Insurance

• Participate in the establishment of the portfolio management, collateral management and policy infrastructure for the Captive Insurance Banking division.
• Participate in the oversight, underwriting, monitoring and compliance management for the Captive Insurance Banking division of Global Advisory, including captive and reinsurance companies.
• Underwrite and present credit limits to approval authorities.
• Own primary responsibility for monitoring commercial portfolio risks.
• This role will encompass both credit underwriting and portfolio management.
• Responsible for underwriting quality, portfolio administration, and ongoing credit monitoring of assigned portfolio.
• Actively monitors conditions in assigned markets and provides updates when appropriate to Division Management and approval/oversight authorities.
• Participation in strategic and innovative development in process workflows this new initiative and products.
• Maintain frequent contact with Trade Operations, AML/BSA, Credit and other key partners to stay current on internal requirements and trends.
• Will work directly with the Team Leaders, Relationship Managers, Regional Credit Officer, Credit Review, and Segment Risk across the commercial bank.
• Must be able to work on a multi-locale team.

Portfolio Management Team Lead – Captive Insurance Banking

• Lead the development of product and innovation strategies across the individual market and new solution spaces
• Translate enterprise and market priorities into relevant product strategies, value propositions, and expansion roadmaps
• Identify and scale new growth opportunities, including lifestyle-oriented products, population-specific solutions, and adjacent offerings
• Define market-specific right-to-win strategies, competitive positioning, and investment priorities
• Lead development of business cases, including return on investment, growth, and margin impact in partnership with actuarial and finance
• Promote optimization of product performance using member insights, behavioral data, and market intelligence
• Ensure new solutions integrate with existing product portfolio, benefit design standards, and member value propositions
• Improve modular product design to improve scalability, consistency, and speed to market across markets
• Manage product lifecycle performance, including launch readiness, post-launch optimization, and long-term sustainability
• Partner with product execution, compliance, and regulatory teams to ensure readiness and adherence to all requirements
• Build design and execution of the member incentives platform (rewards, engagement programs, and vendor partnerships)
• Define and innovate the program structure, eligibility, and value proposition in consideration of member engagement and retention goals
• Partner with other teams and external vendors to provide scalable, compliant incentive solutions
• Support ongoing refinement post-launch of incentive platform and partnership models, based on data-driven insights to promote membership engagement
• Be the senior connector across actuarial, network, market leadership, compliance, regulatory, finance, and growth teams
• Promote agreement, ensuring decision-making and execution
• Manage dependencies, timelines, and trade-offs alongside peers to ensure execution and delivery of results
• Influence strategic decisions across a matrixed organization without direct authority
• Lead complex programs spanning multiple markets, partners, and products
• Analyze results and provide recommendations to improve product performance or scaling of geographies, based on data-driven insights
• Provide leadership oversight for direct report(s), including coaching, conducting frequent meetings, direction.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Associate Director, Insurance Product Innovation, Emerging Solutions

• Lead the execution of ACA individual and small group health plan products
• Manage end-to-end product portfolio performance, spanning benefit design, filings, and go-to-market readiness
• Oversee the development of positioning, go-to-market plans, and sales enablement tools
• Establish disciplined operating rhythms across product development and filing cycles
• Build scalable processes and workflows to support multi-state execution
• Partner with actuarial, network, market leadership, and compliance to achieve growth in a regulated environment

Senior Director, Insurance Product Development, Execution

• Lead the strategy for next-generation lifestyle-focused health solutions.
• Be a hands-on strategic product leader and people leader.
• Accountable for building a high-performing team while directly leading product strategy and delivery.
• Translate enterprise priorities into scalable, market-ready health solutions that increase growth, retention, and long-term portfolio difference.
• Report into the Vice President, Insurance Product Innovation and Development.
• Collaborate with cross-functional leadership teams to develop culturally aligned and linguistically tailored health solutions.

Senior Director, Insurance Product Innovation, Emerging Solutions

• Perform inbound and outbound phone sales using multiple insurance carriers
• Sell personal insurance products to individuals
• Develop and maintain business relationships with internal and external referral sources
• Meet goals for volume of quality new business quoted and written
• Maintain up to date knowledge of products, services, technology and regulations
• Perform other duties as assigned.

Insurance Sales Specialist

• Follow our proven service process to offer our existing bilingual customers the best individualized customer service and policy options from the insurance carriers IIG represents
• Keep accurate information for all customers within the CRM database, adhering to company quality and compliance standards
• Building relationships with clients and actively capitalizing on Referral Lead cultivation
• Customer support over the phone, email or text
• Email management and follow-up with calls/ emails for the missing information and documentation.
• Use insurance carrier’s platform & technology timely and accurately

