Claim processor jobs in Kennewick, WA - 164 jobs

We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine! Your Role: Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates Input and update patient account information and document calls into the Practice Management system Special Projects: Other duties as required to support and enhance our customer/patient-facing activities Skills & Requirements: High School Diploma or GED required Availability to work 9:00 am - 6:00 pm PST Minimum of 1-2 years of previous healthcare administration or related experience required Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs) Manage/ field 60+ inbound calls per day Bilingual required (Spanish & English) Proficient knowledge of business software applications such as Excel, Word, and PowerPoint Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone Ability and openness to learn new things Ability to work effectively within a team in order to create a positive environment Ability to remain calm in a demanding call center environment Professional demeanor required Ability to effectively manage time and competing priorities #LI-SM2 ModMed Benefits Highlight: At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind. United States Comprehensive medical, dental, and vision benefits 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

Claims Specialist Program Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance! Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes. The details When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault. You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case. You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual. Qualifications What you've got * You have 0-2 years of professional experience. * A strong academic record with a cumulative 3.0 GPA preferred * You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism. * You possess strong negotiation and analytical skills. * You are detail-oriented and thrive in a fast-paced work environment. * You must have permanent work authorization in the United States. What we offer * Competitive compensation package * Pension and 401(k) savings plans * Comprehensive health and wellness plans * Dental, Vision, and Disability insurance * Flexible work arrangements * Individualized career mobility and development plans * Tuition reimbursement * Employee Resource Groups * Paid leave; maternity and paternity leaves * Commuter benefits, employee discounts, and more Learn more about benefits at ************************** A little about us As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow. We were recognized as a '2018 Great Place to Work' by Great Place to Work US, and were named by Forbes as one of the best employers in the country for new graduates and women-as well as for diversity. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information, or on any basis prohibited by federal, state, or local law. About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

Job Description Mission statement of OHIP: The overall mission of the Office of Health Insurance Programs is to optimize the health of Medicaid members by wisely using all available resources. OHIP is responsible for administering New York's Medicaid budget (approximately $65B for 2018) by collaborating with stakeholders across the health care industry including other state agencies, local and federal government agencies, providers, members, and community-based organizations. OHIP is also responsible for implementation of major initiatives including Medicaid Redesign, the Affordable Care Act, and State Administration of Medicaid. Division functions: The Division of Medical and Dental Directors (DMDD) is responsible to support and further strengthen the ability to coordinate medical and dental policy direction across all aspects of Medicaid, including managed care, fee-for-service, and waiver programs. The DMDD Bureau of Medical Review performs Medicaid operational functions including prior authorization for durable medical equipment, medical supplies, private duty nursing services, hearing aids, and out-of-state hospital and skilled nursing facility admissions. The bureau is also responsible for the review and adjudication of Medicaid claims that pend for pricing, medical review, timeliness of submissions, and adherence to Medicaid claim submission policies. Additionally, the bureau operates a call center to answer inquiries from providers and members regarding prior approval policy and status. Position Description: These positions are located within DMDD, Bureau of Medical Review, Durable Medical Equipment, Medical Supplies Prior Approval units. These positions have multiple responsibilities including, but not limited to: • Providing clerical and administrative support to the Prior Approval Units, including the preparation, organization, and assembly of Fair Hearing packets that need to be mailed to members, representatives and providers. • Reviewing Fair Hearing packets for completeness and inclusion of all required documentation prior to distribution. • Scanning and uploading all Fair Hearing documents for processing. • Processing packages for mailing within required timeframes. • Performing medical claims pricing for medical pended claims. • Reviewing invoices, applying established pricing methodologies, and performing accurate calculations in accordance with Medicaid reimbursement rules. • Entering pricing determinations and related data into the eMedNY system with high degree of accuracy and attention to detail. • Identifying discrepancies, missing documentation, or potential billing issues and escalating appropriately. • Conducting initial and basic reviews of requests for durable medical equipment and medical supplies using established criteria. • Escalating cases that fall outside of standard criteria to clinical staff (therapists, nurses, or other designated professionals) for further review and determination. • Responding to basic inquiries from providers and members via phone and email regarding prior approval status, documentation requirements, and general policy guidance in a clear, professional and courteous manner. • Adhering to established workflows, turnaround times, and performance standards to support bureau-wide service level goals. Additional Skill Level, Experience or Other Requirements: • High School Diploma or equivalent required • Experience with Microsoft Word and Excel • Proficient in the use of standard office technology • Basic knowledge of medical terminology • Ability to be flexible, innovative, and work in a team environment • Strong written and verbal communication skills • Previous claims experience preferred but not required

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $52,600.00 - $86,800.00 Target Openings 3 What Is the Opportunity? This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. This position services Insureds/Agents in and around Central and Northwest areas of Portland, OR. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. What Will You Do? * Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. * The on the job training includes practice and execution of the following core assignments: * Handles 1st party property claims of moderate severity and complexity as assigned. * Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates. * Broad scale use of innovative technologies. * Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate. * Establishes timely and accurate claim and expense reserves. * Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. * Negotiates and conveys claim settlements within authority limits. * Writes denial letters, Reservation of Rights and other complex correspondence. * Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. * Meets all quality standards and expectations in accordance with the Knowledge Guides. * Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. * Manages file inventory to ensure timely resolution of cases. * Handles files in compliance with state regulations, where applicable. * Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. * Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. * Identifies and refers claims with Major Case Unit exposure to the manager. * Performs administrative functions such as expense accounts, time off reporting, etc. as required. * Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. * May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. * Must secure and maintain company credit card required. * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. * This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience. * Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic. * Verbal and written communication skills -Intermediate. * Attention to detail ensuring accuracy - Basic. * Ability to work in a high volume, fast paced environment managing multiple priorities - Basic. * Analytical Thinking - Basic. * Judgment/ Decision Making - Basic. * Valid passport. What is a Must Have? * High School Diploma or GED and one year of customer service experience OR Bachelor's Degree. * Valid driver's license. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Supervisor II - Commercial Auto - BI to join our team. Summary: * Supervises claims adjusters and technical support staff to manage the day-to-day handling and settlement of claims, the processing and tracking of documents, making payments, tracking trends and communicating with underwriting. * A typical day will include the following: * Supervises the day-to-day activities of a claims handling unit; oversees the investigation of insurance claims. * Assures that corporate claims handling procedures and priorities are followed and that budget and productivity requirements are met. * Assures that department targets for customer service quality and priorities are met. * Participates in the hiring, training, evaluation and development of the claims staff. Qualifications: * High School Diploma; Bachelor's degree from a four-year college or university preferred. * 10 plus years related experience and/or training; or equivalent combination of education and experience. * Associate in Claims, CPCU or other industry related studies. * Experience with Windows operating system. * Basic Word processing skills. National Range : $112,165.00 - $125,360.00 Ultimate salary offered will be based on factors such as applicant experience and geographic location. PHLY locations considered: Roseville, CA / Seattle, WA / West Linn, OR. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at ***************************************** Share: mail Apply Now

