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Actisure Policy Specialist GeoBlue We are seeking Actisure Policy Specialists to join our Enrollment/Fulfillment team! The role of the Actisure Policy Specialist is to configure the group and benefit information of the insurance plans sold and administered by Worldwide Insurance Services within the Actisure system. The configuration consists of utilizing several internal systems (Salesforce, IEA), the insurance certificate documents, and benefit interpretation forms to build each policy accurately for claim adjudication. The position will work collaboratively with other team members to manage daily production workload, assist in testing of new products, and troubleshoot issues as they arise with other internal business units.Responsibilities:
Evaluate new business, renewal business, and change requests that are submitted via Salesforce, to determine the proper policy configuration required within Actisure. Review the appropriate certificate and load the group demographics and benefit information to a Benefit Sheet template. Configure the Actisure system with the proper system settings, group information, and benefit details as indicated in the procedure document and benefit documents. Contribute to the auditing of other team member's policy setup. Properly document the policy completion, auditing, and various stages of the policy lifecycle within Salesforce or other means as needed (Excel). Assist in the testing of new products, product changes, or enhancements by building test policies in the test environments. Collaborate with other internal departments in the evaluation of the policy setup during regression testing. Collaborate with Management, Training and other Operational Departments for review, creation, and documentation of procedures relative to policy setup. Other duties as assigned. Requirements: Minimum requirement of four-year college degree, preferable a BA/BS in Insurance Administration or Computer Science. Two to five years in an Operations function such as claims, audit, customer service, and account management. Experience in health insurance industry is desirable. Excellent verbal and written communication skills needed to effectively relate with internal departments and vendors any issues identified, or enhancements needed. Advanced proficiency with Medical/Dental benefit plans, certificate language review and interpretation. Intermediate proficiency in MS Office products (Excel, Word, and SharePoint). Proficiency with claims software, coding, and claims processing guidelines a plus. Familiarity with Actisure a plus. Strong analytical and organization skills demonstrated by the ability to meet deadlines and communicate risks to completion of assigned time frames Ability to manage multiple assignments simultaneously while maintaining quality standards and meeting assigned deadlines. Ability to make decisions and support them with documentation. Must speak and write fluent English. Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access). Working Conditions: Flexibility to work in an office and/or at-home, remote office environment. Overtime and/or schedule flexibility are occasionally necessary in this position. Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours. Physical Demands: Must be able to communicate internally and externally through receiving and responding to auditory and visual methods. Internal Pay Grade: 6 The starting pay for this role is $40,594 to $50,742 based on skill level and experience in a similar role. This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. King of Prussia, PA, US, 19406Posted 2 hours ago Internal Audit Associate, Treasury and Capital Markets. Santander Holdings USA Inc Internal Audit Associate, Treasury and Capital MarketsBoston, United States of America The primary function of the Audit Associate, Treasury and Capital Markets is to execute complex audit testing. In addition, the Associate will start supervising and providing coaching and assistance to less experienced team members as part of internal audit reviews and activities. Perform testing in a timely manner, ensuring all audit quality and client relation standards are met. Provide assurance on the quality and effectiveness of internal control, risk management (current or emerging) and governance processes and systems in the Other (non-IT) Risks space. Examines business records and collects information, exercises independent judgment in identifying issues and assessing risk as well as formulates findings and presents the results to the relevant Sr. Supervisor/ Audit Manager. Executes control design and operating effectiveness testing over high complexity areas as part of internal audit reviews and activities. Develops an advanced understanding of the business. Demonstrates proactivity in professional development activities. Qualifications: Education: Bachelor’s degree or equivalent work experience Work Experience: 3+ years in Internal Audit FRM and/or CIA certification preferred Technology and computer skills, with the ability to effectively use Microsoft Office (Word, Excel, Outlook, Powerpoint), SQL and/or Python. Analytical and problem solving skills as well as the ability to work independently. Detail oriented with organizational skills. Verbal and written communication skills. Time management skills and the ability to complete multiple projects simultaneously and in a timely manner. Ability to work independently with limited supervision. Solid diplomatic skills with the ability to resolve conflict in a civil manner. At Santander, we value and respect differences in our workforce and strive to increase the diversity of our teams. We actively encourage everyone to apply. Santander is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, genetics, disability, age, veteran status or any other characteristic protected by law. This job description does not list all of the job duties of the job. You may be asked by your supervisors or managers to perform other duties. You may be evaluated in part based upon your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time. This job description is not a contract for employment and either you or the employer may terminate at any time for any reason. Bachelor of Science (BS) English Primary Location: Boston, MA, REMOTE - Massachusetts Other Locations: Massachusetts-Boston,New Jersey-Trenton,Texas-Dallas,New York-Albany,Rhode Island-Providence Organization: Santander Holdings USA, Inc. Trenton, NJ, US, 08629Posted 3 hours ago Systems Engineer. TherapyNotes.com TherapyNotes is searching for a Systems Engineer to join our growing team of cloud-first technology enthusiasts. The right candidate has an acute attention to detail and an inquisitive mind to challenge the status quo. Horsham, PA, USPosted 3 hours ago IT Support Engineer. The Denzel Group Proven experience as an IT Support Engineer or in a similar role. Strong knowledge of Windows and Mac operating systems. Strong knowledge of Microsoft 365 applications and services. Experience working within an Active Directory environment. Proficiency in troubleshooting hardware, software, and network issues. Excellent communication and interpersonal skills. Ability to work independently and collaboratively in a fast-paced environment. IT certifications (e.g., CompTIA A+, Microsoft Certified Professional) are a plus. Familiarity with Cisco Meraki desirable. To apply please send your application to #IND1 %26171% %%techhelp%% Chester Springs, PA, USPosted 3 hours ago DevOps