18 nera jobs found

Sr. Employee Labor Relations Representative This position is based out of our Grand Rapids location.  Occasional travel to our Detroit office will be required. Under minimal supervision, administer Employee and Labor Relations programs. Mitigate risk through the consistent and equitable application of policies, procedures, collective bargaining agreements, federal and state employment laws and regulations. Utilize corporate and employee policies and procedures to resolve complex employee and management inquiries that arise as a result of daily work routines. Identify, analyze, and develop solutions to business problems. Conduct grievance and investigative interviews and draw logical conclusions of fact. Develop, research, and analyze information to support Human Resource policies and procedures. Interpret collective bargaining agreements as well as federal and state legislation. Administer activities related to Employee and Labor Relations programs,...

SUMMARY:  This position is responsible for the Medication Adherence program for BCBSM senior members. The Director will design and execute a multi-year strategy that improves adherence rates and achieves Star measure performance goals. The Director will report to the Managing Director of Pharmacy Quality and oversee a large, multidisciplinary team of pharmacists, pharmacy technicians, data analysts, and external vendors. This role requires strong cross‑functional collaboration with clinical, operations, IT, finance, and external partners to integrate adherence initiatives, drive performance, and apply emerging digital tools and analytics to scale impact. The ideal candidate combines deep pharmacy expertise with proven leadership, strategic thinking, change-management skills and the ability to influence stakeholders at all levels. RESPONSIBILITIES/TASKS: • Serves as the department lead and subject-matter expert for CMS Star Medication Adherence measure performance; interpret...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. We are recruiting for a Marketing Underwriter, Program Business, to join our team.  This role will be hybrid if near a local office or for the right candidate can be remote from most locations in the U.S. Position Summary: Market, evaluate and price products and services for program business within Amerisure...

SUMMARY: Effectively supervises the day-to-day work and team performance of the Non-Exempt Medical Only Claim Specialists to ensure the goals and customer service expectations are met. Acts as a direct supervisor for non-exempt claim professionals handling assigned claims. Responsible to supervise all aspects of this team and work with other departments as it relates to process, workflows, and continuous improvement opportunities which may cross departments. Identify ways to continuously improve claim process and workflows. Objectively evaluate opportunities against objective results or historically reports to support changes. Works with managers and employees to identify methods of improving employee performance and closing performance gaps. Responsible to work with peer Supervisors and Claim Management team to ensure all training is coordinated and delivered in a timely manner. Must know all training materials and have ability to deliver these materials with limited notice....

SUMMARY Provide leadership and direction to a claims operational team.  Act as a primary, independent, visionary and proactive authority; providing in-depth analysis of claims operational areas including statistical, industrial and regulatory perspectives.  Provide operational consistency and integrity to claims. Serve as a technical expert with regard to department operations. ESSENTIAL DUTIES AND RESPONSIBILITIES  include the following. Other duties may be assigned. Directly manage and carry out managerial responsibilities in accordance with enterprise policies and applicable laws.  Responsibilities include interviewing, hiring and training employees, planning, assigning, and directing work, appraising performance, rewarding and disciplining employees, addressing complaints and resolving problems. Plan, direct, manage and evaluate the day-to-day operations and workflow of production, claims management and customer teams. Consult with claims management across...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Workforce Absence Team Lead Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:       Southfield, MI   : 300 Galleria   Officentre   Southfield MI 48034       PRIMARY PURPOSE :  To supervise the operations of multiple teams of examiners and technical staff for disability claims for clients; to monitor colleagues' workload, provide training, and...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Care Team Representative Entry-level, Care Team Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near one of our dynamic Centers of Excellence📍 Southfield, MI : 300 Galleria Officentre, Southfield MI 48034 ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and...

The Emerging Markets Board Relations department is responsible for the integrity of the Emerging Markets and Joint Venture governance frameworks, compliance and regulatory requirements related to matters of the boards of directors, board governance best practices and implementing decisions made by the boards of directors.   JOB DESCRIPTION: The Board Relations summer intern will be responsible for the following:   Data entry and documentation upload into the entity management system, Diligent Entities   Quality assurance, report generation to ensure all entity data and corporate record documentation is accurately represented and stored in Diligent Entities  Organization of hard copy corporate records, filing system   Recording, organization of off-site record storage   Assist with development of Diligent Entities process/control documentation  Assist with various departmental tasks, as needed  Works independently, and within a team dynamic • Maintains confidentiality...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Disability Representative Sr Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:       Southfield, MI   : 300 Galleria   Officentre   Southfield MI 48034   PRIMARY PURPOSE : Provides disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining...

Responsible for financial performance functions, including budgeting and forecasting, performance metrics, and assisting with the planning, organizing, and directing of the company’s financial plans and policies. This position is responsible for the customer experience related to financial analyses and reporting and ensures financial viability through proactive analysis and sound administration of policies and procedures. This role is responsible for communication and coordination of financial matters with Senior Health Services executive leadership. This position also supports the establishment of the financial vision and strategic direction of the business unit in support of corporate goals and objectives, and implements and monitors leading and lagging KPIs to assist leadership in directing outcomes RESPONSIBILITIES/TASKS:  Build influential partnerships across the enterprise and provide a profit and loss perspective.  Oversee how the parent company of Blue Cross Blue...

