16 jobs found in blue bell

Provides leadership and front-line management of desktop infrastructure team to ensure timely and high quality delivery of desktop services and production support services to internal and external customers. Works closely with business stakeholders to define business needs and directs technical team in support of service levels that ensure the highest levels of availability and productivity for the user community. Duties and Responsibilities Staff Supervision/Project Oversight Motivates staff, communicates clear expectations, holds staff accountable to deadlines Manages staff in the day-to-day performance of their job and formally evaluates staff performance Provides coaching and constructive feedback and recognition when appropriate. Engages in career development discussions and recommends appropriate training needs to management. Plans, assigns, prioritizes and oversees the activities of professional and technical personnel involved in computer...

Provides strategic leadership and direction to execute client's objectives and program goals. This position is responsible for client retention, growth of revenue, evaluation and delivery of additional services to the customer, client satisfaction, and overall oversight of a jumbo program. Provides leadership to complex local or national customer programs requiring a high degree of customization and superior execution to ensure retention. Ensures delivery of timely, high quality customer service. Responsibilities: Develops, recommends and implements short and long-range objectives consistent with client's business goals, guidelines and programs. Evaluates program trends and provides recommendations and consultation to the customer to help improve outcomes. Delivers stewardships and assists customers with interpretation of data analytics specific to their program. Serves as a focal point of contact for the customer and as an internal liaison for all departments;...

The Talent Acquisition Specialist is responsible for full life-cycle recruiting and consulting for PMA's corporate office, assigned field offices and regions. Responsibilities: Implement and administer a comprehensive talent acquisition strategy that is focused on quality, response time and cost effectiveness. Source, screen and interview candidates for a variety of insurance related positions including: claims, customer service, risk control, sales, underwriting; as well as corporate functions. Conduct pre-employment assessments and screenings in compliance with established policies and standards. Act as advisor to management regarding legal compliance and resolution of all recruitment selection issues and concerns. Determine appropriate compensation using corporate guidelines. Manage salary negotiations, the offer process and on-boarding process for all candidates. Develop active and passive candidate pipelines through research, networking and screening....

Provides strategic leadership and direction to execute client's objectives and program goals. This position is responsible for client retention, growth of revenue, evaluation and delivery of additional services to the customer, client satisfaction, and overall oversight of a jumbo program. Provides leadership to complex local or national customer programs requiring a high degree of customization and superior execution to ensure retention. Ensures delivery of timely, high quality customer service. Responsibilities: Develops, recommends and implements short and long-range objectives consistent with client's business goals, guidelines and programs. Evaluates program trends and provides recommendations and consultation to the customer to help improve outcomes. Delivers stewardships and assists customers with interpretation of data analytics specific to their program. Serves as a focal point of contact for the customer and as an internal liaison for all departments;...

Collects, evaluates, runs and designs statistical data/reports for claims, service, and operations. Prepares statistical and narrative reports and recommendations and participates in the analysis and interpretation of data as appropriate. Develops, maintains, and ensures quality control of data sources, queries and results. Assists in development and implementation of analytical and informational application solutions to improve business processes and support business decision makers. Responsibilities Runs existing analytical reports and assists with defining and designing new reports to meet business needs Utilizes data visualization tools to effectively illustrate data trends and patterns Participates in the development of data models and data warehouse tables to ensure that business needs are met Develops and implements data query and mining techniques that optimize statistical efficiency and data quality. This may include cleansing and normalizing of data or...

The Talent Acquisition Specialist is responsible for full life-cycle recruiting and consulting for PMA's corporate office, assigned field offices and regions. Responsibilities: Implement and administer a comprehensive talent acquisition strategy that is focused on quality, response time and cost effectiveness. Source, screen and interview candidates for a variety of insurance related positions including: claims, customer service, risk control, sales, underwriting; as well as corporate functions. Conduct pre-employment assessments and screenings in compliance with established policies and standards. Act as advisor to management regarding legal compliance and resolution of all recruitment selection issues and concerns. Determine appropriate compensation using corporate guidelines. Manage salary negotiations, the offer process and on-boarding process for all candidates. Develop active and passive candidate pipelines through research, networking and screening....

The Talent Acquisition Specialist is responsible for full life-cycle recruiting and consulting for PMA's corporate office, assigned field offices and regions. Responsibilities: Implement and administer a comprehensive talent acquisition strategy that is focused on quality, response time and cost effectiveness. Source, screen and interview candidates for a variety of insurance related positions including: claims, customer service, risk control, sales, underwriting; as well as corporate functions. Conduct pre-employment assessments and screenings in compliance with established policies and standards. Act as advisor to management regarding legal compliance and resolution of all recruitment selection issues and concerns. Determine appropriate compensation using corporate guidelines. Manage salary negotiations, the offer process and on-boarding process for all candidates. Develop active and passive candidate pipelines through research, networking and screening....

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate...

