Certification specialist work from home jobs - 479 jobs
Commercial Property Claims Examiner
CWA Recruiting
Remote job
Commercial Property Claims Examiner - Property & Casualty Insurance
Remote but must be in NYC
About the Role
Handle commercial property claims by investigating losses; managing and controlling independent adjusters and experts; interpreting the policy to make proper coverage determinations; addressing reserves; writing coverage letter and reports; and providing good customer service. Assure timely reserving and handling of a claim from assignment to completion by investigating that claim and interpreting coverage. Manage independent adjusters and experts. Inside desk adjusting role - 100% Remote for now - NYC based.
Responsibilities
Investigate losses
Manage and control independent adjusters and experts
Interpret the policy to make proper coverage determinations
Address reserves
Write coverage letters and reports
Provide good customer service
Assure timely reserving and handling of a claim from assignment to completion
Manage independent adjusters and experts
Qualifications
Bachelor's degree is required
Required Skills
3-5 years of first party property claims handling is required
Experience with Microsoft Office 365 is required
Preferred Skills
Experience with ImageRight is a plus
Availability to work extended hours in a CAT situation
$35k-65k yearly est. 2d ago
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Clinical Documentation Specialist - Remote (Must have CCDS OR CDIP)
Revolution Technologies
Remote job
Clinical Documentation Specialist Qualifications
• **Must have at least one of the following:**
License to practice as a Registered Nurse preferred (any state)
Credentialed as a RHIA (Registered Health Information Administrator), RHIT (Registered Health Information Technician) or CCS (Certified Coding Specialist)
• **Must have all of the following:**
3+ years Acute Care (inpatient) and Concurrent Clinical Documentation Specialist experience
CCDS (Certified Clinical Documentation Specialist - ACDIS) or CDIP (Certified Documentation Practitioner - AHIMA) credential required
Under limited direction and according to clinical documentation guidelines and established policies/procedures, responsible for improving the overall quality and completeness of clinical documentation in the legal medical record.
• Facilitates necessary documentation in the medical record through extensive interaction with physicians, HIM and coding staff to ensure the most appropriate reimbursement and and highest level of SOI/ROM is achieved for the level of service rendered to all patients
• Educates physicians regarding clinical documentation needs, changes to clinical documentation guidelines and coding and reimbursement opportunities on an on-going basis
• Applies knowledge of medical terminology and procedures to evaluate clinical documents for documentation and reimbursement opportunities
• Acute Care (inpatient) medical record monitoring (concurrent) of diagnoses, treatments, and follow-up entries in medical records to validate the accuracy of patient medical record documentation and diagnoses - obtaining missing information via a query when necessary
$30k-49k yearly est. 2d ago
Maternity Care Authorization Specialist (Hybrid Potential)
Christian Healthcare Ministries 4.1
Remote job
This role plays a key part in ensuring maternity care bills are processed accurately and members receive timely support during an important season of life. The specialist serves as a detail-oriented professional who upholds CHM's commitment to excellence, compassion, and integrity.
WHAT WE OFFER
Compensation based on experience.
Faith and purpose-based career opportunity!
Fully paid health benefits
Retirement and Life Insurance
12 paid holidays PLUS birthday
Lunch is provided DAILY.
Professional Development
Paid Training
ESSENTIAL JOB FUNCTIONS
Compile, verify, and organize information according to priorities to prepare data for entry
Check for duplicate records before processing
Accurately enter medical billing information into the company's software system
Research and correct documents submitted with incomplete or inaccurate details
Verify member information such as enrollment date, participation level, coverage status, and date of service before processing medical bills
Review data for accuracy and completeness
Uphold the values and culture of the organization
Follow company policies, procedures, and guidelines
Verify eligibility in accordance with established policies and definitions
Identify and escalate concerns to leadership as appropriate
Maintain daily productivity standards
Demonstrate eagerness and initiative to learn and take on a variety of tasks
Support the overall mission and culture of the organization
Perform other duties as assigned by management
SKILLS & COMPETENCIES
Core strengths like problem-solving, attention to detail, adaptability, collaboration, and time management.
Soft skills such as empathy (especially important in maternity care), professionalism, and being able to handle sensitive information with care.
EXPERIENCE REQUIREMENTS
Required: High school diploma or passage of a high school equivalency exam
Medical background preferred but not required.
Capacity to maintain confidentiality.
Ability to recognize, research and maintain accuracy.
Excellent communication skills both written and verbal.
Able to operate a PC, including working with information systems/applications.
Previous experience with Microsoft Office programs (I.e., Outlook, Word, Excel & Access)
Experience operating routine office equipment (i.e., faxes, copy machines, printers, multi-line telephones, etc.)
About Christian Healthcare Ministries
Founded in 1981, Christian Healthcare Ministries (CHM) is a health care sharing ministry for Christians. CHM is a nonprofit, voluntary cost-sharing ministry through which participating Christians meet each other's medical bills. The mission of CHM is to glorify God, show Christian love, and experience God's presence as Christians share each other's medical bills.
$31k-35k yearly est. 2d ago
PRE CERTIFICATION SPECIALIST-REMOTE
Beacon Orthopaedic Partners MSO LLC
Remote job
PRE-CERTIFICATIONSPECIALISTObtain authorizations for imaging procedures, surgical procedures and injections from various insurance providers via phone call or web portal. Professionally represent Beacon Orthopaedics/OrthoAlliance to the upmost standard quality with patient interest in mind. By becoming a pre-certificationspecialist, you will work directly with physician staff to ensure all patient needs are handled in a timely manner.Full-Time Employment / Position is remote Complete Job Description Below______________________________________________________________________________________________________________________________________Perform insurance pre-certification to all new patients. Position Responsibilities/Standards:General
Attend department, clinic or company meetings as required
Demonstrate sound judgment by taking appropriate actions regarding questionable findings or concerns
Consistently work in a positive and cooperative manner with fellow staff members.
Consistently demonstrate ability to respond to changing situations in a flexible manner in order to meet current needs, such as reprioritizing work as necessary.
Attend required annual in-service programs.
Demonstrate knowledge and understanding of all company policies and procedures.
Adheres to established facility safety requirements and procedures to ensure a safe working environment. Identifies potentially unsafe situations and notifies supervisor
Specific Duties
Check scheduling system for new patients that will require insurance pre-certification.
Verify insurance eligibility and benefits via phone and/or internet access.
