Claim processor jobs in Delaware

Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.

This job is a non-clinical resource that coordinates, analyzes, and interprets the benefits and claims processes for clinical teams and serves as a liaison between various departments across the enterprise, including but not limited to, Clinical Strategy, Sales/Client Management, Customer Service, Claims, and Medical Policy. The person in this position must fully understand all product offerings available to Organization members and be versed in claims payment methodologies, benefits administration, and business process requirements. **ESSENTIAL RESPONSIBILITIES** + Coordinate, analyze, and interpret the benefits and claims processes for the department. + Serve as the liaison between the department and the claims processing departments to facilitate care/case management activities and special handling claims. Communicate benefit explanations clearly and concisely to all pertinent parties. + Investigate benefit/claim information and provide technical guidance to clinical and claims staff regarding the final adjudication of complex claims. Research and investigate conflicting benefit structures in multi-payor situations. + Provide prompt, thorough and courteous replies to written, electronic and telephonic inquiries from internal/external customers (e.g., clinical, sales/marketing, providers, vendors, etc.) Follow-up on all inquiries in accordance with corporate and regulatory standards and timeframes. + Must have the ability to apply knowledge about the business operations of the area within the defined scope of the job. Assess benefit limitations in accordance with Medical Policy Guidelines. + Monitor and identify claim processing inaccuracies. Bring trends to the attention of management. + Assist with handling inbound calls and strive to resolve customer concerns received via telephone or written communication. + Work independently of support, frequently utilizing resources to resolve customer inquiries. + Collaborate with Clinical Strategy, Sales/Client Management and other areas across the enterprise to respond to client questions and concerns about care/case management and high-cost claimants. + Gather information and develop presentation/training materials for support and education. + Other duties as assigned or requested. **EDUCATION** **Required** + High School or GED **Substitutions** + None **Preferred** + Associate's degree in or equivalent training in Business or a related field **EXPERIENCE** **Required** + 3 years of customer service, health insurance benefits and claims experience. + Working knowledge of Highmark products, systems (e.g., customer service and clinical platforms, knowledge resources, etc.), operations and medical policies + PC Proficiency including Microsoft Office Products + Ability to communicate effectively in both verbal and written form with all levels of employees **Preferred** + Working knowledge of medical procedures and terminology. + Complex claim workflow analysis and adjudication. + ICD9, CPT, HPCPS coding knowledge/experience. + Knowledge of Medicare and Medicaid policies **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services + Knowledge of administrative and clerical procedures and systems such as managing files and records, designing forms and other office procedures + The ability to take direction, to navigate through multiple systems simultaneously + The ability to interact well with peers, supervisors and customers + Understanding the implications of new information for both current and future problem-solving and decision-making + Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate and not interrupting at inappropriate times + Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems + Ability to solve complex issues on multiple levels. + Ability to solve problems independently and creatively. + Ability to handle many tasks simultaneously and respond to customers and their issues promptly. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $21.53 **Pay Range Maximum:** $32.30 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273827

Manage first-and third-party cyber claims. Timely and accurately analyze and address coverage issues under cyber policies; Conduct timely and effective investigations through appropriate use of internal and external resources that are in compliance with Financial Lines Best Practices protocols; Effectively document all relevant events in a timely and efficient manner as case facts are developed, to include an evaluation of liability, damages and exposure; Set timely and accurate indemnity and expense reserves. Manage reserves throughout the life cycle of each claim with appropriate documentation supporting any reserve changes; Complete timely and concise claim reports; Oversee defense counsel and vendors throughout the life of the claim. May need to travel to and attend meetings, mediations, settlement conferences and trials as needed; Build and maintain relationships with external and internal customers to include insureds, counsel, and producers; Proactively manage a claim inventory of primary files in accordance with Financial Lines Best Practices; Adhere to all statutory regulations and Unfair Claims Practices Acts requirements. Competencies/Skills Required: Articulate in both written and oral communication; Demonstrated ability to deliver high caliber customer claim service in a fast-paced environment; Advanced listening and negotiation skills; Advanced knowledge of and attention to detail in insurance coverage and contracts; Strong investigative and analytical skills; Strong organizational skills to manage a claim inventory independently; Strong interpersonal skills and ability to cultivate and maintain business relationships with a wide spectrum of people internally and externally; Strong collaboration skills Education & Experience: Juris Doctorate a plus but not required. 4-7 years of claims handling or similar experience. Prior cyber claim handling experience a plus. If you do not already have one, you will be required to obtain an applicable resident or designated home state adjusters license and possibly additional state licensure. Some travel may be required. The pay range for the role is $70,000 to $134,300. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.

