vendors, customers, and the public, and to be respectful and courteous in the conduct of this position. ESSENTIAL JOB FUNCTIONS: Essential job functions include the following. Other functions may be assigned as business conditions change. Verifies the accuracy and receipt of all required documentation for each claim submitted.
Collaborates with providers, plan participants, other claims payers, or any other party necessary to obtain information necessary to accurately process a claim. Analyzes information necessary for processing. This includes, but is not limited to, general participant and provider information, managed care affiliation, diagnosis codes, dates, place, type of service,
procedure codes, and charges. Assures that the system processes the claim correctly and determines payment according to the plan as written. Word-processes correspondence to plan participants and providers in reference to pre-determinations and in response to basic benefit questions.
Answers telephone calls from plan participants, group contacts, and customer service representatives pertaining to benefits and claims inquiries. Resolves problematic claims with the assistance of the Team Leader, Claims Manager and/or the Director of Claims. Assigns critically ill patients to large case management. Assists the case manager with direct negotiation and the efficient use of benefits. Assists
other examiners as needed due to workload requirements, including assigned back-up when examiners are absent.
Aids the Team Leader and/or the Claims Manager in the resolution of claim appeals and disputes by providing documentation for review. Researches, calculates and requests refunds when necessary. Contributes to the daily workflow with regular and punctual attendance. Thoroughly researches and completes renewal reports in a timely manner in consultation with the Marketing Department. Process eligible claims on groups before the end of their stoploss contract renewal period. NON-ESSENTIAL JOB FUNCTIONS: Performs related or other assigned duties as required or directed.
Assists the Legal Department with subrogation claims as necessary. Attends various group meetings as required. Assists with audits as needed. Assists with plan benefit set-up and changes as needed. SUPERVISION EXERCISED: None. PHYSICAL WORKING CONDITIONS: Physical requirements are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Sitting 80% Reaching Some Standing 10% Manual Dexterity High Walking 10% Telephone Yes Kneeling Some Computer Screen High (visual acuity corrected to 20/30) Bending Some Lifting up to 30 pounds JOB SPECIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Education: High school graduation or GED required. College degree and/or training in medical terminology preferred. Certification(s) Required: LOMA/ICA and HIAA coursework and Fraud Training Minimum Experience: Experience in claims processing, medical billing, insurance, or health services preferred.
Familiarity with group health benefits preferred. Other Qualifications: ▪ Excellent oral and written communication skills required. ▪ PC skills, including Windows and Word. Ability to learn all functions of the claims processing software as is necessary for claims processing and adjudication. Must be able to adapt to software changes as they occur. ▪ Typing ability of 45 wpm net. ▪ Knowledge of medical terminology and basic health insurance concepts.
▪ Excellent listening skills. ▪ Basic mathematical skills. ▪ High level of interpersonal skills to work effectively with others. ▪ Ability to organize and recall large amounts of detailed information. ▪ Ability to read, analyze and interpret benefit summary plan descriptions, insurance documents, plan benefits, and regulations and make appropriate applications to specific situations. ▪ Ability to meet productivity standards with 99% financial accuracy and 95% procedural accuracy. ▪ Thorough knowledge of claims processing procedures and requirements. ▪ Ability to project a professional image and positive attitude in any work environment.
▪ Ability to comply with privacy and confidentiality standards. ▪ Ability to be flexible, work under pressure and meet deadlines. ▪ Ability to analyze and solve problems with professionalism and patience, and to exercise good judgment when making decisions. ▪ Ability to operate typical office equipment. ▪ Working knowledge of general office procedures. Job Posted by Applicant Pro
insureds and claimants through claim process and options. Manage all aspects of assigned claims, including informal hearings and small claims litigation. Work with Special Investigations Unit to resolve and negotiate settlement. Determine settlements and reserving within authority levels.
Implement and coordinate management techniques to mitigate loss and expense payments. Earn competitive compensation and full company paid benefits - medical, dental and a vision plan, prescription drug plan, flexible spending account, short and long-term disability coverage, 401(k) plan, discount stock purchase plan, tuition assistance, employee assistance program and life and accidental death &
disability insurance. For complete details contact Greg Foss at: (609) 584-xyz X ext 270 Or submit resume online at: Or email to: Please reference #428181PA232 when responding.