Engineer. TherapyNotes.com TherapyNotes is searching for a Senior DevOps Engineer to join our growing team of cloud-first technology enthusiasts. The right candidate has an acute attention to detail and an inquisitive mind to challenge the status quo. Philadelphia, PA, USPosted 3 hours ago FT Lead Associate Seafood - 6062. The GIANT Company At The GIANT Company, we are passionate about building strong families and healthy communities, serving millions of neighbors across Pennsylvania, Maryland, Virginia, West Virginia, and New Jersey. We are committed to being an inclusive place to work and shop. Our shared values of care, courage, integrity, teamwork, and humor guide our work as we embrace the unique talents and differences of every team member. We also take pride in connecting families for a better future. If you're ready for a purposeful career, join our GIANT family. You'll help us make a difference while making some great connections and friendships along the way. Yardley, PA, USPosted 3 hours ago Field Service Technician/Engineer - Northeast region. Durst Image Technology US At Durst, you frequently hear "This is the best job I've ever had!" from HQ and field employees alike. We are a financially strong, growing company with products and technology that are on the cutting edge of the digital printing market. Our core, 6-month FSE training program is thorough and includes weeks at our Rochester, NY HQ and in the field shadowing other FSEs. You get to form strong relationships with customers and delight them with outstanding service. You'll have the satisfaction of knowing you made a positive, lasting impact every day. And, you can rest assured that Durst has your back. You can ask literally anyone in the company for help with anything and they are more than happy to assist. Leaders are respected because they walk the walk. Durst prides itself on continued personal and professional development and treating employees like family. Philadelphia, PA, US, 19117Posted 3 hours ago Financial Systems Analyst. NRG Energy At NRG, we're bringing the power of energy to people and organizations by putting customers at the center of everything we do. We generate electricity and provide energy solutions and natural gas to millions of customers through our diverse portfolio of retail brands. A Fortune 500 company, operating in the United States and Canada, NRG delivers innovative solutions while advocating for competitive energy markets and customer choice, working towards a sustainable energy future. More information is available at Connect with NRG on Facebook, LinkedIn and follow us on Twitter @nrgenergy. Princeton, NJ, US, 08540Posted 3 hours ago Systems Analyst II - Patch and Compliance. Unisys Corporation This commitment includes our efforts to provide for all those who seek to express interest in employment the opportunity to participate without barriers. If you are a US job seeker unable to review the job opportunities herein, or cannot otherwise complete your expression of interest, without additional assistance and would like to discuss a request for reasonable accommodation, please contact our Global Recruiting organization at or alternatively Toll Free: (Prompt 4). US job seekers can find more information about Unisys' EEO commitment here. Blue Bell, PA, US, 19422Posted 3 hours ago Director of Marketing. Lennar Homes The Director of Marketing is responsible for the oversight and support of the Division marketing and communication strategies with a focus on efficiencies and strategy implementation. The Director of Marketing will work closely with Division Leadership to ensure that marketing efforts are compliant, strategic and implemented as effectively as possible. Township of Hamilton, NJ, USPosted 4 hours ago Description
We are seeking Actisure Policy Specialists to join our Enrollment/Fulfillment team! The role of the Actisure Policy Specialist is to configure the group and benefit information of the insurance plans sold and administered by Worldwide Insurance Services within the Actisure system. The configuration consists of utilizing several internal systems (Salesforce, IEA), the insurance certificate documents, and benefit interpretation forms to build each policy accurately for claim adjudication. The position will work collaboratively with other team members to manage daily production workload, assist in testing of new products, and troubleshoot issues as they arise with other internal business units.Responsibilities:
Evaluate new business, renewal business, and change requests that are submitted via Salesforce, to determine the proper policy configuration required within Actisure. Review the appropriate certificate and load the group demographics and benefit information to a Benefit Sheet template. Configure the Actisure system with the proper system settings, group information, and benefit details as indicated in the procedure document and benefit documents. Contribute to the auditing of other team member's policy setup. Properly document the policy completion, auditing, and various stages of the policy lifecycle within Salesforce or other means as needed (Excel). Assist in the testing of new products, product changes, or enhancements by building test policies in the test environments. Collaborate with other internal departments in the evaluation of the policy setup during regression testing. Collaborate with Management, Training and other Operational Departments for review, creation, and documentation of procedures relative to policy setup. Other duties as assigned. Requirements: Minimum requirement of four-year college degree, preferable a BA/BS in Insurance Administration or Computer Science. Two to five years in an Operations function such as claims, audit, customer service, and account management. Experience in health insurance industry is desirable. Excellent verbal and written communication skills needed to effectively relate with internal departments and vendors any issues identified, or enhancements needed. Advanced proficiency with Medical/Dental benefit plans, certificate language review and interpretation. Intermediate proficiency in MS Office products (Excel, Word, and SharePoint). Proficiency with claims software, coding, and claims processing guidelines a plus. Familiarity with Actisure a plus. Strong analytical and organization skills demonstrated by the ability to meet deadlines and communicate risks to completion of assigned time frames Ability to manage multiple assignments simultaneously while maintaining quality standards and meeting assigned deadlines. Ability to make decisions and support them with documentation. Must speak and write fluent English. Employee is required to have at minimum an internet speed of 75 Mbps (standard high-speed internet access). Working Conditions: Flexibility to work in an office and/or at-home, remote office environment. Overtime and/or schedule flexibility are occasionally necessary in this position. Individual may be required to attend key business/departmental meetings and/or perform certain business critical job functions outside of normal working hours. Physical Demands: Must be able to communicate internally and externally through receiving and responding to auditory and visual methods. Internal Pay Grade: 6
The starting pay for this role is $40,594 to $50,742 based on skill level and experience in a similar role.
This job description reflects management's assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned.
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