Collectors is the leading creator of innovative technology that provides value-added services for collectors worldwide. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We're always on the lookout for talented people to join our growing team. Our services span collectible coins, trading cards, Funko Pops!, video games, event tickets, autographs, and memorabilia. Our subsidiaries include PSA, PCGS, SGC, and Card Ladder. Since our founding in 1986, we have graded and authenticated millions of items. We employ more than 1,900 people across our headquarters in Santa Ana and offices in Jersey City, Tokyo, Shanghai, Hong Kong, Toronto, Guadalajara, Dallas, and Paris. Collectors is the leading creator of innovative technology that provides value-added services for collectors worldwide. We grade, authenticate, vault and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We're always on the lookout for talented people to join our growing team. Our services span collectible coins, trading cards, Funko Pops!, video games, event tickets, autographs, and memorabilia. Our subsidiaries include PSA, PCGS, WATA, Card Ladder, and the Long Beach Expo collectibles trade show. Since our founding in 1986, we have graded and authenticated millions of items. We employ more than 1,700 people across our headquarters in Santa Ana and offices in Jersey City, Seattle, Hong Kong, Paris, Shanghai, and Tokyo. We're looking for an Order Processor who will work out of The Collectors Vault and would be responsible for accurately and efficiently moving inventory through the facility to put them away into storage locations or pick packing and ship the inventory. This role reports to our Operations Supervisor at The Collectors Vault and will work out of our New Castle, DE office. The position schedule will be one of the following Wednesday-Saturday or Sunday - Wednesday or Mon, Tues,Thurs, Fri from 6:00pm - 4:30am. What You'll Do: * Catalog incoming inventory by adhering to established style and content rules * Ability to identify if an item has been graded or not and catalog the item appropriately. * Conduct research when needed on items and communicate with Client Partners on potential additional services required and assess the condition of the item * Put inventory into storage locations and systemically locate the inventory * Organize efficiently picking tickets to provide for on-time shipping * Pick inventory from designated locations and stage for packing and shipping * Pack and Ship inventory following prescribed packing methods and generate shipping labels * Perform inventory audits and ensure items are in the correct locations physically and systematically * Operate material handling equipment to move products within the warehouse * Perform all tasks to ensure a safe work environment * Systemically and physically move items into designated storage or staging locations * Conduct quality control audits Who You Are: * Working knowledge of the collections hobby with specialized or detailed understanding of professional sports teams, players, entertainment, pop culture, and historical figures a plus * Ability to work under strict deadlines (Overtime needed depending on the auction cycle) * Organizational skill and attention to detail are essential * Strong time management skills required * Enthusiasm, a willingness to learn and adaptability * Common computer software: Microsoft Office, Google Documents, Internet * Historical knowledge of sports teams, leagues, players, and milestone events a plus * High School or equivalent education background Physical Requirements: * Long periods of sitting, walking and/or standing * Bending neck/waist, twisting neck/waist, squatting, and regular hand use * Regularly lifting and carrying up to 25 pounds * Occasionally lifting up to 50 pounds or more with employee help and/or proper equipment Hourly Rate: The reasonable estimated hourly rate for this position is $19.50. Shift 2 workers are also eligible for an additional $1/hr premium, in addition to their standard hourly rate. Actual compensation varies based on a variety of non-discriminatory factors, including location, job level, prior experience and skill set. Reasons To Join Us: * Health Insurance: All full-time employees are eligible to enroll in Medical, Dental, and Vision * Additional Benefits: Full-time employees are eligible for fertility, commuter, and educational assistance benefits. * 401(K) Matching Plan: We are proud to offer a competitive 401k matching plan to our employees to support their future financial goals * Vacation: All full-time employees are eligible for paid vacation * Holiday Pay: All regular, full-time employees are eligible for ten company paid holidays * Employee Discounts: Employees receive discounts on select grading services for approved submissions * Flexible Hours: Many of our teams offer flexible schedules with varying shifts and will work with you to accommodate your needs Collectors uses e-Verify to validate your ability to work legally in the United States. We are aware that there are instances where individuals are receiving job offers that fraudulently allege to be from Collectors or one of our business units. This type of fraud can be carried out through false websites, through fake e-mails claiming to be from the company or through social media. We never ask for personal information such as your bank account, Social Security numbers or National IDs, nor do we send or request payments for the purchase of business-related equipment. If you suspect fraud, please reach out to *******************. We are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, national origin, gender, sex, gender identity or expression, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We believe that a team that represents a variety of backgrounds, perspectives, and skills will better service the diverse community of collectors we support. If you require an accommodation to apply or interview with us due to a disability or special need, please email *********************. U.S. residents: for disclosures relating to personal information we collect during the employment application and recruitment process, please see our Privacy Notice for U.S. Applicants. If you are based in California, you can read information for California residents here.

**Claims Auditor I, II and Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ The **Claims Auditor I** is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The **Claims Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. **How you will make an impact :** + Performs audits of high dollar claims. + Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary information. + Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. + Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. + Refers overpayment opportunities to Recovery Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. **Minimum Requirements :** + **Claims Auditor I :** Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. + **Claims Auditor II :** Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. + **Claims Auditor Senior :** Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Stop loss claims experience highly preferred. + Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. + Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. + Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Summary Statement This is case processing work within the Delaware Supreme Court learning the legal processes and procedures and performing the full range of processing activities of limited complexity. Principal contacts are with the public, attorneys, judicial officers, pro se litigants, criminal justice agencies and other courts. This is a career ladder series. An employee will become eligible for promotion to Judicial Case Processor II after one year within the current classification, and after meeting the minimum qualifications and promotional standards. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here. Reviews legal/court documents for completeness, accuracy and compliance with applicable time limitations, costs and court procedures and determines appropriate procedural requirement for processing. Prepares and issues a wide variety of court and legal documents. Researches case files, records, databases and other sources of information to insure accuracy of case data and resolve discrepancies. Enters information into manual or automated systems. Prepares and maintains files and records insuring all required documents are included. Provides information on court/unit procedures and event status to the public, judges, attorneys and litigants. Attends hearings and proceedings to provide files, records and case information to judicial officer; records event disposition and administers oaths. Job Requirements JOB REQUIREMENTS for Judicial Case Processor I Applicants must have education, training and/or experience demonstrating competence in each of the following areas: Six months experience in document processing which includes reviewing and evaluating records for completeness and conformity with laws, rules, regulations, standards, policies and procedures, resolve deficiencies, interpret information, and track and monitor activities. Six months experience in record keeping. Six months experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data. Ability to lift documents and files up to 30 pounds. Conditions of Hire A satisfactory criminal background check is required as a condition of hire. Direct deposit of paychecks is required as a condition of hire. Benefits To learn more about the comprehensive benefit package please visit our website at ********************************** Selection Process The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements. Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov. Accommodations Accommodations are available for applicants with disabilities in all phases of the application and employment process. TDD users may request an auxiliary aid or service by calling ************** or by visiting delawarerelay.com. You may also call ************** or email DHR_************************ for additional applicant services support. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