Prioritize incoming authorization requests according to urgency.
Confirm accuracy of CPT and ICD-10 diagnoses in the procedure order
Follow up on all pending authorizations.
Update insurance policy information in NextGen system as required.
Serve as a resource on insurance authorization and estimated cost questions.
Handle personal and confidential correspondences, mail and reports.
Maintain patient files, keeping abreast of insurance changes of recertification needs.
Work with the billing company representatives as well as clinic staff to complete tasks in a timely manner.
Communicate with patients to schedule appointments and procedures. Work with patients whose procedures are not approved.
Discuss out of network concerns or lack of insurance coverage with the physician(s) prior to notifying the patient of his or her coverage.
Assist with the completion and update of Worker Compensation forms. Verify authorization from Workers Compensation to verify coverage for appointments.
Answer phones.
Education/Experience Required:
Must be a high school graduate or equivalent.
Must have excellent public relations skills.
Must have personal computer and word processing ability.
Previous medical office experience is preferred.
Physical Requirements:Physical requirements for the position include the ability to frequently hear and communicate orally, see up close and at a distance, read and comprehend, stand, sit, walk, reach, handle, and/or feel objects. Must be able to climb, pull, push and kneel. Maximum unassisted lift = 25 lbs. Average lift up to 10 lbs.
$40k-79k yearly est. 22d ago
Safety Certification Specialist
Tutor Me Education
Remote job
Tutor Me Education, a leading educational service provider in the primary and secondary education space, is seeking enthusiastic and motivated Tutors to join our team. The ideal candidate for this position should have a passion for creating safe, nurturing, and dynamic environments where students can learn and grow.
We are seeking an experienced and knowledgeable Safety CertificationSpecialist to provide comprehensive training and support to students preparing for the Associate Safety Professional (ASP) certification exam. The instructor will develop and deliver engaging, exam-focused content to ensure students understand key concepts, safety principles, and industry standards required for certification success.
Key Responsibilities:
Conduct live or virtual classes focused on the ASP exam curriculum.
Design and update lesson plans, study guides, and exam strategies.
Simplify complex safety concepts and provide real-world examples.
Assess students through quizzes, mock exams, and assignments.
Offer personalized coaching and constructive feedback to address knowledge gaps.
Utilize multimedia tools and interactive methods to enhance engagement.
Recommend study materials and resources for effective exam preparation.
Stay updated on ASP exam changes, safety regulations, and best practices.
Track students' progress and manage training schedules.
Ability to tutor in Pacific Time
If you are passionate about a career in education, looking for consistent tutoring hours, or simply just want to provide some assistance to students in your community, this is the perfect opportunity for you!
Tutor Me Education provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
Requirements
Qualifications:
Education and Certification:
Bachelor's degree in Occupational Safety, Environmental Health, or a related field.
ASP certification required; CSP certification is a plus.
Experience:
Minimum of 3 years of experience in occupational safety, health, or safety training.
Prior experience teaching or coaching students for safety certifications is highly preferred.
Skills:
Strong knowledge of safety principles, hazard management, and BCSP exam content.
Excellent presentation, communication, and interpersonal skills.
Proficiency with virtual teaching platforms and instructional technology.
Attributes:
Patient, adaptable, and committed to student success.
Detail-oriented with the ability to break down complex topics effectively.
Benefits
Work from home on your personal computer!
$32k-62k yearly est. Auto-Apply 60d+ ago
Senior Certification Specialist
Umgc
Remote job
University of Maryland Global Campus seeks a Senior CertificationSpecialist (SCS) to assist in the processing, reconciliation, and reporting of VA educational benefits to the Department of Veterans Affairs. The SCS works as part of a team to report student enrollment information to the VA.
SPECIFIC RESPONSIBILITIES INCLUDE:
Review student records, monitor student enrollments, and process enrollments in PeopleSoft and the VA's Enrollment Manager (EM) system while remaining in compliance with Department of Veterans Affairs rules and regulations.
Liaise with advising operations, Office of Financial Solutions, and other UMGC departments to resolve escalated certification questions and concerns.
Assist students in resolving issues with the Department of Veterans Affairs related to the use of VA educational benefits.
Liaise with overseas points of contact to process enrollment certifications.
Adhere to SAA and VA regulations as well as VCO office protocols to ensure certification processes are completed in a timely manner.
Provide students, prospective students, and UMGC staff with general information about VA educations benefits and act as first point of contact for student escalations.
Develop and maintain job aids and internal training materials.
Perform other duties as assigned.
REQUIRED EDUCATION AND EXPERIENCE:
Bachelor's degree from an accredited institution of higher learning.
Two (2) years of experience working at an institution of higher learning with preference in a college Veterans Affairs Office or Student Advising.
PREFERRED EDUCATION AND EXPERIENCE:
Experience in PeopleSoft and Enrollment Manager preferred. Knowledge and experience with Microsoft Office Suite.
All submissions should include a cover letter and resume.
The University of Maryland Global Campus (UMGC) is an equal opportunity employer and complies with all applicable federal and state laws regarding nondiscrimination. UMGC is committed to a policy of equal opportunity for all persons and does not discriminate on the basis of race, color, national origin, age, marital status, sex, sexual orientation, gender identity, gender expression, disability, religion, ancestry, political affiliation or veteran status in employment, educational programs and activities, and admissions.
Workplace Accommodations:
The University of Maryland Global Campus Global Campus (UMGC) is committed to creating and maintaining a welcoming and inclusive working environment for people of all abilities. UMGC is dedicated to the principle that no qualified individual with a disability shall, based on disability, be excluded from participation in or be denied the benefits of the services, programs, or activities of the University, or be subjected to discrimination. For information about UMGC's Reasonable Workplace Accommodation Policy or to request an accommodation, applicants/candidates can contact Employee Accommodations via email at employee-accommodations@umgc.edu.
Benefits Package Highlights:
Generous Time Off: Enjoy 22 days of paid vacation, 15 days of sick leave, 3 personal days, and 15 paid holidays (16 during general election years). Time off rates will be prorated based on the number of hours worked.
Comprehensive Health Coverage: Access to health care, medical with vision, dental, and prescription plans for both individuals and families, effective from the 1st of the month following your hire date. Contingent II employees who work on average 30 or more hours per week (130 hours per month) are eligible for subsidized state of Maryland medical and prescription benefits. Contingent II employees who work on average less than 30 hours per week but at least 20 hours per week are eligible for a stipend to assist in the purchase of a health plan.
