Claims Adjuster jobs at Charter Global

The Doctors Company is seeking an experienced Claims Specialist in our Region III. This is a hybrid or remote opportunity depending on the final candidate's location from the company's offices, with the preferred location of Georgia or surrounding states. The Claims Specialist independently and pro-actively manages the medical malpractice claims for assigned members. Monitors and reviews all new claims for designated members and establishes a plan of action to achieve a favorable claim resolution. Attends and facilitates member meetings and claim reviews. Reviews and recommends appropriate case reserves. Negotiates settlements when appropriate and attends trial and provides insights and analysis. Advocates, consults, and serves as a trusted resource and partner with physician members. Qualifications * Bachelor's degree or equivalent combination of education and experience required. * 3 + years of medical malpractice or equivalent claims-related experience. Salary Range: $96,325 - $118,989 Responsibilities Claims Investigation/ Analysis * Completes initial coverage analysis and requests input from supervisor before referral to counsel * Provides timely analysis of cases and reserve recommendations to supervisor so appropriate reserves can be established * Develops a plan of action on assigned cases in conjunction with defense counsel and supervisor * Makes appropriate recommendations to assist in establishing a plan of action on all cases assigned to the team * Conducts informed consent discussion * Ensures timely referral on all high exposure cases to both the supervisor and regional leadership * Analyzes coverage upon assignment, consults with underwriting and refers to supervisor prior to referring the matter to general counsel * Interview insured within performance standards/guidelines * Obtains necessary medical records * Retains medical consultant/expert (as needed) and completes the review process * Consults with external stakeholders (insured, claimant, defense attorney, plaintiff attorney) to optimize results of the overall investigation and discovery process * Interfaces with insured member to provide ongoing support and disclosure of investigation results to keep the member fully informed * Confers with supervisor for development of a cohesive plan of action on each claim file Litigation Management & Claims Resolution * Makes recommendation for assignment of litigated matters to appropriate defense panel members based on ability and experience * Partners with defense counsel for optimum outcome on all assigned cases * Monitors and approves fees and expenses within authority to comply with company guidelines and state statutory guidelines * Evaluates attorney work product/performance and advises supervisor of any need for corrective action or improvement * Recommends the proper course of resolution to regional leadership based on the investigation and discovery * Attends mediations, settlement conferences, arbitrations, and trials as necessary Claims Guidelines (Reserve Management, File Documentation Management) * Provides risk/benefit analysis to the insured while maintaining compliance with state laws, company guidelines and professional and ethical standards * Understands the facts of each case, develops the full range of damages and applies the external factors to determine the exposure and makes the appropriate recommendation to their supervisor * Understands settlement vs. jury verdict range value within the assigned venue and can articulate this to management * Uses system tools to keep track of proper reserving time frames for all assigned cases * Works with both management and outside stakeholders to document and explain rationale for reserves * Documents all activities and investigation appropriately within the claim file * Consults supervisor as necessary and documents the file appropriately Internal/ External Customer Support * Develops trust with stakeholders by making themselves available as necessary * Gives information to stakeholders sufficient to enable them to make informed decisions Member Service * Explains the claim service and/or litigation process * Provides regular communication regarding claim development * Supports the member throughout the life of the claim file up to and through trial (when applicable) * Actively seeks out both the member and entity to ensure open lines of communication with all company departments are maintained * Elevates concerns expressed by the insured member to management as necessary Other Duties to be Assigned * Makes oneself available for any and all duties * Accepts delegated tasks readily and completes assigned duties as directed Salary Range: $90,658 - $118,989 Compensation varies based on skills, knowledge, and education. We consider factors such as specialized skills, depth of knowledge in the field, and educational background to ensure fair and competitive pay. Benefits We offer competitive compensation, incentive bonus plans, outstanding career opportunities, an exceptional work environment, and an impressive benefits package, which starts with medical, family and bereavement leave; same-sex domestic partner benefits; short- and long-term disability programs; and an employee assistance program. There's more: * Health, dental, and vision insurance * Health care tax-free spending accounts with a company match * 401(k) and Roth IRA with company match, as well as catch-up plans for both * Vacation days, sick days, and paid personal days each calendar year (with vacation increases based on length of service) * Paid holidays each calendar year * Life and travel insurance * Tax-free commuter benefits * In-person and online learning opportunities * Cross-function career opportunities * Business casual work environment * Time off to volunteer * Matching donations to qualifying nonprofit organizations * Company-sponsored participation at non-profit events About The Doctors Company The Doctors Company is the nation's largest physician-owned medical malpractice insurer. Founded and led by physicians, we are committed to advancing, protecting, and rewarding the practice of good medicine. The Doctors Company is proud to be Certified by Great Place to Work.