Diedre Moire Corporation Diedre Moire Corporation, Inc. Diedremoire_dot_com WE ARE AN EQUAL OPPORTUNITY EMPLOYER and our employment decisions are made without regard to race, color, religion, age, interaction, national origin, handicap, disability or marital status. We reasonably accommodate individuals with handicaps, disabilities and bona fide religious beliefs. Jobs Career Position Hiring. CONSIDERED EXPERIENCE INCLUDES: Workers Compensation Insurance Claims Representative Adjuster Examiner Workers Workers'
Comp #Diedre Moire #Job Search #Job Hunt #Job Opening #Hiring #Job #Jobs #Careers #Employment #jobposting #Insurance Jobs #Claims Rep #Workers Comp DISCLAIMER: We will make every effort to consider applications for all available positions and shall use one or more of the contact methods and addresses indicated in resume or online application.
Indicated location may be proximate or may be desirable point of embarkation for paid or unpaid relocation to another venue. Job descriptions may fit single or multiple presently available or anticipated positions and are NOT an offer of employment or contract implied or otherwise. Described compensation is not definite nor precise and may be estimated and approximate and is negotiable depending on market conditions and candidate availability and other factors and is solely at the discretion of employers.
Linguistics used herein may use First Person Singular and First Person Plural grammatical person construction for and with the meaning of Third Person Singular and Third Person Plural references. We reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Response to a specific posting or advertisement may result in consideration for other opportunities and not necessarily the incentive or basis of the response.
Nothing herein is or may be considered a promise, guarantee, offer, pledge, agreement, contract, or oath. If you submit an application or resume which contains your email address, we will use that email address to communicate with you about this and other positions. We use an email quality control service to maintain security and a remove and dead address filter. To cancel receiving email communications, simply send an email from your address with the word " remove" in the subject line to Or, visit the website at jobbankremove_dot_com. If you have further concern regarding email received from us, call (609) 584-xyz X.
support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Representative (IAP) - Workers Compensation
Training Program Sea Tac, WA PRIMARY PURPOSE : To be oriented and trained as new industry professional with the ability to analyze workers compensation, general liability or disability claims and determine benefits due.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES Attendance and completion of designated classroom claims professional training program. Performs on-the-job training activities including: Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. Adjusting low and mid-level liability and/or physical damage claims under close supervision. Processing disability claims of minimal disability duration under close supervision. Documenting
claims files and properly coding claim activity. Communicating claim action/processing with claimant and client.
Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. Participates in rotational assignments to provide temporary support for office needs. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred or equivalent experience as outlined below. Experience No experience required with college degree. State license, self-insured certificate, WCCA/WCCP designation, or completion of the Sedgwick Claims Progression Program required without a degree.
Prior claims experience preferred. Skills and Knowledge Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical skills Ability to work in a team environment Ability to meet or exceed Performance Competencies As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location.
For the jurisdiction noted in this job posting only, the range of starting pay for this role is (25.65/hr). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway!
Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Requisition #: R44808tcv57hlu2
most want to be.
Delivering care is our highest priority and greatest joy. Paid training from day 1 in the office, in the home, and online Practice with award-winning adult and pediatric Simulation labs Around the clock clinical support by phone Electronic charting using Alaya Care We care for clients of all ages, diagnoses, and acuity levels.
We offer a multitude of paid training to our nurses to feel comfortable and competent on their first shift. Additional Field Nurse Benefits Include: Medical, Dental, and Vision benefits Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Available Nursing Shifts: Morning, evening or overnight
8’s, 10’s, or 12’s (full shift work) PRN, Part-Time, or Full-Time No weekend or minimum requirements Apply today to join our talent network Requirements: Current valid nursing license in the U.
Graduation from a qualified nursing program MAR-EPA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates. BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship
status, military status, or any other similarly protected status in accordance with federal, state and local laws.
Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/rnlpn_dunmore-c445933/rnlpn-home-care-nurse-full-time-or-part-time-dunmore_i1960639108
General Hospital was the first hospital in the Wyoming Valley. Wilkes-Barre General Hospital is Northeastern Pennsylvania's largest community hospital with 412 beds and a medical staff of more than 400 physicians representing nearly 60 medical and surgical specialties.
Wilkes-Barre General Hospital has long been recognized for excellence in heart and vascular care, and offers advanced treatment for wide-ranging specialties, including orthopedic surgery, neurosurgery and minimally invasive robotic-assisted procedures. In order to give the best patient care, we must be at our best. That's why we're committed to providing a range of competitive benefits for your health, family, and future:
Competitive compensation and sign on bonus of up to thirty thousand dollars! Affordable, comprehensive medical plans with two tiers of services Tuition reimbursement of up to five thousand dollars per year for nursing programs Loan forgiveness of up to ten thousand dollars per year for 4 years Paid vacation and personal time Flexible spending accounts Life and Disability Insurance401K plan with Employer match Experience/ Requirements: Current PA RN License or Practice Permit BLS, ACLS and PALS certifications required, must be completed prior to the end of orientation period Safe Crisis Management certification required, must be completed prior to the end of orientation period For more details: jobs-search.
org/insurance/rn-er-evenings-ft-wilkes-barre_i1959978467
healthy and live life to its fullest as more than just a job. To us, it's a privilege and our calling. Benefits/Perks: Includes accrued vacation days, sick days, and holidays. Participation in 403 (b)Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance Discounted memberships: Plum Benefits, NY Sports Club Pay for work-related eligible commuter expenses with pre-tax dollars Responsibilities Responsibilities: Responsible for providing nursing backssment and interventions along with care planning and coordination of care to PACE participants as part of the PACE interdisciplinary team in a clinic setting.