Insurance Options: Term Life Insurance, Accidental Death and Dismemberment Insurance, and Long-Term Disability (LTD) Insurance. NOTE: C2 Part-time employees working less than 0.5 FTE are not eligible for LTD.
Retirement Stipend: Contingent II employees receive a retirement stipend equal to 7.25 percent of their base salary and are eligible to contribute to a supplemental retirement account (SRA).
Supplemental Retirement Plans: include 401(k), 403(b), 457(b), and various Roth options. The university does not provide subsidies or matching funds.
Tuition Remission: CII employees are eligible immediately for Tuition Remission at UMGC or at University of Maryland College Park. Spouses and dependent children are eligible for undergraduate tuition remission after two years of service. NOTE: For part-time employees (at least 50 percent of the time), tuition remission benefits are prorated.
SS Contingent II_2020.pdf (umgc.edu)
Hiring Rate:
$46,000.00
Work 100% remotely, set your own schedule, and earn additional income while making a real difference in men's health and lives. Hone is one of the fastest-growing health companies in the United States, and we are looking for physicians who have deep knowledge and experience in prescribing for men with hypogonadism. If you are a physician with a strong background in treating hypogonadism and experience prescribing testosterone and other hormone-optimizing pharmaceuticals, this is an opportunity to join a mission-driven team that is reshaping access to care. We treat patients with a combination of pharmaceutical products in accordance with AUA-defined protocols, supplements, and lifestyle changes. We are committed to making care more convenient and affordable for patients. Experience with weight-loss and thyroid medications is a plus, as we have expanded beyond men's hormones into these treatment areas. We have also launched services for women. Experience with women's hormone therapy allows you to see our female patients as well, but is certainly not required. We are looking nationwide and value physicians licensed in multiple states.
Who We Are
We're a modern health company with a simple mission: help our patients take control of their health and age with confidence. Our platform removes barriers to care through education, technology, and convenience. Our primary focus is hormone optimization for men. We are looking to add to our growing team of 150+ physicians who specialize in treating hormones and are passionate about improving patient outcomes through telemedicine. You'll join a supportive, innovative environment where you'll receive full training on our proprietary telemedicine platform, HIPAA-compliant technology, and technical support.
What You'll Do
Conduct video-based consultations from anywhere with an internet connection
Review labs and create personalized treatment plans
Prescribe and titrate medications based on clinical findings
Educate patients on safe and effective hormone optimization
Provide feedback to help us continuously enhance the patient experience
What We're Looking For
MD or DO with an active license (multi-state licenses preferred)
Minimum 2 years of experience in Endocrinology, Urology, Family Medicine, or Hormone Therapy
DEA license with authority to prescribe Schedule III medications
Strong communication skills and a passion for patient-centered care
Comfort with technology and willingness to learn telemedicine workflows
Availability for at least 8 hours per week
A prescribing philosophy that values holistic care and hormone optimization, not just prescribing testosterone to everyone
Help men regain their health and confidence - from anywhere. If you are passionate about hormone health, thrive in innovative environments, and want to help men live their best lives, we would love to hear from you.
Work 100% remotely, set your own schedule, and earn additional income while making a real difference in men's health and lives. Hone is one of the fastest-growing health companies in the United States, and we are looking for physicians who have deep knowledge and experience in prescribing for men with hypogonadism. If you are a physician with a strong background in treating hypogonadism and experience prescribing testosterone and other hormone-optimizing pharmaceuticals, this is an opportunity to join a mission-driven team that is reshaping access to care. We treat patients with a combination of pharmaceutical products in accordance with AUA-defined protocols, supplements, and lifestyle changes. We are committed to making care more convenient and affordable for patients. Experience with weight-loss and thyroid medications is a plus, as we have expanded beyond men's hormones into these treatment areas. We have also launched services for women. Experience with women's hormone therapy allows you to see our female patients as well, but is certainly not required. We are looking nationwide and value physicians licensed in multiple states.
Who We Are
We're a modern health company with a simple mission: help our patients take control of their health and age with confidence. Our platform removes barriers to care through education, technology, and convenience. Our primary focus is hormone optimization for men. We are looking to add to our growing team of 150+ physicians who specialize in treating hormones and are passionate about improving patient outcomes through telemedicine. You'll join a supportive, innovative environment where you'll receive full training on our proprietary telemedicine platform, HIPAA-compliant technology, and technical support.
What You'll Do
Conduct video-based consultations from anywhere with an internet connection
Review labs and create personalized treatment plans
Prescribe and titrate medications based on clinical findings
Educate patients on safe and effective hormone optimization
Provide feedback to help us continuously enhance the patient experience
What We're Looking For
MD or DO with an active license (multi-state licenses preferred)
Minimum 2 years of experience in Endocrinology, Urology, Family Medicine, or Hormone Therapy
DEA license with authority to prescribe Schedule III medications
Strong communication skills and a passion for patient-centered care
Comfort with technology and willingness to learn telemedicine workflows
Availability for at least 8 hours per week
A prescribing philosophy that values holistic care and hormone optimization, not just prescribing testosterone to everyone
Help men regain their health and confidence - from anywhere. If you are passionate about hormone health, thrive in innovative environments, and want to help men live their best lives, we would love to hear from you.
Work 100% remotely, set your own schedule, and earn additional income while making a real difference in men's health and lives. Hone is one of the fastest-growing health companies in the United States, and we are looking for physicians who have deep knowledge and experience in prescribing for men with hypogonadism. If you are a physician with a strong background in treating hypogonadism and experience prescribing testosterone and other hormone-optimizing pharmaceuticals, this is an opportunity to join a mission-driven team that is reshaping access to care. We treat patients with a combination of pharmaceutical products in accordance with AUA-defined protocols, supplements, and lifestyle changes. We are committed to making care more convenient and affordable for patients. Experience with weight-loss and thyroid medications is a plus, as we have expanded beyond men's hormones into these treatment areas. We have also launched services for women. Experience with women's hormone therapy allows you to see our female patients as well, but is certainly not required. We are looking nationwide and value physicians licensed in multiple states.
Who We Are
We're a modern health company with a simple mission: help our patients take control of their health and age with confidence. Our platform removes barriers to care through education, technology, and convenience. Our primary focus is hormone optimization for men. We are looking to add to our growing team of 150+ physicians who specialize in treating hormones and are passionate about improving patient outcomes through telemedicine. You'll join a supportive, innovative environment where you'll receive full training on our proprietary telemedicine platform, HIPAA-compliant technology, and technical support.