Class Title: OFFICE ADMINISTRATOR IV - 29994 Skill Option: None Bilingual Option: None Salary: Anticipated Starting Salary $4,954 monthly; Full Range $4,954 - $6,894 monthly Job Type: Salaried Category: Full Time County: Cook Number of Vacancies: 1 Bargaining Unit Code: RC028 Paraprofessional Human Services Employees, AFSCME Merit Comp Code: This position is a union position; therefore, provisions of the relevant collective bargaining agreement/labor contract apply to the filling of this position. All applicants who want to be considered for this position MUST apply electronically through the illinois.jobs2web.com website. State of Illinois employees should click the link near the top left to apply through the SuccessFactors employee career portal. Applications submitted via email or any paper manner (mail, fax, hand delivery) will not be considered. Why Work for Illinois? Working with the State of Illinois is a testament to the values of compassion, equity, and dedication that define our state. Whether you're helping to improve schools, protect our natural resources, or support families in need, you're part of something bigger-something that touches the lives of every person who calls Illinois home. No matter what state career you're looking for, we offer jobs that fit your life and your schedule-flexible jobs that provide the gold standard of benefits. Our employees can take advantage of various avenues to advance their careers and realize their dreams. Our top-tier benefits and great retirement packages can help you build a rewarding career and lasting future with the State of Illinois. Position Overview Do you love making people's dreams come true? The Illinois Lottery is hiring a Chicago Claims Manager in the Finance Division that will oversee the processing of claims and payment of Lottery winners. The successful candidate will have excellent customer service and organizational skills, with the ability to work in a very fast paced environment while speaking fluent Spanish as needed. If you are a people person who wants to make people happy, the Illinois Lottery encourages you to apply for this position. Essential Functions Serves as working supervisor for the Chicago Claims Unit. Serves as lead customer service representative. Develops, recommends, and implements new and/or revised policies and procedures affecting processing operations. Utilizes Microsoft Office products to compose letters, memos, emails, and other material to the public, players, retailers, and other providing information, answering inquiries, explaining and interpreting rules, regulations, and procedures, as pertains to the Lottery programs, games, operations, and activities. Provides direction and advice to subordinates. Serves as liaison between the Chicago office and headquarters regarding complaints and ticket problems. Performs other duties as required or assigned which are reasonably within the scope of duties enumerated above. Minimum Qualifications Requires knowledge skill and mental development equivalent to completion of two years study at a secretarial/business college and two years office experience; or, completion of high school and four years Office Assistant experience; or, four years independent business experience. Preferred Qualifications Prefers two (2) years of experience with office methods and procedures. Prefers two (2) years of experience preparing written communication utilizing proper grammar, spelling, and punctuation. Prefers two (2) years of experience performing basic mathematics. Prefers working knowledge of the agency's program operations, policies, rules, and regulations. Prefers two (2) years of experience utilizing Microsoft Office, Word, Excel, Teams and Outlook or comparable software. Prefers two (2) years of supervisory experience. Prefers two (2) years of experience operating manual and automated office equipment. Prefers two (2) or more years of experience delivering clear and concise communication for a variety of audiences, both verbally and in writing. Conditions of Employment Requires completion of a background check and self-disclosure of criminal history. The conditions of employment listed here are incorporated and related to any of the job duties as listed in the job description. About the Agency The Illinois Lottery operates and administers the Lottery with integrity, security, transparency, honesty and fairness. Through the sales of its products, online and in-person at over 7,000 retailers throughout the state, the Department has contributed over $23 billion to support K-12 public schools. Additionally, hundreds of millions of dollars have also been contributed to capital projects and specialty causes like Illinois veterans services, the fight against breast cancer, Multiple Sclerosis and Alzheimer's research, Special Olympics, police memorials, homeless services, STEAM education and assistance for people living with HIV/AIDS. In addition to the monetary support it provides the State, the Department champions the people of Illinois, strengthening communities through engagement with the public, players and retailers and providing safe, fun and responsible games to adults 18 and over. The Department values diversity, equity and inclusion and continuously strives to create the best workplace for Lottery employees. By utilizing the latest technology, recognizing and adapting to market and industry changes, the Illinois Lottery maximizes the value of its data through the use of predictive analytics and leverages its experience to meet the needs of the people of Illinois. The Illinois Lottery believes that Illinois is full of winners because everyone benefits from its efforts. Work Hours: Monday - Friday; 8:30am - 5:00pm Headquarter Location: 69 W Washington St, Chicago, Illinois, 60602 Work County: Cook Email: ************************** Posting Group: Legal, Audit & Compliance This title is within the Upward Mobility Program (UMP). General Program information can be found by clicking on the Upward Mobility Program link or for specific title information at UMP Titles. To utilize upward mobility contractual rights for this position, employees must apply internally and must upload a copy of the UMP grade notice to their application documents prior to submission. UMP grades can be uploaded to the Additional Documents OR Grade Documentation section of the application. This position DOES NOT contain “Specialized Skills” (as that term is used in CBAs). APPLICATION INSTRUCTIONS Use the “Apply” button at the top right or bottom right of this posting to begin the application process. If you are not already signed in, you will be prompted to do so. State employees should sign in to the career portal for State of Illinois employees - a link is available at the top left of the Illinois.jobs2web.com homepage in the blue ribbon. Non-State employees should log in on the using the “View Profile” link in the top right of the Illinois.jobs2web.com homepage in the blue ribbon. If you have never before signed in, you will be prompted to create an account. If you have questions about how to apply, please see the following resources: State employees: Log in to the career portal for State employees and review the Internal Candidate Application Job Aid Non-State employees: on Illinois.jobs2web.com - click “Application Procedures” in the footer of every page of the website. The main form of communication will be through email. Please check your “junk mail”, “spam”, or “other” folder for communication(s) regarding any submitted application(s). You may receive emails from the following addresses: ****************************** ***************************