We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join Our Team! Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction. DE&I Statement: At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right! Job Description: Hill Physicians Care Solutions (HPCS) is a wholly owned subsidiary of Hill Physicians and operates under a Restricted Knox-Keene license issued by the California Department of Managed Care (DMHC). HPCS handles the highly visible and fast-growing Medicare Advantage claims for the full risk line of business. Under the leadership of the HPCS Supervisor, the Full Risk Claims Analyst is responsible for ensuring Full Risk claims and disputes are processed accurately and timely pursuant to health plan coverage and Hill Physicians' reimbursement policies as well as within CMS and AB1455 regulations. The analyst will be Responsible for resolving/responding to complex issues for members, health plans and physicians by conducting detailed research and by interfacing with appropriate departments and management to ensure that the standards for claims resolution processes are met. Analyst must have experience processing full risk claims, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Essential Responsibilities Adjudicating and/or adjusting claims, specifically for the full risk line of business, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Ensure these full risk claims are handled accurately, timely and appropriately. Claim contains pertinent and correct information for processing. Services have the required authorization. Accurate final claims adjudication/adjustment by using pricing system and provider contracts. Identify billing patterns, processing errors and/or system issues that inhibit the final adjudication of claims. Adjudicate claims on Epic Tapestry according to HPCS and HPMG guidelines. Navigate and decipher pricing rules using Optum Prospective Pricing System. Review, interpret and process MS DRG rules, Home Health and ASC groupings, DME and ambulance claims. Ensure all claim lines post to the appropriate fund. Maintain departmental productivity goal. Maintain a 97% payment accuracy rate and 98% non-payment accuracy rate in Claims Services Determine benefits using automated-system controls, policy guidelines, and HMO Fact Sheets. Coordinate and resolve claims issues related to claims processing with the appropriate departments as required. Review and process out of network claims according to the guideline/out of network claims research protocol in order to contain out-of-network cost Conduct second-level review of all Medicare denials for Not Authorized and/or Not A Covered Benefit. Research, resolve, and respond to claim resubmission disputes and inquires Coordinate and resolve claims issues related to claims processing with the appropriate departments as required. Provide claims contact resolution to the call center. Complete special projects as assigned to meet department and company goals. Document follow-up information on the system and generate appropriate letters to member and providers. Skills and Experience Required Minimum years of experience required - 3 Minimum level of education required - High School/GED Licenses and certifications required - None. Must have experience processing full risk claims, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Working knowledge of CPT, Revenue codes, PDGM Home Health, ICD-10 codes, Red Book, MS DRGs, HCPC codes and ASC groupings. Three years' experience in claims-payment adjudication at a Health Maintenance Organization (HMO) Health Plan or IPA. (Internal applicants are expected to have one year of experience in claims-payment adjudication). Ability to process all claim types on UB-04 and CMS 1500 claim form, including but not limited to Surgery, Medicine, Lab and Radiology. Ability to understand member benefits and patient cost-shares. Ability to calculate and convert standard drug measurements. Knowledge of CMS and the DMHC rules and regulations. Excellent problem solving, organizational, research and analytical skills. Strong written- and verbal-communication skills. Strong Microsoft application skills. Strong interpersonal skills and the ability to interact with employees and others in a professional manner. Strong judgment, decision-making and detailed oriented skills. Ability to work independently or as a team. Ability to work in a fast- paced environment. Additional Information Remote - Multiple Positions Available Salary: $28 - $32 hourly Hill Physicians is an Equal Opportunity Employer

Field Claims Representative Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com The Role • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Do • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.

