Partial List of Current Searches

  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

Email us:
peterman@jrpeterman.com

Call us:
(802)253-6304


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 hearing from you. 

  

Call Center Sales General Manager-Fluency in Spanish Required. Jersey City location. The General Manager will manage call center operations for a telemedicine company that maintains a strategic partnership with Horizon Blue Cross. The call center will handle calls to sell prospects on the medical insurance program to mostly Hispanic consumers interested in health services and health insurance products who are located in Northern New Jersey and in other diverse population centers in the Northeast U.S. Position will monitor costs, have top line growth and P&L responsibility.

Candidates will have experience in leading and growing a call center sales staff. Spanish language skills are also required.  A Bachelor’s Degree is also required.  Base Salary Target: $80K, plus 25-50% bonus. May 2018

  

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. May 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 overpayment, overpayment resolution options and total knowledge of systems used by claims department; (2) follow up of overpayment 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. May, 2018

  

Stop Loss Claims Analyst – multiple locations (Northeast) - $55k-$65k.

 This position is responsible for reviewing claims, interpreting and comparing contracts, dispersing reimbursement, and ensuring that all claims contain the required documentation to support the Stop Loss claim determination. They are responsible for customer service, and the financial risk associated with an assigned block of Stop Loss claims. This requires applying the appropriate contractual provisions; plan specifications of the underlying plan document; professional case management resources; and claims practices, procedures and protocols to the medical facts of each claim to decide on reimbursement or denial of a claim. The incumbent is accountable for developing, coordinating and implementing a plan of action for each claim accepted to ensure it is managed effectively and all cost containment initiatives are implemented in conjunction with the clinical resources. Bachelor's degree preferred.  A minimum of three years’ experience processing first dollar medical claims. May 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: $110-125K plus bonus. Call Jim for details. April, 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. May 2018 


Regional Stop Loss Sales Manager, Florida: work from home. 

This position will leverage existing stop loss broker relationships to develop new employer sponsored stop loss medical business. Develop profitable business initiatives by devising detailed, focused sales plan to identify target markets needed to hit sales goals, directing distribution of Employer Stop Loss through network of preferred producers, and creating new distribution outlets and facilitating marketing efforts to utilize alternative distribution methods,    Qualifications: Significant and current stop Loss medical sales or underwriting experience . Knowledge of principles and methods for selling group insurance products, including marketing strategy sales presentations. Strong knowledge of available products. Excellent communication and negotiation skills with internal and external customers. Ability to be productive independently, yet work in a team environment .Strong organizational, planning, and time management skills. Base Salary and incentive compensation on new and renewal business for as long as the business stays on the books. Income building opportunity with a major stop loss reinsurer. Jim. April, 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. May 2018


 Group stop loss medical claims analyst-Massachusetts

 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. Position will work in Marlborough, Massachusetts office.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 • Proficient in Microsoft Office software • Knowledge of David Young system preferred . Jim. May 2018


Group Stop Loss Account Manager, Boston Area

 Position will be responsible for managing a book of stop loss medical accounts for a stop loss reinsurer.   Handle and manage day to day activity with stop loss accounts. Preparation of Illustrations on an as needed basis.  Manage all aspects of stop loss account activity post sale (new business and renewal) for an account including collection of outstanding requirements for policy issuance  Schedule and conduct onboarding calls, when necessary to ensure a positive initial customer experience Establish account files through onboarding process, including contact information, EOR and reimbursement set up, updating the database, initiating reporting with TPAs, and setting up commissions . Qualifications:  3 + years Stop Loss Carrier Account Management or Insurance Brokerage/Medical Carrier Account Management with self-funding experience highly desired. Customer focused, pro-active mindset; excellent organizational, interpersonal and project management skills Day to day client management experience Strong consulting and interpersonal skills with an ability to interact with brokers, clients and service vendors. Salary: $70-80K.  Jim. May 2018 


Account Executive Long Island, NY 

The Benefit Consultant provides strategic advice while effectively and efficiently managing client activities. The Benefit Consultant reports to his/her assigned Team Leader (Vice President/Principal) as well as to the Partners of Health and Welfare Services. Client Renewal responsibilities are as follows: The assigned Benefits Consultant owns the renewal process and is responsible for all strategic planning and coordination of other health and welfare resources including providing direction to the Client Services Managers, as well as, administrative staff and the designated Partner. Candidate will prepare strategic planning calendar and deliver to the client; conduct strategic planning meeting with client to set proper expectations and discuss objectives for coming year; direct administrative support staff to secure census and current bills from client; request from administrative support that provider report be secured from current insurers; ensure administrative support staff conducts proper billing and census audits, as well as, census breakdown; request and negotiate incumbent renewals with in force insurers; and prepare and launch requests for proposals with alternative insurers and third party administrators. Candidate must have a valid NY Life & Health License as well as 7+ years employee benefits experience. $100-120K  Jim. May 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. May 2018