Adjudicates claims submitted by outside purchased services for PMC's enrolled capitated population and communicates those actions. Adjusts complex claims for advanced processing needs. Responds to Customer Service Requests and resolves problem claim situations. Providence caregivers are not simply valued - they're invaluable. Join our team at Pacmed Clinics DBA Pacific Medical Centers and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: + H.S. Diploma or GED or equivalent experience in Health Care Business Administration. + 2 years in Managed Care operations. + 1 year of Claims processing experience, in a TPA, MSO, HMO, PHO or large group practice setting. + Experience with areas of specialty claim processing (COB, Adjustments, Point of Service, Home Health and Encounters). + Information systems supporting the administration of managed care products. Preferred Qualifications: + IDX healthcare software application. + CHAMPUS, Medicare and/or Medicaid benefits/programs. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally and achieving financial security. We take care of you, so you can focus on delivering our mission to advocate, educate and provide extraordinary care. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Pacific Medical Centers (PacMed) is a private, not-for-profit, primary and integrated multi-specialty health care network with outpatient clinics and primary and specialty care providers in King, Snohomish and Pierce counties. We combine decades of patient-centered care with cutting-edge technology, first-class facilities and board-certified providers. Our strong team environment and respect for our people-at all levels and from all backgrounds-allow us to provide authentic care that achieves the highest-quality patient outcomes, backed by the strong network of resources and support through our affiliation with the Providence family, including local partners like Swedish Health Services. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. For any concerns with this posting relating to the posting requirements in RCW 49.58.110(1), please click here where you can access an email link to submit your concern. Requsition ID: 404135 Company: Pacific Medical Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 3060 WA USFHP Address: WA Seattle 1200 12th Ave S Work Location: PACMED Admin Bh-Seattle Workplace Type: On-site Pay Range: $21.01 - $32.57 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Claims Specialist Program Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance! Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes. The details When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault. You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case. You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual. Qualifications What you've got You have 0-2 years of professional experience. A strong academic record with a cumulative 3.0 GPA preferred You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism. You possess strong negotiation and analytical skills. You are detail-oriented and thrive in a fast-paced work environment. You must have permanent work authorization in the United States. What we offer Competitive compensation package Pension and 401(k) savings plans Comprehensive health and wellness plans Dental, Vision, and Disability insurance Flexible work arrangements Individualized career mobility and development plans Tuition reimbursement Employee Resource Groups Paid leave; maternity and paternity leaves Commuter benefits, employee discounts, and more Learn more about benefits at ************************** A little about us As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow. We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by Forbes as one of the best employers in the country for new graduates and women-as well as for diversity. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information, or on any basis prohibited by federal, state, or local law. We can recommend jobs specifically for you! Click here to get started.

Job Description Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary Responsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, and guidelines as outlined by the company. This is a FT WFH role. Pay Range $17.00 - $19.03 hourly, DOE. *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768550&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: High School diploma or equivalent 6-12 months data entry or medical office experience preferred 10-key proficiency of 135 spm Type a minimum of 35 wpm Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred Demonstrates work habits that include punctuality, organization, and flexibility Ability to maintain balanced performance in areas of production and quality Analytical reasoning and flexibility Professional and effective written and verbal communication skills Experience with Facets platform a plus Identify all the duties and responsibilities Primary Functions: Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures. Review, analyze, and resolve claims through the utilization of available resources for moderately complex claims. Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, out of pocket, etc. Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system. Adjudication of claims to achieve quality and production standards applicable to this position. Release claims by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards. Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements. Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Moda's standard workweek is a 37.5 hour work week. Working Conditions & Contact with Others: Office environment with extensive close PC and keyboard work with constant sitting. Must be able to navigate multiple screens. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Moda's standard workweek is a 37.5 hour work week. Works internally with the customer service, membership accounting, and appeals departments. Works externally to support client needs. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.

Proven to Perform. From the edges of space to the bottoms of ocean, our materials are proven to perform -- and so is our team. We're hiring high performers as proven as our products. Join us. ATI is currently seeking a Quality Certification Specialist to join our facility located in Richland, Washington. This is a day shift position and typically works Monday - Friday, reporting to the Quality Manager. As a Quality Certification Specialist, you are instrumental in conducting detailed reviews of process documentation, releasing material, producing material certifications, and conducting contract reviews by extracting the critical quality elements. Work involves direct interaction with other Quality personnel, Process Engineering, Operations, and Production Planning personnel who administer orders and review data packs. In order to be successful and provide immediate impact, you will have to quickly grasp ATI's processes and work with cross-functional teams, including Operations, Engineering, and Planning. The ideal candidate will be able to work in a fast-paced environment with diverse personalities, express and challenge ideas, and communicate effectively in oral and written formats. Responsibilities Reviewing orders and producing the applicable quality, inspection, and sampling plans. Reviewing heat files to ensure process requirements have been met. Gathering and reviewing documentation, creating heat files, reviewing, and approving final material certifications. Generating certification and entering data from backup documentation on to certifications. Creating certification files and obtaining and organizing certification documentation. These items include test results, material travelers, heat treatment information furnace process data , inspection reports, sample sheets, ingot releases, etc. Checking data for completeness, accuracy, and compliance with requirements. Maintaining daily records of certification status. Interact with customers on quality issues, performance scorecards, and quality audits. Ability to assume responsibility for a portion of the quality system. Office Support with purchasing and department coordination.

