J. R. Peterman Associates, Inc .
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.
Operations and Financial Risk/Compliance Manager- Miami
Reporting to the Chief Risk Officer and Risk Committee the Risk Manager provides independent risk evaluations designed to add value and mitigate risks. A Miami based global health insurance and wellness benefits provider has a need for an experienced executive to manage compliance, financial, and operations matters for their U.S. based operations. Salary will be in the $150-175K range.
Develop Risk Management Policies focused toward ensuring that regulatory, financial and operational risks are proactively identified and mitigated by the Board and senior management team. Focus will be creating an integrated risk management and governance framework. Develop and implement an annual risk monitoring plan to ensure risks are identified, analyzed, monitored and mitigated. Be capable to stress base line budget models (stochastically or otherwise) to ensure capital and liquidity metrics are met. Understand how KRI impact profitability, and balance sheet metrics. Development of Annual CISSA/ORSA statements. Understand Bermuda, US, Ecuador and any other in-country regulations and Solvency II directives. Identify and review the reliability, integrity and relevance of financial and operational information, used to manage business units. Management of risk based monitoring system to ensure ongoing compliance with risk management policies.
EXPERIENCE REQUIRED: A minimum of five (5) years progressive enterprise risk management experience in an insurance company (health experience a plus). Knowledge of accounting, budgeting, insurance compliance matters is a plus. Strong background and experience with risk management methodologies and techniques. Bilingual English/Spanish, trilingual Portuguese a plus.
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
Individual Life Underwriter-International Risks:
This newly created position-open as a result of growth- will underwrite life and disability insurance risks for individuals who reside outside of the U.S. The position will participate in foreign market analysis, product development to satisfy market demand in specific countries world-wide, as well as underwrite. Life and disability products are underwritten on a stand alone basis or ancillary to IPMI products sold by the company.
Significant life underwriting experience plus experience in underwriting individuals who reside out side the U.S. is required. Disability underwriting experience is a plus. Starting salary will be in the $125K+ range. Position must be based in Princeton, N.J. Jim. January, 2019.
International Health and Travel Insurance Claims Leader Position:
We are presently searching for an experienced international health claims executive for a leadership position with a global health and wellness provider, based in the Princeton area. The position will take a strategic role with topics such as: setting global claims policy and procedure, oversee provider networks, claims payment systems and processes. Company has three claims offices globally. Position will also oversee the general management of the offices with day to day management and claims audits handled by a direct report . Salary will be around $175-200K+ plus bonus. Jim January, 2019.
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. January 2019.
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. January, 2019.
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. January 2019
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. January 2019.
Director, Individual Life and Disability Underwriting: Position will be responsible for management of a team of underwriters and their professional development. Responsible for maintaining production and quality standards. Work closely with TPAs in the sponsored market (affinity) area. Participate in contestable claim reviews. Candidates will have ten years of life underwriting experience plus management experience. Present underwriting authority of $5 million face amount for life. $30K authority for disability is a plus. West Chester County , New York location. Relocation assistance will be provided by the company. Working remotely is not an option. January 2019.
International Travel and International Medical Underwriting Leader-Global Responsibility:
We are presently searching for a travel insurance underwriting leader to underwrite leisure travel products sold individually, and through travel aggregators, airlines, cruise lines, associations and schools-globally-outside of the U.S. The company also underwrites some corporate sponsored travel insurance coverage. Overee the management of a globally based underwriting staff. Participate in strategic planning, product development to meet regional needs, and competition analysis. Starting salary will be in the $175K+ range plus bonus. The position needs to be based in Princeton, N.J. Relocation assistance is available. Jim January 2019.
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