Candidate will need career experience
AVP's Salary: 150-170K plus bonus
Manager's Salary: 120 -140K plus bonus
For additional info, please contact:
The Director, Medicare Compliance leads, plans, organizes, and directs all Medicare related work for Workers Compensation Claims countrywide. Responsible for ensuring that adequate levels of expertise is maintained for GRS WC Regions and specific areas of Liability/No Fault/Med Pay within GRS. Uphold full compliance with Medicare Reporting, Conditional Pay and MSA handling for GRS. Build and strengthen relationships and actively partner with all stakeholders. Proactively assess compliance and respond to regulatory reform. Maintain Medicare professional designations to facilitate Liberty Mutual’s commitment externally with our customers and CMS. Build an environment that supports team member’s development & career advancement opportunities.
• Ensure the Medicare units comply with Quality Standards and demonstrate CI Claims Service Principles in their work product. Lead team to mitigate exposure by effectively managing medical costs as well as mitigating Conditional Pay exposures. Participate with Networks and PBM to create long term solutions to identify and mitigate clinical opportunities earlier in the life of a claim.
• Partners with Vendor Mgt as the expert to facilitate and oversee strategic vendor partnerships including MSA, Medicare reporting, Rated Ages and Reversionary Interest/Professional Administration
• Maintain focus on effective resolution until disposition of referred cases, employing all tools, resources and techniques available as needed. Countrywide oversight of the Medicare Unit and outcome improvement through resolution, MSA expertise, MSA Mitigation, PBM, Conditional Pay, Section 111 and Medicare compliance.
• Monitors Medicare & Medicaid legislative updates, provides insight into regulatory reform efforts and collaborates with Federal Affairs Dept., HO Legal, Compliance Dept. and Field Claims. Engage with WC Examining, Training and Field Claims operations as appropriate to facilitate training, build field expertise. Encourage Medicare Unit to collaborate with the field on any CMS updates, engagement in huddles or new tools. Updates to Inkling material.
• Build and strengthen relationships and actively partner with internal and external stakeholders including consistent compliance with Special Service Instructions at the desk, team, and office level. Engage Sales/Service to clarify SSI’s and work pro-actively with requests for non-approved vendors.
• Build an environment that supports Team Members development & career advancement opportunities. Foster and develop a culture of responsiveness, accountability, and consistent performance.
• Leverage Best Practices, Local Leadership & the LMS process to drive sustained improvement in key areas as identified in the Employee Opinion Survey. Timely & appropriate recognition of staff performance via Shine, All Stars, Best Work, and Chairman/Presidential Awards. Demonstrating a high level of professionalism and teamwork.
• Maintain accurate staff levels while managing workload and achieve production targets. Identify waste and opportunities to create efficiencies through our LMS root cause problem solving. Achieve & maintain acceptable performance on all Internal Audit measures and State compliance measures including but not limited to form filings, licensing, and market conduct reviews.
• Lead a team of technical experts (Examiners, CCMU Nurses, and Life Pension Analysts) – to include coaching, mentoring, training, performance reviews, and leveraging own technical expertise – in achieving department objectives. Achieve work through others – direct reports and business partners. Assist VP & Manager of Technical Solutions when/where required.
Demonstrated ability to lead and manage a highly experienced technical team of individuals in the oversight of significant exposure, catastrophic, complex and unique claims. Ability to work well and in conjunction with large national account customers, understand special service instructions and build partnerships with Account/Service Managers, Underwriters, Distribution and Agents/Brokers. Extensive knowledge of Claims Department procedures and operations a plus. A Bachelor’s degree or equivalent, 10+ years of related claims experience, and prior management experience required.
Benefits: We value your hard work, integrity and commitment to positive change. In return for your service, it’s our privilege to offer you benefits and rewards that support your life and well-being.
At Liberty Mutual, we give motivated, accomplished professionals the opportunity to help us redefine what insurance means; to work for a global leader with a deep sense of humanity and a focus on improving and protecting everyday lives. We create an inspired, collaborative environment, where people can take ownership of their work; push breakthrough ideas; and feel confident that their contributions will be valued, and their growth championed.
We’re dedicated to doing the right thing for our employees, because we know that their fulfillment and success leads us to great places. Life. Happiness. Innovation. Impact. Advancement. Whatever their pursuit, talented people find their path at Liberty Mutual.