Proven to Perform. From the edges of space to the bottoms of ocean, our materials are proven to perform -- and so is our team. We're hiring high performers as proven as our products. Join us. ATI is currently seeking a Quality Certification Specialist to join our facility located in Richland, Washington. This is a day shift position and typically works Monday - Friday, reporting to the Quality Manager. As a Quality Certification Specialist, you are instrumental in conducting detailed reviews of process documentation, releasing material, producing material certifications, and conducting contract reviews by extracting the critical quality elements. Work involves direct interaction with other Quality personnel, Process Engineering, Operations, and Production Planning personnel who administer orders and review data packs. In order to be successful and provide immediate impact, you will have to quickly grasp ATI's processes and work with cross-functional teams, including Operations, Engineering, and Planning. The ideal candidate will be able to work in a fast-paced environment with diverse personalities, express and challenge ideas, and communicate effectively in oral and written formats. Responsibilities Reviewing orders and producing the applicable quality, inspection, and sampling plans. Reviewing heat files to ensure process requirements have been met. Gathering and reviewing documentation, creating heat files, reviewing, and approving final material certifications. Generating certification and entering data from backup documentation on to certifications. Creating certification files and obtaining and organizing certification documentation. These items include test results, material travelers, heat treatment information furnace process data , inspection reports, sample sheets, ingot releases, etc. Checking data for completeness, accuracy, and compliance with requirements. Maintaining daily records of certification status. Interact with customers on quality issues, performance scorecards, and quality audits. Ability to assume responsibility for a portion of the quality system. Office Support with purchasing and department coordination.

This position exists within the Oregon Center for Career Development in Childhood Care and Education. The Center promotes the quality of childhood care and education for Oregon's children and families by providing a statewide career development system for practitioners. This position operates within the credentialing & certification functions of the Center at a secondary support level. Primary responsibilities of this position include: data entry of training and education documentation, verification of training and education documentation, registry application processing including screening and review; follow up & phone consultations; interpretation of policy Information, and technical assistance. Within the credentialing & certification functions, this position has responsibility for providing assistance and professional support to the coordinator of credentialing & certification. Assistance and professional support may be provided in such areas as: registry & knowledge standards; registry systems development/implementation; training records creation, training documentation verification, presentations &media packages to practitioners, work in state verification data system; work with state partners and review teams. This position works closely with the Supervisor, Coordinator, and other Center professional and support staff, in accomplishing these responsibilities. This position is grant funded through June 30, 2027. We are recruiting to fill two open positions. The positions may be renewed, contingent on grant funding.

Proven to Perform. From the edges of space to the bottoms of ocean, our materials are proven to perform -- and so is our team. We're hiring high performers as proven as our products. Join us. ATI is currently seeking a Quality Certification Specialist to join our facility located in Richland, Washington. This is a day shift position and typically works Monday - Friday, reporting to the Quality Manager. As a Quality Certification Specialist, you are instrumental in conducting detailed reviews of process documentation, releasing material, producing material certifications, and conducting contract reviews by extracting the critical quality elements. Work involves direct interaction with other Quality personnel, Process Engineering, Operations, and Production Planning personnel who administer orders and review data packs. In order to be successful and provide immediate impact, you will have to quickly grasp ATI's processes and work with cross-functional teams, including Operations, Engineering, and Planning. The ideal candidate will be able to work in a fast-paced environment with diverse personalities, express and challenge ideas, and communicate effectively in oral and written formats. Responsibilities * Reviewing orders and producing the applicable quality, inspection, and sampling plans. * Reviewing heat files to ensure process requirements have been met. * Gathering and reviewing documentation, creating heat files, reviewing, and approving final material certifications. * Generating certification and entering data from backup documentation on to certifications. * Creating certification files and obtaining and organizing certification documentation. These items include test results, material travelers, heat treatment information furnace process data, inspection reports, sample sheets, ingot releases, etc. * Checking data for completeness, accuracy, and compliance with requirements. * Maintaining daily records of certification status. * Interact with customers on quality issues, performance scorecards, and quality audits. * Ability to assume responsibility for a portion of the quality system. * Office Support with purchasing and department coordination. Basic Qualifications * Associate's Degree * In lieu of Associate's Degree, at least 1 year of quality, administration, or office experience. Preferences * Associate's Degree in science, engineering or related field preferred. * Manufacturing experience. * At least 2 years experience in a quality/document review position. Skills and Abilities * Exceptional attention to detail. * Knowledge of and ability to apply business English, Math, and basic Chemistry. * Ability to perform work in an expeditious and highly accurate manner. * Ability to learn and adapt quickly. * Proficient computer skills with Microsoft Office Suite and word processing, spreadsheet, and database applications. * Candidates must be comfortable managing conflict, change and multiples priorities in a fast-paced environment. * Strong interpersonal skills with the ability to maintain harmonious working relationships with team members. * Ability to express ideas and convey information effectively, both written and verbal. We thrive when the expectations are great, and the barriers are high. We're solving the world's most difficult challenges through materials science. Our advanced, integrated process technologies and proven performers give us a tremendous competitive advantage. When customers systems need to fly higher, dig deeper, stand stronger, and last longer -- anywhere on, above or below the earth -- ATI is proven to perform. * Total Rewards ATI has a Total Rewards package to attract and retain top talent. As part of our Total Rewards package, we offer a competitive base pay with variable additional compensation opportunities. This includes: * A top 401K plan, including company match * Health insurance (medical, dental, vision), life insurance, short and long-term disability, Accidental Death and Dismemberment, Flexible Spending Accounts, Employee Assistance Programs * 15 vacation days, along with 12 paid holidays * Performance bonus * Optional employee paid programs such as Critical Illness Insurance, Accident Insurance, and Pet Insurance Our Total Rewards program and options available to an employee may vary depending on multiple factors, including location and hire date. Hourly pay rates are based upon candidate experience and qualifications, as well as market and business considerations. Salary Range: $53,600 to $71,100+ /annually * It is ATI's policy to not provide immigration sponsorship for any of the company's positions. Due to the nature of its operations, including certain federal government contracts, ATI Specialty Alloys & Components must track -- and in some cases limit employment opportunity based on -- citizenship or immigration status. ATI and its subsidiary companies will provide equal employment opportunities to all applicants without regard to applicant's race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, veteran status, disability status, or any other status protected be federal or state law. The company will provide reasonable accommodations to allow an applicant to participate in the hiring process if so requested.

