Claim processor jobs in Salem, OR

We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine! Your Role: Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates Input and update patient account information and document calls into the Practice Management system Special Projects: Other duties as required to support and enhance our customer/patient-facing activities Skills & Requirements: High School Diploma or GED required Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST Minimum of 1-2 years of previous healthcare administration or related experience required Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs) Manage/ field 60+ inbound calls per day Bilingual a plus (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, including a company Health Savings Account contribution, 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.

Title: Claims Processor Department: Claims Bargaining Unit: UFCW 555 Grade: 3 Non-exempt Hours per Week: 40 The Claims Processor provides customer service and processes routine health and welfare claims on assigned accounts according to plan guidelines and adhering to Company policies and regulatory requirements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by /Role." Key Duties and Responsibilities Maintains current knowledge of assigned Plan(s) and effectively applies that knowledge in the payment of claims. Processes routine claims which could include medical, dental, vision, prescription, death, Life and AD&D, Workers' Compensation, or disability. May provide customer service by responding to and documenting telephone, written, electronic, or in-person inquiries. Performs other duties as assigned. Minimum Qualifications High school diploma or GED. Six months of experience processing health and welfare claims. Basic knowledge of benefits claims adjudication principles and procedures and medical and/or dental terminology and ICD-10 and CPT-4 codes. Possesses a strong work ethic and team player mentality. Highly developed sense of integrity and commitment to customer satisfaction. Ability to communicate clearly and professionally, both verbally and in writing. Ability to read, analyze, and interpret general business materials, technical procedures, benefit plans and regulations. Ability to calculate figures and amounts such as discounts, interest, proportions, and percentages. Must be able to work in environment with shifting priorities and to handle a wide variety of activities and confidential matters with discretion Computer proficiency including Microsoft Office tools and applications. Preferred Qualifications Experience working in a third-party administrator. *Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice. Zenith American Solutions Real People. Real Solutions. National Reach. Local Expertise. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before. We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American! We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

At Legacy Health, our mission of making life better for others is at the heart of everything we do. As a Patient Business Services Specialist in Denial Management, you will help ensure that mission is fulfilled by resolving delinquent payment issues and negotiating financial arrangements. Your work helps maintain the integrity and efficiency of our claims process, allowing us to continue delivering high-quality care to our patients. This role offers a meaningful opportunity to make a difference in the healthcare industry while growing your career in a supportive, compassionate environment. Responsibilities Resolve delinquent payment issues on complex, high-dollar, or specialty accounts requiring advanced knowledge of multi-payer systems. Investigate and evaluate patient account information, medical records, billing practices, and reimbursement regulations. Analyze accounts and, using independent judgment and input from PBS leadership, determine optimal follow-up actions to maximize reimbursement. Identify and remove barriers to claims processing, including rebilling, transferring payments, requesting refunds, or correcting misapplied payments. Negotiate financial arrangements and individual contracts with third-party payers, as directed by leadership. Follow Legacy procedures for writing off balances and processing adjustments appropriately. Utilize specialized Denial Management software, author appeal letters, and collaborate with internal departments on appeal documentation. Use an extensive library of online tools, payer resources, and internal databases to support denial resolution. Serve as a resource and mentor for team members on complex or high-impact cases. Consult with external legal counsel and payer representatives; attend hearings as needed to support claims resolution. Represent the Denial Management function in monthly Revenue & Reimbursement meetings and quarterly Utilization Review meetings. Track and report payer denial trends, collected reimbursement, and appeal activity to PBS management and other Legacy departments. Coordinate meetings with internal teams to improve communication and enhance overall Revenue Cycle operations. Qualifications Education: Bachelor's Degree in business administration or healthcare operations administration. -OR- Equivalent experience required. Experience: Three years of directly applicable and progressively responsible healthcare business office experience (billing/credit/collection/denial management/appeals) required. Skills: Demonstrated negotiating, problem-solving and decision-making skills. Demonstrated understanding of complex collection issues inherent in high dollar/specialty/denied accounts. Demonstrated knowledge of multi-payor systems. Demonstrated knowledge of billing/collection rules and regulations. Knowledge of online systems for eligibility and status review of claims. Net Typing of 40 wpm and PC based computer skills. 10 key proficiency. Knowledge of medical terminology. Ability to work efficiently with minimal supervision, exercising independent judgment within stated guidelines. Demonstrated effective interpersonal skills which promote cooperation and teamwork. Ability to withstand varying job pressures and organize/prioritize related job tasks. Excellent public relations skills and demonstrated ability to communicate in calm, businesslike manner. Ability to formally present to various groups. Ability to adapt to change. Ability to produce computer-generated reports using common office tools such as Microsoft Word, Excel, Access, and Powerpoint. Pay Range USD $26.59 - USD $38.01 /Hr. Our Commitment to Health and Equal Opportunity Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing. If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply-even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed. Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law. To learn more about our employee benefits click here: ********************************************************************

