8 remote jobs found

Job Description: Summary: The Enrollment Resolution Examiner is responsible for resolving complex enrollment and billing reconciliation issues between the Health Plan and external customers including but not limited to State and Federal Government Agencies, under the general direction of management and in accordance with the objectives and policies of the Health Plan, State and Federal guidelines. The position will work across multiple Enrollment operational areas. Essential Primary Responsibilities/Accountabilities: Level I Responsible for reconciliation of regulatory and Health Plan Enrollment data through audit and review, utilizing the internal and external guidelines/regulations/policies and procedures. Strong knowledge of reporting and associated regulatory guidelines used to verify enrollment and billing accuracy to ensure plan is paid correctly in order to maintain accurate financial records. Responsible for ensuring member and/or group documentation and...

United States - Remote Position Title: FP&A Manager, Revenue We have been alerted to the existence of a fraudster impersonating MANSCAPED as a hiring manager or HR representative. This impersonator is utilizing an email address with the domain manscapedjobs.com or manscapedcareers.com and is making fraudulent offers for our open jobs. Contact from MANSCAPED will only ever come from someone with a manscaped.com email address. This is a scam targeting a number of companies, us included. If you receive any of these types of messages, we recommend that you dont respond with any information and that you block and report those users. The MANSCAPED Team    Who We Are - MANSCAPED is a leading mens grooming and lifestyle consumer brand on a mission to introduce and elevate a whole new self-care routine for men. What began as the category creator of below-the-waist grooming has quickly evolved into a global omnichannel powerhouse available around the world...

Job Description: Summary: The Actuarial Analyst performs actuarial services in support of Health Plan operations and monitors and maintains financial solvency through the understanding of current data & environment and modeling of future events. This role is amongst the group that is responsible for providing a range of experience working to establishing rates, rating structures and systems and reserves. The Actuarial Analyst has accountability to providing in depth analysis on the overall risk management and financial solvency for the health plan operation. Essential Accountabilities: Level I Establishes insurance rates, rating structures, and rating systems for groups and categories of business. Maintains reserve programs, pricing files, risk score models, benefit relativity tables and appropriate documentation for work. Develops financial projections, risk score analysis, unpaid claim liability estimates and conducts actuarial analysis for...

Job Description: Summary: Under the general guidance of the assigned management and in accordance with established systems and applicable accounting principles, the incumbent prepares and maintains a complete set of records to support financial transactions of the assigned area and/or Company. The incumbent will perform the accounting functions and activities in accordance with the specific requirements of the accounting area assigned, prepare and analyze various tax filings, and/or prepare internal and external financial reports. Essential Accountabilities: Level I • Under direct supervision, gathers and analyzes financial data from a variety of sources to prepare journal entries, account reconciliations and financial schedules in a manner consistent with ensuring internal and external audit compliance (i.e., appropriate documentation and support), in accordance with the applicable policy. • Provides periodic analysis and interpretation of financial statements at both...

Job Description: Summary: Under the guidance of the SIU Management, this position is responsible for the accurate and thorough clinical investigation of potential fraud, waste and abuse (FWA) for all lines of business. The scope of accountability includes investigating and remediating allegations of FWA while adhering to compliance and regulatory requirements. Primary activities include substantiating referrals, case planning and research, conducting onsite or desk audits, clinical reviews of medical records to ensure correct billing of services and appropriateness of care, interviewing potential witnesses, developing corrective action plans, developing correspondence to impacted parties, managing disputes, and collaborating with law enforcement and regulatory agencies. Essential Accountabilities: Level I Functions as a clinical reviewer of medical records, researching and investigating complex medical cases. Interprets a variety of documents including, but not limited to...

Professional Readiness & Experience Program- Budget Analyst This role has been designed as ''Onsite' with an expectation that you will primarily work from an HPE office. Who We Are: Hewlett Packard Enterprise is the global edge-to-cloud company advancing the way people live and work. We help companies connect, protect, analyze, and act on their data and applications wherever they live, from edge to cloud, so they can turn insights into outcomes at the speed required to thrive in today's complex world. Our culture thrives on finding new and better ways to accelerate what's next. We know varied backgrounds are valued and succeed here. We have the flexibility to manage our work and personal needs. We make bold moves, together, and are a force for good. If you are looking to stretch and grow your career our culture will embrace you. Open up opportunities with HPE. Job Description: Who we are Hewlett Packard Enterprise is the global edge-to-cloud company advancing the...

JOB DESCRIPTION The Middle Market Underwriting Assistant is responsible for supporting the underwriting process for New and Renewal Customers for multiple lines of insurance coverages, including property, casualty, workers compensation, excess lines and automobile coverages. This position is also accountable for collaborating with team members to achieve growth, profit, renewal retention, service and producer/client management goals for an assigned book of business in the middle market segment of Commercial Insurance. The UAR will gather and analyze account information, interpret, and translate data into rating and issuance instructions as well as utilize federal and state compliance and regulatory rules to comply with corporate pricing strategies. In partnership with the Underwriter, the UAR will be assisting with binding/issuance of New and Renewal business and appropriate documentation of the file. QUALIFICATIONS The ideal candidate must possess the following skills:...

JOB DESCRIPTION Our Internship Program is an excellent starting point for individuals seeking to learn more about the insurance industry at one of the world's leading P&C insurance companies. Our program offers the opportunity to learn, grow, and build professional skills while being supported by our experienced team members. Successful participants in the program may have the opportunity to return to Chubb as a full-time employee or future intern, depending on their graduation date. As part of our internship program, you will receive: Targeted business training is designed to help you refine your professional skills and acumen critical to the success of Chubb professionals. Technical training to deepen your skill level within your chosen discipline and an understanding of our broader industry. Access additional training to compliment your professional development. Reporting to Global Treasury, Chubb's Corporate Finance function is responsible for the evaluation and...