Makes visits to inpatient facilities and other
locations as required to backss participant level of care needs, coordinate with participant, family caregivers, other providers and the IDT. Works under general supervision of Medical Director.
backsses participant's physical and functional needs, along with psychosocial status and needs, utilizing professional knowledge, skills of observations and interviewing skills. Completes backssment documents including DMS-1, SAAM, problem lists and interventions and other documentation required for appropriate data collection and analysis as part of a quality backssment and performance improvement program Develops and implements care components and works with other team members to develop a comprehensive
Interdisciplinary team plan of care based on the needs of participant and caregivers, and goals mutually acceptable to the participant/family and significant others.
Monitors effectiveness and outcomes regularly and keeps the team informed as to participant progress and level of need. Remains alert to pertinent input from other team members, participants and family members/caregivers. Reviews and revises goals and approaches to member/ family care in coordination with interdisciplinary team members. Provides initial backssments of new members enrolled in the program, and reassesses at appropriate intervals according to PACE standards and the individualized needs of each participant in coordination with the IDT.
Completes NYS required backssment tools according to the schedule planned by the IDTEducates and backsses the participant /family understanding of nursing needs and their capabilities for self care or family completion of allowable nursing tasks. Documents changes in the participant's condition and details care provided by completing all required PACE documentation and ensuring compliance to Agency standards and policies. Manages care nursing planning for a caseload of participants. Maintains productivity sufficient to meet program goals.
Assists the interdisciplinary team members including the physician, as appropriate, in understanding the significant nursing, self care and functional needs related to the participant's health problems. Utilizes appropriate community resources and serves as a liaison between the program and other community agencies. Provides nursing services in accordance with NYS Department of Education requirements and nursing scope of practice, agency policies, practices, and procedures. Assumes responsibility for continued professional growth, such as in-service programs Participates in selected programs with community agencies.
Regularly informs the interdisciplinary team of the medical, functional, and psychosocial condition of each participant. Participates in PACE and Arch Care Senior Life meetings including but not limited to, interdisciplinary team meetings, family meetings, staff meetings, in-service and training programs, rehab services meetings and Quality Improvement activities. Job Types: Full-Time Salary: From $108,000.00 per year Qualifications Qualifications: Current NYS Register Nurse License Education: Associate Degree BSN Preferred For more details: jobs-search. org/insurance/rn-clinic-nurse-bronx_i1959977380
to elevate physical therapy as the first and best line of defense when it comes to musculoskeletal health and wellness. You will be immersed in a structured development program to provide you with the training, skills and tools to begin your career journey and grow as a confident, skilled clinician.
Your Purpose at ATI: You will be responsible for patient-centered outpatient care, committed to delivering the best outcomes and experiences for your patients. You will develop individualized care plans built on evidence and best-practices to address the unique and complex needs of each of your patients through all phases of their rehabilitation journey. We emphasize compassionate, high quality
care working as part of a dynamic team to restore your patients to their full function and potential. What's Cool About This Job: ATI is a growing company - your future is now, your potential is limitless!
Come join a growing organization that is pushing PT to new places and set your career on an exciting path The transition into the profession is a big jump from your student experience. ATI's Clinician Pathways provides structure, resources and a rich ongoing onboarding experience throughout your first year of employment at ATI to set you on a successful journey to grow as a confident, skilled clinician We leverage the best tools and resources in the industry to efficiently deliver evidence-based,
outcomes-centric results for our patients. We work as a dynamic team to crush our business goals by ensuring our patients receive the best care possible in a positive environment We offer top tier benefits, development opportunities and clear career paths.
Responsibilities Your days will be focused on patient care, developing and refining individual treatment plans, advising and supervising the care team and collaborating on care management with your colleagues and Clinic Director You will complete daily patient care notes, progress notes, discharge notes and other required forms as requested by treating physicians, rehab nurses or insurance companies, case managers and physician referrals.