As a member of our Claims management team supervise claims staff to ensure appropriate claim outcomes through consistent execution of best claims practice. In this role utilize your prior claims and management experience to achieve business plan goals and to ensure compliance with legal statutes, policy provisions and company guidelines while fostering a culture of communication. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management. Ensures timely, accurate documentation of claim activity. Selects, trains, coaches and mentors unit personnel. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Develops staff to respond to current and anticipated needs of department as well as determining career development goals of individuals. Ensures appropriate...

The Talent Acquisition Specialist is responsible for full life-cycle recruiting and consulting for PMA's corporate office, assigned field offices and regions. Responsibilities: Implement and administer a comprehensive talent acquisition strategy that is focused on quality, response time and cost effectiveness. Source, screen and interview candidates for a variety of insurance related positions including: claims, customer service, risk control, sales, underwriting; as well as corporate functions. Conduct pre-employment assessments and screenings in compliance with established policies and standards. Act as advisor to management regarding legal compliance and resolution of all recruitment selection issues and concerns. Determine appropriate compensation using corporate guidelines. Manage salary negotiations, the offer process and on-boarding process for all candidates. Develop active and passive candidate pipelines through research, networking and screening....

As a member of our Claims team, you will proactively manage medical only and limited lost time claims in order to minimize losses, manage permanent total claims in order to minimize losses, and provide superior customer service. Responsibilities: Contact accounts on First Notices of Loss to obtain missing information pertinent to file set-up Process payments, answer phone calls, authorize treatment associated with Medical Only claims Complete appropriate contacts within 24 hours of assignment, and establish and maintain appropriate diary for follow-up Determine whether treatment is appropriate and causally related to the compensable injury Redirect treatment to network physicians as appropriate Refer subrogation potential claims or potential permanency claims to Supervisor Work to ensure compliance with all appropriate jurisdictional requirements on Medical Only claims, including timely form filing if applicable Maintain a working knowledge of...

As a member of our Claims management team utilize your knowledge of Worker's Compensation Claims to analyze complex and high exposure claims involving litigation and rehabilitation to achieve appropriate outcome in accordance with legal statues, policy provisions and company guidelines. In this position you will assist with supervising claims staff and providing support to the Regional Claims Supervisor to ensure achievement of appropriate claim outcomes through consistent execution of best claims practices. Responsibilities: Manages the assignment of losses to claims staff and provides technical direction and ongoing guidance through effective diary management Ensures timely, accurate documentation of claim activity Completes projects assigned by Supervisor or Manager, including providing back-up, diary completion, and other team-related oversight Develops workflows and internal processes to provide support for Supervisor Selects, trains, coaches and mentors unit...

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable) Alert Supervisor and Special Investigations Unit to potentially suspect claims Ensure timely denial or payment of benefits in accordance with jurisdictional requirements Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure Negotiate...

As a member of our claims team, utilize your knowledge of Workers Compensation to independently investigate, evaluate and resolve assigned claims of a more complex nature in order to achieve appropriate outcomes. In this position you will administer and resolve highest risk management expectations claims in a timely manner in accordance with legal statues, policy provisions, and company guidelines. Responsibilities: Promptly investigate all assigned claims with minimal supervision, including those of a more complex nature. Determine coverage, compensability, potential for subrogation recovery, and second injury fund (when applicable). Alert Supervisor and Special Investigations Unit to potentially suspect claims. Ensure timely denial or payment of benefits in accordance with jurisdictional requirements. Establish appropriate reserves with documented rationale, maintain and adjust reserves over the life of the claim to reflect changes in exposure. Negotiate...

As a part of the TPA Operations team, the Integration & Compliance Coordinator coordinates duties related to the new account transition for the TPA and maintains responsibility for conducting compliance audits, risk assessments, investigations, education and training assignments relating to billing, coding, reimbursement and documentation of vendor monetized services. Responsibilities: Extract and integrate data from the takeover TPA/Carrier Create index and point documents accordingly Map Images and assist with paper image loading Test code for conversion and production upload Act as Subject Matter Expert on identified topics and solutions Track Medicare exceptions and assist with Section 111 error resolution Other account transition duties as assigned Conduct ongoing quality assurance audit focused on billing of monetized services Develop and implement comprehensive audit and monitoring tools and reporting templates to provide vendor oversight for...

As a member of our underwriting support team you will provide a high level of support to the underwriting function. In this role you will assist in the preparation of new business quotes and policy issues as well as rating both new business and renew applications while maintaining accuracy and targeted due dates. Responsibilities: Correspond with various parties including rating bureaus clients and underwriting staff to support our underwriting efforts Ensures quality and timeliness of policies and correspondence and responds to customers inquiries Perform exposure comparisons and loss trending/developing review applications assure issuance of policies Quote/issue workers compensation line of coverage and process endorsements New business quote support tasks include classification of exposures completion of loss trend and analysis of large claim and prior audit information for renewal business requesting additional information as needed Review applications...