We're delighted you're considering joining us! At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members. Join Our Team! Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the “Best Places to Work in the Bay Area” and have been recognized as one of the “Healthiest Places to Work in the Bay Area.” When you join our team, you're making a great choice for your professional career and your personal satisfaction. DE&I Statement: At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are. We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right! Job Description: Hill Physicians Care Solutions (HPCS) is a wholly owned subsidiary of Hill Physicians and operates under a Restricted Knox-Keene license issued by the California Department of Managed Care (DMHC). HPCS handles the highly visible and fast-growing Medicare Advantage claims for the full risk line of business. Under the leadership of the HPCS Supervisor, the Full Risk Claims Analyst is responsible for ensuring Full Risk claims and disputes are processed accurately and timely pursuant to health plan coverage and Hill Physicians' reimbursement policies as well as within CMS and AB1455 regulations. The analyst will be Responsible for resolving/responding to complex issues for members, health plans and physicians by conducting detailed research and by interfacing with appropriate departments and management to ensure that the standards for claims resolution processes are met. Analyst must have experience processing full risk claims, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Essential Responsibilities Adjudicating and/or adjusting claims, specifically for the full risk line of business, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Ensure these full risk claims are handled accurately, timely and appropriately. Claim contains pertinent and correct information for processing. Services have the required authorization. Accurate final claims adjudication/adjustment by using pricing system and provider contracts. Identify billing patterns, processing errors and/or system issues that inhibit the final adjudication of claims. Adjudicate claims on Epic Tapestry according to HPCS and HPMG guidelines. Navigate and decipher pricing rules using Optum Prospective Pricing System. Review, interpret and process MS DRG rules, Home Health and ASC groupings, DME and ambulance claims. Ensure all claim lines post to the appropriate fund. Maintain departmental productivity goal. Maintain a 97% payment accuracy rate and 98% non-payment accuracy rate in Claims Services Determine benefits using automated-system controls, policy guidelines, and HMO Fact Sheets. Coordinate and resolve claims issues related to claims processing with the appropriate departments as required. Review and process out of network claims according to the guideline/out of network claims research protocol in order to contain out-of-network cost Conduct second-level review of all Medicare denials for Not Authorized and/or Not A Covered Benefit. Research, resolve, and respond to claim resubmission disputes and inquires Coordinate and resolve claims issues related to claims processing with the appropriate departments as required. Provide claims contact resolution to the call center. Complete special projects as assigned to meet department and company goals. Document follow-up information on the system and generate appropriate letters to member and providers. Skills and Experience Required Minimum years of experience required - 3 Minimum level of education required - High School/GED Licenses and certifications required - None. Must have experience processing full risk claims, including but not limited to MS DRG Inpatient Hospital, Ambulatory Surgery Centers, Home Health Care, Skilled Nursing Facility, DME, Emergency Room Facility, Ambulance, etc. Working knowledge of CPT, Revenue codes, PDGM Home Health, ICD-10 codes, Red Book, MS DRGs, HCPC codes and ASC groupings. Three years' experience in claims-payment adjudication at a Health Maintenance Organization (HMO) Health Plan or IPA. (Internal applicants are expected to have one year of experience in claims-payment adjudication). Ability to process all claim types on UB-04 and CMS 1500 claim form, including but not limited to Surgery, Medicine, Lab and Radiology. Ability to understand member benefits and patient cost-shares. Ability to calculate and convert standard drug measurements. Knowledge of CMS and the DMHC rules and regulations. Excellent problem solving, organizational, research and analytical skills. Strong written- and verbal-communication skills. Strong Microsoft application skills. Strong interpersonal skills and the ability to interact with employees and others in a professional manner. Strong judgment, decision-making and detailed oriented skills. Ability to work independently or as a team. Ability to work in a fast- paced environment. Additional Information Remote - Multiple Positions Available Salary: $28 - $32 hourly Hill Physicians is an Equal Opportunity Employer

**General information** **Ref #** 21369 **Remote?** Yes **Ally and Your Career** * Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too? **The Opportunity** Are you a highly specialized, skilled technician looking for the next step in your career? We are looking for a Field Adjuster that can appraise and/or adjust physical damage and mechanical claims within an assigned territory and key point or other assigned location for the various Ally Insurance / Dealer Products and Service lines. The ideal candidate must reside in Southern New Jersey, Philadelphia, PA Metro area and be able to travel locally to support the territory. This position also requires flexibility in work schedule, including participating catastrophe losses with extended overnight and weekend travel. This role has the opportunity to create your own schedule and run your assignments. Growth in this role is determined by performance which includes service level agreements and quality of work. Ally Work Location for this role is: Southern New Jersey, Philadelphia, PA Metro area - This role is fully remote with frequent travel locally with high potential to travel to other states to assist other field adjusters. At this time, Ally will not sponsor a new applicant for employment authorization for this position **The Work Itself** * Prepare estimates and reach agreed prices for repairs on insured and claimant vehicles. * Handle catastrophe losses as directed by claim management. * Initiate the total loss handling process for conclusion by the Claim Offices. * Handle Additional Repair Orders (AROs) and special assignments for the Claim Offices. * Assist in other geographic locations at the direction of claim management. * Perform technical tasks required to support ongoing business operations. * Participate in training, educational activities, regulatory compliance awareness and maintain appropriate licensing and continuing education requirements. * May handle sale of salvage and subrogation investigation as assigned by the Claim Office. **The Skills You Bring** * Background as a Service Writer, Dealership Service Technician, Auto Body Shop technician is strongly preferred. * Experience assessing mechanical and/or physical damage is highly recommended * Financial services or auto finance industry is a nice to have * Typically requires advanced knowledge of Microsoft Office Programs * Bachelor's degree in business related discipline preferred * #LI-Remote **How We'll Have Your Back** * Ally's compensation program offers market-competitive base pay and pay-for-performance incentives (bonuses) based on achieving personal and company goals. But Ally's total compensation - or total rewards - extends beyond your paycheck and is designed to support and enrich your personal and professional life, including: * Time Away: competitive holiday and flexible paid-time-off, including time off for volunteering and voting. * Planning for the Future: plan for the near and long term with an industry-leading 401K retirement savings plan with matching and company contributions, student loan and 529 educational assistance programs, tuition reimbursement, and other financial well-being programs. * Supporting your Health & Well-being: flexible health and insurance options including dental and vision, pre-tax Health Savings Account with employer contributions and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially. * Building a Family: adoption, surrogacy, and fertility support as well as parental and caregiver leave, back-up child and adult/elder day care program and childcare discounts. * Work-Life Integration: other benefits including LifeMatters Employee Assistance Program, subsidized and discounted Weight Watchers program and other employee discount programs. Who We Are: Ally Financial is a customer-centric, leading digital financial services company with passionate customer service and innovative financial solutions. We are relentlessly focused on "Doing it Right" and being a trusted financial-services provider to our consumer, commercial, and corporate customers. For more information, visit ************* Ally is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, pregnancy status, marital status, military or veteran status, genetic disposition or any other reason protected by law. Where permitted by applicable law, must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered, if not currently employed by Ally. We are committed to working with and providing reasonable accommodation to applicants with physical or mental disabilities. For accommodation requests, email us at *************. Ally will not discriminate against any qualified individual who is capable of performing the essential functions of the job with or without reasonable accommodation. **_Base Pay Range:_** An individual's position in the range is determined by the scope and responsibilities of the role, work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior to extending an offer. **Emerging:** 64480 **Experienced:** 71240 **Expert:** 78000 Incentive Compensation: This position is eligible to participate in our annual incentive plan