Job Description Resident Certification Specialist Department: Housing Job Status: Full Time FLSA Status: Non-Exempt Reports To: Assistant Director of Housing Grade/Level: 40 Amount of Travel Required: 25% locally Job Type: Regular Positions Supervised: None Work Schedule: Regular business hours Union: OPEIU represented position Work Location: On-site Starting Hourly Rate: $ 34.29 per hour; Union position Grade 40, Step 1 Full Hourly Range: $34.29 - 55.16 per hour Position Close Date: This position will remain open until Wednesday, February 4, 2026 at 5:00pm. Benefit package includes: Medical Insurance-BHA pays 95% for employee only or 90% for family Vision Insurance-BHA pays 95% for employee only or 90% for family Dental Insurance - 100% Covered by BHA Life and AD&D Insurance Washington State Retirement (PERS) Washington State Deferred Compensation Paid Time Off (PTO) Accrual of 150 hours in first year Washington State Paid Sick Leave - 1 hour for every thirty hours worked (approx. 69 hours per year) 14 Paid Holidays per year Longevity Pay Employee Assistance Program Tuition Reimbursement Opportunities POSITION SUMMARY The Resident Certification Specialist is responsible for processing certifications for Public Housing, Multi-Family and Tax Credits eligible low-income individuals and families. Maintains close, recurring contact with tenants and landlords. Calculates financial information and changes in income and make rent adjustments, review documents, and obtain proper verifications to determine program eligibility. ESSENTIAL FUNCTIONS Reasonable Accommodations Statement To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions. Essential Function Summaries Process annual re-certifications including determining participant compliance, review annual applications, request any missing information, reconcile information in YARDI system, and show calculations of financial information. Process interim certifications for change in circumstances including receiving notification from tenant, verifying documentation, re-calculating adjusted monthly income, calculate the correct tenant rent and HAP payment, notify all parties of rent change, and input data into various systems within deadlines. Coordinate and attend in-person appointments for Tax Credit and Multi-Family properties to comply with the wet signature requirement. Act as liaison between landlords, tenants, and the community by responding to inquiries and complaints, explaining federal housing programs to both parties, and recognizing participant needs and referring them to resources in times of adversity. Process rent increases for BHA-owned and managed properties. Follow up and discuss any case violations such as unreported income, unauthorized occupant, drug activity, violent criminal activity, etc. in a timely manner. Contact tenants to discuss circumstances, update individuals on lease, notify landlord of any changes, and re-calculate income. Check change of circumstances through government resources and follow up with tenants to verify information. Determine if money is owed back to BHA or if fraud needs to be reported. Prepare termination packet for the F Drive in preparation of the determination to terminate. Process program participation terminations by writing and sending out letters with an explanation of the termination and instructions for next steps. Adhere to program deadlines and protocols and follow-up to ensure all steps have been completed. Manage a caseload that consists of several different types of housing programs and subsidy sources. Caseload includes all tenants at properties owned or managed by the Bremerton Housing Authority (500+ households). Maintain thorough knowledge and application of federal, state, and local policies, procedures, and regulations. Interpret and implement BHA policies and procedures in accordance with HUD rules and regulations. For applicable properties, responsible for a portion or all of the project-based leasing process. May receive and review applicant files, calculate participant rent and prepare the contract, track, and process vacancy payment claims, communicate the obligations and rights of participants, and prepare addendums to lease. Update all lease and HAP charges on the Property Management side of Yardi. Track and implement renewal schedules for each portfolio and ensure compliance to the 120-day recertification period. Maintain tenant files including document imaging and electronic filing. Maintain complete, accurate and timely records in Yardi. Schedule appointments and visits with the different offices. Maintain scheduled hours at different properties. POSITION QUALIFICATIONS Required Education and Experience Education: High School Graduate or General Education Degree (GED): Required Associate degree (two-year college or technical school) Preferred, Field of Study: Business, Public Administration, Accounting, or related field. Experience: 4 plus years of experience in customer service or social services including working with individuals under stress. 4 plus years of experience in office work with substantial writing and intermediate to advanced business math skills and tasks. Strongly prefer experience in affordable housing or property management. Bremerton Housing Authority has the discretion to accept any other equivalent combination of education and experience when relevant. Computer Skills: Experienced user of Microsoft Office programs, including Excel, Word, and Outlook. This role routinely uses standard office equipment such as computers, phones, photocopiers, ten-key machines and fax machines. Certifications & Licenses: Housing Choice Voucher Specialist Certificate and Certified Occupancy Specialist Certificate for HUD Multifamily or be able to acquire these within one year of employment. Other Requirements: Must be able to handle high-volume, fast-paced work with tremendous attention to detail in the midst of multi-tasking, being organized, and meeting multiple deadlines. Must have the ability to obtain within the first four months in the position in-depth working knowledge and the ability to administer housing programs, policies, and procedures in accordance with HUD and federal, state, and local laws. Required Competencies Active Listening - Ability to actively attend to, convey, and understand the comments and questions of others. Accuracy - Ability to perform work accurately and thoroughly. Assertiveness - Ability to act in a self-confident manner to facilitate completion of a work assignment or to defend a position or idea. Communication, Oral - Ability to communicate effectively with others using the spoken word. Communication, Written - Ability to communicate in writing clearly and concisely. Customer Oriented - Ability to take care of the customers' needs while following company procedures. Detail Oriented - Ability to pay attention to the minute details of a project or task. Honesty / Integrity - Ability to be truthful and be seen as credible in the workplace. Initiative - Ability to make decisions or take actions to solve a problem or reach a goal. Interpersonal - Ability to get along well with a variety of personalities and individuals. Mathematics - Accurately perform basic computations and approach practical problems by choosing appropriately from a variety of mathematical techniques. Motivation - Ability to inspire oneself and others to reach a goal and/or perform to the best of their ability. Organized - Possessing the trait of being organized or following a systematic method of performing a task. Problem Solving - Ability to find a solution for or to deal proactively with work-related problems. Tactful - Ability to avoid being offensive when communicating with others, maintain diplomatic relations or good customer services, and show consideration for others with diverse backgrounds. Technical Aptitude - HUD Affordable Housing Programs - Technical aptitude: Ability to comprehend complex technical knowledge and terminology of HUD affordable housing programs, such as Housing Choice Vouchers, Public Housing and Low-Income Tax Credit, and accurately follow applicable federal, state, and local laws. Time Management - Ability to utilize the available time to organize and complete work within given deadlines. Working Under Pressure - Ability to complete assigned tasks under stressful situations. WORK ENVIRONMENT This is primarily an office position. The employee primarily sits at a desk but has the opportunity to move about at will. Hand-eye coordination is necessary to operate various types of office equipment. The employee will occasionally lift and carry up to 20 pounds. PHYSICAL DEMANDS N (Not Applicable) Activity is not applicable to this position. O (Occasionally) Position requires this activity up to 33% of the time (0 - 2.5+ hrs/day) F (Frequently) Position requires this activity from 33% - 66% of the time (2.5 - 5.5+ hrs/day) C (Constantly) Position requires this activity more than 66% of the time (5.5+ hrs/day) Physical Demands Lift/Carry Stand O 10 lbs or less O Walk O 11-20 lbs O Sit F 21-50 lbs N Manually Manipulate F 51-100 lbs. N Reach Outward O Reach Above Shoulder O Push/Pull Climb N 12 lbs or less O Crawl N 13-25 lbs O Squat or Kneel N 26-40 lbs. N Bend O 41-100 lbs N Grasp O Speak F Other Physical Requirements • Vision (Near) • Sense of Sound - listening to instructions and customer comments The Housing Authority of the City of Bremerton (BHA) has reviewed this position outline to ensure that essential functions and basic duties have been included. It is intended to provide guidelines for job expectations and the employee's ability to perform the position described. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Review the job analysis or desk manual for greater details about the types of tasks being performed in this position. This document does not represent a contract of employment, and BHA reserves the right to change this position outline and/or assign tasks for the employee to perform, as the company may deem appropriate. Equal Employment and Housing Opportunity Barrier Free Bremerton Housing Authority does not discriminate on the basis of race, color, creed, national origin, religion, disability, sex, sexual orientation, age (over 40), military status, whistleblower retaliation, or familial status in admission and access to its programs. To request a reasonable accommodation for work related reasons, contact the HR office at ************. To request a reasonable accommodation for housing, contact a BHA Section 504 Coordinator at ************