You will provide continuous communication with referring physicians and other referring sources. You will be responsible for maintaining the required clinical logs and checklists that are necessary to keep the clinic in compliance with all local and federal requirements. Pathways involves a one-year placement into an identified market in ATI's national footprint, after which you can either stay where you are, or request relocation into a market of your choice! Qualifications What You Need to be Successful: Excellent patient care and communication skills with the ability to multitask while providing an exceptional experience for anyone that enters the clinic.
A passion for Physical Therapy and patient care. Ability to work closely with all clinic staff to improve work relationships, build morale, increase productivity and create a world-class clinical team. Ability to stand, stoop, and move throughout the clinic for your entire assigned shift. This person is on their feet providing amazing care to our patients the entire time they are in the clinic. The mindset and determination to emotionally invest and crush all your work goals.
All Physical Therapists must be licensed, or license eligible in the state they are applying. Focus on EVIDENCE, OUTCOMES and PATIENT EXPERIENCE as the key value drivers to be a successful PT at ATI. Know the value of the care you provide to make it worth patient's time and hard-earned dollars to seek care from you. You will learn the ATI Way on how to GET PATIENTS BETTER efficiently, predictably and by providing an exceptional patient experience. If you got into this field to get people better, we have the formula on how to do that and the outcomes to prove it! Job Locations _US-NE_ Req ID _2021-1931_ Job Category _Outpatient Rehab - Clinical Licensed Staff_ Pay Class _Full Time_For more details: jobs-search.
org/insurance_nebraska-r782069/travel-physical-therapist-nebraska_i1959779793
and leasing companies that have purchased aircraft with outstanding loans supported through the AFIC platform and to conduct analyses of the credit quality of the portfolio as a whole. You will work with the Transaction and Business Development Leader to provide perspective on potentially acceptable credits, structures, assets, and jurisdictions for AFICs marketing activities.
As part of an ambitious team, you will also be expected to help identify and develop/nurture new business opportunities, and support the growth, strategic and operational objectives of AFIC. RESPONSIBILITIES: Provide in-depth credit reviews of target airlines and leasing companies and perform and interpret cost/benefit
analyses as they relate to the financial success of an airline or leasing company. Undertake a detailed review of finance structures to identify any gaps or enhancements required for existing and/or proposed structures.
Primary responsibility is to prepare financial and operational analyses make financial reports and then make recommendations based on the data. Have introductory discussions with airlines and leasing companies about the AFIC offering, the proposal/underwriting process, and the execution process. Serving as a touchpoint for airlines, leasing companies and insurers providing advice and managing expectations related to the insurers approved commercial terms. Provide the insurers
with guidance on the current and future state of the aviation finance market and on ad hoc basis, author reports on the state of the Aviation Finance industry and remain current on major trends and developments.
Coordinate/ensure adequate access to data resources to support analysis activities above. Coordinate/oversee monitoring of issues with respect to aircraft in the AFIC portfolio and the AFIC insurers relationships with certain service providers; and Develop you own informal internal and external network of contacts. QUALIFICATIONS: Proven financial analysis experience developed in the Aviation Finance industry. Proven ability to assimilate financial structure language, risk/structural issues and to relay your conclusions and professional advice in easy-to-understand/insurer friendly format using precise language is essential Proven ability to work to deadlines in a high-pressure environment and deliver on client-centric priorities is essential In-depth understanding of the aviation finance structures and practices is highly desirable Be a proactive, solution-oriented team player Ability to work independently and unsupervised is essential Strong interpersonal, verbal/written communication and networking skills Confident communicator with sufficient gravitas to advocate your points in open forum Aviation Leasing industry knowledge would be highly beneficial and understanding of insurance would be beneficial Excellent organizational and problem-solving skills Good working experience of Microsoft Office skills, including Word, Excel, and Power Point ADDITIONAL QUALIFICATIONS: Proven aviation finance experience working either in a bank, rating agency, lessor, or a company involved in aviation finance is essential Strong technical knowledge of aviation finance structures is essential Experience in business development or client management a plus Understanding of the credit insurance coverage and practices would be beneficial ABOUT: The Marsh Global Credit Specialties Practice brings together the key credit risk transfer product disciplines of Non-Payment Insurance, Political Risk Insurance, Trade Credit Insurance, Surety Solutions and Financial Risk Products With over 850 professionals located in 57 countries globally, and a total estimated amount of Political Risk and Structured Credit (PRSC) limits under management being in excess of US$100 billion, the CS Credit Specialties team is the largest practice in the Political Risk and Structured Credit market.
