2 open positions available
Assist members with inquiries related to benefits, claims, and account information, ensuring accurate documentation and resolution. | Minimum 4 years of healthcare call center or customer service experience, strong communication skills, system navigation ability, and attention to detail. | Job Description: This role is responsible for supporting members by handling inbound inquiries related to benefits, claims, authorizations, and account information. The position requires strong communication skills, system navigation, and the ability to resolve issues efficiently while meeting service level expectations. Responsibilities: • Respond to inbound member inquiries regarding benefits, claims, authorizations, and account information. • Provide accurate, compliant, and timely information while adhering to privacy standards. • Document all interactions clearly and completely in the CRM system. • Resolve issues or escalate complex cases to appropriate departments using established workflows. • Assist members with navigating digital tools such as the member portal and mobile app. • Meet daily service-level goals for call handling, quality, and customer satisfaction. • Participate in ongoing training and coaching to stay updated on policies and procedures. • Maintain average handle time (AHT) within target range. • Achieve quality assurance scores of 95% or higher. • Meet or exceed daily call volume and adherence metrics. • Deliver first-call resolution for at least 85% of inquiries. • Ensure member satisfaction scores meet organizational benchmarks. Requirements: • Availability to work 8:00 AM – 4:30 PM CT, Monday–Friday. • Minimum 4 years of experience in a call center or customer service role within healthcare or health insurance. • High school diploma or equivalent; college coursework in business or healthcare preferred. • Strong verbal and written communication skills. • Ability to navigate multiple systems simultaneously. • Strong problem-solving and critical thinking abilities. • High attention to detail and accuracy. • Reliable attendance and ability to maintain scheduled shifts. Key Skills: • Call center member support • Claims and benefits inquiries • System navigation • Communication and customer satisfaction • Documentation accuracy • First-call resolution performance Systems/Software: Verint, Epic, MS Dynamics, Clarity, iLinkBlue, Common Query, EverNorth, EDI Enrollment, CMOD, Edifecs Pay Range: $23 per hour Benefits: Our comprehensive benefits package includes: o Medical insurance o Dental insurance o Vision insurance o 401(k) retirement savings plan Contact: Karrie Ruch +1 (312) 884-0418 kruch@jacobsongroup.com Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus! Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at HR@jacobsononline.com or +1 (800) 466-1578 to make a request. Job Types: Contract, Temporary Pay: $23.00 per hour Expected hours: 40 per week Work Location: Remote
Lead and grow a programs division managing surety and liability insurance programs, build MGA/MGU partnerships, oversee underwriting governance, and ensure profitability and compliance. | Strong insurance industry experience with program management, underwriting leadership, MGA/MGU oversight, analytical and negotiation skills, and knowledge of insurance products and regulatory frameworks. | Job Description: A specialty insurer that delivers customized surety and casualty solutions is seeking a Head of Programs. The Head of Programs will be responsible for establishing and leading a newly created programs division. This visionary leader will support the existing MGA programs, as well as build the infrastructure, strategy and partnerships required to grow a high-performing delegated authority and program underwriting business. The Head of Programs will leverage dynamic leadership skills and deep experience in program development, MGA/MGU relationshipsand underwriting governance to build a division from the ground up. This is a retained search. Responsibilities: Manages the existing surety and liability programs to ensure each program meets strategy, financial and operational targets; leverages existing programs to support a scalable business while defining frameworks, underwritingand reporting requirements Identifies and onboards high-quality MGAs/MGUs, affinity groupsand distribution partners to build a diversified portfolio; leads the design of delegated authority arrangements, including performance metrics, compliance standards and reinsurance alignment Focuses on profitability, loss ratiosand capital efficiency while ensuring adherence to underwriting guidelines, pricing strategy, and risk selection standards; leverages data and analytics to drive decisions and ensure alignment with corporate objectives Aligns claims strategy with underwriting and pricing to ensure program profitability; selects, onboards and manages TPAs and claims service providers while monitoring loss ratios, claim frequency/severity trends and reserves; escalates complex or disputed claims across programs Attracts, developsand retains a highly qualified team of underwriters, analysts and operational support staff Requirements: Strong experience in the insurance industry, specifically with program management, underwriting leadershipor MGA/MGU oversight experience Proven success managing complex insurance programs and portfolios Strong analytical, negotiationand decision-making skills Excellent knowledge of insurance products, pricingand distribution strategies, specifically within the property and casualty space; surety experience (preferred) Familiarity with regulatory frameworks and delegated authority models Ability to manage multiple stakeholders and work in a fast-paced, evolving environment #J-18808-Ljbffr The Jacobson Group
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