A top provider of outsourcing, staffing, consulting and workforce solutions within the areas of engineering, finance and accounting, healthcare, human resources, IT, legal, life sciences, manufacturing and logistics, office and administration and sales and marketing. Job Description Claims Analyst (Level II) Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels. May debit or credit customer's accounts as appropriate, process chargebacks or update customer regarding pending claims. Researches and resolves other general customer account inquiries as appropriate. Maintains internal operational and financial controls and ensures that they are observed for all assigned cases. Ensures that all cases are resolved in compliance with industry regulations and bank procedures, integrity levels of the department's case management system and financial controls. Works within a team environment. Associate is expected to meet or exceed department level benchmarks for productivity and quality. May provide support and training to other analysts within the department. Has thorough knowledge of the Claims Analyst function and handles more complex cases which require analytical and problem resolution skills. At least 2 years of experience; Qualifications At least 2 years of experience Additional Information All your information will be kept confidential according to EEO guidelines. IF THIS IS THE JOB OPPORTUNITY FOR YOU GIVE ME A CALL AT ************ ASAP! I want to know more about your preferences. If in case you know someone who might be interested for this, feel free to pass it along. I look forward to hearing from you!

Job DescriptionPosition Title: General ProcessorLocation: Goodwill eCommerce, Wilmington DelawarePart TimePay Rate: $15.25 The Ecommerce General Processor role is to sort, evaluate and prepare General pieces for posting on Ecommerce website(s). General Processor maintains accuracy and efficiency of sorting, categorizing, testing, and evaluating merchandise while achieving goals provided by supervisor. ESSENTIAL FUNCTIONS AND BASIC DUTIES Sort, evaluate, and identify the value of donated items, selecting appropriate General pieces for selling online Perform proper testing for all relevant items as needed. Ensure quality of merchandise and pre-sort items for appropriate disposition according to standard operating procedures. Research specialty items to ensure proper descriptions / keywords to maximize the exposure and value. Meet or exceed the daily sorting production goals set by Ecommerce Manager. Must keep General Lister always supplied with product. Must group and sort items to ensure highest maximum product value. Follow all posting and storage procedures. Maintain a clean and orderly work environment. Follow safety policies and procedures ensuring maximum safety, security, and protection of all customers and company assets. Maintain a positive work environment by acting and communicating in a positive manner with customers, clients, co-workers and management. Ensure maximum customer satisfaction. Work cooperatively with all consumers, co-workers, and subordinates to promote the achievement of the company mission. Ensure pick up orders pulled and ready Deliver pick up orders to customers as needed. Ensure listed orders are shelved as needed Shipping, picking and packing inventory responsibilities as needed. Other duties as assigned. Ability to work varied hours/days as business dictates. EDUCATION/EXPERIENCE: High school diploma or GED equivalent. A minimum of 3 months related General experience and/or training. Experience in Ecommerce a plus. Basic computer skills. Ability to research information on the internet. Experience with digital imaging. High level knowledge in at least 2 or more of the following areas a plus: Designer Brand Clothing, Games Systems, Vintage Games, Artwork, Glassware, Silverwares, Vintage Items, Sports Figures, Teams, Collectibles and Musical Instruments. WORKING CONDITIONSThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently exposed to mechanical parts. The noise level in the work environment is usually moderate. PHYSICAL ACTIVITIES AND REQUIREMENTS: FINGER DEXTERITY: The ability to make fast, simple, repeated movements of the fingers, hands and wrists.COMMUNICATION: Talking to others to convey information effectively in English and to communicate information and ideas in speaking and writing by hand so others will understand.VISUAL ABILIITES: The ability to see details at close range (within a few feet of the observer). Specific vision abilities required by this job include close vision, distance vision, color, vision, peripheral vision, depth perception and the ability to adjust focus. Job entails using a magnification device (jeweler's loupe or equivalent) to review minute details.PHYSICAL STRENGTH: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand and walk; use hands to finger, handle or feel; reach with hands and arms. The employee is regularly required to stoop, kneel, crouch, or crawl. The employee is occasionally required to sit. The employee must frequently lift and/or move up to 30 pounds. OTHER: Job entails the use of acid to test metals. INTENT AND FUNCTION OF POSITION DESCRIPTIONPosition descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded. Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the positions. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Supervisors may assign additional functions and requirements as deemed appropriate.Position descriptions are not intended as and do not create employment contracts. Goodwill Industries of Delaware and Delaware County, Inc. maintains its status as an at-will employer.