Aircraft Finance Insurance Consortium (AFIC) is a ground-breaking collaboration among Marsh and a panel of highly-rated global insurance companies to offer a new source of financing for purchases of commercial Boeing and Embraer commercial aircraft. Developed with Boeing and available exclusively through Marsh, AFIC aircraft non-payment insurance (ANPI) fully protects banks or institutional investors from payment default under an AFIC-supported aircraft financing. Since launching in June 2017, AFIC has supported over USD 6 billion in financing for the purchase of over 80 aircraft.
The global AFIC team is comprised of both experienced experts in aviation finance and insurance who together tend to all aspects of the transactions from origination through repayment, or where applicable, ANPI policy response.
and development opportunities, for example 84% of our managers are internal promotions. Foundever requires a dedicated, distraction-free, quiet work environment during working and training hours, this includes pets, phone or other household members. Foundever supports i Phone/ Android devices.
For an optimal experience in the application process and to ensure your security, please install the latest updates on your mobile device. A fantastic opportunity The primary function of the role is to be the first point of contact for clients and deliver professional and high-quality customer service. This could include dealing with customers, clients, or third-party contacts and complaints. You
will be empowered to take initiative, as well as follow established procedures, processes and systems to provide a resolution for the customer. You’ll Enjoy An award-winning culture built on 35+ years of industry-leading experience and a commitment to improving the employee experience.
Whether you are onsite (location) or working from home, depends on the results of your backssment and interview. You will thrive using your compassion skills to help customers, while our paid training and benefits help you prioritize your financial, physical and mental well-being to give you a sense of purpose in your role. Responsibilities: Handle inbound service calls Drive customer satisfaction through
voice, chat, and/or email communications Navigate through multiple systems and tools Ongoing training and skill development Qualifications: Strong communication skills, including the ability to navigate between screens while assisting customers Problem-solver with a can-do attitude Eager to advance your career with a reliable company Enjoy working independently and with a team Must be 18+ years of age High school diploma (or GED equivalent) Must pass a background check and drug-screen At this time, Foundever can only offer employment to individuals located in the following states: AL, AZ, AR, CO, FL, GA, ID, IN, IA, KS, KY, LA, MI, MN, MS, MO, NE, NV, NJ, NM, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, WV, WI, WY Equipment and Internet Requirements: Company provides needed equipment (may be asked to provide second monitor) Work-at-home positions we require minimum requirements of your home internet service; Mbps: 5 mbps download and 5 mbps upload.
Benefits: Pay: $13-$17/hr 100% Paid Professional Training Medical, Dental, Vision and Wellness Benefits Employee Assistance Program (EAP) 401K retirement plan with company match Employee discounts Referral bonuses Internal Mobility (84% of our managers are promoted within) About Foundever™ Foundever™ is a global leader in the customer experience (CX) industry.
With 170,000 associates across the globe, we’re the team behind the best experiences for 750+ of the world’s leading brands, from Fortune 500 companies to local startups. We know every action taken, no matter how small, has a significant impact. Our employees savor the small moments and celebrate the big wins with our clients and with each other. Supporting +9 million customer conversations every day in +60 languages across 45 countries, Foundever combines innovative thinking and digital solutions – including self-service, artificial intelligence (AI), and data-driven analytics – with the expertise and empathy of our employees to Create Connection.
Value Conversation. Get to know us at and connect with us on Facebook, Linked In and Twitter. EEO Foundever is committed to selecting, developing, and rewarding the best person for the job based on the requirements of the work to be performed and without regard to race, age, color, religion, interaction, creed, national origin, ancestry, citizenship, disability/handicap, marital status, protected veteran status, uniform status, interactionual orientation, pregnancy, genetic information, gender identity and expression, or any other basis protected by federal, state or local law.
The Company forbids discrimination of all kinds, whether directed at Associates, applicants, vendors, customers, or visitors. This policy applies to all terms and conditions of employment, including recruitment, hiring, promotion, compensation, benefits, training, discipline, and termination.
calls only - no cold calling. At Foundever, experience is everything: An award-winning culture built on 35+ years of industry-leading experience and a commitment to improving the employee experience. Every great customer conversation starts with a great employee experience Whether you are onsite (location) or working from home, depends on the results of your backssment and interview.
You will thrive using your compassion skills to help customers, while our paid training and benefits help you prioritize your financial, physical and mental well-being to give you a sense of purpose in your role. We believe in investing in our agents and helping them to achieve a career goals. You will have
the opportunity to grow within the company and encourage you to do so. We pay for your training, testing, and insurance licensing! Interact with customers, clients, insurance carriers and internal sources to provide coverage information and provide policy recommendations • Complete a variety of day-to-day client service transactions, including policy endorsements, certificates, binders, cancellations or other tasks • Weekly review of quality standards, metrics, and performance The primary function of the position is to receive, review and process calls regarding customer's insurance policies.