Insurance Service Agent, Albanian Speaker

• Manage insurance product execution calendar from design translation through filing, implementation, and ongoing optimization; operate as the hub of the department PMO activities
• Ensure agreement between product intent, regulatory requirements, and operational outputs in partnership with the Strategic Programs Organization
• Partner with insurance product leadership to translate strategy into relevant execution plans
• Promote performance tracking and process improvement
• Implement insurance product-specific ACA filing components across Oscar's markets
• Oversee development of important artifacts (e.g., PBT, SOB, SBC, and benefit documentation) through internal systems
• Coordinate inputs to ensure filing readiness and timeline adherence
• Manage responses to regulatory objections and escalations
• Manage QA frameworks, validation processes, and quality standards for product execution and filing outputs
• Establish execution rhythms, milestones, and governance across the lifecycle
• Promote process standardization and continuous improvement
• Resolve risks, dependencies, and data inconsistencies
• Implement reporting to track progress, risks, and performance
• Oversee production readiness and release schedules for filing outputs
• Enforce controls (e.g., freeze windows, change governance) during critical periods
• Manage version control standards to ensure outputs are accurate and traceable
• Be an escalation point for vendors supporting product execution and QA, managing performance and delivery
• Be the central execution hub across Insurance product and other leaders
• Improve agreement on priorities and timelines; lead implementation forums and issue resolution
• Lead team members responsible for product execution and QA
• Set priorities, performance expectations, and staffing / developmental plans
• Build team capabilities in product execution, regulatory understanding, and operational excellence
• Lead end to end regulatory QHP filing execution and ensure accurate, compliant, and submissions
• Establish execution rhythms, track milestones, surface risks, and lead issue resolution
• Support leadership decision-making with clear updates and recommendations
• Mentor and lead associate level execution staff
• Compliance with all applicable laws and regulations
• Other duties as assigned

Director, Insurance Product Filing – Lifecycle Management

• Promote development of new insurance product concepts and health solutions (e.g., lifestyle-based, multicultural, condition-specific health plans)
• Translate strategy into early-stage designs, value propositions, and use cases
• Identify opportunities based on member needs, health disparities, and market trends to differentiate and win
• Contribute to development of culturally-aligned and population-specific offerings
• Support design of condition-focused solutions (e.g., chronic condition or disease-specific concepts)
• Help shape offerings that improve engagement, outcomes, and provider/member experience
• Analyze market, competitive, and member analysis to inform innovation priorities
• Support opportunity sizing and business case inputs for new concepts
• Partner with product design, clinical, network, actuarial, corporate strategy, and growth teams
• Coordinate inputs and timelines to move concepts from brainstorming to pilot and launch
• Support execution of pilots and early-stage programs
• Track performance, gather insights, and summarize insights
• Recommend whether to refine, pivot, or discontinue product concepts
• Lead different teams to develop requirements and support implementation.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Manager, Insurance Product Innovation – Emerging Solutions

• This is a remote position.
• Make Good Things Happen for Other People
• Follow our proven service process to offer our existing bilingual customers the best individualized customer service and policy options from the insurance carriers IIG represents
• Keep accurate information for all customers within the CRM database, adhering to company quality and compliance standards
• Building relationships with clients and actively capitalizing on Referral Lead cultivation
• Customer support over the phone, email or text
• Email management and follow-up with calls/ emails for the missing information and documentation
• Use insurance carrier’s platform & technology timely and accurately

Insurance Service Agent, Romanian Speaker

• Follow up on claim status via insurance portals or calls to payers to determine adjudication and details.
• Call payers and patients as needed to resolve claim rejections, challenge processing decisions, and verify insurance coverage.
• Verify patient insurance eligibility and coordination of benefits.
• Review and analyze payer correspondence.
• Investigate electronic claim rejections.
• Submit claims for processing corrections, to secondary insurances, or to updated addresses.
• Research requests for insurance payment retractions.
• Monitor and notify management of payer trends and/or claim processing issues.
• Meet or exceed productivity and quality KPI goals.
• Perform other duties as assigned.

Insurance Specialist

• Coordinates relationship management activities with new and/or existing clients in a book of business to grow sales, revenue and market share with relevant sales goals.
• Typically works with clients with moderate levels of risk and complexity of needs.
• Works within stated guidelines to acquire and/or expand and retain client relationships to generate revenue and deepen share of wallet.
• Handles the origination, financial analysis, negotiation and documentation of non-credit products and services.
• Manages risk/return and drives quality for new and/or existing clients.
• Actively identifies and mitigates different types of risk, such as regulatory, reputational, and operational risks.
• Focuses on client opportunities by providing ideas and insights based on an understanding of the client's needs and their financial well-being.
• Focuses on increasing client engagement and loyalty through strategic dialogue and opportunity quantification.
• Manages effective network of internal and external relationships, such as community or industry relationships, to actively acquire new clients and/or expand existing clients and enhance the client experience.
• Ensures awareness of the full range of PNC's products and services.
• Leverages reporting and sales tools to proactively identify and successfully convert sales opportunities.

