Member Services Supervisor jobs in Santa Cruz, CA

Member Services Supervisor supervises a group of member services representatives that address health plan or HMO member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care. Responsible for researching more complex questions, investigating the cause of the issue, and responding to members on escalated issues. Being a Member Services Supervisor assists with hiring, training, ongoing monitoring and QA, performance evaluations and any corrective actions of member services representatives. Requires a high school diploma or its equivalent. Additionally, Member Services Supervisor typically reports to a manager. The Member Services Supervisor supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. Contributes to the development of processes and procedures. Thorough knowledge of functional area under supervision. To be a Member Services Supervisor typically requires 3 years experience in the related area as an individual contributor. (Copyright 2024 Salary.com)

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Associate Underwriter
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  •  

    Summary

    • Reporting to the Underwriting Manager and operating within guidelines established in the NIAC / ANI underwriting manual, performs risk selection and pricing on renewals, new business and endorsements. Reviews renewal and new business quotes prior to issuance. Makes marketing calls to members and brokers on an as needed basis. This position requires a great deal of creativity and latitude. Makes some marketing calls to members and brokers on an as needed basis. The requirements listed below are representative of the knowledge, skill, and/or ability required but are not all inclusive. Prior experience working remote out of a home office is required for remote positions.

    Responsibilities

    • The Associate Underwriter responsibilities include but are not limited to:
    • Assess and price renewals, new business and endorsements according to guidelines outlined in the underwriting manual and within their authority level. Lines of business to underwrite include general liability, auto liability and physical damage, improper sexual conduct, liquor liability, employee benefits liability, umbrella, property and crime, social service professional liability, directors’ & officers, employment practices liability and accident.
    • Prepare the underwriting and rating work-up on renewal policies and new business as assigned. Such work-up to include but is not limited to:
      1. Select and/or verify class code and premium base and rating exposure
      2. Calculate final premium including specialty charges (special events and additional insureds)
      3. Determine appropriate credits and/or debits to obtain a fair and sustained premium for risk
      4. Determine coverage forms and necessary endorsements
      5. Effectively communicate to broker quote conditions
      6. Provide accurate documentation in the file and/or in electronic notes of underwriting thought process
    • Ability to think outside of the box and develop solutions for our members that address their specific insurance needs
    • A personal commitment to providing Inspired Service in every internal and external client engagement
    • Provide customer service by responding promptly and courteously to all requests for information
    • Ensure timely and accurate preparation for issuance of policies
    • Effectively communicate company standards, mission, underwriting guidelines, and requirements to brokers and/or members
    • Provide accurate documentation in the file and/or in electronic notes of underwriting thought process
    • Order/review inspection reports to assess risk quality and to confirm exposure base accuracy
    • Actively manage assigned book of business. Responsible for achieving company renewal retention ratio goal on a monthly basis in addition to company profitability goals
    • Accurate and timely processing of endorsements
    • Appropriately refer accounts exceeding authority level
    • Actively manage relationships with assigned brokers, customers and members.
    • Ensure that information available from internal and external resources is properly integrated into underwriting decision making
    • Ensure that referral guidelines are properly followed regarding all lines of business underwritten
    • Provides training and mentoring for other members of the Insurance Operations team when required
    • Miscellaneous tasks – Any and all assignments related to the insurance operations department as requested
    • Some travel required

     

    Required Skills

    • Must possess a moderate understanding of property and casualty insurance coverages; familiarity with ISO commercial class codes is required
    • Knowledge of underwriting principles and processes is required
    • Solid mathematical aptitude
    • Proficient verbal and written communication skills
    • Ability to work independently with little direct supervision and within a team environment as needed
    • Basic to intermediate skills with Excel, Word, Outlook and Power Point
    • Candidate should be organized and able to multi-task, provide follow-up and manage a significant book of business
    • Strong customer service skills and a professional attitude are required
    • Candidate should posses excellent written and verbal communication skills, and sharp attention to detail.
    • Assist with training and development of less experienced staff.
    • During the course of performing job duties, the employee may be required to sit, bend, or reach for extended periods of up to 3 hours at a time.
    • Ability to achieve outcomes in a rapid-paced environment.
    • The employee may occasionally be required to lift or move objects weighing between 10 and 20 pounds.
    • The job demands adequate vision to clearly view a computer screen. Corrective lenses, if necessary, can be used to meet this requirement.
    • The job also demands adequate hearing to accomplish job tasks.

     

    Experience

    • 2-4 years related work experience as Associate Underwriter or Commercial CSR or 5 years as an Underwriting Assistant/Support Specialist or equivalent preferred
    • Experience in a multi-state and multi-line commercial insurance environment preferred
    • Prior experience working remotely from a home office 100% of the time is required for remote positions

     

    Education

    • 4-year degree (or directly-related equivalent experience) preferred
    • CIC, AINS or comparable designations preferred


    Compensation: The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors including the location, skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for additional incentive compensation upon achievement of individual and company goals.