The Billing and Claims Specialist will be responsible for managing all aspects of customer billing, including preparing invoices, reconciling accounts, claims and resolving billing discrepancies. The ideal candidate will have a minimum of 3 years of experience in billing or accounts receivable within a fast-paced environment. Key Responsibilities: Prepare, review, and process accurate customer invoices in a timely manner. Reconcile billing statements and resolve discrepancies with internal teams and customers. Maintain accurate and organized billing and claims records. Collaborate with operations and sales teams to ensure proper billing for services rendered. Respond to customer inquiries regarding billing issues professionally and promptly Continuously identify and implement process improvements in billing operations. Identify process improvements to streamline billing and claims management. Qualifications: Minimum of three (3) years billing or accounts receivable experience, preferably in logistics or warehousing. Strong attention to detail and accuracy. Proficiency in Microsoft Office, especially Excel. Experience with billing software is a plus. Excellent communication and customer service skills. Ability to work independently and as part of a team. Strong organizational and time-management skills. Schedule: Full-time, Monday - Friday (with flexibility).

Collectors is the leading creator of innovative technology that provides value-added services for collectors worldwide. We grade, authenticate, vault, and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We're always on the lookout for talented people to join our growing team. Our services span collectible coins, trading cards, Funko Pops!, video games, event tickets, autographs, and memorabilia. Our subsidiaries include PSA, PCGS, SGC, and Card Ladder. Since our founding in 1986, we have graded and authenticated millions of items. We employ more than 1,900 people across our headquarters in Santa Ana and offices in Jersey City, Tokyo, Shanghai, Hong Kong, Toronto, Guadalajara, Dallas, and Paris. Collectors is the leading creator of innovative technology that provides value-added services for collectors worldwide. We grade, authenticate, vault and sell millions of record-setting collectibles, all while modernizing and digitalizing the process to further our mission of helping collectors pursue their passions. We're always on the lookout for talented people to join our growing team. Our services span collectible coins, trading cards, Funko Pops!, video games, event tickets, autographs, and memorabilia. Our subsidiaries include PSA, PCGS, WATA, Card Ladder, and the Long Beach Expo collectibles trade show. Since our founding in 1986, we have graded and authenticated millions of items. We employ more than 1,700 people across our headquarters in Santa Ana and offices in Jersey City, Seattle, Hong Kong, Paris, Shanghai, and Tokyo. We're looking for an Order Processor who will work out of The Collectors Vault and would be responsible for accurately and efficiently moving inventory through the facility to put them away into storage locations or pick packing and ship the inventory. This role reports to our Operations Supervisor at The Collectors Vault and will work out of our New Castle, DE office. The position schedule will be one of the following Wednesday-Saturday or Sunday - Wednesday or Mon, Tues,Thurs, Fri from 6:00pm - 4:30am. What You'll Do: Catalog incoming inventory by adhering to established style and content rules Ability to identify if an item has been graded or not and catalog the item appropriately. Conduct research when needed on items and communicate with Client Partners on potential additional services required and assess the condition of the item Put inventory into storage locations and systemically locate the inventory Organize efficiently picking tickets to provide for on-time shipping Pick inventory from designated locations and stage for packing and shipping Pack and Ship inventory following prescribed packing methods and generate shipping labels Perform inventory audits and ensure items are in the correct locations physically and systematically Operate material handling equipment to move products within the warehouse Perform all tasks to ensure a safe work environment Systemically and physically move items into designated storage or staging locations Conduct quality control audits Who You Are: Working knowledge of the collections hobby with specialized or detailed understanding of professional sports teams, players, entertainment, pop culture, and historical figures a plus Ability to work under strict deadlines (Overtime needed depending on the auction cycle) Organizational skill and attention to detail are essential Strong time management skills required Enthusiasm, a willingness to learn and adaptability Common computer software: Microsoft Office, Google Documents, Internet Historical knowledge of sports teams, leagues, players, and milestone events a plus High School or equivalent education background Physical Requirements: Long periods of sitting, walking and/or standing Bending neck/waist, twisting neck/waist, squatting, and regular hand use Regularly lifting and carrying up to 25 pounds Occasionally lifting up to 50 pounds or more with employee help and/or proper equipment Hourly Rate: The reasonable estimated hourly rate for this position is $19.50. Shift 2 workers are also eligible for an additional $1/hr premium, in addition to their standard hourly rate. Actual compensation varies based on a variety of non-discriminatory factors, including location, job level, prior experience and skill set. Reasons To Join Us: Health Insurance: All full-time employees are eligible to enroll in Medical, Dental, and Vision Additional Benefits: Full-time employees are eligible for fertility, commuter, and educational assistance benefits. 401(K) Matching Plan: We are proud to offer a competitive 401k matching plan to our employees to support their future financial goals Vacation: All full-time employees are eligible for paid vacation Holiday Pay: All regular, full-time employees are eligible for ten company paid holidays Employee Discounts: Employees receive discounts on select grading services for approved submissions Flexible Hours: Many of our teams offer flexible schedules with varying shifts and will work with you to accommodate your needs Collectors uses e-Verify to validate your ability to work legally in the United States. We are aware that there are instances where individuals are receiving job offers that fraudulently allege to be from Collectors or one of our business units. This type of fraud can be carried out through false websites, through fake e-mails claiming to be from the company or through social media. We never ask for personal information such as your bank account, Social Security numbers or National IDs, nor do we send or request payments for the purchase of business-related equipment. If you suspect fraud, please reach out to *******************. We are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, national origin, gender, sex, gender identity or expression, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We believe that a team that represents a variety of backgrounds, perspectives, and skills will better service the diverse community of collectors we support. If you require an accommodation to apply or interview with us due to a disability or special need, please email ********************* . U.S. residents: for disclosures relating to personal information we collect during the employment application and recruitment process, please see our Privacy Notice for U.S. Applicants . If you are based in California, you can read information for California residents here .