What You'll Do
Conduct video-based consultations from anywhere with an internet connection
Review labs and create personalized treatment plans
Prescribe and titrate medications based on clinical findings
Educate patients on safe and effective hormone optimization
Provide feedback to help us continuously enhance the patient experience
What We're Looking For
MD or DO with an active license (multi-state licenses preferred)
Minimum 2 years of experience in Endocrinology, Urology, Family Medicine, or Hormone Therapy
DEA license with authority to prescribe Schedule III medications
Strong communication skills and a passion for patient-centered care
Comfort with technology and willingness to learn telemedicine workflows
Availability for at least 8 hours per week
A prescribing philosophy that values holistic care and hormone optimization, not just prescribing testosterone to everyone
Help men regain their health and confidence - from anywhere. If you are passionate about hormone health, thrive in innovative environments, and want to help men live their best lives, we would love to hear from you.
$114k-244k yearly est. Auto-Apply 60d+ ago
Viral - Content Claiming Specialist
Create Music Group 3.7
Remote job
Create Music Group is currently looking for self-described viral internet culture enthusiasts to join our Viral Department.
Viral Content Claiming Specialist perform administrative tasks such as YouTube copyright claiming and asset onboarding, as well as scope out trending memes and social media videos on a daily basis. This position requires a regular workload of data entry/administration in order to carry out the most basic functions of our department but there are plenty of opportunities for more creative and ambitious pursuits if you are so inclined.
This is a full time position which may be done remotely, however our office is located in Hollywood, California, and we are currently only looking for job candidates who are located in California. In the future, you may be encouraged to come into our office for meetings or company functions, so it is best if you are located in the Los Angeles/Southern California area.
Through our Viral team, we collaborate with some of the most prominent viral talent from the TikTok and meme world including Supa Hot Fire (Deshawn Raw), Welven Da Great (Deez Nuts), Verbalase, KWEY B, Hoodnews, presidentofugly1, 10k Caash, dimetrees, Zackass, Supreme Patty, The Man with the Hardest Name in Africa, ViralSnare, Adin Ross, and more.
YouTube monetization provides an alternative consulting and revenue-generating resource for our clients to grow their audience and earnings. We have helped our clients monetize and collected millions in previously unclaimed revenue for content creators, artists and labels.
REQUIREMENTS:
1-3 years work experience
Excellent communication skills, both written and verbal
Internet culture and social media platforms, especially YouTube
Conducting basic level research
Organizing large amounts of data efficiently
Proficiency with Mac OSX, Microsoft Office, and Google Apps
PLUSES:
Strong understanding of the online video market (YouTube, Instagram, TikTok)
Bilingual - any language, although Spanish, Mandarin, and Russian is preferred
RESPONSIBILITIES:
We work directly with our clients and their team to help them break down the data and find potential opportunities to build their career. Daily responsibilities include but are not limited to the following.
Watching YouTube videos for several hours daily
Content claiming
Uploading and defining intellectual assets
Administrative metadata tasks
Researching potential clients
Staying on top of accounts for current client roster
As this is a remote position, you are required to have your own computer and reliable internet connection.
This position may require you to download a great deal of video files (files which may be deleted once onboarding tasks are completed) so please make sure that you have a computer that is up to the task.
Laptops are preferable if you would like to come into our office to work (snacks, soft drinks, and Starbucks coffee are provided at our physical office).
BENEFITS:
Paid company holidays, paid time off, and health benefits (medical, dental, vision, and supplementary policies) are included.
TO APPLY:
Send us your resume and cover letter (in one file). After you apply, you will be redirected to take our Culture Index survey here. Otherwise, copy and paste the link to your web browser: ********************************************************* Info.php?cfilter=1&COMPANY_CODE=cYEX5Omste
Applications without a cover letter and Culture Index survey will not be considered. OPTIONAL: Link relevant social media campaigns and/or writing samples from your portfolio.
$45k-75k yearly est. Auto-Apply 60d+ ago
Patient Claims Specialist - Bilingual Only
Modmed 4.5
Remote job
We are united in our mission to make a positive impact on healthcare. Join Us!
South Florida Business Journal, Best Places to Work 2024
Inc. 5000 Fastest-Growing Private Companies in America 2024
2024 Black Book Awards, ranked #1 EHR in 11 Specialties
2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold)
2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara)
Who we are:
We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany.
ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine!
Your Role:
Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections
Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates
Input and update patient account information and document calls into the Practice Management system
Special Projects: Other duties as required to support and enhance our customer/patient-facing activities
Skills & Requirements:
High School Diploma or GED required
Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST
Minimum of 1-2 years of previous healthcare administration or related experience required
Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs)
Manage/ field 60+ inbound calls per day
Bilingual is a requirement (Spanish & English)
Proficient knowledge of business software applications such as Excel, Word, and PowerPoint
Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone
Ability and openness to learn new things
Ability to work effectively within a team in order to create a positive environment
Ability to remain calm in a demanding call center environment
Professional demeanor required
Ability to effectively manage time and competing priorities
#LI-SM2
ModMed Benefits Highlight:
At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits:
India
Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk,
Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees,
Allowances: Annual wellness allowance to support your well-being and productivity,
Earned, casual, and sick leaves to maintain a healthy work-life balance,
Bereavement leave for difficult times and extended medical leave options,
Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave,
Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind.
United States
Comprehensive medical, dental, and vision benefits
401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep.
Generous Paid Time Off and Paid Parental Leave programs,
Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs,
Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed,
Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning,
Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles,
Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters.
PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.
$66k-101k yearly est. Auto-Apply 29d ago
Post Payment Claims Specialist
Reliant 4.0
Remote job
Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative.
As a Medical Claims Appeal Specialist, you are responsible for contacting providers to educate on NSA process/payments, respond to appeals for various products, and negotiate these post pay appealed claims to resolve payment disputes.
Primary Responsibilities
Monitor and manage your post payment queues.
Conduct outreach, education, and negotiation calls to providers for post payment claims.
Effectively communicate with providers to verify/confirm understanding of NSA claims payments and regulations.
Effectively communicate with providers to explain claim payments for various pricing products.
Maintain compliance, including but not limited to Confidentiality and HIPAA requirements.
