Location: Tulsa, OK
Company: TD Williamson
Insurance Program and Real Estate management position reporting to and working directly with the Global Director of Risk Management. The role will be technical in nature with required administrative responsibilities. This is a senior level position. Accountabilities: Maintain open items listing for weekly meeting with Global Director of Risk Management Global relationship building to assist with all company-wide risk management and real estate needs Foster a great working relationship with TDW's global insurance broker, occupational medical triage provider, third-party administrator, underwriters, and real estate broker / landlord's Assist with the identification, communication, measurement,
and management of TDW's global risk (traditional risk management process) Contract Review: + Work directly with TDW's legal group, sales teams, and supply chain + Review insurance requirements in support of TDW's job bidding process, purchase orders, and MSA's + Confirm required insurance coverage is in place and that the insurance requirements are acceptable, or highlight discrepancies + Review contracts in support of vendor management Certificates of Insurance (COI): + Review contractual insurance requirements provided by inter-company employees to obtain COI's + Request COI's from insurance broker and provide to requestor + Monitor timely receipt of COI's from insurance broker Automobile
I.
D. Cards: + Work with TDW fleet management group + Request proper proof of insurance from broker as required and provide to fleet management or other employees (requestor) + Monitor timely receipt of automobile I.
D. cards from insurance broker Surety: + Procure new bonds and manage the renewal of existing bonds + Monitor timely receipt of bonds from insurance broker + Maintain current open bond listing and manage bond files Claims: + Work with TDW legal per company protocol + Work with third-party occupational injury medical triage provider + Report claims per insurance policy requirements (all lines of coverage) + Obtain and provide required data to claim adjusters + Monitor claims to include working with adjusters to push claims to closure (principally workers' compensation, general liability, and automobile liability) + Verify the accuracy of monthly claim and claim service fee billings from TPA + Assist with trend analysis and report preparation for HSE / HR + Facilitate two monthly open claim meetings (reserve analysis and claim updates) + Work with legal, HR, HSE, and Finance / Accounting (accounting loss accruals) Annual Insurance Program Renewals: + Attend internal and broker lead renewal strategy meetings + Assist with insurance program review and design + Gather renewal information requested by broker (submission data) + Review and organize submission data + Provide submission data to broker + Attend underwriter meetings + Analyze quotes as received + Assist with coverage purchase decisions + Work with broker on post program renewal binding activities such as COI's, Auto I.
D. Cards, Binders (review for accuracy), and Billings etc. + Set up new electronic policy files per TDW protocol + Prepare insurance premium allocations + Policy receipt and reviews + Update insurance program coverage charts Global Program Maintenance & Analysis: + Loss forecasting, retention analysis, and risk funding techniques + Program structure reviews + Insure vs.
self-insure + Coverage reviews and gap analysis + Address mergers, acquisitions, and divestitures Billings: + Third-party occupational injury medical triage provider + Monthly per claim and adjuster fee billings from TPA + Insurance program renewals including TPA agreement + Insurance program audits + Claim settlements + Surety + Real Estate Data Management: + Electronic File Management to include contract reviews, COI's, automobile I. D. cards, billings, insurance premium allocation, surety, claims, insurance policy audits, insurance policy files, insurance policy endorsements, insurance program renewals, and special projects (all applicable files / information managed by risk management) Real Estate: + Develop a working relationship with TDW's real estate broker + Assist with maintaining an accurate listing of globally owned and leased locations + Assist with lease renewals, new lease acquisitions, and lease dispositions + Work with TDW operations management and landlord's as required + Work with real estate broker to maintain an accurate lease database Other responsibilities and projects as assigned by Global Director of Risk Management Knowledge & Experience Required: College Degree Required: Bachelor of Risk Management, Finance, or Accounting etc.
CPCU, ARM, and other key industry designations a plus Minimum of Eight years of combined commercial insurance experience required (risk management, underwriting, or brokerage) Travel Not frequent TDW facility visits Meetings with brokers and underwriters Technical Skills and Expertise Required Must be able to work with a broad number of subjects, learn operations concepts and practices, and communicate effectively with all levels of employees and management Demonstrated decision making and problem solving skills Detail oriented with the ability to multi-task and meet deadlines with minimal supervision Strong analytical, problem solving, organizational, and project management skills Pipeline Company or energy contractor related experience a plus Claim management experience a plus Working knowledge of Microsoft Office products including Teams, Excel, Word, and Power Point
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.
Nurse for the Ambetter line of business. The ideal candidate will have Appeals or Utilization Management experience and have knowledge of Inter Qual criteria. Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.
Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards Communicates
with members, providers, facilities, and other departments regarding appeals requests Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Bachelor's degree or graduate from an Accredited School of Nursing and 2
– 4 years of related experience.
Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.
Knowledge of NCQA, Medicare and Medicaid regulations preferred. Knowledge of utilization management processes preferred. License/Certification: LPN - Licensed Practical Nurse - State Licensure required or LVN - Licensed Vocational Nurse required or RN - Registered Nurse - State Licensure and/or Compact State Licensure required Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, interaction, interactionual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. For more details: jobs-search. org/insurance_tulsa-c443982/clinical-review-clinician-appeals-tulsa_i1973749292
state of practice EKG certification is recommended and/or a special test may be required, NIHSS (stroke scale) is also recommended Specialty-related certifications are preferred and may be required for specific positions Experience as a Telemetry RN in a hospital setting Minimum of 2 years of experience as an RN Job Details Weekly Pay: $1,848 per week Location: Tulsa, OK Shift Schedule: Nights Assignment Duration: 13 Weeks Weekly Hours: 36 Hours Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend: Facility Cancelled Shifts, JACHO Certified, Prestigious Facilities, PTO Program, Weekly Pay, Paid Compliance Cost, Referral Bonuses, Extra Shift Bonuses, 401(k) Plan For more details: jobs-search.
org/insurance_tulsa-c443982/job_i1971120537
state of practice EKG certification is recommended and/or a special test may be required, NIHSS (stroke scale) is also recommended Specialty-related certifications are preferred and may be required for specific positions Experience as a Telemetry RN in a hospital setting Minimum of 2 years of experience as an RN Job Details Weekly Pay: $1,715 per week Location: Tulsa, OK Shift Schedule: Nights Assignment Duration: 13 Weeks Weekly Hours: 36 Hours Agency Benefits Day 1 Health Insurance (Medical, Dental, Vision), Flexible Housing Options, Guaranteed Stipend: Facility Cancelled Shifts, JACHO Certified, Prestigious Facilities, PTO Program, Weekly Pay, Paid Compliance Cost, Referral Bonuses, Extra Shift Bonuses, 401(k) Plan For more details: jobs-search.
org/insurance_tulsa-c443982/job_i1971044859