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: * Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. * Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. * Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. * Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. * Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. * Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. * Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. * Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. * Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. * Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. * May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities * Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. * Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. * Demonstrated ability to develop collaborative business relationships with internal and external work partners. * Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. * Demonstrated investigative experience with an analytical mindset and critical thinking skills. * Strong work ethic, with demonstrated time management and organizational skills. * Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. * Developing ability to negotiate low to moderately complex settlements. * Adaptable to a changing environment. * Knowledge of Microsoft Office Suite and ability to learn business-related software. * Demonstrated ability to value diverse opinions and ideas Education & Experience: * Bachelor's Degree or equivalent experience. * Typically a minimum four years of relevant experience, preferably in claim handling. * Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. * Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. * Professional designations are a plus (e.g. CPCU) #LI-AR1 #LI-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois, Maryland, Massachusetts, New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qualified talent for their open roles. The following position is available to Veterans, Transitioning Military, National Guard and Reserve Members, Military Spouses, Wounded Warriors, and their Caregivers . If you have the required skill set, education requirements, and experience, please click the submit button and follow the next steps. 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. 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 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. Additional Qualifications/Responsibilities 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.

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 2 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 *********************************************************

Claims Analyst II: Process assigned medical claims pended for manual adjudication in assigned workflow roles. Accurately interpret benefit and policy provisions applicable to line of business. Review claim to determine coverage based on contract, provider status, and claims processing guidelines. Essential Responsibilities: Review and accurately process assigned medical claims that pend for manual adjudication in claims processing workflow roles according to member's plan benefits and department claims processing policies and procedures. Verify accuracy of data entry including patient information, procedure and diagnosis codes, amount(s) billed, and provider data. Review plan benefits and determine coverage based on contract and claims processing guidelines. Use Notes system to record pertinent information involving a claim or member. Review claims set-aside for further action and ensure they are released in a timely manner. Document issues that affect claims processing quality and advise team leader of claims processing concerns and/or problems. Provide feedback on standard operating procedures for continual process improvement. Provide assistance to other internal departments in responding to questions regarding claims processing. Provide back-up for Claims Analyst I role. Supporting Responsibilities: Regularly attend department, team meetings, and daily team huddle. Meet department and company performance and attendance expectations. Follow the privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information. Perform other duties as assigned. Work Experience: One year work experience in a general office role required, or a combination of equitable work and education experience required. Health related experience preferred. Education, Certificates, Licenses: High school diploma or equivalent required. Knowledge: Ability to develop thorough understanding of products, plan designs, provider/network relationships and health insurance terminology. Research skills and ability to evaluate claims in order to enter and process accurately. Preferred computer skills include keyboarding and 10-key proficiency, basic Microsoft Word and Excel. Ability to prioritize work and perform under time constraints with minimal direct supervision. Ability to utilize Lean principles and provide claims mentorship to other team members. Team player willing to collaborate and help others accomplish team objectives. A fundamental understanding of self-insured business is helpful.