Maintain acceptable levels of production including but limited to turn around time standards as mandated by the regulation(s).
Document all conversations and record name, phone number, and email of contact person if available, payment rates offered on behalf of clients, and any counter offers by the provider.
Adhere to client specific and Reliant protocols, scripts, and other requirements.
Develop a comprehensive understanding of the state and federal regulations that will impact payments to providers.
Develop a comprehensive understanding of our various products.
Perform other job-related duties and special projects as required.
Qualifications
2-3 years of related job experience - appeals, negotiations, medical billing.
Experience conducting outreach to providers via phone calls or other communication means.
Experience understanding Reliant critical behaviors and compliance requirements.
Broad healthcare policy and payment understanding.
Experience with claims workflow tools or systems.
Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role.
Pay Transparency$50,000-$60,000 USDBenefits:
Comprehensive medical, dental, vision, and life insurance coverage
401(k) retirement plan with employer match
Health Savings Account (HSA) & Flexible Spending Accounts (FSAs)
Paid time off (PTO) and disability leave
Employee Assistance Program (EAP)
Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
$50k-60k yearly Auto-Apply 2d ago
Plan Document Specialist
Ascensus 4.3
Remote job
FuturePlan is the nation's largest third-party administrator (TPA) of retirement plans, partnering with advisors in all 50 states. FuturePlan delivers the best of both worlds: high-touch personalized service from local TPAs backed by the strength and security of a large national firm, Ascensus. Our roots go back decades, with nearly 30 outstanding legacy firms now joined together to deliver unmatched levels of service, innovation and expertise to a fast-growing client base from coast to coast. The FuturePlan team includes more than 500 credentialed plan professionals, 60 actuaries, and one of the industry's largest in-house ERISA teams. Learn more at FuturePlan.com.
Section 1: Position Summary
Responsible for the following tasks related to basic to medium complexity retirement plans:
Draft plan document including new plan documents and plan restatements
Draft plan amendments
Prepare/update Summary of Plan Description and other related documents
Prepare IRS submissions
Prepare plan termination documents and submissions
Prepare annual notices
Perform technical research to answer compliance questions or resolve compliance issues
Work with Relationship Consultant to ensure signed documents are accurate and received timely
Complete assigned projects timely, accurately and in a cost effectively manner
Proactively participate in process improvement and innovation of current systems
Ensure client plan document files and records are organized and up to date
Commitment to ongoing pension education along with staying current with regulations and law changes
Enter consulting time in timekeeping system daily
Update workflow system daily
Perform Special projects
Other duties as assigned
Section 3: Experience, Skills, Knowledge Requirements
SKILLS NEEDED
Excellent verbal and written communication skills, including the ability to communicate technical ideas
Must possess strong organizational skills
Must have knowledge of a variety of computer software applications in word processing, spreadsheets and database software
Self-starter who will take responsibility for completing tasks in a timely fashion
Work requires continual attention to detail in reviewing materials, managing multiple projects, establishing priorities and meeting deadlines
Dependable with excellent follow through on commitments and responsibilities
Conceptual and analytical
Ability to work in a team environment and also work independently as appropriate
Ability to work in fast paced, ever changing office environment
Must be willing to maintain a flexible work schedule and work overtime as needed
EXPERIENCE NEEDED
A minimum of 2 years of retirement plan administration experience or equivalent preferred
TRAVEL REQUIREMENTS
None
PHYSICAL DEMANDS
Must be able to sit for long periods (at least 8 hours per day).
Must be able to work on a computer at least 8 hours per day (includes looking at a monitor, and typing using a keyboard and mouse).
EDUCATION/TRAINING NEEDED
B.A. or B.S. degree preferred
ASPPA designation or actuarial exams preferred
We are proud to be an equal opportunity employer.
Be aware of employment fraud. All email communications from Ascensus or its hiring managers originate ******************
******************
email addresses. We will never ask you for payment or require you to purchase any equipment. If you are suspicious or unsure about validity of a job posting, we strongly encourage you to apply directly through our website.
$35k-56k yearly est. Auto-Apply 5d ago
Claims Examiner II
Careoregon 4.5
Remote job
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The Claims Examiner II is an intermediate level position responsible for the timely review, investigation and adjudication of all types of Medicaid, Medicare, group and individual medical, dental, and mental health claims.
Estimated Hiring Range:
$22.82 - $27.89
Bonus Target:
Bonus - SIP Target, 5% Annual
Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.
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Essential Responsibilities
Adjudicate medical, dental and mental health claims in accordance and compliance with plan provisions, state and federal regulations, and CareOregon policies and procedures.
Re-adjudicate, adjust or correct claims, including some complex and difficult claims as needed.
Consistently meet or exceed the quality and production standards established by the department and CareOregon.
Provide excellent customer service to internal and external customers.
Collaborate and share information with Claims teams and other CareOregon departments to achieve excellent customer service and support organizational goals.
Determine eligibility, benefit levels and coordination of benefits with other carriers; recognize and escalate complex issues to the Lead or Supervisor as needed.
Investigate third party issues as directed.
May review, process and post refunds and claim adjustments or re-adjudications as needed.
Report any overpayments, underpayments or other possible irregularities to the Lead or Supervisor as appropriate.
Generate letters and other documents as needed.
Proactively identify ways to improve quality and productivity.
Continuously learn and stay up to date with changing processes, procedures and policies.
Organizational Responsibilities
Perform work in alignment with the organization's mission, vision and values.
Support the organization's commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
Strive to meet annual business goals in support of the organization's strategic goals.
Adhere to the organization's policies, procedures and other relevant compliance needs.
Perform other duties as needed.
Experience and/or Education
Required
§ Minimum 2 years' experience as a Medical Claims Examiner or other role that requires knowledge of medical coding and terminology (e.g., medical billing, prior authorizations, appeals and grievances, health insurance customer service, etc.)
