32 lead insurance processor jobs found in Allentown, PA

As a member of the Customer Service Center Premium Operations Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities: Attain a level of performance of at least 98.5% quality processing of loss sensitive adjustments. Handle multiple tasks simultaneously with a focus on continuously attaining team and CSC service levels Identify and process all tasks within corporate guidelines Maintain compliance with various bureaus by utilizing internal and external vendor websites and automated systems, and process the following according to published deadlines: ICR's, Test Audits, Monitor NCCI and independent state websites, extract and log reports for team processing Identify process improvements and relay to supervisor for discussion Research and resolve issues Perform a variety of...

As a member of the Customer Service Center Premium Operations Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities: Attain a level of performance of at least 98.5% quality processing of loss sensitive adjustments. Handle multiple tasks simultaneously with a focus on continuously attaining team and CSC service levels Identify and process all tasks within corporate guidelines Maintain compliance with various bureaus by utilizing internal and external vendor websites and automated systems, and process the following according to published deadlines: ICR's, Test Audits, Monitor NCCI and independent state websites, extract and log reports for team processing Identify process improvements and relay to supervisor for discussion Research and resolve issues Perform a variety of...

As a member of the Customer Service Center Premium Operations Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities: Attain a level of performance of at least 98.5% quality processing of loss sensitive adjustments. Handle multiple tasks simultaneously with a focus on continuously attaining team and CSC service levels Identify and process all tasks within corporate guidelines Maintain compliance with various bureaus by utilizing internal and external vendor websites and automated systems, and process the following according to published deadlines: ICR's, Test Audits, Monitor NCCI and independent state websites, extract and log reports for team processing Identify process improvements and relay to supervisor for discussion Research and resolve issues Perform a variety of...

As a member of the Customer Service Center Premium Operations Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities: Attain a level of performance of at least 98.5% quality processing of loss sensitive adjustments. Handle multiple tasks simultaneously with a focus on continuously attaining team and CSC service levels Identify and process all tasks within corporate guidelines Maintain compliance with various bureaus by utilizing internal and external vendor websites and automated systems, and process the following according to published deadlines: ICR's, Test Audits, Monitor NCCI and independent state websites, extract and log reports for team processing Identify process improvements and relay to supervisor for discussion Research and resolve issues Perform a variety of...

As a member of the Customer Service Center Premium Operations Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities: Attain a level of performance of at least 98.5% quality processing of loss sensitive adjustments. Handle multiple tasks simultaneously with a focus on continuously attaining team and CSC service levels Identify and process all tasks within corporate guidelines Maintain compliance with various bureaus by utilizing internal and external vendor websites and automated systems, and process the following according to published deadlines: ICR's, Test Audits, Monitor NCCI and independent state websites, extract and log reports for team processing Identify process improvements and relay to supervisor for discussion Research and resolve issues Perform a variety of...

As a member of the Customer Service Center Premium Operations Team, ensure efficient and timely processing of all work assignments into applicable business systems with strict adherence to all established procedures to assist in the attainment of service level goals throughout the CSC. Responsibilities: Attain a level of performance of at least 98.5% quality processing of loss sensitive adjustments. Handle multiple tasks simultaneously with a focus on continuously attaining team and CSC service levels Identify and process all tasks within corporate guidelines Maintain compliance with various bureaus by utilizing internal and external vendor websites and automated systems, and process the following according to published deadlines: ICR's, Test Audits, Monitor NCCI and independent state websites, extract and log reports for team processing Identify process improvements and relay to supervisor for discussion Research and resolve issues Perform a variety of...

As a member of the Claims Operations and Program Management Team, you will perform a number of diverse roles and be engaged in multiple assignments. Depending on assignment, you may be functioning as a business analyst, project leader, trainer or subject matter expert and may be engaged in more than one work assignment at any given time. Team members will serve as liaisons and lead representatives for the Insurance Company and TPA Claims business units.    Responsibilities: Analyze, develop and implement recommendations (modifications/enhancements) to support the objective of continuous improvement within our claims processing model. This purview will include all facets of the processing model, as well as all impacted departments and companies. Optimize engagement and ensuring successful adoption of new changes through defining and implementing project plans that align communication, training, and business process deliverables. Effectively represent the interests of...

Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. This role will report to the Commercial Insurance (C.I.) Casualty Product Manager. JOB SUMMARY: The Casualty Product Development Specialist will lead the development, implementation and maintenance of various middle market-focused commercial casualty insurance products that are critical to C.I.’s growth, profit and compliance priorities.  The role entails collaboration with Lines of Business and Industry Practices underwriting, General Counsel,...

Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. This role will report to the Commercial Insurance (C.I.) Casualty Product Manager. JOB SUMMARY: The Casualty Product Development Specialist will lead the development, implementation and maintenance of various middle market-focused commercial casualty insurance products that are critical to C.I.’s growth, profit and compliance priorities.  The role entails collaboration with Lines of Business and Industry Practices underwriting, General Counsel,...

Gallagher Bassett is the premier provider of global claims services, dedicated to exceptional customer service and demonstrably superior outcomes. GB helps people, teams and businesses overcome adversity and loss through the guiding expertise of over 5,000 claims professionals, all committed to going beyond expectations in the continuous pursuit of a better way. Position Summary: Investigates, evaluates, disposes and settles less complex claims with moderate supervision and includes the investigation, determination and evaluation of coverage, liability and damages and the setting of proper reserves. Incumbents at this level typically hold claims reserve and settlement authority of up to $5,000 liability and/or $10,000 workers compensation or greater. Essential Duties & Responsibilities: Exercises proper judgment and decision making to analyze the claims exposure to determine the proper course of action and to appropriately settle the claim. Interacts...

Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Key Objective: This leadership role is focused on Chubb’s commitment to manage and grow our Major Account segment by aligning internal resources to provide exceptional overall service to Chubb key clients and brokers in the Mid-Atlantic Region. As a main point of contact for large customers and as the driver of opportunities for all applicable product lines, this role demonstrates Chubb’s commitment to deploy its global coverage and risk management...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported.  Will review provider’s documentation to identify query opportunities. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. You’ll enjoy the flexibility to...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm) This role will provide coding quality auditing services to ensure compliance with Optum and CMS coding guidelines and accuracy of coding data reported.  Will review provider’s documentation to identify query opportunities. Must maintain compliance with Optum Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96% coding accuracy rate required. You’ll enjoy the flexibility to...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that's improving the lives of millions. Here, innovation isn't about another gadget, it's about making health care data available wherever and whenever people need it, safely and reliably. There's no room for error. Join us and start doing your life's best work.(sm) Our team provides Analytic Application development and support for Optum Payment Integrity.  We provide development services that identify overpayments or recoveries for Coordination of Benefits (COB). Our Analytic Developer position will develop new analytics, enhance existing analytics, perform research and adhoc requests, as well as maintain and improve the efficiencies of the broader applications that execute these analytics.  Currently most analytics are written in SAS executing in a UNIX grid environment, but the team is...

Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally. Key Objective: This leadership role is focused on Chubb’s commitment to manage and grow our Major Account segment by aligning internal resources to provide exceptional overall service to Chubb key clients and brokers in the Mid-Atlantic Region. As a main point of contact for large customers and as the driver of opportunities for all applicable product lines, this role demonstrates Chubb’s commitment to deploy its global coverage and risk management...

Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.   North America Finance is looking for a Vice President of Management Reporting.  This is a key leadership role responsible for the oversight and execution of North America Management Reporting functions while also providing support for a variety of other FP&A and General Ledger close related deliverables.  Critical qualities to succeed include but are not limited to-- the ability to take ownership and accountability, manage a dynamic team and multiple...

Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.   North America Finance is looking for a Vice President of Management Reporting.  This is a key leadership role responsible for the oversight and execution of North America Management Reporting functions while also providing support for a variety of other FP&A and General Ledger close related deliverables.  Critical qualities to succeed include but are not limited to-- the ability to take ownership and accountability, manage a dynamic team and multiple...

Combine two of the fastest-growing fields on the planet with a culture of performance, collaboration and opportunity and this is what you get. Leading edge technology in an industry that is improving the lives of millions. Here, innovation is not about another gadget; it is about making health care data available wherever and whenever people need it, safely and reliably. There is no room for error. If you are looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work.(sm)   If you are located within Ontario, CA you will have the flexibility to work remotely* as you take on some tough challenges POSITION OVERVIEW Processing of medical claims including verification, adjudication and accuracy.                   Primary Responsibilities: Accurately process professional claims Responsible for editing and adjusting of claims per the EDI daily audit report Analyze and...

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing your life's best work.(sm) You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.   Primary Responsibilities: Interpret and analyze claims, capitation, membership data, and recommend best approaches in support of underwriting, actuarial and utilization analyses Lead projects to completion by contributing to database creation, statistical modeling and financial reports Create and update automated processes Performs complex data validation and conceptual analyses. Analyze reporting tools utilized by the internal customer groups Serves as subject matter expert to health plans...

Req ID: 201988 NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Business Analyst - Insurance, Philadelphia to join our team in Philadelphia, Pennsylvania (US-PA), United States (US). NTT Data Services is Hiring! Job Duties and Responsibilities Include: The Business/Data Analyst will work closely with a variety of stakeholders from across both the Business and IT domains to define the data requirements the Data Warehouse will need to support. Primarily responsible for capturing and defining the business requirements for data initiatives Assess, document and diagramm business process to identify data requirements and dependencies For the Data Warehouse project, this means building views of the reporting and downstream process data consumers that the Data Warehouse needs to support....