Specialist, Underwriting Middle Market - Commercial Lines (Agribusiness) Iowa - Des Moines, 1100 Locust Street United States - Remote Full time If you’re passionate about helping people protect what matters most to them at a Fortune 100 company with nearly $70 billion in annual sales, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide’s Property and Casualty team could be the place for you! At Nationwide®, “on your side” goes beyond just words. Our customers and partners are at the center of everything we do and we’re looking for associates who are passionate about delivering extraordinary care   This Specialist, Underwriting Middle Market - Commercial Lines (Agribusiness) can work in a hybrid environment in the Des Moines IA office or remotely if outside that area. Agribusiness, farm and/or middle market commercial lines underwriting experience is needed for this position.   Job Description Summary Success on our team requires a blend of customer service skill and analytical prowess. There’s no shying away from challenges here. Each account we work on is complex and interesting. Satisfaction comes from finding solutions that provide the best coverage and give our partner agents a way to differentiate themselves from the competition. If you are adaptable, responsive, love customers and really want to make a difference, we want to hear from you! As a Specialist Middle Market Underwriting, you will accept, retains and price complex moderate to high exposure new, renewal and endorsement commercial business policies based on granted authority. We'll count on you to provide technical direction and account expertise in the development and guidance of the underwriting staff. You will review and makes decisions regarding larger, more complex, and/or unusual business. You may also be asked to function as team lead depending on business need.   Job Description Key Responsibilities: - Gathers information from multiple sources according to company guidelines, in order to perform underwriting analysis. May require gathering verbal information or data through reports or other electronic means. May research issues in support of unit objectives and participate on committees or special projects. - Reviews individual risks for acceptability and handles those within authority based on company underwriting guidelines and standards. Analyzes quality and quantity of risks underwritten and prepares reports accordingly. May review agency books of business as well as profit/growth results and trends to recommend and implement action plans. May perform portfolio analysis or additional underwriting analysis in support of unit objectives. - Manages larger, more complex work that requires working with and through others to meet overall project timelines and maximize workflow. Manages referral underwriting, which have been escalated from other underwriting staff, and provides suggested decision or approach. Ensures file handling quality and workflow efficiency. Assists in managing work inventories within the unit. - Underwrites new business, renewals and endorsements . Decisions at this level may require review of additional variables, leveraging agency, sales and underwriting relationships, inspection reports and evaluation of exceptions. Reviews for acceptability and handles those within authority using company underwriting guidelines and standards. May assist manager in performing audits including corporate, underwriting, agency and self audits. - Plans completion of assignments to meet agreed upon timelines and service level agreements. Provides input and feedback regarding operational business plan. - Proactively identifies and drives opportunities for business development and issues resolution through consulting with agents and internal partners. Understands organizational capabilities and opportunities to drive maximum value of relationships. Provides technical expertise to underwriting associates and agents. Advises on the underwriting of larger, more complex, and/or unusual business to determine acceptability, terms, conditions, pricing and sales techniques. - Communicates with agents and other internal and external business partners by requesting and providing requested information. - Strengthens internal and external relationships through regular contact on underwriting matters, promoting profit and new business growth, renewal retention and service capabilities. May participate in the review and analysis of agency performance. - Responds to requests from agents and underwriting staff with resolution within established time and service standards in order to facilitate and expedite service needs. Handles escalated underwriting issues from unit. - Educates internal and external partners on underwriting process, practice and tools. Helps train less experienced underwriting staff. Coordinates, participates and/or leads training development or delivery as a subject matter expert. Identifies and communicates training needs and opportunities. May perform other related responsibilities as assigned.   Reporting relationships: Supervisor or Manager; typically no direct reports.   Typical Skills and Experiences:   Education: Bachelor's degree or equivalent work experience preferred.   License/Certification/Designation: Completion of INS, AU or similar designations with progress toward CIC and/or CPCU is preferred.   Experience: Typically six years of commercial lines underwriting experience. Middle market experience preferred.   Knowledge, Abilities, Skills: Commercial underwriting policy, practices and procedures. Rating plans and plan concepts. State and Federal insurance laws and regulations. Commercial insurance processing systems. Working knowledge of company operations and products. Sales, claims, service center and legal issues involving knowledge of commercial contracts.Verbal and written communication skills necessary to interact with all levels of internal and external contacts. Ability to evaluate and recommend solutions to work-related problems. Ability to analyze insurance risks to determine the degree of acceptability. Ability to operate PC and related software. Ability to advise agents and agency staff on commercial contracts, procedures and business practices. Ability to analyze portfolio data and develop appropriate action plans. Ability to train and lead lower level commercial underwriters in all aspects of underwriting and processing functions.   Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more.