Preferred
Experience using QNXT, Facets, Epic systems
Knowledge, Skills and Abilities Required
Knowledge
Knowledge of CPT, HCPCS, Revenue, CDT and ICD-10 coding
Knowledge of medical, dental, mental health and health insurance terminology
Skills and Abilities
Understanding of or ability to learn state and federal laws and other regulatory agency requirements that relate to medical, dental, mental health and health insurance industry and Medicaid/Medicare industry
Ability to perform fast and accurate data entry
Strong spoken and written communication skills
Basic computer skills (ability to use Microsoft Outlook, Word and Excel) and learn new systems as needed
Good customer service skills
Ability to participate fully and constructively in meetings
Strong analytical and sound problem-solving skills
Detail orientation
Strong organizational skills and time management skills
Ability to work in a fast-paced environment with multiple priorities
Ability to work effectively with diverse individuals and groups
Ability to learn, focus, understand, and evaluate information and determine appropriate actions
Ability to accept direction and feedback, as well as tolerate and manage stress
Ability to see, read, hear, speak, and perform repetitive finger and wrist movement for at least 6 hours/day
Ability to lift, carry, reach and/or pinch small objects for at least 1-3 hours/day
Working Conditions
Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure
Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person
Hazards: May include, but not limited to, physical and ergonomic hazards.
Equipment: General office equipment
Travel: May include occasional required or optional travel outside of the workplace; the employee's personal vehicle, local transit or other means of transportation may be used.
Work Location: Work from home
Schedule: Monday - Friday, 8:00 AM to 5:00 PM
We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.
We are an equal opportunity employer
CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.
$22.8-27.9 hourly Auto-Apply 14d ago
Document Specialist
Valsoft Corporation
Remote job
About Valsoft
Valsoft Corporation acquires and develops vertical market software companies through a buy-and-hold strategy. Unlike traditional private equity, we don't flip companies-we operate them for the long term.
Our decentralized model allows each business to maintain its entrepreneurial spirit while benefiting from shared expertise, technology, and best practices across our portfolio.
About Fluent Software Group
Fluent Software Group is one of Valsoft Corporation's operating groups, a global leader in acquiring and operating vertical market software companies. Fluent focuses on businesses serving specialized industries, where focus and expertise matter most.
We provide a permanent home for founders and their teams, ensuring their companies continue to thrive while gaining access to resources, technology, and operational playbooks that accelerate sustainable growth.
About the Role
WeSuite (a Valsoft/Fluent Software company) is seeking a full-time Document Engineer to join the team based in White Plains, NY.
In this role, you will create, program, test, and deploy client proposal, contract, and custom documents within WeSuite's software platform. You will work closely with clients throughout deployment and post-deployment phases to confirm scopes of work, provide guidance, configure documents, resolve issues, and ensure successful adoption.
You will collaborate cross-functionally with Project Management, Support, QA, Development, and Client Deployment teams while becoming an expert in WeSuite's tools, systems, and document automation capabilities.
Key ResponsibilitiesDocument Creation & Programming
Use WeSuite's Document Editor to build and program client proposal and contract documents.
Develop custom documents (proposals, contracts, reports) for use within WeSuite software.
Program automation using SQL, C#, and HTML to support data integration and formula logic.
Client Interaction & Project Delivery
Work directly with clients during deployment to confirm scope, provide guidance, answer questions, and offer best-fit software solutions.
Load, test, and validate documents with clients; manage projects through to client approval.
Conduct remote working sessions via connected sessions, phone, and email.
Coordinate and lead project meetings, documenting follow-up items, next steps, and completion milestones.
Troubleshooting & Support
Troubleshoot and resolve client-reported issues related to documents and reports.
Analyze bugs, identify root causes, and resolve issues or document them for the development team.
Support Deployment and Support teams as needed to resolve escalated client issues.
Documentation & Knowledge Sharing
Use Monday.com and other internal tools to track, document, and monitor project progress.
Write articles and documentation for the WeSuite Knowledge Base to help clients understand document features and best practices.
Collaboration & Cross-Functional Work
Collaborate with Account Executives, Clients, Project Management, Support, QA, and Development teams daily.
Build strong relationships with clients and internal teams to ensure a smooth document deployment experience.
Become a subject-matter expert in WeSuite software configuration and document capabilities.
Who You Are
A technical problem solver who enjoys working directly with clients to translate business requirements into automated documents.
Someone who can manage projects, communicate clearly, and build strong relationships.
Detail-oriented, organized, and comfortable working across multiple teams and tasks simultaneously.
A strong communicator who thrives in a collaborative, client-focused environment.
Qualifications
3+ years of enterprise software application support.
Experience with:
SQL Server & database management
Writing SQL queries
Crystal Reports for document creation/programming
C# and HTML
Microsoft Windows environment
Monday.com, Zendesk, Excel, Word
Strong technical troubleshooting and problem-resolution skills.
Excellent verbal and written communication skills.
Project management and project leadership experience.
Experience working directly with clients at all levels.
Nice-to-Haves
Experience in document automation or proposal/contract configuration.
Familiarity with vertical market software or SaaS deployment environments.
Previous experience in software QA or technical writing.
What's In It For You
High Autonomy, High Impact: Take ownership of document configuration projects and work hands-on with clients shaping their use of WeSuite software.
Career Growth: Gain exposure to enterprise software, client implementation, technical troubleshooting, and cross-functional collaboration.
Culture of Learning: Become an expert in WeSuite's document tools and contribute to the Knowledge Base.
Collaborative, Entrepreneurial Environment: Work closely with Product, Development, QA, Support, and Deployment teams.
Comprehensive Benefits & Perks: Health, dental, and vision coverage, paid time off, and more.
Employee Events & Team-Building: Regular opportunities to connect and collaborate across the organization.
Join us and help clients unlock the full power of WeSuite's document automation platform. You'll make a meaningful impact from Day 1.
#WeSuite
$36k-62k yearly est. Auto-Apply 60d+ ago
Retail Document Specialist II
Carrington Mortgage Services, LLC 4.5
Remote job
Come join our amazing team and work remote from home! The Retail Document Specialist II is responsible for drawing documents for FHA/VA/USDA and conventional loan products using various document companies and systems for both wet and dry states. Perform all duties in accordance with the company's policies and procedures, all US state and federal laws and regulations, wherein the company operates.
WHAT YOU'LL DO:
* Reviews/prepares closing documents for compliance with RESPA/GFE regulations and company policies and procedures.
* Reviews title policy, appraisal and escrow instructions for correct property address, vesting and legal description
* Verifies lock and approval information for all loan programs and investors
* Identifies and resolves discrepancies between the file documents and loan origination system
* Draws and prepares all loan documents and ensures completeness of file
* Performs High Cost Test per guidelines.
* Correspond with title/escrow companies, and internal office staff
* Maintains highly confidential information concerning loan applicants
* Assists Operations staff with general support as necessary.
* Performs other duties as assigned.
