Proficiency: Intermediate Responsible for accurately developing employer group rates.
Works with the sales department to finalize rates and develop appropriate benefit alternatives as appropriate. Acts as a mentor/ advisor to Underwriters and Underwriting Trainees. Responsible for cases with the highest level of complexity. Bacheloru0027s Level Degree Underwriter 7 years Microsoft Word Microsoft Excel Mathematics Communication
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 refer to various career paths within the insurance industry, encompassing roles such as underwriters, claims adjusters, insurance agents, risk managers, and actuaries. These positions are characterized by their focus on assessing risk, determining policy coverage, managing claims, and providing financial protection to individuals and businesses. The field demands strong analytical skills, attention to detail, and excellent communication abilities, as professionals work to tailor policies to the needs of clients and help them understand complex insurance concepts. Additionally, careers in insurance often offer opportunities for advancement, job stability, and the satisfaction of helping others manage potential losses.
surveys, contract reviews, financial statements, faculty appointment records, other personnel records, and a variety of other internal and external sources.
Evaluate exposure information and resolve exposure data issues with appropriate administrators.
Assist A & P staff with controlling and/or avoiding undesirable liability exposure by detecting circumstances and situations that do or may give rise to increased exposure and by taking measures to control or avoid such risks. Identify and manage the documentation of insurance rating classes for each exposure and provide rating and allocation information and consultation to the accounting staff. Provide administrative assistance
to the Director regarding varied and highly complex special assignments with insurance implications. Serve as a resource to the claim staff regarding insurance matters.
Serve as a resource to and liaison with insurance brokers, managers, and underwriters, with university administrators and faculty, with hospital administrators, and others regarding insurance matters. Manage the insurance coverage binders and information documents for credentialing, litigation and a variety of other requirements. Maintain controls to assure that coverage is not inappropriately extended for undesirable or uninsurable risks. Develop, implement, and maintain policies and procedures for assigned insurance
administration and supervisory functions. Evaluate and manage relevant paper flow and database usage, and supervise other legislative positions assigned to perform insurance support services.
Manage the processing of claim reports to hospitals, managed care providers, other insurers, and other entities as required. Manage controls to ensure claim report verifications by the claim staff, and/assist A & P staff with the collection and recordation of claim histories from external sources including but not limited to the National Practitioner Data Bank, other state and federal claim reporting organizations, and commercial insurers. Perform other related administrative functions as requested.
Expected Salary: Commensurate with education and experience. Minimum Requirements: Bachelor's degree in an appropriate area and three years of relevant experience; or an equivalent combination of education and experience. Preferred Qualifications: Experience in the field of insurance administration is preferred. Special Instructions to Applicants: In order to be considered, you must upload your cover letter and resume. Application must be submitted by 11:55 p. m. (ET) of the posting end date. Health backssment Required: No Applications Close: 01 Jan 2024 To apply, visit explore.
jobs. ufl. edu/en-us/job/529554/senior-underwriter The University is committed to non-discrimination with respect to race, creed, color, religion, age, disability, interaction, interactionual orientation, gender identity and expression, marital status, national origin, political opinions or affiliations, genetic information and veteran status in all aspects of employment including recruitment, hiring, promotions, transfers, discipline, terminations, wage and salary administration, benefits, and training. Copyright 2022 Inc. All rights reserved. Posted by the FREE value-added recruitment advertising agency jeid-bcee06ab94d1804c8d742d66ca0e153a For more details: jobs-search.
org/senior-underwriter_gainesville-c427745/senior-underwriter-gainesville_i1971734542
will work alongside the Facility Manager serving our 48 residents at our Cass St location. In this position, the Staff LPN/RN will become familiar with each resident's care needs, work with the residents and other care providers related to medical concerns, educate and supervise Resident Care Associates in medication administration and other tasks as delegated by the Nurse Manager.
What You'll Do In this position, the Nurse will become familiar with each resident's care needs, work with the residents and other care providers related to medical concerns, new admission and routine backssments as well as discharge planning. Our Nurse will attend continuing education seminars as necessary
to maintain compliance with regulatory policies and best practices. This nurse will educate and supervise Resident Care staff in medication administration and resident care, delegating tasks as appropriate.
Collaborate in a supportive environment with our Triage Nurse Team What You'll Need Currently licensed to practice in the State of Wisconsin as a Registered Nurse or Licensed Practical Nurse Demonstrated knowledge of gerontological nursing The ability to think critically and problem solve with staff and available resources Basic computer skills and the ability to adapt to new software Experience working with geriatric population and/or memory care is beneficial, but not required One
year of prior nursing experience preferred but not required-We will train the right fit for our team!
Our Wages Based on qualifications and experience. Our Benefits Available at 50+ hours/pay period: Health Insurance, Health Reimbursement Account, Dental Insurance, Life and AD&D Insurance, Long Term Disability, Short Term Disability, Flexible Spending Accounts, Paid Leave Time Available at 20+ hours/pay period: Vision Insurance, Accident Insurance, Cancer & Critical Illness Insurance, Hospital & Intensive Care Insurance, Pet Insurance. Available at 18+ hours/pay period: Tuition Investment Program. Available to all age 18+: Employee Assistance Program, 401(k).
Pre-Employment Information Background checks will be run after an offer has been made, and offers are contingent upon successfully passing a background check. Communicable Disease Screening must also be completed if your position requires working within our communities. About Eagle Crest Eagle Crest Communities is the largest not-for-profit senior care provider in Western Wisconsin. With ten communities in the La Crosse, Holmen and Onalaska, WI area, we find success in providing superior service with great attention to ensuring the highest levels of satisfaction to every resident. Bethany Lutheran Homes Inc is an Equal Opportunity Employer!
For more details: jobs-search. org/facility-nurse_la-crosse-c427303/facility-nurse-lpn-or-rn-la-crosse_i1949138851