Field Claims Representative - Virtual California Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com. The Role • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Do • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.

Field Claims Representative/Pittsburgh, PA Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com What You'll Do • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Bring • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. It is impossible to list every requirement for, or responsibility of, any position. Similarly, we cannot identify all the skills a position may require since job responsibilities and the Company's needs may change over time. Therefore, the above job description is not comprehensive or exhaustive. The Company reserves the right to adjust, add to or eliminate any aspect of the above description. The Company also retains the right to require all employees to undertake additional or different job responsibilities when necessary to meet business needs. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.

Field Claims Representative Who We Are Solera is a global leader in data and software services that strives to transform every touchpoint of the vehicle lifecycle into a connected digital experience. In addition, we provide products and services to protect life's other most important assets: our homes and digital identities. Today, Solera processes over 300 million digital transactions annually for approximately 235,000 partners and customers in more than 90 countries. Our 6,500 team members foster an uncommon, innovative culture and are dedicated to successfully bringing the future to bear today through cognitive answers, insights, algorithms and automation. For more information, please visit solera.com The Role • Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes. • Complete all tasks assigned in a diligent manner consistent with department, facility or operational and corporate goals and objectives. • Assist in business development activities in conjunction with new and existing service offerings. • Promote, build, and maintain good customer relations with adjusters assist in retention and repeat use. • Communicate with your Field Manager and Service Manager on a daily basis with regards to operational issues and/or improvements. • Follow all standard operating and safety procedures, written and oral, at all times. • Ability and willingness to take on additional responsibilities as assigned. What You'll Do • Strong problem solving, project management skills while maintaining excellent customer service with client policyholder and insurance company claim staff. • Present in a professional manner both in personal and vehicle appearance. • Ability to work in adverse conditions (post loss insurance claims). • Perform work assignments in a safe and concise manner, following all Enservio safety standards. • Proficient with Microsoft Office Suite. • Strong problem solving and analytical skills. • Strong interpersonal, writing and communication skills. • Excellent personal organization and leadership skills. • Results oriented with the ability to accomplish work in a team environment. • Property and Casualty claim experience a plus. • Restoration industry experience a plus. • Ability to travel to site location in your geographic area. • Ability to lift without any physical restrictions up to 30 pounds. • Work independent of direct onsite supervision. • Valid driver's license and reliable personal vehicle available for use. EQUAL OPPORTUNITY EMPLOYER SOLERA HOLDINGS, INC., AND ITS US SUBSIDIARIES (TOGETHER, SOLERA) IS AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER. THE FIRM'S POLICY IS NOT TO DISCRIMINATE AGAINST ANY APPLICANT OR EMPLOYEE BASED ON RACE, COLOR, RELIGION, NATIONAL ORIGIN, GENDER, AGE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, MARITAL STATUS, MENTAL OR PHYSICAL DISABILITY, AND GENETIC INFORMATION, OR ANY OTHER BASIS PROTECTED BY APPLICABLE LAW. THE FIRM ALSO PROHIBITS HARASSMENT OF APPLICANTS OR EMPLOYEES BASED ON ANY OF THESE PROTECTED CATEGORIES.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote **Medical Claims Representative** to join our team in **for a remote position** . This is a US based, W-2 project. All candidates will be paid through NTT DATA only. **Role Responsibilities** **- Pay rate is $18.00** -Processing of Professional claim forms files by provider -Reviewing the policies and benefits -Comply with company regulations regarding HIPAA, confidentiality, and PHI -Abide with the timelines to complete compliance training of NTT Data/Client -Work independently to research, review and act on the claims -Prioritize work and adjudicate claims as per turnaround time/SLAs -Ensure claims are adjudicated as per clients defined workflows, guidelines -Sustaining and meeting the client productivity/quality targets to avoid penalties -Maintaining and sustaining quality scores above 98.5% PA and 99.75% FA. -Timely response and resolution of claims received via emails as priority work -Correctly calculate claims payable amount using applicable methodology/ fee schedule **-Effective troubleshooting where you can leverage your research, analysis and problem-solving abilities** **-Time management with the ability to cope in a complex, changing environment** **-Ability to communicate (oral/written) effectively in a professional office setting** **Required Skills/Experience** + 1+ year(s) hands-on experience in **Healthcare Claims Processing** + **Previously performing - in P&Q work environment; work from queue; remotely** + 2+ year(s) using a computer with Windows applications using a keyboard, **navigating multiple screens and computer systems, and learning new software tools** + Key board skills and computer familiarity - + **Toggling back and forth between screens** /can you navigate multiple systems. + Working knowledge of MS office products - Outlook, MS Word and **MS-Excel** . **Preferences** Amisys &/or Xcelys Preferred About NTT DATA: NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com. NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is **$18.00/hourly** . This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications. This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Title : Transaction Processing Representative Location : SAN ANTONIO TX 78249 Duration : 12 Months Job Description: Basic Qualifications: 1-2 experience with automotive warranty, policy and procedure 1-2 years experience with management systems used in automotive warranty and administration Overtime will be required Qualifications Preferred Qualifications: Technical and mechanical background Experience with management systems used in automotive warranty Administration Skills: Experience with coding warranty claims and warranty administration. Good verbal and written communication skills. Computer and excel skills Education: High school or equivalent work/military experience Additional Information Thanks & Regards, BCforward Recruitment Team

