Who We Are is a leading not for profit health insurer and federal government contractor headquartered in Wisconsin. WPS offers health insurance plans for individuals, families, seniors, and group health plans for small to large businesses. We process claims and provide customer support for beneficiaries of the Medicare program and manage benefits for millions of active du

Development of new risk adjustment tools / analyses to expand UHC's ability to predict risk scores and revenue using emerging data Expand RAF program analytics to enhance valuations and potentially refine the operations of existing programs and/or introduction of new programs Consolidation of Medicare Advantage risk adjustment data received from the Centers for Medicare &

Sales Connect Representative Ameritas Grp Process MTK MNMN1 Sales Full time Ameritas is seeking a Sales Connect Representative to drive the business by effectively presenting/selling our product portfolios and marketing campaigns to prospective agents, brokers, and consumers. This position educates agents and brokers by serving as a "value add" to General Agents on our She

Senior Claims Examiner Workers Compensation Requisition ID 2024 25247 Job Locations US MN Minneapolis | US Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Candidates must have experience handling Minnesota WC claims! Bonus opportunities! Other midwest states is a plus! Investigate and settle advan

At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain the best people by engaging, developing and rewarding employees. This position can be performed remotely for candidates who reside in MN. Prepares and approves renewals for a

Executive Underwriter Middle Market Solutions Midwest Job Locations US IL CHICAGO | US MI Remote | US IL Remote | US MN Remote | US OH Remote Job ID 2022 3011 Category Underwriting Type Regular Division Comm Lines & Exec Risk Crum & Forster Company Overview Crum & Forster (C&F) , with a proud history dating to 1822, provides specialty and standard commercial lines insuran

Analyze large data sets and identify trends and patterns Use statistical tools to interpret data sets, paying particular attention to trends and patterns that could be valuable for diagnostic and predictive analytics efforts Create data visualizations and reports to communicate findings to stakeholders Communicate and present findings, orally and visually in a way that ca

The primary purpose of the Wealth Management Portfolio Analyst is to support the investment team. Functions include creating and maintaining various investment management reports, assisting with equity and fixed income trading and assisting portfolio managers with various portfolio management functions. This role serves as a liaison with the operations and front office gr

Position Compensation Range $109,000.00 $186,000.00 Pay Rate Type Salary Compensation may vary based on the job level and your geographic work location. The Auto Underwriting Analyst refines and introduces products and services in existing markets to improve auto underwriting results and eliminate leakage. You will deliver enhancements that improve bottom line results usi

Claims Specialist Workers Compensation Requisition ID 2024 25248 Job Locations US MN Minneapolis | US IL Lake Zurich Position Type Regular Full Time Category Claims Business Unit BUS_TPA US Excellence In Everything We Touch Position Summary Administers and resolves non complex short term claims of low monetary amounts, including medical only claims. Documents and monitors

Investigate and maintain highly complex property/casualty claims. Determine liability, secures information, reviews coverages, arranges appraisals, and settles claims. Demonstrate experience to perform all areas of claim adjustment activities with the highest degree of competency and independence. May specialize in liability, property or catastrophe claims. You will report

Reviews, processes, and audits the medical necessity for each patient chemotherapy treatment and documentation of regimen relative to pathway adherence. Communicates with nursing and medical staff to inform them of any restrictions or special requirements in accordance with insurance plans. Provides prompt feedback to physicians and management regarding pathway documentat

Sales Specialist SupplySight Inventory Management reports to Sales Management , while working closely in conjunction with the corporate SupplySight Operations team. Build relationships with key customer personnel and contributes to negotiations and discussions with the customer to promote ongoing improvement to the program. Act as a first line of contact to answer questio

Work closely with Finance, Actuarial, and Affordability partners to develop financial projections and forecasts of expected savings from key affordability programs. Also, build comparisons of actual to expected results and develop explanations of variances Provide management with unbiased advice regarding medical cost strategy, including review of affordability programs s

This position is part of the Risk Team within Individual Solutions (IS). The Risk Team provides monitoring, analysis, and management of risks within Individual Life and Annuity including our asset strategies, hedge programs and tolerance thresholds. Our Risk Team is comprised of engaging, curious, and collaborative teammates that seek to deliver high quality actuarial wor