Employee Benefits Sales Long Island, NY 

Candidates will be responsible for growing and maintaining the employee benefits book of business. They must have knowledge of experience, manual and community rating medical and ancillary lines. Experience in self-funded plans a plus. They should also be familiar with benefits law including healthcare reform and have a current active Life and Health license in good standing. Candidates should have the ability to make presentations to CFO level as well as HR management and have excellent communication and people skills. A self-starter with minimal need for supervision, a team player with the ability to coordinate internal and external resources and be comfortable with technology as well as experience with not for profit and higher education groups is a plus. The candidate should have excellent rapport with carriers and industry providers. Candidates able to bring a book of group benefits business with them will be compensated for that book, in addition to a base salary and incentive compensation. Salary mentioned below is first year guarantee for candidates without a book of business. $60-75K Jim. 

May 2018


Benefits Account Manager Long Island, NY 

Person will be responsible for providing a broad range of service support to group insurance clients ranging from sole proprietorships up to 50 employees. Job responsibilities will include: working directly with clients and their employees, significant personal interaction via phone, email and in-person; addressing claim, billing enrollment issues and problems involving group life and health programs; assisting with implementation of new group programs and transitions to new insurers; preparing and delivering renewal proposals; marketing inforce and proposed coverages and programs; and interfacing between clients and insurance companies and other benefits vendors. Key skills and abilities required: knowledge of group insurance is critical, applicable areas include group medical and prescription drug, group dental, life insurance, disability insurance and vision; strong general customer service skills; basic understanding of related insurance and benefits products - individual life and disability, 401(k), wellness programs (not required but would be a plus); ability to manage clients and basic projects independently; ability to recognize problems and client concerns and to work diligently to solve and/or address these effectively; and knowledge of HealthConnect quote system. Job requirements involve occasional local travel (NY, NJ). This is a salaried position with regular office hours, 9 AM-5 PM, with additional hours required as necessary to effectively service clients. Candidate should have a background with some aspect of group insurance or related field as well as computer/word processing/spreadsheet skills. Proficiency in Excel and Word.PowerPoint, Publisher and MS Access a plus. $50-60K. Jim. May 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. May 2018


Upper Mid-West Region Sales Manager, Stop Loss Medical Plans 

Direct the distribution of Employer Stop Loss medical  products, including captive plans, through network of preferred producers (brokers, TPAs, etc.), and create new distribution outlets. Position can be based anywhere in the sales territory. Work from home.

• Generate and facilitate high monthly volume of pre-qualified submissions.

• Provide regular feedback to Home Office on successes and failures in the quote process to allow for adjustments and improve close ratio.

• Provide monthly updates on pipeline, current and future activity.

• Develop cross-selling opportunities within territory

Qualifications include:

• 6+ years sales or  production underwriting experience, with existing stop loss broker / TPA relationships in the region.

• Knowledge of principles and methods for selling group insurance products, including marketing strategy sales presentations

• Strong knowledge of available products

• Excellent communication and negotiation skills with internal and external customers. Jim. May 2018


Stop Loss Regional Sales Manager, East/Central Region: 

Direct the distribution of Employer Stop Loss and Corporate Products through network of preferred producers (brokers, TPAs, etc.), and create new distribution outlets. Position can be based anywhere in the sales territory- Western New York, Western Pennsylvania, Michigan, Ohio, Kentucky, West Virginia. (Work from home).

• Generate and facilitate high monthly volume of pre-qualified submissions.

• Provide regular feedback to Home Office on successes and failures in the quote process to allow for adjustments and improve close ratio.

• Provide monthly updates on pipeline, current and future activity.

• Develop cross-selling opportunities within territory

Qualifications include:

• 5+ years sales or underwriting experience, with exisnig stop loss broker / TPA relationships in the region.

• Knowledge of principles and methods for selling group insurance products, including marketing strategy sales presentations- Captive stop loss experience is a plus. Jim. May 2018