Energy: Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us. A day in the life: Rev up the excitement as you take charge of the Bottler Claims department! Your mission? Ensure the turbocharged processing and payment of promotional claims is as smooth and precise as our energy drinks. You're the policy guru, making sure all procedures are followed to a tee while also shaking things up by improving existing policies and creating new ones when needed. Build electrifying relationships with our sales force and bottlers, all centered around those thrilling promotional claims. Get ready to unleash your energy and make an impact! The impact you'll make: Ensure claims are processed timely and accurately Review and maintain aging Understand the promotional claims procedures and policies for processing invoices for payment Manage workload of claim reps Develops, implements, and maintains controls, procedures, and policies to ensure adherence to company guidelines met Addresses performance issues and makes recommendations for personnel actions Prepares annual performance evaluations Addresses day to day needs and issues as they arise Maintain open communicate with bottlers and sales personnel Approve timesheets Interview future candidates, when needed Train Bottlers on bill back submission, when needed for both Domestic and International roles Execute, Lead, Design, and/or Collaborate on Special projects as assigned (ad-hoc) Who you are: College degree a must - Preferably BA Accounting / Business Accounting Experience: 5- 7 years Management Experience: 2 years minimum Advanced/Power-User in Microsoft Excel and Outlook (please provide scores) SAP experience a plus Strong leadership skills Strong ability to problem solve Ability to prioritize work for themselves and others. Ability to adapt to frequent or ongoing changes. Flexibility and capacity to shift priorities based on the organizations' needs. Excellent interpersonal, written and verbal communication skills. Strong attention to detail, high level of accuracy, ability to prioritize/multi-task and meet deadlines in a fast-paced environment. Integrity, professionalism, discretion and ability to maintain confidentiality essential. Role requires the employee to have a sense of urgency, solid work ethics, strong organization skills, possess drive, attention to detail, ability to interact with key players, in addition to the ability to lead a team, provide guidance and support to subordinates and upper management. Eager to learn and open to suggestions Self-motivated Takes the initiative Strong Time Management Skills Bi-lingual capability a plus Monster Energy provides a competitive total compensation. This position has an estimated annual salary of $82,500 - $110,000. The actual pay may vary depending on your skills, qualifications, experience, and work location.

Energy: Forget about blending in. That's not our style. We're the risk-takers, the trailblazers, the game-changers. We're not perfect, and we don't pretend to be. We're raw, unfiltered, and a bit unconventional. But our drive is unrivaled, just like our athletes. The power is in your hands to define what success looks like and where you want to take your career. It's not just about what we do, but about who we become along the way. We are much more than a brand here. We are a way of life, a mindset. Join us. A day in the life: As a Bottler Claims Representative at Monster Energy, you'll be at the heart of the action, processing, validating, and coding promotional invoices with the precision of a high-speed racer! Get ready to rev up your data-entry skills and keep the promotions engine running smoothly. Your role is all about ensuring everything flows seamlessly, just like the thrilling rush of a Monster Energy drink! The impact you'll make: Review, validate, and process distributor invoices in accordance with company policies and procedures. Requires frequent communication with distributors and the Sales Team to obtain necessary supporting documentation and approvals. Verify invoice program details, ensure accuracy, compliance, and adherence to promotional execution or contractual agreements. -->> Collect, organize, and maintain supporting documents required for invoice validation and/or support in SAP, Vistex, Sales Force and or other source locations. Accurately code and enter invoice details into SAP, Vistex, Sales Force, and or other source locations, to ensure proper GL coding and reporting. Identify discrepancies or errors in claims and work with relevant teams to resolve issues efficiently. Ensure all claims adhere to company policies, industry regulations, and audit requirements. Maintain accurate and up-to-date records of processed claims for tracking and audit purposes. Identify opportunities to enhance efficiency and accuracy in claims processing workflows. Work closely with internal teams, including Finance and Sales and Chain Claims, to support business objectives and streamline operations alongside any additional ad hoc duties. Who you are: Prefer a Bachelor's Degree in the field of --Accounting, Math, Business Administration, or other related field of study Additional Experience Desired: Minimum 1 year of experience in Accounts Payable position Additional Experience Desired: Minimum 1 year of experience in processing vendor invoices, data entry, account reconciliation Computer Skills Desired: Proficiency with Microsoft's office desktop solutions (Intermediate Excel a must - Test Scores required), Teams, Outlook, SharePoint, SAP or other accounting technology a plus. Preferred Certifications: N/A Additional Knowledge or Skills to be Successful in this role: Typing, 10 Key desired Monster Energy provides a competitive total compensation. This position has an estimated hourly rate of $17.00 - $23.00 per hour. The actual pay may vary depending on your skills, qualifications, experience, and work location.