Make your mark as a trusted expert in resolving casualty claims. Location: Hybrid (Hastings, MI) or Fully Remote. Candidates in MI, OH, IN, IL, or WI preferred. Schedule: Monday–Friday, 8:00 a.m.–4:30 p.m. About the Role:  The Senior Casualty Claims Representative investigates, evaluates, and resolves routine to moderate casualty claims while ensuring timely service and fair outcomes for all parties involved. This role is central to our commitment to responsive, effective claims handling and serves as a key partner to our customers and agency force.  What You’ll Do:  Manage a personal caseload of casualty claims within company policy and legal guidelines. Communicate regularly with insureds, claimants, agents, and vendors to guide the claim resolution process. Apply appropriate coverage analysis, documenting rationale and engaging leadership as needed. Investigate, evaluate, and settle claims promptly and fairly. Identify and pursue...

The Director Government Programs- Planning & Consulting position is responsible for driving the execution of strategic analytic priorities for Government Programs and CFO areas through business planning, consultation, and delivery oversight of data, analytics, and modeling capabilities. This role promotes the use of AI, automation, and best-in-class technology across teams; drives organizational priorities and business outcomes as the consultative partner across analytics, operations, and modeling teams by managing and coordinating execution of insights, tools, and governance.  The Director leads, organizes and executes governance of Medicare Advantage analytics ecosystem working closely with MA segment leadership; establishes internal consultative intake and delivery of best-in-class data and advanced analytics / AI driven insights to support key segment initiatives and goals; partners with other government programs analytics functions and other key stakeholders...

Intern will report to Government Affairs but also assist other departments (Corporate Communications, Business Performance, Learning and Growth and Integration Office). Opportunity to learn about AF Group and the insurance industry through project experience and enhanced business acumen. This position will aim to include value/lessons associated with each departmental task/project. Check out the Internships at Emergent Holdings video to learn more. JOB DESCRIPTION: Develop, update and modernize Political Action Committee (PAC) documents Daily monitoring of political legislative industry news in AF Group target markets Research various political groups and areas of focus Marketing and event planning development/execution Prepares and delivers presentation(s) on assigned topic(s). Attends unit, departmental, and corporate meetings as assigned. Shows learning and both personal and professional growth and understanding of responsibilities. Gains...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Disability Representative Disability Representative Our teams thrive together! We collaborate in person and embrace a flexible hybrid work style. To join us, you’ll need to live near our dynamic Centers of Excellence📍 Southfield, MI. 3 00 Galleria Officentre Southfield MI 48034​. ✨ What we offer: A stable, consistent work environment —both in-office and virtual A comprehensive training program to help you support employees and customers from some of...

By joining Sedgwick, you'll be part of something truly meaningful. It’s what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there’s no limit to what you can achieve. Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Senior Operations Manager Our teams connect! We collaborate onsite and have a hybrid work arrangement. All candidates must live near one of our centers of excellence:       Dubuque, IA   : 4141 Westmark Drive, Dubuque, IA 52002   Dublin, OH   : 5500 Glendon Court Dublin OH 43016   New Albany, OH   : 7795 Walton Parkway New Albany, OH 43054   Irving, TX : 2201 W. Royal Lane Suite 125 Irving, TX 75063...

SUMMARY: We are looking for a driven accounting intern who is ready for an immersive, real-world experience in Insurance and Healthcare who has a basic understanding of GAAP and financial principles. Under the supervision of your mentor, the Accounting Intern can expect to participate in the preparation of journal entries and financial reports, analyze budget to actual financial variances, learn about accounting software and the importance of data flows, and assist with other accounting activities. To be a strong Candidate you should be a motivated team player eager to learn who can maintain efficiency and accuracy when multitasking. Check out the Internships at Emergent Holdings  video to learn more. JOB DESCRIPTION: Prepares and delivers presentation(s) on assigned topic(s). Attends unit, departmental, and corporate meetings as assigned. Shows learning and both personal and professional growth and understanding of responsibilities. Gains an...

Amerisure creates exceptional value for its partners, policyholders, and employees. As a property and casualty insurance company, Amerisure’s promise to our partner agencies and policyholders begins with a comprehensive line of insurance products designed to protect businesses, as well as the health and safety of every employee. With an A.M. Best “A” (Excellent) rating, Amerisure serves mid-sized commercial enterprises focused in construction, manufacturing and healthcare. Ranked as one of the top 100 Property & Casualty companies in the United States, we proudly manage nearly $1 Billion of Direct Written Premium and maintain $1.21 billion in surplus. Amerisure is recruiting for a Line of Business Underwriting Director – Commercial Auto & Workers Compensation to join our team. This role will be hybrid if near a local office or for the right candidate can be remote from most locations in the U.S. Position Summary: The Line of Business Underwriting Director...

SUMMARY: Are you looking for an internship where you will work with a group of dynamic insurance professionals who are committed to social responsibility, making workplaces safe, and making a difference? If so, consider building your skills and starting your career with AF Group. Interns will work with employees throughout the organization to attain business objectives in the areas of insurance operations and corporate functions. Interns will gain exposure to agents, policyholders, health care providers, claimants, attorney and other AF Group staff and customers, as directed by business needs. Diverse knowledge of insurance company operations will be beneficial. Check out the Internships at Emergent Holdings video  to learn more. JOB DESCRIPTION: Performs duties related to the major functional areas of Corporate Events and administration Performs administrative tasks associated with meetings and events, such as event design research, event sourcing, budget creation,...