TITLE: RN Ongoing Certifications Specialist Clinical Education Leader DEPARTMENT: Clinical Education DATE LAST REVIEWED: September, 2025 OUR VISION: Creating America's healthiest community, together OUR MISSION: In the spirit of love and compassion, better health, better care, better value OUR VALUES: Accountability, Caring and Teamwork DEPARTMENTAL SUMMARY: The Clinical Education Department is a system-wide support service that provides education, clinical practice support, and professional development opportunities for nursing, allied health, medical staff, and community partners at St. Charles Health System. This integrated department delivers services across multiple domains, including: Clinical Practice & Professional Development (CPPD): Onboarding/Orientation, Competency Management, Continuing Education, Professional Role Development, Collaborative Partnerships, and American Heart Association Training Center. Medical Education: Graduate and undergraduate medical education, residency and fellowship programs, student clinical rotations, and partnerships with academic institutions. Continuing Medical Education (CME): Accredited continuing education programming for medical staff, ensuring alignment with national standards and maintenance of licensure requirements. Medical Library: Provision of evidence-based resources, research support, and clinical information services. Area Health Education Center (AHEC): Collaboration with community partners to strengthen the healthcare workforce pathway in Central Oregon and the Pacific Northwest. POSITION OVERVIEW: The Ongoing Certifications Specialist RN develops, implements, and oversees, in collaboration with subject matter experts and leadership the following programs: TNCC, AHA Training Center, RQI System, Procedural Skills courses, simulations, and mannequin management for all clinical areas within SCHS to meet the needs of SCHS. This position does not directly manage other caregivers. ESSENTIAL FUNCTIONS AND DUTIES: Recruits and coordinates contracted instructors for TNCC, AHA courses, and other Clinical Education facilitated classes. Serves as the designated coordinator for the American Heart Association (AHA) Training Center, overseeing course scheduling, instructor support, and issuance of certification cards in compliance with AHA guidelines. Supports Resuscitation Quality Improvement Program (RQI) functions, including caregiver registration, equipment maintenance, and troubleshooting in collaboration with RQI Support. Designs, implements, and facilitates experiential learning programs using simulation equipment and mannequins in partnership with clinical leaders. Develops advanced simulation scenarios informed by hospital performance metrics and quality improvement measures, ensuring alignment with organizational priorities, regulatory standards, and evidence-based practice. Establishes and maintains simulation policies, procedures, and safety protocols in compliance with hospital and regulatory requirements. Programs, operates, and monitors high-fidelity manikins to ensure realistic physiological responses during simulations. Defines metrics, tracks outcomes, and prepares reports to evaluate program effectiveness. Supports specialty courses, including FCCS (Society for Critical Care Medicine), ALSO (American Academy of Family Physicians), and ATLS (American College of Surgeons). Maintains required instructor/director credentials with national accrediting bodies. Operates, maintains, and repairs simulation technology, coordinating with vendors as necessary. Serves as a subject matter expert in simulation education, mentoring faculty, preceptors, and staff in facilitation and debriefing best practices. Collaborates with hospital and system leaders to assess learning needs, develop curricula, and align education programs with strategic initiatives. Procures, prepares, and manages medical equipment and supplies for course delivery. Designs and builds task trainers for low-volume procedures. Works with Medical Staff Services and CME to monitor expiring provider privileges and schedule training to maintain compliance. Collaborates with Undergraduate Medical Education (UME) to ensure medical students receive simulation and hands-on training to meet AAMC Core Entrustable Professional Activities standards. Supports simulation-based research and scholarship; collects and manages data per IRB protocols. Stays current with simulation research and emerging technologies to advance program development. Troubleshoots technical issues independently and escalates complex issues as needed. Facilitates and debriefs interprofessional simulation sessions to strengthen critical thinking, communication, and teamwork. Supports the vision, mission and values of the organization in all respects. Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. May perform additional duties of similar complexity within the organization, as required or assigned. Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. EDUCATION Required: Bachelor's in Nursing from an accredited college or university. Preferred: Master of Science in Nursing & Healthcare Simulation . LICENSURE/CERTIFICATION/REGISTRATION Required: Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing. Current American Heart Association (AHA) Provider BLS or obtain certification within 90 days of hire. Preferred: ANPD specialty or simulation certification upon hire or agree to obtain when eligible. EXPERIENCE Required: Minimum of four (4) years of progressively responsible nursing experience is required, including 2 years experience as a Nurse Educator at the unit or hospital system level (or equivalent). Candidates must demonstrate proficiency with diverse teaching methodologies, accrediting bodies for nursing excellence (such as ANCC), shared governance, and clinical professional advancement systems. Expertise in healthcare simulation, including scenario design, facilitation, and debriefing-with familiarity in both high- and low-fidelity modalities is also required. Preferred: Program management experience. 4 years of experience as a clinical educator, simulation specialist, or equivalent role. Comfortability with using Laerdal and Gaumard simulators and software. PERSONAL PROTECTIVE EQUIPMENT Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely. ADDITIONAL POSITION INFORMATION: Knowledge, Skills, and Abilities General Applies the nursing code of ethics, professional guidelines, and Nursing Professional Development standards to practice. Serves as a resource and functions as an educator, leader, consultant, facilitator, mentor, advocate, researcher, and change agent. Designs, implements, evaluates, and revises professional development and continuing education programs for nursing, allied health, and physicians at unit and system levels. Develops curricula grounded in adult learning principles, evidence-based practice, and accreditation/regulatory requirements. Evaluates and documents staff competencies, identifying strengths, gaps, and opportunities for growth. Demonstrates knowledge of nursing and allied health theories, emerging practices, healthcare systems, and accountability for outcomes. Understands laws, regulations, accreditation standards, hospital policies, and professional ethics including patient rights and confidentiality. Applies knowledge of medical terminology, health promotion, disease prevention/management, and pharmacology basics. Utilizes educational technology, computer systems, and databases to support program delivery and tracking. Employs project management skills and works effectively in multidisciplinary teams. Collaborates with departments and partners (e.g., Supply Chain, HR, Infection Prevention, Clinical Informatics, Compliance, AHEC, CME, Research) to address clinical education needs. Communication/Interpersonal Must have excellent verbal and written communication skills and ability to interact with a diverse population and professionally represent SCHS. Ability to effectively interact and communicate with all levels within SCHS and external customers/clients/potential employees Strong team working and collaborative skills Ability to work under pressure in a fast-paced environment Organizational Ability to multi-task and work independently. Attention to detail. Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions. Strong analytical, problem solving and decision making skills. Excellent organizational and multi-tasking skills. Computer Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office, Database management. PHYSICAL REQUIREMENTS: Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level. Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation. Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing, or pulling 1-10 pounds, grasping/squeezing. Climbing ladder/step-tool, lifting/carrying/pushing, or pulling 25-50 pounds, ability to hear whispered speech level. Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing, or pulling 11-15 pounds, operation of a motor vehicle. Exposure to Elemental Factors Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface. Blood-Borne Pathogen (BBP) Exposure Category No Risk for Exposure to BBP Schedule Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America) Is Exempt Position? Yes Job Family: NON CONTRACT RN SPECIALIST Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 8:00am - 5:00pm

Ingram Content Group (ICG) is hiring Library Processor to contribute to our Library team in Roseburg, OR. Want to join a key team that helps the world read? At Ingram, the Operations team serves a key role within the organization. We ensure that our distribution centers and warehouse facilities function at maximum efficiency. Safety is a core value in our distribution environment. We emphasize this through training, education and accident prevention programs. Process Improvement is another core value, and through innovations such as voice and Radio Frequency (RF) technologies, as well as feedback from our associates, we work toward constant improvement. The world is reading, and it is our goal to connect as many people to the content they want in the simplest ways. If you want to be part of a customer-centric team that strives for excellence, collaboration, innovation, we can't wait to meet you! Schedule: Start time can vary 6am or 7am start time -day shift What You'll Need: 6 months work experience in at least one previous job 6 months work experience which included walking, standing, lifting/carrying, pushing/pulling, gripping/grasping, bending, squatting/kneeling, twisting/turning, climbing, crawling, reaching above shoulders, typing/keyboard Essential Duties: Attaches spine labels to book or compact discs Sorts cards and labels Attaches Mylar/ Kapco covers to jackets Performs Stamping, Theft ID Performs Auditing Essential Physical Demands: Ability to walk and stand during the assigned shift as needed Ability to lift in full range of motion up to 60lbs during the assigned shift - 10lbs or less continuously and 11-60lbs occasionally Ability to push/pull in a warehouse environment up to 70lbs force to push occasionally Ability to grip/grasp continuously during the assigned shift Ability to bend, squat/kneel, twist/turn, climb, crawl, reach above shoulder, and type/keyboard frequently during the assigned shift Ability to work designated shift including overtime as required, which could include time before or after the designated shift and/or weekends Exposure to wide range of temperatures Ingram Content Group Inc. is the world's largest and most trusted distributor of physical and digital content. Thousands of publishers, retailers, and libraries worldwide use our products and services to realize the full business potential of books, regardless of format. Ingram has earned its lead position and reputation by offering excellent service and creating innovative, integrated solutions. Our customers have access to best-of-class digital, audio, print, print-on-demand, inventory management, wholesale and full-service distribution programs. Qualifications Additional Information Why You'll Love Working for ICG: Casual dress code Convenient location Great benefits available on start date Employee discounts up to 40% on book orders The world is reading and Ingram Content Group (“Ingram”) connects people with content in all forms. Providing comprehensive services for publishers, retailers, libraries and educators, Ingram makes these services seamless and accessible through technology, innovation and creativity. With an expansive global network of offices and facilities, Ingram's services include digital and physical book distribution, print-on-demand, and digital learning. Ingram Content Group is a part of Ingram Industries Inc. and includes Ingram Book Group LLC, Ingram Publisher Services LLC, Lightning Source LLC, VitalSource Technologies LLC, Ingram Library Services LLC, and Tennessee Book Company LLC. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, work related mental or physical disability, veteran status, sexual orientation, gender identity, or genetic information. EEO/AA Employer/Vet/Disabled We participate in EVerify. EEO Poster in English EEO Poster in Spanish

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.

Under limited supervision and established practices, responsible for the investigation, evaluation, and disposition of Complex Workers Compensation cases of high exposure and severity. Applies established medical management strategies on high dollar complex claims. Has developed high level of knowledge of Workers Compensation claims handling techniques, a full knowledge of LMG claims procedures and is cognizant of new industry trends and claim handling techniques Uses available data to track claims trends and other claim related metrics. Candidates should be based in California with California Self-Insured Certification or based in West Region with experience in handling Alaska Workers Compensation claims. The salary range posted reflects the range for the varying pay scale that encompasses each of the Liberty Mutual regions and the overall cost of living for that region. Responsibilities * Investigates claims to determine whether coverage is provided, establish compensability and verify exposure. * Resolves claims within authority and makes recommendations regarding case value and resolution strategy to Branch Office Management and HO Examining on cases which exceed authority. * Participates in pricing, reserving and strategy discussions with HO Examining and Examining Management. * Works closely with staff and outside defense counsel in managing litigated files according to established litigation management protocols. * Identifies and appropriately handles suspicious claims and claims with the potential to develop adversely. * Identifies and appropriately handles claims with third party subrogation potential, SIF (Self-Insured Fund) and MSA (Medicare Set Aside) exposure. * Establishes and maintains accurate reserves on all assigned files. * Makes timely reserve recommendations to Branch Office Management and HO Examining on cases which exceed authority. * Prepares for and attends mediation sessions and/or settlement conferences and negotiates on behalf of LMG and LMG Insureds. * Demonstrates the ability to understand new and unique exposures and coverages. * Demonstrates the ability to understand key data elements and claims related data analysis. * Confers directly with policyholders on coverage and resolution strategy issues. * Coordinates and participates in training sessions for less experienced staff, including both Complex Non-Complex staff. Qualifications * A bachelor's degree or equivalent business experience is required * In addition, the candidate will generally possess 5-7 years of related claims experience with 1-2 years of experience in complex claims * Demonstrated proficiency in Excel, PowerPoint as well as excellent written and verbal communication skills required About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices * California * Los Angeles Incorporated * Los Angeles Unincorporated * Philadelphia * San Francisco

Let's do great things, together! About Moda Founded in Oregon in 1955, Moda is proud to be a company of real people committed to quality. Today, like then, we're focused on building a better future for healthcare. That starts by offering outstanding coverage to our members, compassionate support to our community and comprehensive benefits to our employees. It keeps going by connecting with neighbors to create healthy spaces and places, together. Moda values diversity and inclusion in our workplace. We aim to demonstrate our commitment to diversity through all our business practices and invite applications from candidates that share our commitment to this diversity. Our diverse experiences and perspectives help us become a stronger organization. Let's be better together. Position Summary Responsible for utilizing resources efficiently for the accurate and timely entry, review, and resolution of simple to moderately complex medical claims in accordance with policies, procedures, and guidelines as outlined by the company. This is a FT WFH role. Pay Range $17.00 - $19.03 hourly, DOE. *Actual pay is based on qualifications. Applicants who do not exceed the minimum qualifications will only be eligible for the low end of the pay range. Please fill out an application on our company page, linked below, to be considered for this position. ************************** GK=27768550&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Required Skills, Experience & Education: High School diploma or equivalent 6-12 months data entry or medical office experience preferred 10-key proficiency of 135 spm Type a minimum of 35 wpm Knowledge of medical terminology, CPT codes and ICD-9/10 codes preferred Demonstrates work habits that include punctuality, organization, and flexibility Ability to maintain balanced performance in areas of production and quality Analytical reasoning and flexibility Professional and effective written and verbal communication skills Experience with Facets platform a plus Identify all the duties and responsibilities Primary Functions: Enters claims data into system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures. Review, analyze, and resolve claims through the utilization of available resources for moderately complex claims. Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, out of pocket, etc. Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system. Adjudication of claims to achieve quality and production standards applicable to this position. Release claims by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards. Reviews Policies and Procedures (P&P'S) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements. Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Moda's standard workweek is a 37.5 hour work week. Working Conditions & Contact with Others: Office environment with extensive close PC and keyboard work with constant sitting. Must be able to navigate multiple screens. Flexible schedule that may include working 5 hours of overtime on pre-determined Saturdays to meet business needs. Moda's standard workweek is a 37.5 hour work week. Works internally with the customer service, membership accounting, and appeals departments. Works externally to support client needs. Together, we can be more. We can be better. Moda Health seeks to allow equal employment opportunities for all qualified persons without regard to race, religion, color, age, sex, sexual orientation, national origin, marital status, disability, veteran status or any other status protected by law. This is applicable to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absences, compensation, and training. For more information regarding accommodations, please direct your questions to Kristy Nehler & Danielle Baker via our ***************************** email.