WHAT YOU'LL NEED:
* Ability to accurately draw loan documents for Conventional, FHA ,VA and USDA loan programs for wet and dry states
* Ability to work accurately and efficiently in a fast paced environment
* Knowledge of and ability to effectively apply current RESPA/GFE regulations
* Strong organizational skills and ability to work on several tasks simultaneously
* Strong customer service skills
* Knowledge of office machines such as computer, copiers, scanners
* Knowledge of Microsoft suite of products (word, excel, etc.)
* High School diploma or its equivalent required
* Previous experience drawing loan documents for Conventional, FHA VA and USDA loan programs for wet and dry states required
* Automated underwriting system experience preferred
* Experience working in a paperless environment preferred
Our Company:
Carrington Mortgage Services is part of The Carrington Companies, which provide integrated, full-lifecycle mortgage loan servicing assistance to borrowers and investors, delivering exceptional customer care and programs that support borrowers and their homeownership experience. We hope you'll consider joining our growing team of uniquely talented professionals as we transform residential real estate. To read more visit: ***************************
What We Offer:
* Comprehensive healthcare plans for you and your family. Plus, a discretionary 401(k) match of 50% of the first 4% of pay contributed.
* Access to several fitness, restaurant, retail (and more!) discounts through our employee portal.
* Customized training programs to help you advance your career.
* Employee referral bonuses so you'll get paid to help Carrington and Vylla grow.
* Educational Reimbursement.
* Carrington Charitable Foundation contributes to the community through causes that reflect the interests of Carrington Associates. For more information about Carrington Charitable Foundation, and the organizations and programs, it supports through specific fundraising efforts, please visit: carringtoncf.org.
Notice to all applicants: Carrington does not do interviews or make offers via text or chat.
$36k-47k yearly est. 23d ago
Health Team Documentation Specialist
Jb Software and Consulting
Remote job
SHORT TERM ASSIGNMENT WITH OPPORTUNITY TO BE EXTENDED BUT CANNOT BE GUARANTEED Currently Work at Home; however local candidate to Louisville is preferred. Candidate may be required to travel into Louisville office on occasion Schedule: Monday-Friday; 8am-5pm. Candidate will be working with teams of potentially 5-10 team members
*Video interviews will be conducted with selected candidates
As a Health Team Documentation Specialist, you would perform the following tasks:
• Create process documentation/workflows, knowledge articles and self-service guidance
• Collect and document of business requirements for project and process improvement
• Facilitate process workflow modeling in order to collaborate on process improvements, automation capabilities and clearly defined end-to-end use cases
• Creates and maintains technical writing standards.
• Writes, modifies/changes controlled documents.
• Writes, reviews, and maintains department standard operating procedures.
• Edit, standardize, or make changes to materials prepared by other writers or personnel.
• Develop and maintain a wide range of documentation with a focus on internal help guides and support systems
• Create Visio flow diagrams
• Create workflows
• Assist with other duties as needed
Requirements:
• BS/BA or equivalent work experience
• 3+ years of Healthcare writing experience with processes/policies/procedures
• Experience mapping processes using Visio or similar tools
• Microsoft Office/Suite proficient (Excel, PowerPoint, Word, Visio, etc.)
• Project management experience
Knowledge of or experience documenting APIs, frameworks, libraries, tools, systems, and workflows in domains such as web, mobile, distributed systems, data science, machine learning, and devops
Additional Information
All your information will be kept confidential according to EEO guidelines.
$31k-52k yearly est. 1d ago
Mortgage Document Preparation Specialist
512Financial
Remote job
Join our client's team as a Mortgage Document Preparation Specialist! Are you detail-oriented and thrive in a fast-paced environment where accuracy is key and have experience with Texas loans? Our client is seeking a Mortgage Document Preparation Specialist to join their remote team and play a critical role in mortgage document operations. If you have experience preparing mortgage documents in a mortgage law firm environment with Power of Attorney, LLCs, and Trusts, and Texas loans we want to speak with you!About the Company:
Our client provides mortgage lenders with confidence through the timely, accurate, and compliant preparation of closing documents. With nearly half a century of experience and over 5 million residential loan transactions completed, they are recognized for their dedication to serving residential mortgage lenders.
What We're Looking For:
We are seeking a skilled Mortgage Document Preparation Specialist with experience preparing documents in a mortgage law firm environment, working with Power of Attorney, LLCs, and Trusts to ensure the precise and timely preparation of mortgage documents across a variety of loan types. From VA and FHA to Conventional and Texas-specific loans, you'll be the go-to expert for documentation accuracy. This position is fully remote.
What You'll Do:
Review, prepare, and audit mortgage loan closing documents with precision, ensuring compliance with Texas mortgage laws.
Provide expert guidance to clients and team members on loan documents and closing instructions.
Manage and navigate multiple loan types, including VA, FHA, Conventional, Manufactured Housing, and more.
Stay current on industry regulations and compliance standards to maintain high-quality document preparation.
What You Bring:
Exceptional attention to detail and commitment to accuracy.
Experience in mortgage document preparation or a related field, with knowledge of Texas mortgage laws.
Previous experience in a mortgage law firm environment.
Experience with Power of Attorney, LLCs and Trusts is required.
Familiarity with multiple Loan Operating Systems; IDS experience preferred.
Proficiency in Microsoft O365 (Outlook, Word, Excel) for seamless document management.
Experience reviewing title commitments and surveys.
TRID experience.
Construction experience is a plus, demonstrating versatility across regulatory requirements.
Why You'll Love Working for Our Client:
A collaborative, supportive team environment where your contributions and ideas are valued.
Opportunities for career growth and advancement in a thriving industry.
Competitive benefits including PTO, medical, dental, vision, 401k, and more.
Want to learn more about 512Financial?
Check out our Recruitment and Talent Acquisition Page or reach out to us directly - we'd love to connect.
Want to learn more about 512Financial? Check out our Recruitment and Talent Acquisition Page! If you have any questions, please reach out to us here: *********************************
$29k-52k yearly est. Auto-Apply 29d ago
Document Specialist
Cozen O'Connor Corporation 4.8
Remote job
The Document Specialist is an integral part of our team, transcribing and revising various types of documents and contributing to our commitment to providing the highest quality legal service.
Minimum 3 years of word processing experience. Typing speed of 50+ words per minute.
Proficiency in Windows 10 and 11, Microsoft Office 2016, Outlook, and iManage Work (or comparable Document Management System).
