WC Medical Programs Workflow Specialist

5 months ago

Alpharetta, United States CHUBB Full time

The Workers’ Compensation Medical Programs Workflow Specialist role combines business process modeling skills, insurance knowledge, and analysis to document activities, tasks, and processes ensuring they are as efficient and effective as possible, and the best WC Claim product is being delivered to Chubb clients. Supporting Medical Programs and working with strategic vendor partners, Claims, Claim Centers, Operations and Claim Compliance, you will leverage your process-driven, analytical, communication, and process documentation skills to record, identify, define, and suggest process reengineering, automation, and future state transformation use cases and ensure strategic priorities and transformation strategies are fully implemented and functioning effectively. This position will work a 3/2 Hybrid model at one of our offices located in Chicago, IL, Dallas, TX, Alpharetta, GA, New Haven, CT or Philadelphia, PA.

In this role you will:

Conduct discovery, research, interviews, and analysis to gather, document and update various Claims, Operations, Vendor etc. processes and workflows. Create business process documentation (Visio process maps, high level summaries, workflows, to understand procedure steps, interdependencies, resource usage, and applications used to complete transactions. Lead implementation of Medical Programs strategies within the WC Discipline, ensuring effective communication to all stakeholders, and confirming effective implementation through ongoing measurement and reinforcement.  Be a key member of the WC Discipline team, collaborating with peers, and engaging every level of staff, to identify opportunities for improvement, being accountable for delivering assigned responsibilities, and contributing to the overall quality of the claim product being delivered to our customers. Collaborate on development of training content and resource material for WC staff, understanding target audience is both new and experienced employees.  Develop and maintain data dashboards, reports, and visualizations to present complex data in a clear and concise manner.  Assist with Medical Programs billing management and preparations of team scorecards, snapshots and partner with vendor management to create vendor dashboard and analyze data. Manage team IT tickets/change forms, assist with Expressions/letter review and refresh. Help design, support and document future state resolutions that may include process reengineering, automation, product simplification, optimizing capacity utilization, streamlining/simplifying systems, improving customer experience, and reducing issues and pain points.  Manage and direct the effective implementation of new technologies and the use of existing systems. Participate in key projects as assigned, both as individual contributor and project leader. Embrace and champion the use of new technology and aid in its implementation.

Core Competencies

Demonstrated leadership to interact collaboratively and work effectively with a multi-functional team and throughout the organization; fosters an environment of shared responsibility and accountability. Proven ability to manage organizational change, to involve and influence others to accept new ideas or innovative approaches, to lead in a team-based organization. Excellent written and verbal communication skills, with a proven ability to convey complex concepts in simplified terms, maximizing understanding while minimizing unnecessary detail. Demonstrated relationship management skills, vertically and horizontally. Achieving deliverables without direct management of stakeholders. Strong analytical skills, with the ability to handle multiple priorities, meet deadlines, and work independently to manage projects with proficiency in developing and/or revising policies and procedures. Awareness of digital and analytical resources available within Chubb and the industry that may benefit our WC claim handling process, product offerings, and/or our staff. Possess a high level of personal accountability. Continuous improvement mindset. Takes ownership, overcomes obstacles, and consistently delivers sustainable results. Execute tasks with quality, within deadlines, and a positive impact on customer experience. Possess learning agility; quickly grasp new concepts and emerging technology, proactively seeks out learning. Ability to prepare presentation documents and present to senior leadership. Advanced skills in Excel and PowerPoint.  Ability to develop reports, metrics, and improvement plans.

Education and Experience 

Bachelor's degree and 3+ years of experience in the financial services industry. Workers’ Compensation claim handling experience and workflows experience.  Business process modeling (BPM), workflow documentation, or training delivery experience/certifications. Proficiency with process documentation tools (Visio, PowerPoint, Lucidchart, .

