This is only a partial list of the available positions.There are many ways you can apply for consideration for one or more of these opportunities.
J. R. Peterman Associates, Inc.
P. O. Box 3083
Stowe, Vermont 05672
Once we review your information/resume, we will call you to discuss your career goals and let you know of any opportunities we are aware of that may be a match.We will always advise you of a potential opportunity prior to discussing your name, background, or credentials with a client.We look forward to working with you.
Stop Loss Claims Manager – multiple locations (Northeast) - $80k-$90k.
Plans and directs the work of Claims unit personnel, including directing work assignments, scheduling and reviewing work-in-progress. Monitors work flow to ensure continued prompt and accurate claims service. Supervises staff, with responsibility for hiring, performance management, and coordinating training and development. Reviews and handles all problem, complex, or special claims cases and settles or initiates further action within approved authority limits, ensuring that policyholders are treated fairly and equitably and that the terms and policies are in compliance with state and federal laws. Represents carrier to outside agencies, such as third party administrators, brokers/agents, policyholders vendors, and outside counsel to ensure continued good relations and company image. Demonstrated ability to effectively communicate and negotiate to achieve results through influencing others within the department/ organization, both bottom up and top down. Superior knowledge of Stop Loss and associated computer systems. Eight to ten years experience in claims with four to five years of management experience. Jeremy. November 2018
Sales Director, Managed Care Services- Chicago.
This is a newly created position with high visibility. Position will sell the company's healthcare cost saving services and national managed care networks to insurance carriers, health plans, hospital groups, pharmacy benefit managers, and large employers. This position will manage a territory east of the Mississippi. Position will create annual business plan and sales targets, sales strategies, create new business opportunities with new and existing clients. Oversee RFP process. Base salary will be in the $100-115K range plus incentive compensation.
Candidates will have sales experience with a group health insurer, TPA, or MGU. College degree is preferred. Experience in the employer sponsored travel assistance market, including medical evacuation, is a plus. Jim. November 2018
Stop Loss Overpayment Recovery Specialist – multiple locations (Northeast) $55k-$65k.
Track, calculate and pursue overpayments identified within Stop Loss department. This includes (1) research of files, having full understanding of claims, type of over payment, over payment resolution options and total knowledge of systems used by claims department; (2) follow up of over payment requests which may include discussions with TPA, BA, Broker both internal and external customers via conversation and/or letters, ability to provide detailed descriptions of circumstances around overpayment and provide specific details from claim, conduct discussions with internal claims analysts; (3) provide monthly current recovery reports (analysis, trending, actions, status), contacting external customers (TPA/Broker/outside collection agency) as warranted.
Receive escheatment report, investigate customer data and provide data to banking for potential stop pay/re-issue of checks.
Refunds due – work with QA Analysts to investigate potential refunds due to customers and set up system accordingly.
Process deposits for AS checks Additional responsibilities as determined by management and business need. Highly skilled verbal and written communication skills. 5+ years understanding of first dollar medical claims or stop loss claims. Negotiation skills. Jeremy. November 2018
Provider Excess of Loss/HMO Reinsurance Underwriter. Work From Home
A large stop loss reinsurer will add to staff in their managed care underwriting area. Significant experience in provider excess of loss and /or HMO reinsurance will qualify candidates. This is a newly created position open as a result of growth. High visibility position should provide opportunity for long term career growth. Starting salary: $110-135K plus bonus. Call Jim for details. November 2018
Stop Loss Claims Analyst, Central New Jersey
If you are looking for an opportunity to grow your claims career, this may be the position that you have been looking for. This growing insurer has an entrepreneurial culture that rewards quality and creativity. No bureaucracy here, just role up your sleeves and get the job done.The claims analyst will work closely with the staff in the medical management department. The position will provide accurate and timely claims adjudication and superior customer service. Duties include: • Process employer stop loss claims. Handle customer service calls and correspondence from Brokers and TPAs. Participate in case installation calls and meetings. Starting salary: $50-65K.
Qualifications include: 5+ years claims experience. Knowledge of medical terminology, ICD9; ICD10 and CPT codes • Excellent analytical, problem solving, time management, and organizational skills, with an attention to detail • Ability to work productively while maintaining excellent quality. Jim. November 2018
Stop Loss Underwriter - Group Captives:
Write profitable accounts with an analytic approach to spread risk. This role will contribute to the achievement of Company’s financial plans by meeting premium growth and profitability of assigned book of business. Essential duties include: • Underwrite accounts from 50 – 400 employees. Responsible for analysis and development of underwriting and business guidelines. Develop and maintain relationships with brokers, captive managers, and clients. Ensure profitability at both the single employer and group captive level. Manage case and program activity for both new and renewal policies. Work with manager and Actuary to revise and develop group captive tools to improve efficiency in underwriting process. Salary is open depending upon experience. This growing company can hire at several different experience levels. Growth=opportunity. Take your career to new levels or in a new direction! Position will be based in Central New Jersey. Your qualifications include: 5+ years of Stop loss underwriting experience. College degree. Knowledge of risk evaluation and rating target business, as well as current industry trends and markets. Excellent oral and written communication, negotiation, and sound judgment skills. Ability to be productive independently, yet work in a team environment. Jim. November 2018
Pacific Northwest region stop loss medical sales representative
for a large and well known stop loss insurer. The insurer pays a base salary and will guarantee first year incentive compensation. The sales representative will earn new business incentive comp, plus renewal incentive compensation. You will call on brokers and TPAs in the region to develop new stop loss medical business and also attend industry conferences, and develop new leads through various alternate distribution methods.
5+ Years of group stop loss medical sales experience in the region will qualify candidates. Stop Loss captive sales experience is a plus.
This position is open as a result of a promotion of the former regional sales representative into sales management. This position will be the only sales representative in the region. Work from home in the region, or in the Denver office. Jim. November 2018
Senior Group Stop Loss Underwriter:
Write profitable accounts with an analytic approach to spread risk. This role will contribute to the achievement of Company’s financial plans by meeting premium growth and profitability of assigned book of business. Essential duties include: • Responsible for analysis and development of underwriting and business guidelines. Develop and maintain relationships with brokers, captive managers, and clients. Manage case and program activity for both new and renewal policies. Work with manager and Actuary to revise and develop underwriting tools to improve efficiency in underwriting process. Starting salary is in the $100-120K range depending upon experience. This growing company can hire at several different experience levels. Growth=opportunity. Take your career to new levels or in a new direction! Position will be based in Marlborough, Ma. Jim. November 2018