Looking for an opportunity at a place you can have influence and make a difference every day? Then Serco has the right opportunity for you! As the Program Analyst (Submarines), you will provide programmatic support to one of our NAVSEA customers in the Washington, DC area. Bring your expertise and collaborative skills to make an impact towards our military defense and safety of our sailors. This position is contingent upon your ability to maintain/transfer your Secret clearance. Serco is the prime on the SHAPM contract which deals with acquisition and construction of submarines. The Team Submarine concept unifies once diverse submarine-related activities into a single submarine-centric organization with the goal of eliminating traditional stovepipe structures and processes that created impediments and inefficiencies in the submarine research, development, acquisition, and maintenance communities. Team Submarine provides improved communication among the various offices that contribute to the overall success of the United States Submarine Force. In this role, you will: Provide Engineering and Technical support coordinating all matters relating to preparation, review and approval of Ship Certification correspondence for Fast Cruise and Sea Trials, Follow-On certifications and URO certifications. Coordinate routing and processing of all ship certification documents for concurrence and approval signatures. Prepare coordinated reports, presentations and briefings in support of program actions. Analyzes requirements to develop program reporting including specifications, data gathering and analytical techniques, and evaluation methodology. Support studies, surveys, reviews, and/or research projects to evaluate program accomplishments, effectiveness, and/or compliance with meeting specific goals, objectives, rules, and regulations. Develop evaluation plans, metrics, procedures, and methodology as a result of studies performed. Provide Subject Matter Expert (SME) support and assist the Government with technical analyses, inquiries, research, testing, data validation for any matters relating to US submarines. Maintain applicable Plans of Actions and Milestones (POA&M) as directed/required. Interface with stakeholders to identify, assign, and track action items, leveraging initiatives to benefit submarine sustainment support. Collect information and provide recommendations to senior decision-makers through well-written documents. Communicate with various Program Office representatives within NAVSEA and other Department of Navy organization in supporting PM concerns. Coordinate with the technical community and develop white papers and presentations for the Government and the Navy on program status or issues impacting the program. Organize and maintain Program tracking files/tools on program status, actions items and issues. Support the team in performing additional duties and responsibilities as assigned. Provide timely and efficient responses for all urgent tasking. Ensure program correspondence and deliverables are in accordance with Serco's Quality Assurance Program. Qualifications To be successful in this role you will have: An active or current DoD Secret clearance is required. US Citizenship Bachelor's Degree An Associate's Degree and 2 years of additional experience will be considered in lieu of Bachelor's Degree or a High School Diploma/GED and 4 years of additional experience will be considered in lieu of Bachelor's Degree. 8 years of experience (Experience with Navy acquisition and/or In-Service Programs highly preferred) Strong customer, interpersonal and organizational level communication skills (written and verbal). Proficiency with Microsoft Office Suite programs, to include Excel and PowerPoint. Written communication skills (e.g., drafting program impact statements and Congressional Appeals) Experience leading a project and interfacing with an end item customer. Ability to travel at least 10% of the time. Additional desired experience and skills: Active-Duty experience in submarine service (preferably SSN) is a plus. Recent experience in Team Submarine would be ideal. If you are interested in supporting and working with our military and sailors and a passionate Serco team- then submit your application now for immediate consideration. It only takes a few minutes and could change your career! Meet Your Recruiter! In compliance with the District of Columbia's Equal Pay for Equal Work Act, the salary range for this role is $101,342.27 to $164,679.85 however, Serco considers several factors when extending an offer, including but not limited to, the role and associated responsibilities, a candidate's work experience, education/training, and key skills. Company Overview Serco Inc. (Serco) is the Americas division of Serco Group, plc. In North America, Serco's 9,000+ employees strive to make an impact every day across 100+ sites in the areas of Defense, Citizen Services, and Transportation. We help our clients deliver vital services more efficiently while increasing the satisfaction of their end customers. Serco serves every branch of the U.S. military, numerous U.S. Federal civilian agencies, the Intelligence Community, the Canadian government, state, provincial and local governments, and commercial clients. While your place may look a little different depending on your role, we know you will find yours here. Wherever you work and whatever you do, we invite you to discover your place in our world. Serco is a place you can count on and where you can make an impact because every contribution matters. To review Serco benefits please visit: ************************************************************ If you require an accommodation with the application process please email: ******************** or call the HR Service Desk at ************, option 1. Please note, due to EEOC/OFCCP compliance, Serco is unable to accept resumes by email. Candidates may be asked to present proof of identify during the selection process. If requested, this will require presentation of a government-issued I.D. (with photo) with name and address that match the information entered on the application. Serco will not take possession of or retain/store the information provided as proof of identity. For more information on how Serco uses your information, please see our Applicant Privacy Policy and Notice. Serco does not accept unsolicited resumes through or from search firms or staffing agencies without being a contracted approved vendor. All unsolicited resumes will be considered the property of Serco and will not be obligated to pay a placement or contract fee. If you are interested in becoming an approved vendor at Serco, please email *********************. Serco is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, and other legally protected characteristics.