Callers may have questions regarding the policy coverage, billing, or the need to modify the
policy. About 30% of all calls are billing related - and military pay days fall on the 1st and 15th of each month.
We see a significant amount of billing calls on/around those days. Additionally, while new hires wait for their license to come in from the state, they will ONLY be taking billing calls. Skills, Knowledge, and Abilities: • Active listening skills, effective verbal and written communication skills • Ability to solve complex situations utilizing questioning and deductive reasoning skills • Demonstrated ability to navigate multiple systems • High service-aptitude with personal drive to serve/display compassion and empathy • Willingness to learn and develop skills to improve your work performance Benefits: • Pay: $17-$20 • 100% paid Professional Training • Expected hours: No less than 40 per week Weekends as needed • 401(k) RSP- Canada with company matching • Medical, Dental, Vision and Wellness Benefits • Employee Assistance Program (EAP) • Paid Time Off • Employee discounts • Referral Bonuses • Internal Mobility (84% of our managers are promoted within) • Bonus Opportunities Qualifications • Must be at least 18 years of age • Must have a HS Diploma or GED Equivalent • Preferred 6 months-1 year of relevant work experience • Must have open availability during hours of operation • This position requires you to be on-site Must live with 50 miles of the Las Vegas Site: 420 E pilot rd, Las Vegas NV, 89119 About Foundever™ Foundever™ is a 2024 Military Friendly Employer.
We are proud partners of Military On Source, Military Spouse -Employment Partnership and other veterans organizations. We recognize the commitment it takes to serve our country and value the unique skills and experience veterans bring to the workforce. Experience built on integrity, leadership, discipline, dedication and respect. EEO Foundever is committed to selecting, developing, and rewarding the best person for the job based on the requirements of the work to be performed and without regard to race, age, color, religion, interaction, creed, national origin, ancestry, citizenship, disability/handicap, marital status, protected veteran status, uniform status, interactionual orientation, pregnancy, genetic information, gender identity and expression, or any other basis protected by federal, state or local law.
The Company forbids discrimination of all kinds, whether directed at Associates, applicants, vendors, customers, or visitors. This policy applies to all terms and conditions of employment, including recruitment, hiring, promotion, compensation, benefits, training, discipline, and termination.
retention bonuses on a quarterly basis for nurses who work in the home care field. You could earn up to $3250 every three months in addition to your hourly wage! BAYADA's Nurse Residency Program is the ONLY paid, new graduate residency program in home care to earn accreditation by the American Nurses Credentialing Center's Commission on Accreditation (ANCC)!
This opportunity is only open to nursing graduates with a passed NCLEX. Want to learn more about the program or haven't taken your NCLEX yet? Attend a live info session BAYADA Home Health Care was founded on the principle that health care gets better when clients get better care at home-the place they most want to be. Delivering care
is our highest priority and greatest joy. We care for people of all ages, diagnoses, and acuity levels, giving you the chance to explore your interests and put your skills to work.
Many clients require advanced care, such as tracheostomy and ventilator management. That's why we offer a multitude of paid training! BAYADA offers: One on one care Flexible schedules Electronic charting using Care Connect In-house education and training programs Awarding-winning adult and pediatric Simulation labs Short commute times - we match you with cases near your home Around the clock clinical support by phone$1,200 nursing referral bonuses Requirements: Current valid nursing license and graduation
from a qualified nursing program Benefits include: Weekly pay every Thursday PTOMedical, Dental, and Vision benefits Company-paid life insurance Employee Assistance Program Public Service Loan Forgiveness Partner 401K Preventive Care Coverage for ALL employees (PRN included) NER-MA As an accredited, regulated, certified, and licensed home health care provider, BAYADA complies with all state/local mandates.
BAYADA Home Health Care, Inc. and its associated entities and joint venture partners, are Equal Opportunity Employers. All employment decisions are made on a non-discriminatory basis without regard to interaction, race, color, age, disability, pregnancy or maternity, interactionual orientation, gender identity, citizenship status, military status, or any other similarly protected status in accordance with federal, state and local laws.
Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities. For more details: jobs-search. org/insurance_foxboro-c434217/registered-nurse-rn-new-grad-foxboro_i1960638154
CX products.
All calls are inbound calls only - no cold calling. Customer Service Representatives will be supporting one of the largest insurance providers in the U. S. CSRs will assist with entry-level auto and property policies. Foundever will pay for all training, testing fees, and all state licensing requirements.