Treasury Management Officer II – Insurance

• Identify client needs and recommend tailored insurance solutions
• Develop and maintain strong client relationships
• Generate leads through networking, referrals, and company-provided resources
• Educate clients on available policies and coverage options
• Follow up with prospects to close sales and maintain customer satisfaction
• Stay informed about industry trends and product offerings
• Work independently while collaborating with a supportive team

Advanced Market Insurance Agent – High Level Strategy

Life and Health Insurance Agent

• Make Good Things Happen for Other People
• Follow our proven service process to offer our existing bilingual customers the best individualized customer service and policy options from the insurance carriers IIG represents
• Keep accurate information for all customers within the CRM database, adhering to company quality and compliance standards
• Building relationships with clients and actively capitalizing on Referral Lead cultivation
• Customer support over the phone, email or text
• Email management and follow-up with calls/ emails for the missing information and documentation
• Use insurance carrier’s platform & technology timely and accurately

Insurance Service Agent – Ukrainian, Russian Speaker

Insurance Agent – High Level Strategy

• Reduce outstanding accounts receivable by managing claims inventory
• Speak to patients and insurance companies in a professional manner regarding their outstanding balances
• Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc.
• Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
• Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
• Answer questions by phone and provide quotes for services
• Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts
• Explain charges, answer questions, and communicate requirements, policies, and procedures regarding patient financial care services to patients, staff, payors, and agencies
• Work with Claims and Collections to assist patients with billing and payment activities

Insurance Specialist – Prior Authorization

• Conduct primary and secondary market research to support insurance product strategy and market-level decision-making
• Analyze healthcare market trends, consumer behaviors, competitor activity, and product performance
• Develop market research summaries, dashboards, presentations, and strategic insights for company partners
• Support competitive intelligence through data gathering and analysis
• Help develop market analyses, consumer segmentation, and opportunity assessments
• Partner with team members to support research requests and strategic programs
• Compile and maintain market intelligence databases, reports, and recurring deliverables
• Translate complex data into concise, relevant insights for business audiences
• Support qualitative and quantitative research projects, including surveys, interviews, and market assessments
• Contribute to continuous improvement of research methodologies and reporting processes
• Compliance with all applicable laws and regulations
• Other duties as assigned

Manager, Insurance Product Market Research

• Own the development and evolution of the employer-subsidized product strategy, including target segments, value proposition, and market expansion roadmap in partnership with cross-functional stakeholders, including Growth, Sales, and ICHRA leadership
• Lead and contribute to business cases associated with new products, including return on investment assessments to propel growth in membership and profitability, alongside a positive brand experience
• Identify and assess new growth opportunities across employer-sponsored, individual, and adjacent product spaces
• Define market-specific right to win strategies, competitive positioning, and expansion priorities
• Translate enterprise and market-level strategies into relevant product programs and measurable outcomes
• Partner with peers to translate strategies into scalable, fileable product designs
• Ensure ICHRA and new solutions align with product architecture, benefit design standards, and member value propositions
• Promote consistency and reusability through modular product design, avoiding one-off or fragmented solutions
• Support development of competitive product offerings, informed by market insights, pricing considerations, and member insights
• Serve as primary connector across key stakeholders including actuarial, network, market leadership, compliance, regulatory affairs, corporate strategy, distribution and growth to drive alignment with competing priorities, ensuring timely decision making and execution orientation
• Establish measurements, including growth, retention, margin, and market competitiveness with corporate finance
• Support business case development and oversight of vendor and partner relationships related to new solutions, while ensuring operational processes are in place to mitigate risks
• Compliance with all applicable laws and regulations
• Other duties as assigned

Associate Director, Insurance Product – Employer Subsidized & Emerging Solutions

• Help develop insurance plan designs, including benefits, cost-sharing, and network structures
• Translate strategic direction and regulatory requirements into detailed, executable benefit configurations
• Ensure plan designs are reflected across internal systems and regulatory filings
• Partner with actuarial, regulatory, and compliance teams to validate benefit structures and cost-sharing agreement
• Support execution of the product lifecycle from design through filing, implementation, and launch readiness
• Maintain disciplined operating rhythms across design and filing cycles, ensuring timelines, dependencies, and deliverables are consistently met
• Improve process optimization and standardization across markets to improve scalability, reduce defects, and enhance speed to market
• Lead continuous improvement efforts across product design and filing workflows, identifying inefficiencies and implementing sustainable solutions
• Perform QA across plan designs, filings, and system configurations to ensure accuracy and compliance
• Identify and escalate inconsistencies or risks in design and execution
• Coordinate across partners to ensure accurate delivery of plans
• Support market, competitive, and regulatory analysis to inform plan design decisions
• Help monitor plan performance and identification of improvement opportunities post-launch
• Compliance with all applicable laws and regulations
• Other duties as assigned

Manager, Insurance Product and Benefit Design

• Monitor competitor product strategies, benefits, network positioning, and market activity
• Develop competitor profiles, market summaries, strategic insights, and executive ready presentations
• Conduct market and competitive analysis using regulatory filings, enrollment data, financial reports, consumer insights, and industry research
• Support development of product and market recommendations tied to growth, retention, and portfolio optimization goals
• Partner with product, actuarial, network, clinical, sales, and market leadership teams to evaluate market opportunities, growth, and risks
• Produce recurring reporting and ad hoc analyses related to product positioning and market dynamics
• Identify emerging trends, disruptive market shifts, and new ideas across the healthcare landscape
• Support strategic planning programs and market-specific business case development
• Contribute to development of standardized product specific intelligence frameworks and processes
• Compliance with all applicable laws and regulations
• Other duties as assigned

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