    Salary Range

    $50,000 - $104,000

  • 18 Days Ago

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Associate Underwriter
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  • SummaryReporting to the Underwriting Manager and operating within guidelines established in the NIAC / ANI underwriting manual, performs risk selection and pricing on renewals, new business and endors...
  • 26 Days Ago

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Underwriter
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  • Underwriter Summary Reporting to the Underwriting Manager and operating within guidelines established in the NIAC / ANI underwriting manual, performs risk selection and pricing on new business, renewa...
  • 1 Month Ago

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Claims Examiner III
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  • Claims Examiner III Summary Reporting to the Claims Manager and working independently with great latitude for independent action, manages an inventory of multi-line casualty claims having varying degr...
  • 1 Month Ago

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Senior Claims Examiner
  • Alliance Member Servic
  • Santa Cruz, CA FULL_TIME
  • Senior Claims ExaminerSummaryReporting to the Claims Manager or Chief Claims Officer and working independently and with great latitude for independent action, the Senior Claims Examiner manages an inv...
  • 1 Month Ago

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FORENSIC SERVICES SUPERVISOR
  • County of Santa Cruz
  • Santa Cruz, CA FULL_TIME
  • THE JOB: Under direction, assist the Forensic Services Director in overseeing the technical aspects of the Laboratory’s programs, with the specific objective of ensuring that those programs maintain c...
  • 22 Days Ago

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0 Member Services Supervisor jobs found in Santa Cruz, CA area

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Branch Customer Service Coordinator - San Jose, CA
  • TTI TTI, Inc.
  • San Jose, CA
  • ** Branch Customer Service Coordinator - San Jose, CA** **Job Category****:** Customer Service **Requisition Number****:...
  • 4/17/2024 12:00:00 AM

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Customer Service Representative ( REMOTE WORK )
  • Morphius Corp
  • Los Gatos, CA
  • MUST RESIDE IN CALIFORNIA!! We are a rapidly growing company that has more clients than we can see. We understand that i...
  • 4/16/2024 12:00:00 AM

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PM Houseperon / Lobby Attendant
  • Stanford Hotels Corporation
  • Santa Clara, CA
  • ** PM Houseperon / Lobby Attendant** **Job Category****:** Housekeeping **Requisition Number****:** PMLOB005339 Showing ...
  • 4/16/2024 12:00:00 AM

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Driver-Patient Service Tech - (12pm-8:30pm Flexible days)
  • Apria, Inc.
  • San Jose, CA
  • **Driver-Patient Service Tech - (12pm-8:30pm Flexible days)** CAROUSEL_PARAGRAPH * San Jose, California * Full-time * Fu...
  • 4/16/2024 12:00:00 AM

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Sr. Customer Advocate
  • Advanced Energy Company
  • Campbell, CA
  • Title: Sr. Customer Advocate * Generates quotes and invoices to customers. * Coordinates frequently with local and remot...
  • 4/16/2024 12:00:00 AM

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Universal Member Service Representative
  • Self Help
  • San Jose, CA
  • ** Universal Member Service Representative** **Job Category****:** Branch **Requisition Number****:** UNIVE001850 Showin...
  • 4/16/2024 12:00:00 AM

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Customer Service Representative I Santa Clara Family Health Plan Source: Santa Clara Family Health Plan San Jose, CA 6 months ago
  • California Locals
  • San Jose, CA
  • Since 1997, SCFHP has partnered with providers to deliver high-quality healthcare to our members. Through dedication to ...
  • 4/16/2024 12:00:00 AM

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Enrollment Service Representative
  • The Santa Clara University
  • Santa Clara, CA
  • **Position Title:** Enrollment Service Representative**Position Type:** Regular**** **Salary Range:** $21.06 to $24.21 p...
  • 4/15/2024 12:00:00 AM

Santa Cruz (/ˈsæntə ˈkruːz/, Spanish: Holy Cross) is the county seat and largest city of Santa Cruz County, California. As of 2013 the U.S. Census Bureau estimated Santa Cruz's population at 62,864. Situated on the northern edge of Monterey Bay, about 32 mi (51 km) south of San Jose and 75 mi (120 km) south of San Francisco, the city is part of the 12-county San Jose-San Francisco-Oakland Combined Statistical Area. Santa Cruz is known for its moderate climate, natural environment, coastline, redwood forests, alternative community lifestyles, and socially liberal leanings. It is also home to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Member Services Supervisor jobs
$68,258 to $85,661
Santa Cruz, California area prices
were up 2.5% from a year ago