The Stocking Associate performs various merchandise stocking duties both in Receiving & on the Sales Floor. ESSENTIAL FUNCTIONS: * Supports a strong commitment to world class customer service and ensures a pleasant and productive shopping experience for all customers. * Organizes and manages back stock daily. * Replenishes product on shelves and in back stock as required per Merchandising guidelines. * Unloads trucks as needed. * Remains Product "expert" through ongoing product knowledge training. * Remains knowledgeable of advertised sales and plan-o-grams. * Assists with pricing maintenance and signing. * Keeps work area clean, neat and well stocked with supplies. * Follows all Company Policies and Procedures. * ALL OTHER DUTIES AS ASSIGNED. EXPERIENCE/QUALIFICATIONS: * Minimum Degree Required: High school diploma or equivalent experience. KNOWLEDGE, SKILLS, AND ABILITY: * Ability to calculate figures such as discounts and make change to customers * Ability to communicate in a friendly and professional manner to our customers and other associates * Ability to establish and maintain effective working relationships with Management, co-workers and customers * Ability to operate computerized Point of Sale register system * Ability to read label descriptions and stock merchandise by UPC codes TRAVEL REQUIREMENTS: * N/A PHYSICAL REQUIREMENTS: * Constantly move, lift and carry objects up to 50 pounds * Constantly stand and/or walk for prolonged periods * Constantly repeat motions that may include the wrists, hands and/or fingers * Occasionally ascend or descend ladders, stairs, ramps, etc. * Occasionally operate machinery and/or power tools * Occasionally communicate with others to exchange information * Occasionally move objects up to 100 pounds or more * Occasionally work in tight and confined spaces * Occasionally work in low or high temperatures * Occasionally work in outdoor elements such as precipitation and wind * Occasionally work in noisy environments * Occasionally work in hazardous conditions * Occasionally work in small and/or enclosed spaces INDEPENDENT JUDGEMENT: * Performs tasks and duties under general supervision, using established procedures and innovation. Chooses from limited alternatives to resolve problems. Occasional independent judgment is required to complete work assignments. Often makes recommendations to work procedures, policies, and practices. Part Time Benefits Summary: Enjoy discounts on retail merchandise, our restaurants, world-class resorts and conservation attractions! * Dental * Vision * Voluntary benefits * 401k Retirement Savings * Paid holidays * Paid vacation * Bass Pro Cares Fund * And more! Bass Pro Shops is an equal opportunity employer. Hiring decisions are administered without regard to race, color, creed, religion, sex, pregnancy, sexual orientation, gender identity, age, national origin, ancestry, citizenship status, disability, veteran status, genetic information, or any other basis protected by applicable federal, state or local law. Reasonable Accommodations Qualified individuals with known disabilities may be entitled to reasonable accommodation under the Americans with Disabilities Act and certain state or local laws. If you need a reasonable accommodation for any part of the application process, please visit your nearest location or contact us at ************************. Cabela's

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Representative (IAP) - Workers Compensation Training Program Are you looking for an impactful job requiring no prior experience that offers an opportunity to develop a professional career? + A stable and consistent work environment in an office setting. + A training program to learn how to help employees and customers from some of the world's most reputable brands. + An assigned mentor and manager who will guide you on your career journey. + Career development and promotional growth opportunities through increasing responsibilities. + A diverse and comprehensive benefits package to take care of your mental, physical, financial and professional needs. **PRIMARY PURPOSE OF THE ROLE:** To be oriented and trained as new industry professional with the ability to analyze workers compensation claims and determine benefits due. **ARE YOU AN IDEAL CANDIDATE?** We are seeking enthusiastic individuals for an entry-level trainee position. This role begins with a comprehensive 6-week classroom-based professional training program designed to equip you with the foundational skills needed for a successful career in claims adjusting. Over the course of a few years, you'll have the opportunity to grow and advance within the field. **ESSENTIAL RESPONSIBLITIES MAY INCLUDE** + Attendance and completion of designated classroom claims professional training program. + Performs on-the-job training activities including: + Adjusting lost-time workers compensation claims under close supervision. May be assigned medical only claims. + Adjusting low and mid-level liability and/or physical damage claims under close supervision. + Processing disability claims of minimal disability duration under close supervision. + Documenting claims files and properly coding claim activity. + Communicating claim action/processing with claimant and client. + Supporting other claims examiners and claims supervisors with larger or more complex claims as assigned. + Participates in rotational assignments to provide temporary support for office needs. **QUALIFICATIONS** Bachelor's or Associate's degree from an accredited college or university preferred. **EXPERIENCE** Prior education, experience, or knowledge of: - Customer Service - Data Entry - Medical Terminology (preferred) - Computer Recordkeeping programs (preferred) - Prior claims experience (preferred) Additional helpful experience: - State license if required (SIP, Property and Liability, Disability, etc.) - WCCA/WCCP or similar designations - For internal colleagues, completion of the Sedgwick Claims Progression Program **TAKING CARE OF YOU** + Entry-level colleagues are offered a world class training program with a comprehensive curriculum + An assigned mentor and manager that will support and guide you on your career journey + Career development and promotional growth opportunities + A diverse and comprehensive benefits offering including medical, dental vision, 401K, PTO and more _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is 25.65/hr. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. #claims #claimsexaminer #entrylevel #remote #LI-Remote_ Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