We believe in investing in our agents and helping them to achieve a career in insurance. You will have the opportunity to grow within the company and encourage you to do so. The primary function of the position is to receive, review, and process calls regarding customer's insurance policies. Callers may have questions regarding the policy coverage, billing, or the
need to modify the policy. Additionally, while new hires wait for their license to come in from the state, they will ONLY be taking billing calls. Foundever requires a dedicated, distraction-free, quiet work environment during working and training hours, this includes pets, phone or other household members.
Foundever supports i Phone/ Android devices. For an optimal experience in the application process and to ensure your security, please install the latest updates on your mobile device. Key Personality Traits: High service-aptitude with personal drive to serve/display compassion Fondness of organization, order, and process Natural ability to manage emotions and show resiliency during
a stressful situation Dependability Core Competencies: Customer Service Aptitude Reliability Empathy Critical Thinking Skills, Knowledge, & Abilities: Professional customer service aptitude Basic conflict resolution skills Effective verbal and written communication Active listening skills Demonstrated ability to multitask Ability to navigate system tools to search for answers & information Demonstrated ability to utilize computer systems/data systems Ability to solve complex situations with limited information Questioning and deductive reasoning skills Comfortable with independent studies Benefits: Pay: $15- $19 Expected hours: No less than 40 per week 401(k) 401(k) matching Dental Insurance Disability insurance Health insurance Paid time off Vision insurance Work from home Weekends as needed Work setting: Remote Bonus Opportunities At this time, Foundever can only offer employment to individuals located in the following states: Do you live in one of the following states?
AL, AZ, AR, CO, FL, GA, ID, IN, IA, KS, KY, LA, MI, MN, MS, MO, NE, NV, NJ, NM, NC, ND, OH, OK, PA, SC, SD, TN, TX, UT, VA, WV, WI, WY Requirements: Must be at least18 Years of age Must have HS Diploma or GED equivalent Preferred 6 months - 1 year of relevant work experience Must have open availability during hours of operation Professional customer service aptitude Basic conflict resolution skills At Home Requirements: Foundever will provide equipment (headset included) shipped to the agent's address after they pass their licensing exam.
Candidate should guarantee high internet speed and ability to hardwire (Download: 5 Mbps and Upload: 5 Mbps) Internet speeds are under review and requirements could possibly double in the future. Self- accountability Ownership Self-motivated Quiet and distraction free work environment Cannot be the primary caregiver during training or working hours Must be comfortable with being on web camera during training and production Candidates are required to use their own devices during for the first week (pre-licensing).
Any type of computer or tablet are allowed with the exception of Kindle Fire Tablets. Cell phones are NOT allowed. Military Friendly: Foundever™ is a 2023 Military Friendly Employer. We are proud partners of Military On Source, Military Spouse -Employment Partnership and other veterans organizations. We recognize the commitment it takes to serve our country and value the unique skills and experience veterans bring to the workforce.
Experience built on integrity, leadership, discipline, dedication and respect. EEO Foundever is committed to selecting, developing, and rewarding the best person for the job based on the requirements of the work to be performed and without regard to race, age, color, religion, interaction, creed, national origin, ancestry, citizenship, disability/handicap, marital status, protected veteran status, uniform status, interactionual orientation, pregnancy, genetic information, gender identity and expression, or any other basis protected by federal, state or local law. The Company forbids discrimination of all kinds, whether directed at Associates, applicants, vendors, customers, or visitors.
This policy applies to all terms and conditions of employment, including recruitment, hiring, promotion, compensation, benefits, training, discipline, and termination.
support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Property and Casualty Claims Examiner Are you looking
for an impactful job where you can apply your knowledge and experience in the context of an energetic culture? Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. ARE YOU AN IDEAL CANIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. PRIMARY
PURPOSE : To analyze and process complex or technically difficult (up to $100,000) personal and commercial line property claims by scoping damages and completing an estimate or by obtaining a contractor's estimate for review.
A djusting 1st party auto damage claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Processes first party auto damage claims, complex commercial and personal line property claims and ensures claim files are properly documented and coded correctly. Responsible for litigation process on litigated claims. Coordinates vendor management, including the use of independent adjusters to assist the investigation of claims. Reports large claims to excess carrier(s), Develops and maintains action plans to ensure state required contact deadlines are met and to move the file towards prompt and appropriate resolution.
Identifies and pursues subrogation opportunities; secures and disposes of salvage. Communicates claim action/processing with insured, client, and agent or broker when appropriate. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). Travels as required. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred.
Professional certification as applicable to line of business preferred. Licenses as required. Experience Five (5) years of claims management experience or equivalent combination of education and experience required to include knowledge of construction basics, property estimating software experience and in-depth knowledge of personal and commercial lines property policies, coverages, principles, and laws. Skills & Knowledge In-depth knowledge of personal and commercial line property policies, coverages, principles, and laws Knowledge of construction basics and property estimating software Knowledge of appropriate application of deductibles and sub-limits Strong oral and written communication, including presentation skills PC literate, including Microsoft Office products Strong organizational skills Strong interpersonal skills Good negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations.