MBP is looking for Claims Analyst/Lead Claims Analyst/Senior Claims Analyst * in Tampa, FL, Raleigh, NC, or Washington DC areas, with significant experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. Highly proficient in Oracle P6 and experienced with one or more of the following: Microsoft Project, Phoenix Project Manager, or similar. Responsibilities Main Duties: * Performs review and analysis of construction claims. * Assists with development of contractor claims. * Develops and/or review time extension requests. * Assist with development of expert reports and exhibits. Qualifications Education * B.S. in Civil Engineering, Construction Management, or relevant experience which equates to this degree. * P.E. license, Certified Construction Manager, Planning and Scheduling Profession, or similar, certification preferred. Skills and Abilities * Experience developing and/or providing review and analysis of construction claims, specifically related to delay, productivity, and cost impacts. * Experience drafting expert reports and deliverables. * Proficient in Oracle P6 required and experienced with Microsoft Project desired. * Additional experience in one or more of the following desired: construction management, cost estimating, value engineering, risk management, constructibility review, and/or contract administration. * Ability to relate technical knowledge to a non-technical audience. * Proficiency in reading/understanding construction plans and specifications. * Proficiency with Microsoft Office software programs including Word, Excel, and PowerPoint. * Experience providing training, supervision, proposal development, and business development desired. * Occasional overnight travel may be required. STATUS: Full-time BENEFITS: * Competitive compensation with opportunities for semi-annual bonuses * Generous Paid Time Off and holiday schedules * 100% Employer paid medical, dental, vision, life, AD&D, and disability benefits (for individual) * Health Savings Account with company contribution * 401(k)/Roth 401(k) plan with company match * Tuition Assistance and Student Loan Reimbursement * Numerous Training and Professional Development opportunities * Wellness Program & Fitness Program Reimbursement Applicants must be authorized to work in the U.S. without sponsorship. MBP is an equal opportunity employer and does not discriminate on the basis of any legally protected status or characteristic. Protected veterans and individuals with disabilities are encouraged to apply.

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Hi, Greeting from BCforward I came across your profile on a job board and wanted to connect with you. Our client is looking for Position: Buyer Expeditor - Associate Location: Pasadena, CA Start for this project is immediate. Please let me know if you are suited and interested in this position. If yes, request you to please send me your most updated resume and also contact so that we can discuss your availability, work status, rate etc. I look forward to your earliest response as we need to send resumes to the client Position: Claims Manager Location: Pasadena, CA Duration: 3+months Job Description: Workers' Compensation manager oversees all activity related to workers' compensation claims including the development of successful partnerships with third party administrators (TPA), claim adjusters, defense counsel and various insurance vendors. The qualified Workers' Compensation Manager has a Bachelor's Degree and a minimum of 5-7 years of experience managing work comp claims,with a multi-state organization. A successful candidate for this position will be a flexible and creative thinker who helps drive an environment of continual improvement. Excellent analytical and organizational skills with strong attention to detail are a must in this dynamic role. We are looking for someone with advanced communication and computer skills, including all Microsoft Office applications. Additional Information Namratha Gandavarapu Sr. Recruiter Direct: ************

BCforward began as an IT business solutions and staffing firm. Founded in 1998, BCforward has grown with our customers' needs into a full service personnel solutions organization. BCforward's headquarters are in Indianapolis, Indiana and also operates delivery centers in 20 locations in North America as well as India and Puerto Rico. We are currently the largest consulting firm and largest MBE certified firm headquartered in Indiana. Hi, Greeting from BCforward I came across your profile on a job board and wanted to connect with you. Our client is looking for Position: Buyer Expeditor - Associate Location: Pasadena, CA Start for this project is immediate. Please let me know if you are suited and interested in this position. If yes, request you to please send me your most updated resume and also contact so that we can discuss your availability, work status, rate etc. I look forward to your earliest response as we need to send resumes to the client Position: Claims Manager Location: Pasadena, CA Duration: 3+months Job Description: Workers' Compensation manager oversees all activity related to workers' compensation claims including the development of successful partnerships with third party administrators (TPA), claim adjusters, defense counsel and various insurance vendors. The qualified Workers' Compensation Manager has a Bachelor's Degree and a minimum of 5-7 years of experience managing work comp claims,with a multi-state organization. A successful candidate for this position will be a flexible and creative thinker who helps drive an environment of continual improvement. Excellent analytical and organizational skills with strong attention to detail are a must in this dynamic role. We are looking for someone with advanced communication and computer skills, including all Microsoft Office applications. Additional Information Namratha Gandavarapu Sr. Recruiter Direct: ************

Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. About the Role The Claims Satisfaction Specialist in Radiology Billing supports payment posting operations by coordinating workflow between the internal payment team and the offshore payment posting team. This role ensures payments are processed accurately and on time, follows up on pending items, and assists with daily payment intake and deposit activities. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to thrive in a fast-paced environment with shifting priorities. A solid understanding of payment posting and EOB processes in a healthcare or medical billing setting is essential. This position will be located at our office Westlake Village, CA. How you will make an impact: In this role, you'll: Create and assign daily payment posting batches and workloads for the offshore payment posting team. Review and resolve payments pended by the offshore team due to missing EOBs, unidentified patients, balancing discrepancies, or other exceptions. Collaborate with internal teams to obtain missing information or clarify payment posting details as needed. Assist with opening and sorting incoming mail related to payments and correspondence. Scan and deposit checks into the bank following established procedures. Act as a point of contact for client inquiries related to radiology claim status, billing issues, and payer responses. Provide clear, professional, and timely updates to clients regarding claim progress and resolution outcomes. Support process improvement initiatives related to payment posting accuracy and efficiency. Maintain detailed records and documentation of payment activities and resolutions. Provide feedback to management regarding trends in claim errors, payer changes, or system inefficiencies impacting client satisfaction. Ensure all client communications and claim-related actions adhere to HIPAA, CMS, protected health information (PHI), and payer compliance requirements. Represent the organization with professionalism and integrity in all client and payer interactions. Assist with audits and special projects What you will bring to the team: We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: Excellent communication and interpersonal skills with a strong focus on client service. Strong organizational, analytical, and follow-up skills. Ability to manage multiple client accounts and priorities simultaneously. High attention to detail with accuracy in documentation and reporting. Collaborative mindset with the ability to work effectively across departments. Positive, solution-oriented attitude with a commitment to continuous improvement. Skills and experience you have: You don't need to check every box. We will consider a combination of education and experience, including: High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field strongly preferred. Minimum 2-4 years of experience in medical billing, customer service, or claims resolution-radiology experience strongly preferred. Familiarity with CPT, HCPCS, and ICD-10 codes and payer claim processes. Proficiency in Microsoft Office Suite; CRM or ticketing system experience a plus. Experience with billing or RCM systems (e.g., XiFin, Imagine, Epic, Athena, eClinicalWorks) preferred. Why XiFin? We're more than just a healthcare technology company-we're a team that cares about people. Here's a glimpse at what we offer: Comprehensive health benefits including medical, dental, vision, and telehealth 401(k) with company match and personalized financial coaching to support your financial future Health Savings Account (HSA) with company contributions Wellness incentives that reward your preventative healthcare activities Tuition assistance to support your education and growth Flexible time off and company-paid holidays Social and fun events to build community at our locations! Pay Transparency At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly. Accessibility & Accommodations We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at ************. Equal Opportunity Employer XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. Ready to apply? We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.