HomeGoods At TJX Companies, every day brings new opportunities for growth, exploration, and achievement. You'll be part of our vibrant team that embraces diversity, fosters collaboration, and prioritizes your development. Whether you're working in our four global Home Offices, Distribution Centers or Retail Stores-TJ Maxx, Marshalls, Homegoods, Homesense, Sierra, Winners, and TK Maxx, you'll find abundant opportunities to learn, thrive, and make an impact. Come join our TJX family-a Fortune 100 company and the world's leading off-price retailer. Job Description: Opportunity: Grow Your Career Responsible for delivering a highly satisfied customer experience proven by engaging and interacting with all customers, embodying customer experience principles and philosophy, and maintaining a clean and organized store environment. Adheres to all operational, merchandise, and loss prevention standards. May be cross-trained to work in multiple areas of the store in order to support the needs of the business. Role models established customer experience practices with internal and external customers Supports and embodies a positive store culture through honesty, integrity, and respect Accurately rings customer purchases/returns and counts change back to customer according to established operating procedures Promotes credit and loyalty programs Maintains and upholds merchandising philosophy and follows established merchandising procedures and standards Accurately processes and prepares merchandise for the sales floor following company procedures and standards Initiates and participates in store recovery as needed throughout the day Maintains all organizational, cleanliness, and recovery standards for the sales floor and participates in the maintenance/cleanliness of the entire store Provides and accepts recognition and constructive feedback Adheres to all labor laws, policies, and procedures Supports and participates in store shrink reduction goals and programs Participates in safety awareness and maintains a safe environment Other duties as assigned Who We're Looking For: You. Possesses excellent customer service skills Able to work a flexible schedule to support business needs Possesses strong communication and organizational skills with attention to detail Capable of multi-tasking Able to respond appropriately to changes in direction or unexpected situations Capable of lifting heavy objects with or without reasonable accommodation Works effectively with peers and supervisors Retail customer experience preferred Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information. In addition to our open door policy and supportive work environment, we also strive to provide a competitive salary and benefits package. TJX considers all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status, or based on any individual's status in any group or class protected by applicable federal, state, or local law. TJX also provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. Applicants with arrest or conviction records will be considered for employment. Address: 1380 North Dupont Hwy Location: USA HomeGoods Store 0826 Dover DEThis position has a starting pay range of $15.00 to $15.50 per hour. Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.

Claims Auditor I, II and Senior Location : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Claims Auditor I is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The Claims Auditor II is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The Claims Auditor Senior is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. How you will make an impact : * Performs audits of high dollar claims. * Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. * Contacts others to obtain any necessary information. * Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. * Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. * Refers overpayment opportunities to Recovery Team. * Claims Auditor II - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. * Claims Auditor Senior - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. Minimum Requirements : * Claims Auditor I : Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. * Claims Auditor II : Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. * Claims Auditor Senior : Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences: * Stop loss claims experience highly preferred. * Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. * Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. * Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Summary Statement This is the advanced level of case processing. This level performs the full range of processing activities for the most complex cases with minimal supervisory direction. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here. JUDICIAL CASE PROCESSING Reviews legal/court documents for completeness, accuracy and compliance with applicable time limitations, costs and court procedures and determines appropriate procedural requirement for processing. Prepares and issues a wide variety of court and legal documents. Researches case files, records, databases and other sources of information to insure accuracy of case data and resolve discrepancies. Enters information into manual or automated systems. Prepares and maintains files and records insuring all required documents are included. Provides information on court/unit procedures and event status to the public, judges, attorneys and litigants. Attends hearings and proceedings to provide files, records and case information to judicial officer; records event disposition and administers oaths. Job Requirements JOB REQUIREMENTS for Judicial Case Processor III Applicants must have education, training and/or experience demonstrating competence in each of the following areas: Two years experience in document processing which includes reviewing and evaluating records for completeness and conformity with laws, rules, regulations, standards, policies and procedures, resolve deficiencies, interpret information, and track and monitor activities. Two years experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data. Two years experience in applying laws, rules, regulations, standards, policies and procedures. Six months experience in creating reports which includes combining and presenting data from multiple sources in an organized format. Conditions of Hire Applicants must be legally authorized to work in the United States. Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire. Benefits To learn more about the comprehensive benefit package please visit our website at ********************************** Selection Process The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements. Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov. Accommodations Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call **************. TDD users should call the Delaware Relay Service Number ************** for assistance. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