Mental : Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical : Computer keyboarding, travel as required Auditory/Visual : Hearing, vision and talking As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings.
Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $78,000 USD/annual salary.
A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #LI-REMOTE #LI-RS1 #claiminteractionaminer #claimsadjuster The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances.
Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Requisition #: R43756tcv57hlu2
support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Claims Examiner - Multi line, Casualty (REMOTE) Are
you looking for an impactful job where you can apply your knowledge and experience in the context of an energetic culture? Enjoy flexibility and autonomy in your daily work, your location, and your career path.
Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development opportunities that help you perform your best work and grow your career. ARE YOU AN IDEAL CANIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great
work. PRIMARY PURPOSE : To analyze investigate, evaluate and adjust auto liability, general liability and professional liability public entity claims.
ESSENTIAL FUNCTIONS and RESPONSIBILITIES Analyzes and processes complex or technically difficult general and professional liability and auto liability claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. backsses liability and resolves claims within evaluation. Negotiates settlement of claims within designated authority. Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level. Prepares necessary state fillings within statutory limits. Manages the litigation process; ensures timely and cost effective claims resolution. Coordinates vendor referrals for additional investigation and/or litigation management. Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients. Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner. Communicates claim activity and processing with the claimant and the client; maintains professional client relationships. Ensures claim files are properly documented and claims coding is correct. Refers cases as appropriate to supervisor and management. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s).
Travels as required. QUALIFICATION Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Experience Five (5) years of claims management experience or equivalent combination of education and experience required. Skills & Knowledge Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business.
Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Analytical and interpretive skills Strong organizational skills Good interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE : Credit security clearance, confirmed via a background credit check, is required for this position.
The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances.
Management retains the discretion to add or to change the duties of the position at any time. As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is $ 80,000 USD/annual salary. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.
#LI-REMOTE #LI-RS1 #claiminteractionaminer #claimsadjuster Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
You may be just the right candidate for this or other roles. Requisition #: R43755tcv57hlu2
support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.
If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you're someone who cares, there's a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work Most Loved Workplace Forbes Best-in-State Employer Litigated Claims Examiner - General Liability Richfield,
MNAre you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands?
Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. Deliver innovative customer-facing solutions to clients who represent virtually every industry and comprise some of the world's most respected organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Take advantage of a variety of professional development
opportunities that help you perform your best work and grow your career.
Enjoy flexibility and autonomy in your daily work, your location, and your career path. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. ARE YOU AN IDEAL CANDIDATE? We are looking for driven individuals that embody our caring counts model and core values that include empathy, accountability, collaboration, growth, and inclusion. OFFICE LOCATION Richfield, MN - Hybrid 3 days onsite / 2 days from home Candidates outside of the preferred geographic regions listed above may still be considered based on level of experience.
PRIMARY PURPOSE OF THE ROLE: To address and handle high end cases with serious injuries, complex coverage scenarios and legal inquiries or disputes; to develop a strategy to bring a case to satisfactory resolution. ESSENTIAL RESPONSIBLITIES MAY INCLUDE Reviews/acts on reports/forms; responds to inquiries; seeks legal opinion and early resolution; and communicates resolution to appropriate parties. Handles high end cases with serious injuries and/or complex coverage scenarios. Responds to decisions, agreement, and/or court order; creates action plan; determines need for examination; gains client authorization.
Identifies cases for settlements/redemptions. Gathers/documents additional information and coordinates with client designees. Requests legal/private investigation; assigns to and coordinates with local counsel; monitors local counsel performance. Responds to plaintiff's counsel, union, employee, or client requests. Identifies issues and formulates defense strategy. Establishes/adjusts accrued liability and approves administrative expenses. Identifies subrogation opportunities and manages process. Attends and participates in mediations, trials, arbitrations or hearings as needed.
Works with partners to affect early return-to-work. QUALIFICATIONS Education & Licensing: 5+ years of claims management experience or equivalent combination of education and experience required. High School Diploma or GED required. Bachelor's degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Must have experience handling complex / litigated files. Experience working with and directing defense counsel. Licensing / Jurisdiction Knowledge: Active adjusters license highly preferred. TAKING CARE OF YOU Flexible work schedule.
Referral incentive program. Career development and promotional growth opportunities. A diverse and comprehensive benefits offering including medical, dental vision, 401K on day one. #claiminteractionaminer #claims Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
You may be just the right candidate for this or other roles. Requisition #: R42646tcv57hlu2