The pay range for the role is $71,500 to $115,000. The specific offer will depend on an applicant’s skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found at . The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

  • Program Specialist

    4 weeks ago

    Alpharetta, United States Wheels, Inc. Full time

    Job Description: JOB OVERVIEW The Program Specialist's core responsibilities will include account management business functions including, but not limited to, client activation, contract review, execution and setup, lifecycle management and internal and external inquiry/issue resolution. The Program Specialist should be able to manage multiple competing...

  • Specialist, Program Finance

    6 days ago

    Alpharetta, United States L3Harris Technologies Full time

    L3 Harris Technologies is seeking an individual to support Program Finance and join the Finance Department of the Military Displays Division. This position will be responsible for supporting key PL programs and pursuits including completing OSPI fore Finance, Program, Specialist, Forecasting, Financial Planning, Technology, Banking

  • Medical Billing Specialist

    3 weeks ago

    Alpharetta, Georgia, United States SPCPSoutheast Medical Group Full time

    Job OverviewSoutheast Medical Group is seeking a highly skilled Medical Billing Specialist to join our team as a Certified Coder.

  • Finance Program Support Specialist

    4 days ago

    Alpharetta, United States L3Harris Technologies Full time

    At L3Harris Technologies, we are seeking a highly skilled Finance Program Support Specialist to join our team. This role is responsible for providing financial support to key programs and pursuits, including OSPI forecasting, financial planning, and budgeting.The ideal candidate will have excellent analytical and communication skills, with the ability to...

  • Medical Claims Specialist for High-Stakes Decision Making

    3 weeks ago

    Alpharetta, Georgia, United States SPCPSoutheast Medical Group Full time

    About the RoleWe are seeking an experienced Medical Claims Specialist to join our team at Southeast Medical Group. As a key member of our denial management department, you will play a crucial role in ensuring accurate and timely decisions on medical claims.

  • Travel Medical Imaging Specialist

    3 weeks ago

    Alpharetta, United States Aureus Medical Group - Imaging Full time

    Aureus Medical Group - Imaging is seeking a skilled Travel Medical Imaging Specialist for a 14-week opportunity in the Alpharetta, Georgia area.Salary and BenefitsThe estimated weekly payment breakdown includes ~$2269.00-$2349.00, with approximately $600.00-$680.00 in weekly taxable income and a non-taxable stipend of ~$1669.00.*We offer a comprehensive...

  • Medical Scheduler Specialist

    3 days ago

    Alpharetta, United States Pain And Spine Physicians Surgery C Full time

    Job Title: Medical Scheduler SpecialistAbout the Role:Pain And Spine Physicians Surgery C is seeking a skilled Medical Scheduler Specialist to join our team. As a key member of our staff, you will play a crucial role in ensuring the smooth operation of our procedures and surgeries.Responsibilities:Our ideal candidate will possess excellent communication...

  • Medical Imaging Specialist

    3 weeks ago

    Alpharetta, United States JEDY Network Full time

    JEDY Network is a leading provider of staffing solutions for the healthcare industry, offering a unique opportunity for medical imaging specialists to advance their careers while making a meaningful impact in patient care.About the JobJob Title: Medical Imaging SpecialistSpecialty: Radiology TechnologistDiscipline: Allied Health ProfessionalContract...

  • Medical Care Specialist

    3 weeks ago

    Alpharetta, Georgia, United States The Phoenix At Milton Full time

    Job DescriptionThe Phoenix at Milton is seeking a skilled Medical Care Specialist to join their team.Job Summary:We are looking for an experienced Medical Care Specialist to provide high-quality care to our residents. The ideal candidate will have a strong background in medication management, resident assessment, and leadership skills.Key...

  • Program Development Specialist

    3 weeks ago

    Alpharetta, United States Wheels, Inc. Full time

    Job OverviewThe Program Development Specialist will be responsible for managing strategic client processes within various business functions, including client activation, contract review, execution and setup, lifecycle management, and internal/external inquiry/resolution.Key ResponsibilitiesManage client onboarding, vehicle scheduling, and tracking in an...