A top provider of outsourcing, staffing, consulting and workforce solutions within the areas of engineering, finance and accounting, healthcare, human resources, IT, legal, life sciences, manufacturing and logistics, office and administration and sales and marketing. Job Description Claims Analyst (Level II) Resolves customer merchant, credit, or ATM claims within the bank's policies and procedures. Responsibilities include: investigate and decision daily incoming claims using multiple systems and tools; resolve differences; answer service requests and inquiries received from various channels. May debit or credit customer's accounts as appropriate, process chargebacks or update customer regarding pending claims. Researches and resolves other general customer account inquiries as appropriate. Maintains internal operational and financial controls and ensures that they are observed for all assigned cases. Ensures that all cases are resolved in compliance with industry regulations and bank procedures, integrity levels of the department's case management system and financial controls. Works within a team environment. Associate is expected to meet or exceed department level benchmarks for productivity and quality. May provide support and training to other analysts within the department. Has thorough knowledge of the Claims Analyst function and handles more complex cases which require analytical and problem resolution skills. At least 2 years of experience; Qualifications At least 2 years of experience Additional Information All your information will be kept confidential according to EEO guidelines. IF THIS IS THE JOB OPPORTUNITY FOR YOU GIVE ME A CALL AT ************ ASAP! I want to know more about your preferences. If in case you know someone who might be interested for this, feel free to pass it along. I look forward to hearing from you!

Are you ready to make a meaningful impact in the world of workers' compensation? Join ESIS, a leader in risk management and insurance services, where your skills and talents can help us create safer workplaces and support employees during their times of need. At ESIS, we're dedicated to providing exceptional service and innovative solutions, and we're looking for passionate individuals to be part of our dynamic team. If you're eager to advance your career in a collaborative environment that values integrity and growth, explore our exciting workers' compensation roles today and discover how you can contribute to a brighter future for employees everywhere! Key Objective: Under the direction of the Claims Team Leader investigates and settles claims promptly, equitably and within established best practices guidelines. Duties may include but are not limited to: Receive new assignments. Reviews claim and policy information to provide background for investigation and may determine the extent of the policy's obligation to the insured depending on the line of business. Contacts, interviews and obtains statements (recorded or in person) from insured's, claimants, witnesses, physicians, attorneys, police officers, etc. to secure necessary claim information. Arrange for surveys and experts where appropriate. Evaluates facts supplied by investigation to determine extent of liability of the insured, if any, and extend of the company's obligation to the insured under the policy contract. Prepares reports on investigation, settlements, denials of claims, individual evaluation of involved parties etc. Sets reserves within authority limits and recommends reserve changes to Team Leader. Reviews progress and status of claims with Team Leader and discusses problems and suggested remedial actions. Timely and appropriate management of litigation files. Assists Team Leader in developing methods and improvements for handling claims. Settles claims promptly and equitably. Obtains releases, proofs of loss or compensation agreements and issues company drafts in payments for claims and expenses. Informs claimants, insured's/customers/ agents or attorney of denial of claim when applicable. May assist Team Leader and company attorneys in preparing cases for trial by arranging for attendance of witnesses and taking statements. Continues efforts to settle claims before trial. Refers claims to subrogation as appropriate. May participate in claim file reviews and audits with customer/insured and broker. Administers benefits timely and appropriately. Maintains control of claim's resolution process to minimize current exposure and future risks Establishes and maintains strong customer relations i.e. agents, underwriters, insureds, experts Depending on line of business, other duties may include: Maintaining system logs Investigating compensability and benefit entitlement Reviewing and approving medical bill payments or forwarding for outside review as necessary. Managing vocational rehabilitation Scope: The position reports directly to a Claims Team Leader or other member of claims management. 3-5 years experience handling higher level Workers' Compensation claims. Basic knowledge of claims handling and familiarity with claims terminologies. Effective negotiation skills. Strong communication and interpersonal skills to be capable of dealing with claimants, customers, insureds, brokers, attorneys etc in a positive manner concerning losses. Ability to self motivate and work independently. Knowledge of Chubb products, services, coverages and policy limits, along with awareness of claims best practices Knowledge of applicable state and local laws State adjusters licensing a plus or will require future licensing. Familiar in computer systems 40 words per minute typing skills An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters. Adjusters that do not fulfill the license requirements will not meet ESIS's employment requirements for handling claims. ESIS supports independent self-study time and will allow up to 4 months to pass the adjuster licensing exam. The pay range for the role is $62,200 to $105,800. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. ESIS, a multi-line Third-Party Administrator (TPA), provides claims, risk control & loss information systems to Fortune 1000 clients across its North American platform. ESIS provides a full range of sophisticated risk management services, including workers compensation claims handling; a broad spectrum of casualty insurance products, such as general liability, automobile liability, products liability, professional liability, and medical malpractice claims handling; and disability management.