High school diploma.
Document Transcription and Revision:
Accurately transcribe and revise correspondence, pleadings, discovery materials, memos, reports, special forms, voicemails, and hard copy documents.
Proficiency in Adobe Pro, including converting PDFs to Word, reducing file sizes, and using editing tools.
Utilize the typewriter tool for text changes, insert signatures, and create JPEGs/images within PDFs.
Apply Bates labeling and make documents OCR text searchable.
Learn how to create PDF Portfolios for efficient bulk bates labeling.
Document Formatting and Organization:
Prepare mass mailing mail merges.
Clean and format documents using DocXtools, ensuring consistent application of firm styles.
Expertise in cross-referencing and blacklining using Litera or comparable software.
Create table of contents, table of authorities, and points and authorities using Best Authority.
Generate bookmarks and assist in creating closing binders, including hyperlinking embedded documents.
Craft professional PowerPoint presentations and format complex Excel spreadsheets.
Time Management and Technology Skills:
Input attorney time using Intapp.
Create timelines and organizational charts using Word, Visio, or PowerPoint.
Learn the E-Notary and DocuSign processes.
Familiarity with scanning equipment, Dictaphone, and general office technology.
$51k-60k yearly est. Auto-Apply 47d ago
Claims Specialist - Life Global Claims
Gen Re Corporation 4.8
Remote job
Shape Your Future With UsGeneral Re Corporation, a subsidiary of Berkshire Hathaway Inc., is a holding company for global reinsurance and related operations, with more than 2,000 employees worldwide. It owns General Reinsurance Corporation and General Reinsurance AG, which conducts business as Gen Re.
Gen Re delivers reinsurance solutions to the Life/Health and Property/Casualty insurance industries. Represented in all major reinsurance markets through a network of 38 offices, we have earned superior financial strength ratings from each of the major rating agencies.
Gen Re currently offers an excellent opportunity for a Claims Specialist in our Life Health Global Claims unit to work remotely based out of our Stamford, CT office.
Role Description
The Claim Specialist is responsible for the delivery of the reinsurance claim risk management on multiple lines of business to both internal and external Gen Re clients. This includes, but is not limited to, the risk assessment of reinsurance liability and may include client training development and delivery, audit activities as well as representing the company and/or speaking at various industry conferences, as requested.
Responsibilities:
Responsible timely decision making and accuracy of reinsurance determinations on multiple lines of claim submissions. Incumbent contributes to the accurate and efficient adjudication of claims by supporting the department and client's investigation or coaching/mentoring on claims in all ranges of complexity to ensure compliance with policy provisions, state/federal regulations and reinsurance treaties in effect.
Maintains a working knowledge of state and federal regulatory issues and keeps on the cutting edge of changes within the incumbent's area of expertise.
Deliver high levels of customer service to internal and external customers in a professional, reliable and responsive manner.
The incumbent works with claims management to develop, prioritize and execute a claim management strategy for each assigned client.
Responsible for influencing a variety of constituents at various levels and not within one's direct employ. Thus, being accountable for the effective development, ongoing maintenance and consistent application of client communications and relationships.
As an expert claim resource within a specific line of business, the Claim Specialist monitors national verdict/settlement trends and legal developments pertaining to their particular line of business. The incumbent researches, drafts and publishes articles and training oriented to educating clients on best practices gleaned.
Responds to ad hoc reporting /projects from manager. Timely and accurate reporting of statistical information to management. Provides a broad range of regular (monthly/quarterly) management information in support of the Claims Department. Responsible for synthesizing a large amount of information from a variety of sources.
May participate in client / TPA due diligence activities such as supporting audit activity, identifying emerging trends and themes not only in the client's inventory but within the industry; supporting manager with industry gleaned best practices via building and delivering customer specific training programs and seminars; emphasizing and implementing technical solutions to business needs to achieve desired improvements when asked.
May participate in client meetings or with prospective accounts.
Role Qualifications and Experience
Prior claims experience in insurance and/or reinsurance operations.
Prior experience managing claims (preferably LTC or Income Protection) thereby equipping the incumbent with the ability to assess reinsurer responsibility in its broadest sense (e.g. reviewing and offering risk management insights and recommendations on facultative and consultative claim submissions).
Experience auditing claim files. Audit work of reinsured claims remotely or in client locations is an expectation. The audit process requires the ability to quickly adapt to the multitude of imaged systems in use by clients. The audit process may involve analyzing and verifying coverage and/or corresponding payments issued. The audit process may consist of managing internal and external communication with client executives in various areas such as claims, financial and legal resources, actuarial resources, etc. Thus, demonstrating an ability to emphasize and implement solutions to help clients manage risk and developing an in-depth knowledge of the management and organization of each assigned account.
Holds insurance adjuster's license or a willingness to secure same within 1 year of hire
Strong working knowledge of key coverage lines especially health (Long Term Care, Individual Disability) type claims
Strong written and verbal communication skills
Strong organizational skills with demonstrated ability to work independently and deal effectively with multiple tasks simultaneously or as an effective member of a team
Proven critical thinking skills that demonstrate analysis/judgment and sound decision making with focus on attention to detail
Flexibility to travel for business purposes, approximately less than 10 trips per year
Strong client relationship, influencing and interpersonal skills
Proven initiative, prioritization, presentation, and training abilities.
Experience with and proficiency in Microsoft Suite of Products (WORD, EXCEL, PowerPoint), Visio, Power BI, developing and running queries etc.
Salary Range
91,000.00 - 152,000.00 USD
The annual base salary range posted represents a broad range of salaries around the US and is subject to many factors including but not limited to credentials, education, experience, geographic location, job responsibilities, performance, skills and/or training.
Our Corporate Headquarters Address
General Reinsurance Corporation
400 Atlantic Street, 9th Floor
Stamford, CT 06901 (US)
At
General Re Corporation, we celebrate diversity and are committed to creating an inclusive environment for all employees. It is the General Re Corporation's continuing policy to afford equal employment opportunity to all employees and applicants for employment without regard to race, color, sex (including childbirth or related medical conditions), religion, national origin or ancestry, age, past or present disability , marital status, liability for service in the armed forces, veterans' status, citizenship, sexual orientation, gender identity, or any other characteristic protected by applicable law. In addition, Gen Re provides reasonable accommodation for qualified individuals with disabilities in accordance with the Americans with Disabilities Act.