Senior Compliance Analyst Eatontown, NJ or Remote Crum & Forster Holdings Corp.Senior Compliance Analyst Eatontown, NJ or RemoteEatontown, NJRemoteWith our employee-first focus, the Company is consistently recognized as a great place to work, earning multiple workplace and wellness awards, including the Great Place to Work Award, Fortune 100 Best Companies to Work For, Fortune Best Workplaces for Parents, Fortune Best Workplaces for Millennials, and many others. Information about the Role, Line of Business and Team: The Compliance Department is responsible for the submission of product filings (forms/rates/rules) to the respective state departments of insurance to support profitable business growth, as well as reviewing marketing materials for adherence to the various state unfair trade practices and advertising guidelines.
Complex Litigation Attorney - Special Investigations Unit (Remote, NY Metro Area) Allstate Insurance CompanyComplex Litigation Attorney - Special Investigations Unit (Remote, NY Metro Area)New York, NYRemote$130,000–$177,000 / yearThe attorney will be required to travel within the New York Metro area for court appearances, hearings, trials and other legal matters, as well as periodic travel to the local Allstate office location. From advocating for seat belts, air bags and graduated driving laws, to being an industry leader in pricing sophistication, telematics, and, more recently, device and identity protection.
Claims Sr Rep Commercial Specialist Farmers Group, Inc.Claims Sr Rep Commercial SpecialistCARemote$70,304–$110,000 / yearRequired job duties are normally performed in a climate- controlled office environment, but with exposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions Excessive Noise Levels Chemicals Chemical/Biological Conditions Moving Mechanical Parts Areas considered dangerous Conditions, which could affect the respiratory system or skin such as: fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Contacts are a major part of activity and include policyholders, claimants, agents, witnesses, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims.
Vice President of Workers' Compensation Claims VITUS Search GroupVice President of Workers' Compensation ClaimsFLRemoteThis is a key leadership role for a driven professional with a strong background in Workers Compensation, TPA oversight, and operating in fast-paced, high-volume environments. We are seeking an experienced and strategic Vice President of Workers Compensation Claims Captive to lead and scale a high-performing claims operation.
Sr Field Property Claims Adjuster: Binghamton, NY Farmers Insurance GroupSr Field Property Claims Adjuster: Binghamton, NYBinghamton, NYRemote$27.73–$47.07 / hourRequired job duties are normally performed in a climate- controlled office environment, but with exposure to some or all of the following environments when in the field: Uncontrolled outside environmental conditions Excessive Noise Levels Chemicals Chemical/Biological Conditions Moving Mechanical Parts Areas considered to be dangerous Conditions, which could affect the respiratory system or skin such as: fumes, odors, dust, mists, gases, oils, smoke, soot, or poor ventilation. Personal contacts are a major part of activity and include policyholders, claimants, agents, witnesses, repair facilities, contractors, police and fire departments, state and county fraud and arson personnel, special investigators, attorneys, expert witnesses, members of the medical profession and all other persons incident to the investigation and processing of claims.
NewSr Business Intelligence Developer - Medicaid (Remote in AZ) Blue Cross Blue Shield of ArizonaSr Business Intelligence Developer - Medicaid (Remote in AZ)Phoenix, ArizonaRemoteThis position partners with business leaders across the organization to provide high quality reporting and analysis that is accurate, thoroughly researched, assists in identifying risks & opportunities, and provides untapped insights and knowledge to enable data driven and data literate decision making for departments and teams throughout the entire Medicaid segment. The Business Intelligence Developer - Medicaid role is responsible for the design, creation, and maintenance of sustainable reporting solutions and analytical insights that improve efficiency, drive innovation, and inform data driven decision making in support of broader business and corporate strategies across the organization.
Medical Office Manager - Fully Remote MercorMedical Office Manager - Fully RemoteSan Francisco, CaliforniaRemote$40–$50 / hourFor details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome. Develop strategies for remittance and payment posting , ensuring accurate reconciliation against clinical charges.