Summary Statement This is the entry level of case processing work learning the legal processes and procedures and performing the full range of processing activities of limited complexity. Career Ladder This is a Career Ladder series. Incumbents underfilling as a Judicial Case Processor I will be considered for promotion to the Judicial Case Processor II level after meeting the minimum qualifications and Judiciary's promotional standards. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here. JUDICIAL CASE PROCESSING Reviews legal/court documents for completeness, accuracy and compliance with applicable time limitations, costs and court procedures and determines appropriate procedural requirement for processing. Prepares and issues a wide variety of court and legal documents. Research case files, records, databases and other sources of information to ensure accuracy of case data and resolve discrepancies. Enters information into manual or automated systems. Prepares and maintains files and records ensuring all required documents are included. Provides information on court/unit procedures and event status to the public, judges, attorneys and litigants. Attends hearings and proceedings to provide files, records and case information to judicial officer; records event disposition and administers oaths. Job Requirements JOB REQUIREMENTS for Judicial Case Processor I Applicants must have education, training and/or experience demonstrating competence in each of the following areas: Six months experience in document processing which includes reviewing and evaluating records for completeness and conformity with laws, rules, regulations, standards, policies and procedures, resolve deficiencies, interpret information, and track and monitor activities. Six months experience in record keeping. Six months experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data. Additional Posting Information This position is a classification organized under an exclusive bargaining representative (labor organization) that has been elected by employees as their representative for collective bargaining and other applicable terms and conditions of employment, in accordance with Title 29, Chapter 59 and Title 19, Chapter 13 and 16. This position is covered by a collective bargaining agreement based on its individual terms. Conditions of Hire Applicants must be legally authorized to work in the United States. The State of Delaware Executive Branch participates in the Federal E-Verify system where the State will provide the federal government with each new hires Form I-9 information to confirm that you are authorized to work in the U.S. For more information refer to our job seeker resources. Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire. Benefits To learn more about the comprehensive benefit package please visit our website at ********************************** Selection Process The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements. Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov. Accommodations Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call **************. TDD users should call the Delaware Relay Service Number ************** for assistance. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.

Summary Statement This is the advanced level of case processing. This level performs the full range of processing activities for the most complex cases with minimal supervisory direction. Essential Functions Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here. JUDICIAL CASE PROCESSING Reviews legal/court documents for completeness, accuracy and compliance with applicable time limitations, costs and court procedures and determines appropriate procedural requirement for processing. Prepares and issues a wide variety of court and legal documents. Researches case files, records, databases and other sources of information to insure accuracy of case data and resolve discrepancies. Enters information into manual or automated systems. Prepares and maintains files and records insuring all required documents are included. Provides information on court/unit procedures and event status to the public, judges, attorneys and litigants. Attends hearings and proceedings to provide files, records and case information to judicial officer; records event disposition and administers oaths. JUDICIAL CASE MANAGER Assesses case filings to determine placement in case track/program or recommends referral to alternative case tracks. Interprets and applies court rules, laws and procedural requirements for case events and caseflow management. Monitors and coordinates case activity through multiple legal events and processes. Tracks case events/status, anticipates case flow problems/causes for delay and initiates appropriate action to expedite cases effectively and efficiently including contacting participants to resolve issues that inhibit case flow. Develops case management procedures for use by judge or team. Advises judicial officers regarding various case events that ultimately lead to final case disposition. Coordinates case activity and events with judicial officers, attorneys, law enforcement agencies and litigants. Resolves technical case processing issues requiring research of case data and coordinating activities with other agencies and courts. Researches case files, records and other sources of information to insure accuracy of case data, prepare and issue court documents and resolve discrepancies and issues related to caseflow. Establishes and maintains contacts with the legal community, other agencies and courts/units, both externally and internally, to ensure case flow is expedited. Enters case data into automated case management systems; prepares and maintains case files and records. Job Requirements JOB REQUIREMENTS for Judicial Case Processor III Applicants must have education, training and/or experience demonstrating competence in each of the following areas: Two years experience in document processing which includes reviewing and evaluating records for completeness and conformity with laws, rules, regulations, standards, policies and procedures, resolve deficiencies, interpret information, and track and monitor activities. Two years experience in using an automated information system to enter, update, modify, delete, retrieve/inquire and report on data. Two years experience in applying laws, rules, regulations, standards, policies and procedures. Six months experience in creating reports which includes combining and presenting data from multiple sources in an organized format. Conditions of Hire Criminal background check: A satisfactory criminal background check is required as a condition of hire. The recruiting agency may require the applicant to pay for the criminal background check as part of the conditional offer of hire. Benefits To learn more about the comprehensive benefit package please visit our website at ********************************** Selection Process The application and supplemental questionnaire are evaluated based upon a rating of your education, training and experience as they relate to the job requirements of the position. It is essential that you provide complete and accurate information on your application and the supplemental questionnaire to include dates of employment, job title and job duties. For education and training, list name of educational provider, training course titles and summary of course content. Narrative information supplied in response to the questions must be supported by the information supplied on the application including your employment, education and training history as it relates to the job requirements. Once you have submitted your application on-line, all future correspondence related to your application will be sent via email. Please keep your contact information current. You may also view all correspondence sent to you by the State of Delaware in the “My Applications” tab at StateJobs.Delaware.gov. Accommodations Accommodations are available for applicants with disabilities in all phases of the application and employment process. To request an auxiliary aid or service please call **************. TDD users should call the Delaware Relay Service Number ************** for assistance. The State of Delaware is an Equal Opportunity employer and values a diverse workforce. We strongly encourage and seek out a workforce representative of Delaware including race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression.