Claim processor jobs in Fort Wayne, IN

OBJECTIVE Casualty Claims Specialist Objective To assure the consistent application of company procedures and practices in casualty claims handling and disposition of large complex casualty claims within the division. To ensure that claims are properly investigated, evaluated, and resolved within the company's contractual and legal obligations. To provide appropriate and equitable resolution to claimants while protecting Farm Bureau insureds within the confines of the insurance policy and to aid in the retention and growth of business. RESPONSIBILITIES Casualty Claims Specialist Responsibilities Investigate, control and negotiate all casualty claims involving complex issues beyond the expertise of claim representative as such cases are discovered. Understand and apply skills and awareness necessary to achieve effectual casualty claim settlements and remain current in the knowledge of the tools of negotiation, including structured settlements. Direct, control and negotiate all major casualty litigation files. Direct defense attorneys' activities as permitted by law and promote appropriate reserving practices. QUALIFICATIONS Casualty Claims Specialist Qualifications Required: Bachelor's degree required, with emphasis on insurance preferred, or equivalent experience may be considered. Minimum seven years multi-line field work with emphasis on liability, workers' compensation and no-fault claims handling. Keyboarding skills of 40 wpm required. Must possess outstanding listening and customer service skills. Knowledge of computers and various software including Microsoft Office products required. Must possess a valid driver license with an acceptable driving record. Designation in AIC, CPCU, SCLA or similar insurance designation required, or actively being pursued. Note Farm Bureau offers a full benefit package including medical, dental, vision, and 401K.

Job Title: Claims Processor - Casualty FLSA Status: Non-Exempt Job Family: Claims Department: Casualty Claims Responsible for effectively analyzing and resolving assigned minor casualty claims consistent with claims department standards and company objectives. POSITION ESSENTIAL FUNCTIONS AND RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Identify and investigate coverage, damage and reserve adequacy issues on assigned claims. Apply statutes, common law, and other applicable legal concepts. Identify liability issues and communicate this to supervisor for possible file transfer. Communicate with policyholders, agents, claimants, medical providers and other persons as needed. Direct independent adjusters, appraisers, and other support service providers to ensure effective and efficient claims resolution. Acquire, record and maintain all essential file documentation in accordance with established guidelines. Provide timely status reports regarding assigned claims to management and others. Identify and pursue cost containment/loss mitigation opportunities. Negotiate and resolve all assigned claims within established settlement authority in a prompt, fair and equitable manner. Participate and provide input in regularly scheduled departmental meetings involving collective decision making. Travel as needed to attend training programs and to conduct investigation relating to claims resolution. Further the attainment of overall claims department objectives by assisting other claims personnel as requested. Complete other projects as assigned. KNOWLEDGE, SKILLS, AND ABILITIES The requirements listed below are representative of the knowledge, skills, and/or abilities required to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to effectively communicate with others (both oral and written). Must be able to make independent decisions. Must have strong interpersonal and organizational skills. Must have the ability to handle confrontational situations in a productive manner. Experience in investigation, customer service, and/or negotiation would be beneficial. Insurance, legal and/or medical knowledge would be of benefit. Should be able to sit for prolonged periods of time. Effectively interface with external contacts, Brotherhood employees, managers, and department staff members. EDUCATION AND/OR EXPERIENCE List Degree Requirement, Years' Experience, and Certifications Must have a high school diploma or equivalent. Must fulfill required adjuster licensing requirements. Bachelor's degree or equivalent related work experience desired. Insurance related course work would be of benefit. Terms and Conditions This description is intended to describe the general content of and requirements for the performance of this position. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Because the company's niche is the church and related ministries market, and because effective service requires a thorough understanding of this market, persons in this position must be familiar with church operations and must conduct themselves in a manner that will neither alienate nor offend persons within this target niche. Brotherhood Mutual Insurance Company reserves the right to modify, interpret, or apply this position description in any way the company desires. This job description in no way implies that these are the only duties, including essential duties, to be performed by the employee occupying this position. This position description is not an employment contract, implied or otherwise. The employment relationship remains “at-will”.

Since 1991, Collabera has been a leading provider of IT staffing solutions and services. We are known for providing the best staffing experience and taking great care of our clients and employees. Our client-centric model provides focus, commitment and a dedicated team to help our clients achieve their business objectives. For consultants and employees, we offer an enriching experience that promotes career growth and lifelong learning. Job Description General Function: Provide exceptional customer service and aid in problem resolution of outstanding AR balances. Assist with lockbox activity assigned by the Accounts Receivable Manager or Team Lead; perform the processing and posting of US checks, wires and other bank activity. Maintain a high level of customer service for both internal and external customers, ensuring timely collection and payment application on open receivables. Qualifications MAJOR DUTIES AND RESPONSIBILITIES: Responsible for providing excellent customer service to internal and external customers (see communications with others below) Responds to phone calls and/or emails from customers, research questions and/or problems and bring resolution to those items Ensure that the Customers needs are being met Return phone calls and/or emails within 24 hours Troubleshoot and run necessary customer reports (using SAP, queries and/or Business Objects) Assist with the daily entry of all checks and wires activity from multiple lockboxes Balance and reconcile to the clearing account Assume additional responsibilities and performs special projects as needed or directed COMMUNICATION WITH OTHERS: INTERNAL - Customers include: Collections Team, Cash Team, Billing, Accounting, Account Management and various other internal management and operational areas/staff. EXTERNAL - Customers Additional Information KNOWLEDGE AND SKILLS: Oral and written communication Superior organizational skills Analytical Customer Focus Computer/Software Skills (Advance MS Excel, SAP) EXPERIENCE: • 2+ Years collections experience preferred EDUCATION: • High School Diploma If you have questions or clarifications feel free to reach me at my phone number ************ or email me your most updated resume together with the best time to call you back.

Meet MedPro Group. We're an industry-leading Berkshire Hathaway insurance company with a passion for our clients and our team. We are hundreds of professionals with varied backgrounds and experience levels who came together to achieve one goal: protecting those who have made it their mission to serve and care for others. Never considered the insurance industry before? We think you should. In this role, you will… * Interact with insured at time of loss notification and perform initial coverage review. * Insure all initial claim investigations are executed with timeliness and accuracy. * Work with multiple departments/functions in the resolution of customer issues. * Facilitate and expedite the workflow between the field and home offices. * Provide full-range of administrative office and management support. * Perform miscellaneous duties as assigned by manager. We are looking for candidates with… * Background in insurance, healthcare or law industries preferred. * Strong proven ability to operate independently and prioritize assignments. * Ability to work well under pressure and within time constraints. * Ability to effectively manage several projects/priorities simultaneously. * Outstanding interpersonal skills to include both written and oral (focus on critical listening). * Excellent organizational and teamwork skills; creative problem solving. * Typing proficiency and computer skills (Word, Excel, PowerPoint) and ability to learn new technologies. * College degree or equivalent experience with relevant experience preferred. Why MedPro? MedPro Group's mission is built on a century-old legacy of protecting those who protect others. From our roots in our hometown of Fort Wayne, Indiana, we've worked diligently to become the nation's premier healthcare liability coverage provider, currently insuring more than 300,000 customers. With that growth, we've built a significant presence in all 50 states. Our team works across the country to provide the best strategies to mitigate risk and preserve the reputations of those who have entrusted their good name to us. That passion - built on a foundation of a culture that values uncompromised integrity, obsessive client focus, great teamwork, and a long-term mindset - makes MedPro a preferred employer that many call their career home. General: MedPro Group is an Equal Opportunity Employer.

Aon Is Looking For A Claims Professional I We currently have an exciting hybrid career opportunity for a Claims Professional I in our Ft. Wayne, IN office. This position will support Aon's K&K Insurance group within Aon Affinity. Aon is in the business of better decisions: At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What the day will look like: Investigates, verifies and analyzes coverage issues; resolves in accordance with insurer protocol. Handles litigated and non-litigated commercial property, crime, and inland marine claims. Interact with internal and external parties and with our insuring partners to resolve claims presented by our policyholders. Draft coverage denials or Reservations of Rights letters for carrier approval where required. Investigate, analyze and evaluate first and third-party property claims. Demonstrate an awareness of jurisdictional nuances impacting claim evaluation and keeps abreast of legislation and court decisions in multiple jurisdictions. Establish and monitor loss and expense reserves within authority level. Review and approve payments within authority level. Complete reports timely and accurately in compliance with company guidelines. Develop and implement an appropriate resolution plan. Conduct direct settlement negotiations or, if warranted, supervise the appraisal process in disputed claim adjustments within authority level and in accordance with carrier protocol. Skills and experience that will lead to success: 3+ years experience in handling commercial property and business income claims is required. Field claims handling experience preferred. Adjuster license is required or to be obtained within 90 days of hire. Excellent written and verbal communication skills. Education: Bachelors Degree preferred or equivalent industry experience How we support our colleagues: In addition to our comprehensive benefits package, we encourage an inclusive workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work... and we are all for it. We call this Smart Working! Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative and inclusive workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply. We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email ReasonableAccommodations@Aon.com For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances. Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. The salary range for this position (intended for U.S. applicants) is $60,000 to $80,000 annually. The actual salary will vary based on applicant's education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. This position is eligible to participate in one of Aon's annual incentive plans to receive an annual discretionary bonus in addition to base salary. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan. Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-AM4 2570669 Aon Is Looking For A Claims Professional I We currently have an exciting hybrid career opportunity for a Claims Professional I in our Ft. Wayne, IN office. This position will support Aon's K&K Insurance group within Aon Affinity. Aon is in the business of better decisions: At Aon, we shape decisions for the better to protect and enrich the lives of people around the world. As an organization, we are united through trust as one inclusive team and we are passionate about helping our colleagues and clients succeed. What the day will look like: Investigates, verifies and analyzes coverage issues; resolves in accordance with insurer protocol. Handles litigated and non-litigated commercial property, crime, and inland marine claims. Interact with internal and external parties and with our insuring partners to resolve claims presented by our policyholders. Draft coverage denials or Reservations of Rights letters for carrier approval where required. Investigate, analyze and evaluate first and third-party property claims. Demonstrate an awareness of jurisdictional nuances impacting claim evaluation and keeps abreast of legislation and court decisions in multiple jurisdictions. Establish and monitor loss and expense reserves within authority level. Review and approve payments within authority level. Complete reports timely and accurately in compliance with company guidelines. Develop and implement an appropriate resolution plan. Conduct direct settlement negotiations or, if warranted, supervise the appraisal process in disputed claim adjustments within authority level and in accordance with carrier protocol. Skills and experience that will lead to success: 3+ years experience in handling commercial property and business income claims is required. Field claims handling experience preferred. Adjuster license is required or to be obtained within 90 days of hire. Excellent written and verbal communication skills. Education: Bachelors Degree preferred or equivalent industry experience How we support our colleagues: In addition to our comprehensive benefits package, we encourage an inclusive workforce. Plus, our agile, inclusive environment allows you to manage your wellbeing and work/life balance, ensuring you can be your best self at Aon. Furthermore, all colleagues enjoy two "Global Wellbeing Days" each year, encouraging you to take time to focus on yourself. We offer a variety of working style solutions, but we also recognize that flexibility goes beyond just the place of work... and we are all for it. We call this Smart Working! Our continuous learning culture inspires and equips you to learn, share and grow, helping you achieve your fullest potential. As a result, at Aon, you are more connected, more relevant, and more valued. Aon values an innovative and inclusive workplace where all colleagues feel empowered to be their authentic selves. Aon is proud to be an equal opportunity workplace. Aon provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, age, disability, veteran, marital, domestic partner status, or other legally protected status. People with criminal histories are encouraged to apply. We welcome applications from all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and to perform essential job functions once onboard. If you would like to learn more about the reasonable accommodations we provide, email ReasonableAccommodations@Aon.com For positions in San Francisco and Los Angeles, we will consider for employment qualified applicants with arrest and conviction record in accordance with local Fair Chance ordinances. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. The salary range for this position (intended for U.S. applicants) is $60,000 to $80,000 annually. The actual salary will vary based on applicant's education, experience, skills, and abilities, as well as internal equity and alignment with market data. The salary may also be adjusted based on applicant's geographic location. This position is eligible to participate in one of Aon's annual incentive plans to receive an annual discretionary bonus in addition to base salary. The amount of any bonus varies and is subject to the terms and conditions of the applicable incentive plan. Aon offers a comprehensive package of benefits for full-time and regular part-time colleagues, including, but not limited to: a 401(k) savings plan with employer contributions; an employee stock purchase plan; consideration for long-term incentive awards at Aon's discretion; medical, dental and vision insurance, various types of leaves of absence, paid time off, including 12 paid holidays throughout the calendar year, 15 days of paid vacation per year, paid sick leave as provided under state and local paid sick leave laws, short-term disability and optional long-term disability, health savings account, health care and dependent care reimbursement accounts, employee and dependent life insurance and supplemental life and AD&D insurance; optional personal insurance policies, adoption assistance, tuition assistance, commuter benefits, and an employee assistance program that includes free counseling sessions. Eligibility for benefits is governed by the applicable plan documents and policies. #LI-AM4

Join Our Team as a Claims Negotiation Specialist! Are you a strategic thinker with a passion for driving business growth and innovation? We are looking for a Claims Negotiation Specialist to develop data-driven strategies, identify new opportunities, and optimize business performance for long-term success. Why You'll Love This Role: 📈 High-Impact Role - Shape business strategies that drive sustainable growth. 🚀 Career Advancement - Access professional development and leadership opportunities. 💡 Strategic Influence - Work closely with decision-makers to implement winning strategies. 💰 Competitive Compensation - Earn a stable income with performance-based incentives. Your Responsibilities: Analyze market trends, business performance, and competitive landscapes to identify growth opportunities. Develop and implement data-driven growth strategies that optimize revenue and profitability. Collaborate with cross-functional teams to align business strategies with company objectives. Provide strategic recommendations on market expansion, customer acquisition, and operational efficiencies. Monitor key performance indicators (KPIs) and adjust strategies to maximize success. Identify and mitigate potential risks while exploring new business opportunities. What We're Looking For: Proven experience in business strategy, growth consulting, or a related field. Strong analytical and problem-solving skills with expertise in market analysis. Ability to develop and execute scalable growth strategies. Excellent communication and presentation skills. Experience working with executive leadership to drive business decisions. Perks & Benefits: Professional development and continuous learning opportunities. Health insurance and retirement plans. Performance-based bonuses and recognition programs. Leadership growth and career advancement opportunities. 🚀 Ready to Drive Business Growth? If you're passionate about helping businesses scale and succeed, apply today! Join us and be a key player in shaping innovative growth strategies. Your journey as a Claims Negotiation Specialist starts here-let's unlock new opportunities together!

Sign On Bonus: $1,000 **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 This position is not eligible for employment based sponsorship. **Ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria.** PRIMARY DUTIES: + Review medical record documentation in support of Evaluation and Management, CPT, HCPCS and ICD-10 code. + Reviews company specific, CMS specific, and competitor specific medical policies, reimbursement policies, and editing rules, as well as conducting clinical research, data analysis, and identification of legislative mandates to support draft development and/or revision of enterprise reimbursement policy. + Translates medical policies into reimbursement rules. + Performs CPT/HCPCS code and fee schedule updates, analyzing each new code for coverage, policy, reimbursement development, and implications for system edits. + Coordinates research and responds to system inquiries and appeals. + Conducts research of claims systems and system edits to identify adjudication issues and to audit claims adjudication for accuracy. + Perform pre-adjudication claims reviews to ensure proper coding was used. + Prepares correspondence to providers regarding coding and fee schedule updates. + Trains customer service staff on system issues. + Works with providers contracting staff when new/modified reimbursement contracts are needed. **Minimum Requirements:** Requires a BA/BS degree and a minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background. Certified Professional Coder (CPC) or Registered Health Information Administrator (RHIA) certification required. **Preferred Skills, Capabilities and Experience:** + CEMC, RHIT, CCS, CCS-P certifications preferred. 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.

We offer a merit-based work-from-home program based on job responsibilities. After initial training in-person, you could have the flexibility of work-from-home time as defined by the leadership team. Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to: * Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. * Study insurance policies, endorsements, and forms to develop an understanding of insurance coverage. * Follow claims handling procedures and participate in claim negotiations and settlements. * Deliver a high level of customer service to our agents, insureds, and others. * Devise alternative approaches to provide appropriate service, dependent upon the circumstances. * Meet with people involved with claims, sometimes outside of our office environment. * Handle investigations by telephone, email, mail, and on-site investigations. * Maintain appropriate adjuster's license(s), if required by statute in the jurisdiction employed, within the time frame prescribed by the Company or statute. * Handle complex and unusual exposure claims effectively through on-site investigations and through participation in mediations, settlement conferences, and trials. * Handle confidential information according to Company standards and in accordance with any applicable law, regulation, or rule. * Assist in the evaluation and selection of outside counsel. * Maintain punctual attendance according to an assigned work schedule at a Company approved work location. Desired Skills & Experience * A minimum of three years of insurance claims related experience. * The ability to organize and conduct an investigation involving complex issues and assimilate the information to reach a logical and timely decision. * The ability to effectively understand, interpret and communicate policy language. * The dissemination of appropriate claim handling techniques so that others involved in the claim process are understanding of issues. Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent compensation/benefits package. Along with a competitive base salary, matched 401(k), fully-funded pension plan (once vested), and bonus programs, Auto-Owners also provides generous paid time off including holidays, vacation days, personal time, and sick leave. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-DNI

Description As a Warranty Claims Specialist, you will be responsible for processing, analyzing, and resolving warranty claims while providing an excellent service experience to customers and internal partners. The ideal candidate demonstrates exceptional attention to detail, communication skills, and a strong sense of accountability. Key Responsibilities: Review, evaluate, and process warranty claims according to company policies and manufacturer guidelines Communicate with customers, vendors, dealers, and internal teams to gather necessary documentation and clarify claim details Investigate and resolve claims discrepancies; escalate complex issues as needed Maintain accurate claim records and ensure compliance with audit standards Monitor claim statuses and drive timely resolution of open issues Analyze claims trends to identify potential product or process improvements Provide guidance and updates to customers on the status of their claims Collaborate with technical and customer service teams to ensure a seamless client experience Requirements High school diploma or equivalent required; associate's or bachelor's degree preferred 2+ years of experience in warranty administration, claims processing, or a related field Strong organizational and multitasking abilities with keen attention to detail Excellent written and verbal communication skills Proficient with Microsoft Office Suite and experience with database or claims management systems Robert Half is the world's first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles. Robert Half works to put you in the best position to succeed. We provide access to top jobs, competitive compensation and benefits, and free online training. Stay on top of every opportunity - whenever you choose - even on the go. Download the Robert Half app (https://www.roberthalf.com/us/en/mobile-app) and get 1-tap apply, notifications of AI-matched jobs, and much more. All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information. © 2025 Robert Half. An Equal Opportunity Employer. M/F/Disability/Veterans. By clicking "Apply Now," you're agreeing to Robert Half's Terms of Use (https://www.roberthalf.com/us/en/terms) .

Apply now Work Type: Hybrid Working Employment Type: Permanent Job Description: Key Responsibilities Product / Domain Knowledge * Possesses interpretive knowledge on the domain and works from the operations and technology perspective. * To have e2e knowledge on the functionality of TP & workflow system relevant to the process handled. * Complete understanding of risk points in the product. * Should have the skill set to identify the potential risk areas and put controls in the process handled. * Provides guidance and clarification to others on principles & products * Socialization to the team on the changes in process on account of new product roll out / change in policy...etc * Explains how principles apply to work activity * Should ensure the process note and policy documents are in sync with the practice followed by team. * Obtains feedback, develops or recommends changes to policies and procedures * Analyze / Get feedback from the team on the existing policies and any changes to the current practice should be highlighted to country / PDU team. * Handles exceptions which are complex, is able to judge to a fair degree the consequences of the exceptions. * An awareness of linkages with other products/ process, linkages with various systems, hub resources and country resources. * Should possess the skill set to do a comparitive study on the process / approach handled at different countries and adapt best practice * Able to relate how each one of it impacts and correlate to each other. * Department Operating Instructions / Process note review and signoff * Vendor visits and reviews of their processes as required. Process Management * Identify and eliminate process waste (excessive movement & transportation, wait time, defects, underutilized people/resources & non value-added processing steps). * To conduct process reviews to eliminate the non-value-added processing steps. * Review the process e2e and update in the share point for any further opportunity / defects in the process * Assess process health through key metrics * To perform periodical KCSA checks to check on process adherence * Analyses and remedies inefficiencies in processes * Ensure updated DOI's and end to end system / process manual on a regular basis. * Advises on multiple processes and trains staff. * Instil in team the sense of urgency for change * Makes decisions on area of control and can identify issues that need to be escalated * Expertise in KYC/CDD processes. Capacity Planning * Ability to categorize and to quantify the work plans to suit the SLA requirements * Review cycle times for correctness of input * Develop capacity model for projection of FTE requirements. * Comprehensively describes approach to capacity management and reasons behind it, and applies this approach across a broad range of platforms while taking ownership for their capacity management * Defines and mitigates capacity risks * Displays flexibility in altering plans to achieve objectives or adapt to situations. Operational risk Management * Analyses, interprets and monitors operations risk and suggests mitigation techniques to reduce such risk * Check inherent risk of product and process in the operating environment and demonstrate support for the internal program through behaviour, presentations, and discussions * Able to identify early warning signals and to initiate remedial action. * Able to anticipate and detect fraud and take preventive measures keeping the global fraud environment in mind. * Establish prevention and detection internal controls with an end-to-end perspective (from transaction to customer), which address potential risks of inefficiency, ineffectiveness, fraud, abuse or mismanagement * Use of internal/external audit findings to further improve service excellence * Promote & enable a culture of audit readiness at all times in order to ensure no failed audits * Instructs others in the area of operations risk assessment and monitoring Behavioural Capabilities Precision Accuracy * Executes tasks and assignments accurately within team and self * Possesses ability to differentiate between quality and excellence in the real time BAU activities * Able to provide solutions and ideas to bring down errors. * Create an error free culture by leveraging behavioural recognition, system requirements and other pressure points * Create a collaborative mindset towards driving quality work Client Centric * Takes ownership of team goals and organizational goals in addition to their own * Good understanding of customer's requirements and what's generally offered by other similar set-ups. * Able to generate improvement ideas from indicators and drive the team to achieve same. * Is able to network with customers and able to manage expectations * Is able to serve customer with high quality service within boundaries of policies and procedures without compromising on mandated procedures and able to convince customers on exceptions * Is courageous to communicate to the customer on negative trends of service and actual root causes Communication * Shares critical information in a timely and effective manner * Possess ability to understand differences in the target audience and accordingly modifies the communication style across differing cultures. * Possess negotiation skills to achieve common goals. * Be spontaneous in communication and handle criticisms effectively * Displays ability to train on communication skills Problem Resolution * Able to identify and highlight both obvious and underlying problems and identify/implement actions to resolve same. * Able to guide team members in managing problems and apply controls to minimize recurrence * Able to handle conflicts through negotiation, collaboration and accommodation * Uses tools such as flow charts, Fish Diagram, etc to disclose meaningful patterns in data * Be sensitive to cultural differences so that there are no conflicts based on diversity * Drives an environment for finding solutions * Take courageous decision * Mentors others to be solution oriented * Involve stakeholders in managing issues * Risk Takers and push back, when warranted Managerial Capabilities Stakeholder Management * Know your stakeholders and their goals * Instil in your team a customer centric approach and develop a no-tolerance approach toward sloppy customer interactions * Constantly engage stakeholders in any changes envisaged and Manage expectations and concerns * Able to deliver meaningful MIS on areas of vital interest to stakeholders * Be a central bridge between stakeholders and the team * Serving on committees with members from across different functions * Attending professional / trade association meetings People Management * Sponsors and develops (e.g. coaches, mentors) key employees to build bench strength and ensure adequate succession planning * Ability to ensure people engagement as evidenced by My Voice. Ability to negotiate performance ratings and have courageous conversations. * Ability to work with matrix reporting relationship * Develops short and long-term career development plans with employees * Builds teams using appropriate structures e.g. cross-functional, project team Change Management * Able to contribute to the design of business process change and facilitate the changes required * Creates clear accountability for change in measurable terms and integrates it into performance management * Clearly communicates and develops shared reasons for change initiatives, mobilizes commitment, introduces changes to systems and structures and actively monitors progress * Analyses and evaluates the success, failure and risk in the change process at a business or country level * Analyses and evaluates the success, failure and risk in the change process at a business or country level * Able to convince others of the need to change and instil in team the sense of urgency for change Project Management * Understands the basic project management concepts, able to lead a medium-sized project team and able to interact with parties outside the team to pursue actions * Able to liaise with all stakeholders and teams working on the project in terms of following up actions and contribute when issues / concerns arise * Takes independent action to change the direction of events. * Ensures there are regular reviews, there is accountability, and that management of projects, stakeholders and suppliers are in place. * Verifies and validates the project ensuring adherence to standards and alignment with the vision. Financial and Budgetary Management * Applies internal financial processes/systems effectively (e.g. planning expenses and allocating funds appropriately, processing invoices, control) * Takes a stand on control reports and justifies deviations from budget * Ability to contribute ideas to influence trends which create sustainable cost advantages and * scale efficiencies Data Analytics * Ability to analyse the complex information in hand and identify risks involved which could have been overlooked / camouflaged. * Able to analyse the trends and patterns in the unit (Volume, capacity, performances & errors) * Able to interpret the ratio analysis of the key elements in the units * Ability to read and interpret the system reports to identify any out of pattern trends in the units / system * Ability to provide information / suggest based on the trends & pattern analysis for system / process enhancements. * Ability to evaluate data using analytical and logical reasoning to examine each component of the data provided for the purpose of drawing conclusions to help decision making. Strategy Formulation & Implementation * Has a good understanding of what the strategies and tactical goals of the organization are * Able to execute given actions that will contribute towards achieving business strategies * Provides ground level inputs to fit for purpose plans and upward feedback as a reality check for implementation * Able to drive business goals among team members as per action plan and timelines percolated down * Builds informal relationships across units to ensure best implementation processes are used and to reduce duplication Regulatory & Business Conduct * Display exemplary conduct and live by the Group's Values and Code of Conduct. * Take personal responsibility for embedding the highest standards of ethics, including regulatory and business conduct, across Standard Chartered Bank. This includes understanding and ensuring compliance with, in letter and spirit, all applicable laws, regulations, guidelines and the Group Code of Conduct. * Effectively and collaboratively identify, escalate, mitigate and resolve risk, conduct and compliance matters. Key stakeholders * Country and internal and external stake holders Qualifications * Greater Than 10 Years Of Work Experience With Below Skills Sets * People Management Skills * Stake Holder Management * Communication Skills * Decision Making Skills and Experience * MS Excel / Power point * Analytical Skill Competencies Action Oriented Collaborates Customer Focus Manages Ambiguity Nimble Learning Technical Competencies: This is a generic competency to evaluate candidate on role-specific technical skills and requirements About Standard Chartered We're an international bank, nimble enough to act, big enough for impact. For more than 170 years, we've worked to make a positive difference for our clients, communities, and each other. We question the status quo, love a challenge and enjoy finding new opportunities to grow and do better than before. If you're looking for a career with purpose and you want to work for a bank making a difference, we want to hear from you. You can count on us to celebrate your unique talents and we can't wait to see the talents you can bring us. Our purpose, to drive commerce and prosperity through our unique diversity, together with our brand promise, to be here for good are achieved by how we each live our valued behaviours. When you work with us, you'll see how we value difference and advocate inclusion. Together we: * Do the right thing and are assertive, challenge one another, and live with integrity, while putting the client at the heart of what we do * Never settle, continuously striving to improve and innovate, keeping things simple and learning from doing well, and not so well * Are better together, we can be ourselves, be inclusive, see more good in others, and work collectively to build for the long term What we offer In line with our Fair Pay Charter, we offer a competitive salary and benefits to support your mental, physical, financial and social wellbeing. * Core bank funding for retirement savings, medical and life insurance, with flexible and voluntary benefits available in some locations. * Time-off including annual leave, parental/maternity (20 weeks), sabbatical (12 months maximum) and volunteering leave (3 days), along with minimum global standards for annual and public holiday, which is combined to 30 days minimum. * Flexible working options based around home and office locations, with flexible working patterns. * Proactive wellbeing support through Unmind, a market-leading digital wellbeing platform, development courses for resilience and other human skills, global Employee Assistance Programme, sick leave, mental health first-aiders and all sorts of self-help toolkits * A continuous learning culture to support your growth, with opportunities to reskill and upskill and access to physical, virtual and digital learning. * Being part of an inclusive and values driven organisation, one that embraces and celebrates our unique diversity, across our teams, business functions and geographies - everyone feels respected and can realise their full potential. Apply now Information at a Glance * * * * *

Family Health Care is currently seeking applications for the position of Pharmacy 340B Claims Specialist! General Function: This position functions at the highest level (III) in the series of Pharmacy Technician roles within Family Health Care. The individual in this role is a "work-leader" serving as the expert on prescription claims reimbursement and performing self-auditing for the pharmacy department. This individual will ensure prescription claim integrity by having advanced knowledge of claim requirements for the various pharmacy benefit managers (PBM) and shall use that information to identify areas of improvement by performing targeted claim audits and will provide education to the pharmacy staff on billing requirements, when needed. Responsibilities: * Acts as pharmacy claims auditor and will audit claims daily into order to track claims accuracy, trends, anomalies and other critical information to help BFHC ensuring appropriate reimbursement while mitigating organizational risk for claims remediations resulting from claim processing errors. * Acts as pharmacy 340B claims auditor and audits claims on a scheduled basis into order to track 340B claims accuracy, trends, anomalies, and other critical information to help BFHC maintain 340B claim integrity while ensuring adherence to 340B policies, procedures, rules and regulations. * Ensures timely and accurate billing/collections of all pharmacy charges and reimbursement activities through the use of reporting and reconciliation. * Ensures integrity if financial reports and provides necessary reports to the finance department upon request. * Assists the Chief Pharmacist and pharmacy staff in the research, development and implementation of new and existing pharmacy services. Location(s): White Cloud, MI Employment Type: Full Time Exempt/Non-Exempt: Non-Exempt Benefits: Competitive wage and excellent benefits package. FHC is an eligible organization for State and Federal Loan Repayment Programs. Family Health Care is an Equal Opportunity Employer.

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career! Job Description Daily Responsibilities: • Post cash to patient and insurance accounts for services rendered • Identify, resolve and rebalance keying errors in patient accounts • Update insurance changes, read EOB's, preform insurance verification and file up for patients Qualifications Requirements : • HS diploma or GED • 1+ year experience in billing/claims background • Strong communication and Microsoft Office skills Additional Information Hours for this Position: Full time: M-F 8am-5pm 3+month contract (project based) Interested in being Considered? If you are interested in applying to this position, please click Apply Now or reach Stephanie Z directly at 407-636-7030 ext. 220.

Adecco is hiring for a Scripts Processor in the Broadview Heights area. 1st shift Monday thru Friday. $18/hr This role ensures office visits and physical/occupational therapy appointments are scheduled and attended. Confirms physicians have all paperwork and insurance instructions and/or medical forms. Reviews medical forms indicating medical necessity for Durable Medical Equipment and makes necessary follow up calls to physicians' offices for appropriate documentation and completion of patient script. ESSENTIAL FUNCTIONS: Contacts patient with a future office visit and/or missed office or PT/OT office visit to explain the process and necessary information required by patient's insurance company Contacts physicians' office to verify patient information and follow up on required paperwork according to Medicare guidelines. Faxes and/or mails insurance forms necessary for physician to complete based on patient's Insurance. Follows up according to established procedures to confirm receipt of package and/or faxes and develops relationship with physicians' staff for return of requested forms. Analyzes responses received and determines re-evaluation needs. Accurately documenting and coding according to disease processes. Able to correctly document completed scripts and review for accuracy. Uses appropriate interpersonal skills to resolve difficult situations and maintain professional relationships. Sets a positive tone for the ongoing relationship with the physician's staff and client. Demonstrates high quality in calls and documentation of patient records. Attends and participates in team meetings and trainings. Assumes other special activities and responsibilities as requested. Daily call productivity should meet expectations as set my management. Works one (1) late shift per week and (1) Saturday per month. Works minimum 40-hour work week with required overtime as business needs dictate. JOB QUALIFICATIONS: Education/Experience/Technical Requirements High School Diploma or equivalent. Strong verbal and written communication skills. Ability to deal effectively with the public and fellow employees. Professional telephone skills. Excellent time management skills. Computer literacy in a Windows environment. Experience in the medical field a plus. PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands and work environment characteristics 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. Physical Demands: While performing the duties of this job, the employee frequently sits, uses hand to finger motion, handles or feels objects, reaches with hands and arms, climbs stairs, stands, walks and talks. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Details: $17.00 to $18.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. Collabera recognizes true potential of human capital and provides people the right opportunities for growth and professional excellence. Collabera offers a full range of benefits to its employees including paid vacations, holidays, personal days, Medical, Dental and Vision insurance, 401K retirement savings plan, Life Insurance, Disability Insurance. Job Description Position Details : Industry: (Eye Wear Company) Location: Mason - OH Job Title: Claim Processor Duration: 3 Months (possible extension) Roles and Responsibilities: • Accurately and efficiently processes manual claims and other simple processes such as matrix and bypass. • Through demonstrated experience and knowledge, process standard, non-complex claims requiring a basic knowledge of claims adjudication. Major duties and responsibilities: • Processing - Efficiently and accurately processes standard claims or adjustments • Consistently achieves key internals with respect to production, cycle time, and quality • May participate on non-complex special claims projects initiatives, including network efforts • Understands and quickly operationalizes processing changes resulting from new plans, benefit designs. • Drive client satisfaction - Works with supervisor and co-workers to provide strong customer service and communication with key customer interfaces that include EyeMed Account Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team. • Drives Key Performance Indications - Consistently meets or exceeds agreed upon performance standards in both productivity and accuracy. • Proactively works with supervisor to develop self-remediation plan when standards are not being met. Knowledge and skills: • Data entry and claims processing knowledge. Has a working knowledge of interface systems that include the EyeMed claims system, Metastorm Exclaim and EyeNet. Some basic working knowledge of software programs, specifically Excel and Access. • Understands third party benefits and administration. • Strong customer service focus. • Ability to work well under pressure and multi-task. Experience: • Claims processing/data entry experience. • Knowledge of PCs and spreadsheet applications. Education: • High school mandatory Qualifications Claims Processor Additional Information To know more about the position, please contact: Abhinav singh ************

Family Health Care is currently seeking applications for the position of Pharmacy 340B Claims Specialist! General Function: This position functions at the highest level (III) in the series of Pharmacy Technician roles within Family Health Care. The individual in this role is a “work-leader” serving as the expert on prescription claims reimbursement and performing self-auditing for the pharmacy department. This individual will ensure prescription claim integrity by having advanced knowledge of claim requirements for the various pharmacy benefit managers (PBM) and shall use that information to identify areas of improvement by performing targeted claim audits and will provide education to the pharmacy staff on billing requirements, when needed. Responsibilities: Acts as pharmacy claims auditor and will audit claims daily into order to track claims accuracy, trends, anomalies and other critical information to help BFHC ensuring appropriate reimbursement while mitigating organizational risk for claims remediations resulting from claim processing errors. Acts as pharmacy 340B claims auditor and audits claims on a scheduled basis into order to track 340B claims accuracy, trends, anomalies, and other critical information to help BFHC maintain 340B claim integrity while ensuring adherence to 340B policies, procedures, rules and regulations. Ensures timely and accurate billing/collections of all pharmacy charges and reimbursement activities through the use of reporting and reconciliation. Ensures integrity if financial reports and provides necessary reports to the finance department upon request. Assists the Chief Pharmacist and pharmacy staff in the research, development and implementation of new and existing pharmacy services. Location(s): White Cloud, MI Employment Type: Full Time Exempt/Non-Exempt: Non-Exempt Benefits: Competitive wage and excellent benefits package. FHC is an eligible organization for State and Federal Loan Repayment Programs. Family Health Care is an Equal Opportunity Employer.

Adecco is hiring for a Scripts Processor in the Broadview Heights area. 1st shift Monday thru Friday. $18/hr This role ensures office visits and physical/occupational therapy appointments are scheduled and attended. Confirms physicians have all paperwork and insurance instructions and/or medical forms. Reviews medical forms indicating medical necessity for Durable Medical Equipment and makes necessary follow up calls to physicians' offices for appropriate documentation and completion of patient script. ESSENTIAL FUNCTIONS: Contacts patient with a future office visit and/or missed office or PT/OT office visit to explain the process and necessary information required by patient's insurance company Contacts physicians' office to verify patient information and follow up on required paperwork according to Medicare guidelines. Faxes and/or mails insurance forms necessary for physician to complete based on patient's Insurance. Follows up according to established procedures to confirm receipt of package and/or faxes and develops relationship with physicians' staff for return of requested forms. Analyzes responses received and determines re-evaluation needs. Accurately documenting and coding according to disease processes. Able to correctly document completed scripts and review for accuracy. Uses appropriate interpersonal skills to resolve difficult situations and maintain professional relationships. Sets a positive tone for the ongoing relationship with the physician's staff and client. Demonstrates high quality in calls and documentation of patient records. Attends and participates in team meetings and trainings. Assumes other special activities and responsibilities as requested. Daily call productivity should meet expectations as set my management. Works one (1) late shift per week and (1) Saturday per month. Works minimum 40-hour work week with required overtime as business needs dictate. JOB QUALIFICATIONS: Education/Experience/Technical Requirements High School Diploma or equivalent. Strong verbal and written communication skills. Ability to deal effectively with the public and fellow employees. Professional telephone skills. Excellent time management skills. Computer literacy in a Windows environment. Experience in the medical field a plus. PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands and work environment characteristics 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. Physical Demands: While performing the duties of this job, the employee frequently sits, uses hand to finger motion, handles or feels objects, reaches with hands and arms, climbs stairs, stands, walks and talks. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Details: $17.00 to $18.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job DescriptionSalary: Starting at $21.00 p/hr Family Health Care is currently seeking applications for the position of Pharmacy 340B Claims Specialist! General Function: This position functions at the highest level (III) in the series of Pharmacy Technician roles within Family Health Care. The individual in this role is a work-leader serving as the expert on prescription claims reimbursement and performing self-auditing for the pharmacy department. This individual will ensure prescription claim integrity by having advanced knowledge of claim requirements for the various pharmacy benefit managers (PBM) and shall use that information to identify areas of improvement by performing targeted claim audits and will provide education to the pharmacy staff on billing requirements, when needed. Responsibilities: Acts as pharmacy claims auditor and will audit claims daily into order to track claims accuracy, trends, anomalies and other critical information to help BFHC ensuring appropriate reimbursement while mitigating organizational risk for claims remediations resulting from claim processing errors. Acts as pharmacy 340B claims auditor and audits claims on a scheduled basis into order to track 340B claims accuracy, trends, anomalies, and other critical information to help BFHC maintain 340B claim integrity while ensuring adherence to 340B policies, procedures, rules and regulations. Ensures timely and accurate billing/collections of all pharmacy charges and reimbursement activities through the use of reporting and reconciliation. Ensures integrity if financial reports and provides necessary reports to the finance department upon request. Assists the Chief Pharmacist and pharmacy staff in the research, development and implementation of new and existing pharmacy services. Location(s): White Cloud, MI Employment Type:Full Time Exempt/Non-Exempt: Non-Exempt Benefits: Competitive wage and excellent benefits package. FHC is an eligible organization for State and Federal Loan Repayment Programs. Family Health Care is an Equal Opportunity Employer.

Adecco is hiring for a Scripts Processor in the Broadview Heights area. 1st shift Monday thru Friday. $18/hr This role ensures office visits and physical/occupational therapy appointments are scheduled and attended. Confirms physicians have all paperwork and insurance instructions and/or medical forms. Reviews medical forms indicating medical necessity for Durable Medical Equipment and makes necessary follow up calls to physicians' offices for appropriate documentation and completion of patient script. ESSENTIAL FUNCTIONS: Contacts patient with a future office visit and/or missed office or PT/OT office visit to explain the process and necessary information required by patient's insurance company Contacts physicians' office to verify patient information and follow up on required paperwork according to Medicare guidelines. Faxes and/or mails insurance forms necessary for physician to complete based on patient's Insurance. Follows up according to established procedures to confirm receipt of package and/or faxes and develops relationship with physicians' staff for return of requested forms. Analyzes responses received and determines re-evaluation needs. Accurately documenting and coding according to disease processes. Able to correctly document completed scripts and review for accuracy. Uses appropriate interpersonal skills to resolve difficult situations and maintain professional relationships. Sets a positive tone for the ongoing relationship with the physician's staff and client. Demonstrates high quality in calls and documentation of patient records. Attends and participates in team meetings and trainings. Assumes other special activities and responsibilities as requested. Daily call productivity should meet expectations as set my management. Works one (1) late shift per week and (1) Saturday per month. Works minimum 40-hour work week with required overtime as business needs dictate. JOB QUALIFICATIONS: Education/Experience/Technical Requirements High School Diploma or equivalent. Strong verbal and written communication skills. Ability to deal effectively with the public and fellow employees. Professional telephone skills. Excellent time management skills. Computer literacy in a Windows environment. Experience in the medical field a plus. PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands and work environment characteristics 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. Physical Demands: While performing the duties of this job, the employee frequently sits, uses hand to finger motion, handles or feels objects, reaches with hands and arms, climbs stairs, stands, walks and talks. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Details: $17.00 to $18.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Adecco is hiring for a Scripts Processor in the Broadview Heights area. 1st shift Monday thru Friday. $18/hr This role ensures office visits and physical/occupational therapy appointments are scheduled and attended. Confirms physicians have all paperwork and insurance instructions and/or medical forms. Reviews medical forms indicating medical necessity for Durable Medical Equipment and makes necessary follow up calls to physicians' offices for appropriate documentation and completion of patient script. ESSENTIAL FUNCTIONS: Contacts patient with a future office visit and/or missed office or PT/OT office visit to explain the process and necessary information required by patient's insurance company Contacts physicians' office to verify patient information and follow up on required paperwork according to Medicare guidelines. Faxes and/or mails insurance forms necessary for physician to complete based on patient's Insurance. Follows up according to established procedures to confirm receipt of package and/or faxes and develops relationship with physicians' staff for return of requested forms. Analyzes responses received and determines re-evaluation needs. Accurately documenting and coding according to disease processes. Able to correctly document completed scripts and review for accuracy. Uses appropriate interpersonal skills to resolve difficult situations and maintain professional relationships. Sets a positive tone for the ongoing relationship with the physician's staff and client. Demonstrates high quality in calls and documentation of patient records. Attends and participates in team meetings and trainings. Assumes other special activities and responsibilities as requested. Daily call productivity should meet expectations as set my management. Works one (1) late shift per week and (1) Saturday per month. Works minimum 40-hour work week with required overtime as business needs dictate. JOB QUALIFICATIONS: Education/Experience/Technical Requirements High School Diploma or equivalent. Strong verbal and written communication skills. Ability to deal effectively with the public and fellow employees. Professional telephone skills. Excellent time management skills. Computer literacy in a Windows environment. Experience in the medical field a plus. PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands and work environment characteristics 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. Physical Demands: While performing the duties of this job, the employee frequently sits, uses hand to finger motion, handles or feels objects, reaches with hands and arms, climbs stairs, stands, walks and talks. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Details: $17.00 to $18.00 per hour Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable. Equal Opportunity Employer/Veterans/Disabled Military connected talent encouraged to apply To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable: The California Fair Chance Act Los Angeles City Fair Chance Ordinance Los Angeles County Fair Chance Ordinance for Employers San Francisco Fair Chance Ordinance Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.