Are you interested in harnessing technology and AI to transform healthcare? At XiFin, we believe a healthier, more efficient healthcare system starts with strong financial and operational foundations. Our innovative technologies help diagnostic providers, laboratories, and healthcare systems manage complexity, drive better outcomes, and stay focused on what matters most: patient care. We're on a mission to simplify the business side of healthcare-and we know that mission takes people from all backgrounds and experiences. Whether you're early in your career or bringing years of expertise, we welcome your perspective, your curiosity, and your passion. We value individuals who ask questions, challenge the status quo, and want to grow while making a real difference. About the Role The Claims Satisfaction Specialist in Radiology Billing supports payment posting operations by coordinating workflow between the internal payment team and the offshore payment posting team. This role ensures payments are processed accurately and on time, follows up on pending items, and assists with daily payment intake and deposit activities. The ideal candidate will have strong attention to detail, effective communication skills, and the ability to thrive in a fast-paced environment with shifting priorities. A solid understanding of payment posting and EOB processes in a healthcare or medical billing setting is essential. This position will be located at our office Westlake Village, CA. How you will make an impact: In this role, you'll: * Create and assign daily payment posting batches and workloads for the offshore payment posting team. * Review and resolve payments pended by the offshore team due to missing EOBs, unidentified patients, balancing discrepancies, or other exceptions. * Collaborate with internal teams to obtain missing information or clarify payment posting details as needed. * Assist with opening and sorting incoming mail related to payments and correspondence. * Scan and deposit checks into the bank following established procedures. * Act as a point of contact for client inquiries related to radiology claim status, billing issues, and payer responses. * Provide clear, professional, and timely updates to clients regarding claim progress and resolution outcomes. * Support process improvement initiatives related to payment posting accuracy and efficiency. * Maintain detailed records and documentation of payment activities and resolutions. * Provide feedback to management regarding trends in claim errors, payer changes, or system inefficiencies impacting client satisfaction. * Ensure all client communications and claim-related actions adhere to HIPAA, CMS, protected health information (PHI), and payer compliance requirements. * Represent the organization with professionalism and integrity in all client and payer interactions. * Assist with audits and special projects What you will bring to the team: We're looking for someone with a growth mindset and a passion for learning. You might be a great fit if you: * Excellent communication and interpersonal skills with a strong focus on client service. * Strong organizational, analytical, and follow-up skills. * Ability to manage multiple client accounts and priorities simultaneously. * High attention to detail with accuracy in documentation and reporting. * Collaborative mindset with the ability to work effectively across departments. * Positive, solution-oriented attitude with a commitment to continuous improvement. Skills and experience you have: You don't need to check every box. We will consider a combination of education and experience, including: * High school diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or related field strongly preferred. * Minimum 2-4 years of experience in medical billing, customer service, or claims resolution-radiology experience strongly preferred. * Familiarity with CPT, HCPCS, and ICD-10 codes and payer claim processes. * Proficiency in Microsoft Office Suite; CRM or ticketing system experience a plus. * Experience with billing or RCM systems (e.g., XiFin, Imagine, Epic, Athena, eClinicalWorks) preferred. Why XiFin? We're more than just a healthcare technology company-we're a team that cares about people. Here's a glimpse at what we offer: * Comprehensive health benefits including medical, dental, vision, and telehealth * 401(k) with company match and personalized financial coaching to support your financial future * Health Savings Account (HSA) with company contributions * Wellness incentives that reward your preventative healthcare activities * Tuition assistance to support your education and growth * Flexible time off and company-paid holidays * Social and fun events to build community at our locations! Pay Transparency At XiFin, we believe in pay transparency and fairness. The expected hourly rate for this role is $20.00 to $24.00, based on your experience, skills, and geographic location. Depending on your qualifications, you may be considered for a Specialist or Sr. Specialist title. Final compensation will be determined during the selection process and may vary accordingly. Accessibility & Accommodations We're committed to providing an inclusive and accessible experience for all applicants. If you need a reasonable accommodation during the application process, please contact us at ************. Equal Opportunity Employer XiFin is proud to be an equal opportunity employer. We value diverse voices and do not discriminate on the basis of race, color, religion, national origin, gender, gender identity, sexual orientation, disability, age, veteran status or any other basis protected by law. Ready to apply? We'd love to hear from you-even if you're not sure you meet every qualification. If you're excited about the role and believe you can contribute to our team, please apply. Let's build something meaningful together.

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 required (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.

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company's growth, market presence and our ability to help our clients stay ahead of the competition. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here. NTT DATA, Inc. currently seeks a **Coordination of Benefits (COB) Associate** to join our team. Our Client is one of the leading Health Plans in the US providing services in multiple states. NTT Business Process Outsourcing (BPO) team offers end-to-end administrative services help streamline operations, improve productivity, and strengthen cash flow to help our customers stay competitive and improve member satisfaction. **Position's General Duties and Tasks** + Use multiple sources in researching the potential of dual coverage and determining which Insurance is primary. + Update Claims System according to Member insurance + Making outbound call to other Insurance companies to verify coverages + Take up additional training/ new assignments or projects that may come up as per client needs. + Meet/ exceed required performance measures such as quality and productivity standards + Meet/ exceed process SLAs + Successfully complete the required regulatory and compliance requirements such as the HIPAA. + Successfully complete all organizational and client training requirements + Understand how work impacts results for their area as well as other processes. + Demonstrate knowledge of internal operations and develops relationships to facilitate workflow. + Knowledge of related regulations and standards. + Strong understanding of current processes and procedures and may identify opportunities for improvement. **Requirements for this role include:** + 3+ years of medical claims processing experience + 5+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, leverage internet search engines, and other web-based applications. + 5+ years of experience with the Microsoft Office suite that required daily usage of Outlook, Excel and Word. + Ability to type 40+ WPM Preferred Skills: Experience in Amisys Education: Verifiable High school Diploma or equivalent. Required schedule availability for this position is Monday-Friday (08:00am to 08:00pm CST/EST) . The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement. **Position's General Duties and Tasks:** Using multiple sources, this position will research the Coordination of Benefits (COB) for potential dual coverage by other health insurance companies for all subscribers, spouses, and affected dependents and determines which insurance is prime. COB research extends to all coverage offered NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team. Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is $18 per hour. This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.