27 jobs found in oregon

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Manager is responsible for the day-to-day account management for small to mid-sized clients that are routine/moderately complex client accounts. Essential Duties and Responsibilities: Manages an assigned book of business and builds, expands, and solidifies relationships with existing clients Leads appropriate resources to address the client's risk/capital management needs Secures existing business and drives the sale of additional services and coverage levels Cultivates relationships with the most senior buyer in the client organization as...

As a key member of the Managed Care team, manage all relevant compliance activities and necessary staff to ensure appropriate execution of compliance initiatives, performance improvement across key categories, management of vendor/partner compliance activities, and consistent execution of best practices across functional areas. Responsibilities: Directs all Managed Care-related compliance activities, including but not limited to fee schedule updates, medical EDI transmissions, certified MCO applications/renewals, custom network (MPN, HCN) approvals, jurisdictional document compliance (EORs, UR letters, panel postings, etc.), bill reviewer and case manager certifications/licensure, PBM formulary compliance, and mandatory managed care state report filings. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Understands business objectives and utilizes that...

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures. Position Summary: The Account Manager is responsible for the day-to-day account management for small to mid-sized clients that are routine/moderately complex client accounts. Essential Duties and Responsibilities: Manages an assigned book of business and builds, expands, and solidifies relationships with existing clients Leads appropriate resources to address the client's risk/capital management needs Secures existing business and drives the sale of additional services and coverage levels Cultivates relationships with the most senior buyer in the client organization as...

As a key member of the Managed Care team, manage all relevant compliance activities and necessary staff to ensure appropriate execution of compliance initiatives, performance improvement across key categories, management of vendor/partner compliance activities, and consistent execution of best practices across functional areas. Responsibilities: Directs all Managed Care-related compliance activities, including but not limited to fee schedule updates, medical EDI transmissions, certified MCO applications/renewals, custom network (MPN, HCN) approvals, jurisdictional document compliance (EORs, UR letters, panel postings, etc.), bill reviewer and case manager certifications/licensure, PBM formulary compliance, and mandatory managed care state report filings. Plans staff responsibilities and directs activities, utilizing staff resources effectively to meet department goals in accordance with approved plans and budgets. Understands business objectives and utilizes that...

Lead specific members of the Southwest Underwriting Service Team to include executing strategies consistent with corporate and regional business goals, guidelines, and programs within the Risk Management Services Department. Analyze, select and profitably price highly complex commercial risks and determine terms and conditions of coverage on new and renewal business. Apply and conform to underwriting rules and guidelines, rating manuals, insurance laws/ regulations. Utilize a consultative selling approach to generate new business consistent with underwriting strategy and in coordination with service team members to include accurately assessing the needs of the broker and the client and formulating solutions that effectively address those needs. Analyze underwriting & marketing activities and corresponding results; prepare reports to management. Mentor and provide technical training and guidance to direct reports. Determine, coordinate and direct account management...

The ESIS Claim Representative, under the direction of the Claims Team Leader, investigates and settles claims promptly, equitably and within established best practices guidelines. MAJOR DUTIES & RESPONSIBILITIES:   Duties may include but are not limited to: Receive assignments. Reviews claim and policy information to provide background for investigation and may determine the extent of the policy’s obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insureds, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Depending on line of business may inspect and appraise damage for property losses or arranges for such appraisal. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company’s obligation to the insured under the policy contract. Prepares reports on...

What can go right when you can grow your career? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, we have over 150 years of experience, serve more than 25 industries, and insure 90% of the Fortune 500®. Zurich strives to provide ongoing career development opportunities so you can reach your full potential and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. With the support of people like you, we are optimistic about leading the next evolution of the insurance industry. Join us in building a brighter future for our people, our customers and the communities we serve.   Zurich is currently looking for a 100% remote Staff Legal Counsel III.   This position may work out of one of the following North...

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) The Sr. Provider Relations Advocate is accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. The Sr. Provider Relations Advocate designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. The successful candidate will direct and implement strategies relating to the development and management of a...

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) The Sr. Provider Relations Advocate is accountable for the full range of provider relations and service interactions within UHG, including working on end-to-end provider claim and call quality, ease of use of physician portal and future service enhancements, and training & development of external provider education programs. The Sr. Provider Relations Advocate designs and implements programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.), and practice managers. The successful candidate will direct and implement strategies relating to the development and management of a...

Primary Purpose : Responsible for using various systems to apply for, monitor, renew, & terminate agent licenses, appointments, & affiliations (sometimes directly and other times coordinating paperwork with appropriate parties). Essential Duties and Responsibilities: Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Process new and Renewal license applications (resident; non-resident) Assist with processing appointments or coordinating actions resulting in appointment Schedule new hire pre-licensing course Track and inform agents of CE requirements Maintain detailed agent record files Monitor agent appointments Affiliate agents with appropriate agency/agencies Maintain licensing forms, databases, spreadsheets, etc. Audit day to day work, insuring compliance with DOI rules and regulations Process expense...

Gainwell Technologies LLC Summary As a Documentation Manager Product  at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. Your role in our mission Drive enterprise level product documentation for all product lines in a complex IT environment of Gainwell and non-Gainwell technologies. Interface with business developers, account managers, competency managers, and executive management throughout all phases of solution development. Drive and coordinate a clear articulation of client requirements, as well as appropriate dependencies. Manage a team of documentation specialists Working collaboratively in a dynamic, ambiguous environment with...

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.   ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities...

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. If you're looking for a professional career with an industry leader, that serves an important social purpose, then we invite you to consider becoming an Associate in our Trainee program. We believe in work/life balance and full time here means 35 hours per week. Claims Trainees typically spend 6 - 9 months in training, before beginning a well defined career path with the opportunity for promotion as you meet new performance goals. If you've got the drive to succeed through service we'd love to talk with you. As a Trainee, you will gain skills and experience, via structured learning and on-the-job mentoring: How...

At EY, you’ll have the chance to build a career as unique as you are, with the global scale, support, inclusive culture and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. Account Manager (West) Our Markets function brings together business, sector and account knowledge along with EY competencies and solutions to meet unique client needs.  The Business Development Organization shares and drives an integrated growth strategy across the largest accounts, the industry sectors, solutions and services, demonstrating and achieving a market leadership through a client centric culture. The opportunity The Global Account Manager plays a critical account-focused role within the Business Development organization.  They work cross-functionally to drive and activate effective account management, bring...

Gainwell Technologies LLC Summary As a Documentation Manager Product  at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. Your role in our mission Drive enterprise level product documentation for all product lines in a complex IT environment of Gainwell and non-Gainwell technologies. Interface with business developers, account managers, competency managers, and executive management throughout all phases of solution development. Drive and coordinate a clear articulation of client requirements, as well as appropriate dependencies. Manage a team of documentation specialists Working collaboratively in a dynamic, ambiguous environment with...

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. If you're looking for a professional career with an industry leader, that serves an important social purpose, then we invite you to consider becoming an Associate in our Trainee program. We believe in work/life balance and full time here means 35 hours per week. Claims Trainees typically spend 6 - 9 months in training, before beginning a well defined career path with the opportunity for promotion as you meet new performance goals. If you've got the drive to succeed through service we'd love to talk with you. As a Trainee, you will gain skills and experience, via structured learning and on-the-job mentoring: How...

What can go right when you can grow your career? Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, we have over 150 years of experience, serve more than 25 industries, and insure 90% of the Fortune 500®. Zurich strives to provide ongoing career development opportunities so you can reach your full potential and foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. With the support of people like you, we are optimistic about leading the next evolution of the insurance industry. Join us in building a brighter future for our people, our customers and the communities we serve.   Zurich is currently looking for a 100% remote Staff Legal Counsel III.   This position may work out of one of the following North...

This is a remote position for experienced adjusters. Hours will be Monday-Friday, 8-5pm Pacific Standard Time. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims...

This is a remote position for experienced adjusters. Hours will be Monday-Friday, 8-5pm Pacific Standard Time. Job Summary: Responsible for investigating and confirming the facts of loss for basic to advanced automobile accidents. Determines coverage, liability, damages and otherwise adjusts and negotiates claims within limit of authority. Key Responsibilities: Handles investigation regarding all aspects of auto claims (coverage, damages, subrogation) with the exercise of discretion and independence within increased level of authority Applies intermediate understanding of insurance policies written by the company, the industry, and organizational relationships within the company and department Determines subrogation or fraud potential and how to handle Identifies customer needs and works to meet those needs using appropriate customer service skills Recognizes and identifies body parts of a vehicle and understanding of other potential property damage For claims...

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.   ESIS, Inc. (ESIS) provides sophisticated risk management services designed to reduce claims frequency and loss costs. ESIS, the Risk Management Services Company of Chubb, provides claims, risk control & loss information systems to Fortune 1000 accounts. ESIS employs more than 1,500 professionals in nine regional centers and 15 major claims offices, as well as local representatives in select jurisdictions. We take our fiduciary responsibilities...