Role Description Responsible for accurately posting and reconciling all third-party payer and patient payments for the healthcare system, while ensuring timely resolution of accounts within Epic work queues. Balances daily cash reports and makes appropriate determinations regarding contractual adjustments, including verifying balances, calculating adjustments, and posting transactions during the payment posting process. Supports the financial integrity of the UF Health Central Florida healthcare system by efficiently processing payments, denials, and adjustments while ensuring compliance with regulatory and organizational requirements. Responsibilities - Accurately apply and reconcile internal and external payments and denials, including importing and processing cash batches, wires, lockbox transactions, and ACH payments. - Utilize departmental tools and processes to post allowed adjustments, write-offs, denials, and payer/plan changes in accordance with established guidelines. - Research and resolve undistributed and unapplied payments within assigned Epic HB Resolute work queues to ensure timely and accurate account resolution. - Prepare and maintain appropriate forms and reports to document cash activity, while balancing payment posting across all facilities and applicable general ledger accounts. - Ensure clearing accounts are appropriately utilized, monitored, and reconciled. - Identify and resolve conflicting account information and inconsistencies in receivables to support accurate financial reporting and account integrity. - Support the overall success of the Cash Team by assisting with additional duties and departmental responsibilities as assigned. Qualifications - High school graduate required - Some college-level coursework in business, finance, or accounting preferred - Three (3) years of general clerical experience preferred, including simple bookkeeping, typing, and data entry skills - Minimum of one (1) year of experience in a hospital business setting involving finance, accounting, or collection systems - Strong organizational skills with the ability to work independently - Excellent written and verbal communication skills - Above-average math skills with proficiency in keyboarding and calculator use - Ability to adapt quickly in a high-volume, fast-paced environment - Ability to read, write, speak, and understand English effectively

Role Description The HCP Contract Specialist role will focus on end-to-end contracting processes involving healthcare professionals (HCPs) and institutions. The HCP Contract Specialist will play a key role in the facilitation, oversight, and execution of all contractual and engagement activities, collaborating closely with internal partners across legal, finance, and compliance. - Acting as a delegate for the HCP contracting Sponsor, ensure that all business-facing and other process requirements/information is available and entered in the systems completely and in a timely manner to ensure efficient progression of all assigned HCP contracts. - Diligently manage all HCP contracting tasks and activities assigned to the HCP Sponsor, ensuring their informed participation and involvement in decision-making throughout the process. - Independently manage assigned business functions, ensuring continuous and active engagement to proactively address the HCP contractual needs of Sponsor stakeholders. - Gather, maintain, and report on future-period planned HCP engagements to assist teams with developing annual HCP budget/forecast needs. - Cultivate and sustain strong business relationships with internal support functions engaged in the HCP contracting process to ensure contracts progress efficiently and timely to execution and ultimately through close-out. - Identify opportunities for process improvement throughout the HCP contract lifecycle and develop effective business cases along with initial ideas for potential solutions. - Develop high-level subject matter expertise within assigned business functions to ensure a comprehensive understanding, enabling better anticipation of operational needs. Qualifications - Outstanding customer service skills, with proven ability to interact effectively with all levels of management and healthcare professionals. - Exceptional attention to detail with significant project management skills. - Proficient in defining, gathering, and reporting key process metrics data to senior management and interested stakeholders. - Significant relationship building skills. - International HCP contracting familiarity. - Strong written and verbal communication skills, ability to concisely define and articulate complex issues and/or findings. - Excellent analytical and problem-solving skills. - Self-starter that can distill and appropriately report status and keep management appropriately informed. - Excellent time management skills, ability to prioritize workload and the work of others. - Pharmaceutical/Biotechnology knowledge, experience with Life/Health Sciences vendors preferred. Requirements - 2+ years of experience in business operations, procurement, or contract administration-related function. - 2+ years healthcare industry experience. - Bachelor’s degree required. Company Description Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

• Manages daily assignments in the hospital information system's work queue for laboratory billing ensuring appropriate registration, CPT/HCPCS code modifiers and appropriate cost centers. • Performs laboratory billing edits, reviews billing and coding compliance, and reconciliation of billing discrepancies. • Calculates and manually enters charges for miscellaneous tests and zero-dollar CPT codes. • Collaborates with revenue integrity to resolve billing and coding discrepancies to comply with timely filling requirements. • Identifies unusual billing issues or trends and communicates with the responsible party to achieve resolution. • Works with clinical, financial, IHT, leadership and staff to ensure that coding, charging, reporting and reconciliation processes run appropriately. • Evaluates customers’ questions and concerns, provides education, reconciles discrepancies and/or escalates to leadership. • Develops and recognizes strategies for quality improvement opportunities, proposes appropriate solutions, and works jointly to standardize processes. • Submits requests for lab charging, price calculation, and fee schedule adjustments through the Charge Master request process. • Maintains knowledge of current Centers for Medicare and Medicaid Services (CMS) guidelines, coding and billing updates, regulatory compliance, documentation requirements, payer policies and laboratory billing practices. • Performs other duties as assigned.