Health Law Counsel | Regulatory & Transactional Practice | Remote Koley Jessen P.C., L.L.OHealth Law Counsel | Regulatory & Transactional Practice | RemoteOmaha, NERemoteAdvise physicians, physician groups, ASCs, specialty hospitals, and other healthcare providers on regulatory compliance, including Stark Law (Physician Self-Referral Law), the Anti-Kickback Statute, and False Claims Act matters. The Health Law Practice Group represents a diverse range of healthcare providers, including individual physicians, physician group practices, ambulatory surgery centers, specialty hospitals, and other healthcare facilities.
Product Owner (Remote) Blue Cross and Blue Shield AssociationProduct Owner (Remote)Baltimore, MDRemote$80,640–$160,160 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
NewBusiness Analyst -Enrollment (Remote) Blue Cross and Blue Shield AssociationBusiness Analyst -Enrollment (Remote)Baltimore, MDRemote$60,840–$120,835 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
NewAccount Consultant III CareFirst Administrators (Remote) Blue Cross and Blue Shield AssociationAccount Consultant III CareFirst Administrators (Remote)Baltimore, MDRemote$89,600–$145,600 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. CareFirst BlueCross BlueShield Community Health Plan Maryland is the business name of CareFirst Community Partners, Inc. In the District of Columbia and Maryland, CareFirst MedPlus is the business name of First Care, Inc. In Virginia, CareFirst MedPlus is the business name of First Care, Inc. of Maryland (used in VA by: First Care, Inc.).
NewTechnical Analyst (Remote) Blue Cross and Blue Shield AssociationTechnical Analyst (Remote)Baltimore, MDRemote$64,944–$128,986 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Remote Customer Service Representative TEKsystemsRemote Customer Service RepresentativeBoston, MARemoteWe're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change.
Senior Data Analyst (Remote) Blue Cross and Blue Shield AssociationSenior Data Analyst (Remote)Baltimore, MDRemote$87,264–$173,316 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Business Readiness Consultant (Remote) Blue Cross and Blue Shield AssociationBusiness Readiness Consultant (Remote)Baltimore, MDRemote$88,848–$176,462 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. ESSENTIAL FUNCTIONS: Provide subject matter expertise in a particular area (including but not limited to one or more of the following: organizational change management, project management, communication, value realization, training, user acceptance testing, etc.) that contributes to the effective accomplishment of business readiness activities in support of strategic initiative goals.
Account Consultant IV - Public Sector (Remote) Blue Cross and Blue Shield AssociationAccount Consultant IV - Public Sector (Remote)Baltimore, MDRemote$96,000–$156,000 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. Knowledge, Skills and Abilities (KSAs): Knowledge of underwriting principles; group health/life insurance financial/funding mechanisms; stop loss, medicare advantage, wellness, clinical, managed care and point solutions, healthcare delivery systems, including pricing methodologies and cost reimbursement mechanisms for both self-funded and fully insured business.
Account Consultant IV - National Accounts (Remote) Blue Cross and Blue Shield AssociationAccount Consultant IV - National Accounts (Remote)Baltimore, MDRemote$96,000–$156,000 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Technical EDI Analyst (Remote) Blue Cross and Blue Shield AssociationTechnical EDI Analyst (Remote)Baltimore, MDRemote$64,944–$128,986 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Account Consultant IV - Labor (Remote) Blue Cross and Blue Shield AssociationAccount Consultant IV - Labor (Remote)Columbia, MDRemote$96,000–$156,000 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.
Account Consultant III - National Accounts (Remote) Blue Cross and Blue Shield AssociationAccount Consultant III - National Accounts (Remote)Baltimore, MDRemote$89,600–$145,600 / yearCareFirst of Maryland, Inc., Group Hospitalization and Medical Services, Inc., CareFirst Advantage, Inc., CareFirst Advantage PPO, Inc., CareFirst Advantage DSNP, Inc., CareFirst Community Partners, Inc., CareFirst BlueCross BlueShield Community Health Plan District of Columbia, CareFirst BlueChoice, Inc., First Care, Inc., and The Dental Network, Inc. are independent licensees of the Blue Cross and Blue Shield Association. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.