Liberty Mutual is an equal opportunity employer. We embrace an environment that is free from all discrimination in the workplace, in its business, or by its vendors. Liberty Mutual values diversity and the differences and similarities of our employees. We foster a diverse and inclusive work environment that leads to better ideas, stronger teams and more innovative products and services for our customers.
Angela Leddin, Senior Executive Talent Sourcer
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.
Gallagher is looking for a Global Inclusion & Diversity (I&D) Director who will help ensure we are supporting an increasingly diverse community and inclusive culture. You will provide strategic advice and counsel to Gallagher’s leadership on diversity-related issues. The I&D Director will also serve as a subject matter expert and be responsible for partnering across our functions and business divisions to design and deliver solutions supporting short- and long-term I&D priorities.
You will have the opportunity to drive real value to our people and clients by providing I&D education, tools and resources. The role will set the tone for how we speak about our strategy within the organization as well as to our clients, employees and candidates.
How will you impact our business?
Define and lead enterprise level I&D priorities to improve employee experience and the impact external partnerships/sponsorships, as well as partner with the business to develop and enable divisional I&D strategies
Provide project management, resources/tools, and guidance to drive success of inclusion and diversity initiatives in partnership with appropriate business and functional team members
Own the methodology to effectively identify, monitor, and report on critical metrics to evaluate Gallagher’s progress on achieving I&D goals, efficacy of related initiatives and inform priorities
Partner with the Marketing & Communications and Recruiting teams to communicate efforts and results internally and externally (including employees, leadership, clients, shareholders and candidates). Manage I&D information on Gallagher’s intranet and website and submit our work toward indexes and for award nominations
Act as an I&D point of contact to internal and external I&D related organizations, and foster a network to further knowledge, awareness and application of I&D best practices and trends
Provide relevant data, analysis, and recommendations to guide decision-making related to strategic recruitment and retention effort
Serve as a key strategic and business partner to senior leaders regarding diversity and inclusion-related issues, topics, programs and trends. Drive an integrated approach to diversity and inclusion, and implement impactful initiatives across Gallagher globally
You Should Have:
A Bachelor’s degree in Business, HR, Organizational Development, or related field
7-10 years of related experience including defining and implementing organizational development, talent, and learning strategies to achieve short- and long-term business objectives
What's Nice to Have:
A Master’s degree in a related field A Master’s degree in a related field
Advanced project management, organization and planning skills and detail-orientation.
Strong written and verbal communication skills with ability to efficiently tailor messaging to various internal and external partner groups
Skilled in change management and creating alignment with a diverse set of employees
Experience effectively partnering with HR and business teams to deliver strategies/solutions for global, cross-functional audiences
Experience operating in a matrixed environment, and track record of leading through diplomatic influence rather than formal authority
Effective analytical skills and ability to translate metrics, research, and trends into strategy and practice
Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
To Apply, Please Visit: https://ajg.referrals.selectminds.com/jobs/global-inclusion-diversity-director-27161
Visit their website here: Career Site - Self Service (adp.com)
WORKERS' COMPENSATION ADMINISTRATOR
Salary: $12,862 - $15,938/month, 37.5-hr work week
Your Port. Your Community. Your Career.
When you join the Port of Oakland, you become part of a proud local legacy, an organization that touches virtually every resident with its services and programs. The Port of Oakland oversees the Oakland seaport, Oakland International Airport and 20 miles of waterfront. The Oakland seaport is in the top 10 busiest container ports in the U.S.; Oakland International Airport is the second largest San Francisco Bay Area airport offering over 300 daily passenger and cargo flights; and the Port's real estate includes commercial developments such as Jack London Square and hundreds of acres of public parks and conservation areas.
The Port is currently recruiting for the position of Workers’ Compensation Administrator. Under direction, the Workers' Compensation Administrator administers, monitors and supervises the investigation and settlement of Workers' Compensation claims involving the Port of Oakland to ensure that cost containment controls are enacted and claims are processed in an efficient and judicious manner.
Minimum requirements include a Bachelor's degree from an accredited college or university in Business Administration, Insurance or a related field; five years of increasingly responsible experience in the claims adjusting field, of which two years must be in a first line supervisory capacity; and possession of a valid California Workers' Compensation Self Insurance Administrator's License within the first year and for the duration of appointment.
