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The Insurance Verification Specialist gathers pertinent information from patients, insurance carriers, financial counselors, and other staff to confirm the patient's financial obligations for services. Processes insurance pre-verification for hospital admissions or specialty service office visits. Being an Insurance Verification Specialist verifies insurance coverage and obtains required authorizations. Acts as a liaison between hospitals, clinical staff, health plans, providers, and patients to process referrals. In addition, Insurance Verification Specialist resolves pre-certification, regis more...
The Property Casualty Insurance Underwriter I decides on appropriate premium rates and issues coverage. Analyzes and reviews inspection reports, location, risk, credit reports, etc. to accept or reject renewal/new property and casualty policy applications. Being a Property Casualty Insurance Underwriter I may contact with the field to gather information on which to base and defend underwriting decisions. Provides customer services regarding underwriting processes and decisions. In addition, Property Casualty Insurance Underwriter I requires a bachelor's degree. Typically reports to a superviso more...
The Property Casualty Insurance Underwriter II decides on appropriate premium rates and issues coverage. Analyzes and reviews inspection reports, location, risk, credit reports, etc. to accept or reject renewal/new property and casualty policy applications. Being a Property Casualty Insurance Underwriter II may contact with the field to gather information on which to base and defend underwriting decisions. Provides customer services regarding underwriting processes and decisions. In addition, Property Casualty Insurance Underwriter II typically requires a bachelor's degree. Typically reports t more...
The Property Casualty Insurance Underwriter III decides on appropriate premium rates and issues coverage. Analyzes and reviews inspection reports, location, risk, credit reports, etc. to accept or reject renewal/new property and casualty policy applications. Being a Property Casualty Insurance Underwriter III may contact with the field to gather information on which to base and defend underwriting decisions. Provides customer services regarding underwriting processes and decisions. In addition, Property Casualty Insurance Underwriter III typically requires a bachelor's degree. Typically report more...
The Property Casualty Insurance Underwriter IV decides on appropriate premium rates and issues coverage. Analyzes and reviews inspection reports, location, risk, credit reports, etc. to accept or reject renewal/new property and casualty policy applications. Being a Property Casualty Insurance Underwriter IV may communicate with field agents to gather additional information or to explain underwriting decisions. Provides customer services regarding underwriting processes and decisions. In addition, Property Casualty Insurance Underwriter IV typically requires a bachelor's degree or equivalent. M more...
Sells insurance to new and current clients. May require an associate's degree with at least 2 years of experience in the field or in a related area. Is familiar with standard concepts, practices, and procedures within a particular field. Relies on limited experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under general supervision; typically reports to a supervisor or manager. A degree of creativity and latitude is expected. more...
Directs the activities of an organization's actuarial function. Develops mathematical analyses and financial principles to solve insurance problems. Calculates premiums, designs insurance plans, creates probability charts and may aid in the calculation of necessary funds to ensure future payments of benefits. Advises management in the determination of major rating assumptions. Requires a bachelor's degree. Typically reports to top management. May require ASA or FSA designation. Manages a departmental sub-function within a broader departmental function. Creates functional strategies and specifi more...
Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops recommendations to advises customers on the best options that will meet their needs and to place and retain the business. Requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Requires a bachelor's degree. Requires insurance licens more...
The Director of Actuarial Services develops mathematical analyses and financial principles to solve insurance problems. Directs the activities of an organization's actuarial function. Being a Director of Actuarial Services advises management in the determination of major rating assumptions. Calculates premiums, designs insurance plans, creates probability charts and may aid in the calculation of necessary funds to ensure future payments of benefits. In addition, Director of Actuarial Services requires a bachelor's degree. Typically reports to top management. May require ASA or FSA designation. more...
Directs and supervises the activities of the claims and provider reimbursement personnel. Handles third-party reimbursement for services rendered to patients. Sets procedures for filing reimbursement claims and ensures timely and accurate claims payments. Monitors, evaluates and reviews all cost reporting in support of reimbursement claims. Develops policies and procedures compliant with fiscal and regulatory requirements. Oversees the collection of statistical and financial data needed for preparing annual and monthly health insurance reports. May require an advanced degree. Typically reports more...
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