  • Operations Account Services Representative

    1 week ago

    Alpharetta, United States THE TRAVELERS INDEMNITY COMPANY Full time

    About the PositionWe are looking for a highly motivated Associate Operations Account Specialist to join our team. As an Associate Operations Account Specialist, you will be responsible for managing complex accounts throughout their lifecycle, developing and maintaining strong relationships with business partners and agents, and leveraging standardized...

  • ServiceNow CSDM and CMDB Specialist

    5 months ago

    Alpharetta, United States InterSources Full time

    Responsibilities ServiceNow CSDM and CMDB Specialist Alpharetta, GA (Day 1 onsite) Long Term ServiceNow CSDM (Common Service Data Model) and CMDB (Configuration Management Database) specialist typically includes a blend of technical expertise, project management skills, and a deep understanding of IT service management principles. Title: ServiceNow CSDM and...

  • Senior PostgreSQL Database Specialist

    3 weeks ago

    Alpharetta, United States Resource Informatics Group Full time

    Job Title: Senior PostgreSQL Database SpecialistJob Summary:As a Senior PostgreSQL Database Specialist at Resource Informatics Group, you will be responsible for designing, developing, and maintaining large-scale PostgreSQL databases. Our ideal candidate has extensive experience in PostgreSQL database administration, development, and optimization.About the...

  • Clinical Autism Specialist

    3 weeks ago

    Alpharetta, Georgia, United States ABLE AUTISM THERAPY SERVICES LLC Full time

    At Able Autism Therapy Services LLC, we are committed to providing exceptional care and support to individuals with autism and their families. As a Clinical Autism Specialist - Program Development, you will play a critical role in overseeing a caseload of patients and developing programs to meet their unique needs.Key ResponsibilitiesProgram Development:...

  • Professional Medication Care Specialist

    3 weeks ago

    Alpharetta, Georgia, United States VSL Employee Co LLC Full time

    At Vitality Living, we are committed to creating a vibrant community where our residents, families, and team members can thrive. As a Professional Medication Care Specialist at Vitality Living Milton, you will play a vital role in supporting the well-being of our residents.Job ResponsibilitiesMaintain a safe and clean environment for residents, exercising...

  • High-Availability Database Specialist

    2 days ago

    Alpharetta, United States iSoftTek Solutions Inc Full time

    Key ResponsibilitiesiSoftTek Solutions Inc is seeking a High-Availability Database Specialist to lead our Postgres administration team. As a key member of our technical staff, you will be responsible for designing and implementing high-availability databases, ensuring optimal performance, security, and scalability.The ideal candidate will have 10+ years of...

  • Medical Device Counsel Lead

    3 days ago

    Alpharetta, United States Avanos Medical Full time

    About UsAt Avanos Medical, we believe in making a difference in our products, services, and offers. We strive to be independent and different, supporting and inspiring our employees to excel and change what medical devices can deliver.About the Job:This role requires a skilled In-House Attorney Specialist to provide strategic legal counsel and support.The...

  • Intake Specialist

    7 months ago

    Alpharetta, United States Vayman & Teitelbaum P.C Full time

    DescriptionOur rapidly growing law practice is seeking a full-time legal intake specialist to join our team! You'll survey prospective clients and empathize with them on the details of their cases, manage new client onboarding and data entry, and help our lawyers book and manage their appointments. We'll provide the training and resources to help you...

  • Medical Care Specialist

    4 days ago

    Alpharetta, United States AccentCare Full time

    Job DescriptionWe are AccentCare Medical Group, a family of healthcare professionals passionate about providing exceptional care to seriously ill and end-of-life patients. Our team is dedicated to delivering comprehensive care across various settings, from home and virtual spaces to skilled nursing facilities, assisted living, and acute care hospitals.As a...

  • Medical Career Specialist

    3 weeks ago

    Alpharetta, United States ADEX Full time

    Job DescriptionADEX is seeking an experienced Medical Career Specialist to join our team. This role will involve finding and placing healthcare professionals into jobs at hospitals, clinics, nursing homes, and other healthcare facilities.Key ResponsibilitiesIdentify qualified candidates for open positions based on client requests and job...