Requires knowledge of the Labor Code of California as it pertains to Workers' Compensation and principles of tort law; practices and procedures before the Workers' Compensation Board and the Vocational Rehabilitation Bureau; medical and legal terminology utilized in the Workers' Compensation arena, including Labor Code 132A; subrogation and vocational rehabilitation; principles and practices of supervision; and developing and maintaining records storage and retrieval systems.
The Port’s compensation and benefit program ranks among the best in the region for public jurisdictions and is designed to reward performance and promote a balanced lifestyle, both at the workplace and away from the workplace, for our employees and their families. The Port is committed to the health and well-being of its employees and has been recognized as a FIT-Friendly Employer by the American Heart Association. We offer a comprehensive benefit package, including medical, dental, vision, life insurance, 457 plan and paid leave.
To apply for this exceptional opportunity, view supplemental questions and/or obtain more details, please visit us at https://www.portofoakland.com/business/job-center/.
Apply by January 8, 2021 at 5:00 PM.
Equal Opportunity Employer
About CBE Law Group
CBE Law Group is a growing workers’ compensation law firm that prioritizes quality of work and client service, above all else. It is our goal to continuously grow as a team, so that we can provide the best service and results in our field.
About the Role
As we grow, we are looking for a team member to add to our Inland Empire office.
We are looking for a self-motivated, organized attorney with strong communication skills, a strong self-motivation and ability autonomously manage their caseload, and a drive to deliver consistently high-quality work and client experience. We take pride in keeping caseloads reasonably low, in having a low attorney to assistant ratio to focus on an attention to detail, and in utilizing technology to create a flexible and efficient work environment.
The Ideal Candidate
Candidates who do not have the demonstrated work experience will be considered if they can demonstrate they are, otherwise, exceptionally qualified to undertake the tasks required by this role.
Interested and qualified candidates should apply by e-mail, clearly indicating that the candidate is applying for the Attorney position, and include a resume and cover letter.
Compensation and Benefits
CorVel offers a unique, holistic approach to managing the cost of risk and providing results driven TPA and Risk Services. They are a national provider of comprehensive workers’ compensation risk management solutions. Specializing in complete, multi-level claims and risk management services – including claims administration programs for commercial, self-insured, Medicare and Medicaid plans, auto liability, general liability, and disability management industries. They are a leader in technology driven programs.
For more information, see www.corvel.com.
Area Vice President Position:
Reporting to the Chief Executive Officer, the Area Vice President (AVP) is responsible for managing the California, and potentially the Arizona and Nevada territories, for sales and operations. This includes the management and growth of people, revenue, and profits. This is a highly diverse and visible role that requires the ability to set priorities, multi-task, and work in an ever-changing environment. The Area Vice President is charged with building positive relationships with prospective service buyers and their distributors throughout the assigned areas to assist CorVel to achieve its new business and retention goals and objectives on an annual and ongoing basis. The successful candidate will drive execution, will be customer focused, and will possess strong business and financial acuity. The AVP will convey enthusiasm and confidence with the ability to build consensus.
We are seeking an experienced, entrepreneurial spirited, collaborative, and operational sales leader with a background in the consultative sales process and operations. The Area Vice President will have a proven track record of leading teams during times of growth and change.
Staff reporting to the Area Vice President:
31 (2 direct and 29 indirect reports); indirect count through all hierarchies is 488. Staff includes VP Regional Sales, Regional Systems Director, Claims Vice President, Branch Managers, Account Managers, Account Executives, Bill Review, and Case Management.
Post COVID, the position will be located in any of these branch office locations: Rancho Cucamonga, CA, Orange, CA, Sacramento, CA, (there are other potential Southern CA locations where CorVel has offices depending on candidate’s current residence).
If you have an interest, please contact the Executive Search firm retained to manage this search:
Morgan Consulting Resources, Inc.
Kim Phillips, Executive Search Consultant
(702) 210-7166; firstname.lastname@example.org
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Supporting the career endeavors of our members is one of our top priorities. Our job board is a way we connect openings in the industry to our members. Some are general postings and others are requested to be posted by specific members directly. We in no way guarantee any position posted; however will do anything we can to support our members.