**About Us** SolomonEdwardsGroup, LLC ("SolomonEdwards") is a full-service professional services firm offering financial, operational, and technology consulting and operations support. We work with some of the world's most prominent companies to help them envision and achieve a better future. We know that our consulting services are only as meaningful as the people and talent behind them, and we are committed to recruiting incredibly talented, committed, and collaborative individuals who can help us deliver exceptional client service. For more information, visit SolomonEdwards **Position Summary:** We are seeking a Medical Specimen Processor to support a dynamic healthcare services organization in Spokane, WA. This contract-to-hire position involves handling and shipping patient specimens with precision and care. The ideal candidate has strong customer service skills and thrives in a fast-paced, compliance-driven environment. **Essential Duties:** · Enter patient orders and data using electronic medical records. · Collect specimens for drug testing and billing documentation. · Package and ship patient samples according to protocols. · Provide frontline customer service and collect payments. · Adhere to HIPAA, safety, and billing compliance regulations. · Maintain accuracy and timeliness in all specimen handling. · Ensure proper documentation for orders and collections. **Qualifications:** · High school diploma or equivalent required. · 1-2 years of experience in healthcare or customer service preferred. **Skills and Job-Specific Competencies:** · Strong verbal and written communication skills. · Excellent attention to detail and organizational skills. · Proficient with electronic medical record systems. · Ability to multitask and perform in a fast-paced setting. · Commitment to high-quality service and patient care. **Travel Requirements:** No travel will be required, unless at the client's discretion. **Physical Requirements:** The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be provided to qualified applicants or candidates with disabilities upon request to enable them to perform essential functions. This role may require mobility to attend in-person meetings, sitting or standing for extended periods, and the use of telephone, computer, or other electronic communication devices. **Salary Range:** SolomonEdwards values your unique and individual experience and background. As such, we take a comprehensive approach when determining compensation for our roles. The compensation for this specific role is based on a wide range of factors, including but not limited to education, licensure and certifications, location, experience, and training. A reasonable estimate for the current hourly range for this role is $22 - 23. **Benefits:** We are committed to providing health and financial stability by offering a comprehensive suite of benefits. Benefits include access to top-tier employers and job opportunities, health insurance, sick leave, and 401(k). **Inclusion and Diversity Statement:** SolomonEdwards is an Equal Opportunity/Affirmative Action employer. We firmly believe in fostering an inclusive and diverse workplace environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation, veteran status, or any other characteristic protected by applicable laws. All employees, including managers and supervisors, are responsible for upholding our EEO and diversity principles. Discrimination or harassment of any kind will not be tolerated. We value the contribution and wisdom of the team. At SolomonEdwards, we have built a vibrant and inclusive community. Our team members are curious, committed, and diverse. In keeping with our mission to build value through people, we cultivate a culture where differences are celebrated, and all members are treated fairly and equitably. Employees, business partners, and our extended stakeholder family are empowered to share their experiences, ideas, and perspectives and to be their whole selves. **Privacy:** We adhere to the California Consumer Privacy Act (CCPA). Your privacy is important to us, and we never sell your data to third parties. Personal information is only collected to match applicants with job opportunities. Copy/paste this URL to learn more about your rights: SolomonEdwards' Privacy Policy. **Our Recruiter Promise:** Our talent acquisition team prioritizes integrity, professionalism, and transparency in every interaction. When you engage with SolomonEdwards, you can trust a respectful, secure experience from verified contacts. Copy/paste this URL to learn more about how we protect your candidate experience: Recruiter Promise. ### Place of Work On-site ### Requisition ID 32 ### Job Type Contract ### Application Email ***************************

The Neil Jones Food Company is an industry leader, processing superior quality fresh-packed, vine-ripened California tomatoes and Pacific Northwest fruit. Headquartered in Vancouver, Washington, NJFC has been providing our nation's discerning foodservice, retail, industrial and institutional customers with the finest quality canned and pouched products for over 50 years. NJFC operates three production facilities: Northwest Packing in Vancouver, WA.; San Benito Foods, in Hollister, CA; and Toma-Tek in Firebaugh, CA. We are looking for a Customer Support & Claims Specialist to be responsible for delivering exceptional customer service while managing claims and escalations. This role will be responsible for operating procedures to resolve issues efficiently uphold NJFCO's commitment to integrity and customer service excellence at our corporate headquarters in Vancouver, WA. For additional information, please see our “About Us” video, Our Story - Neil Jones Food Company. Key Responsibilities: Respond promptly and professionally to customer inquiries while maintaining confidentiality and ensuring all interactions meet safety rules and organizational standards. Receives, reviews, and processes claims end-to-end, verifying documentation accuracy and entering data precisely into PeopleSoft. Communicates with claimants and internal departments to obtain required information, ensuring claims move efficiently through the workflow. Monitors and tracks claim status daily; troubleshoots issues, resolves errors, and collaborates with team members to drive timely resolutions and identify process improvements. Maintains organized records and administrative systems in accordance with retention requirements; supports special projects and performs additional duties as assigned. Requirements : High school diploma; associate's degree in accounting, Business Management, or related field preferred. 2 years' administrative experience within loss prevention, claims, manufacturing production planning or quality assurance and strong administrative, analytical, and organizational capabilities, including excellent data entry accuracy, high attention to detail, and the ability to interpret claims, agreements, and standard operating procedures. Proficient communication and collaboration skills-effective in both oral and written communication, able to work independently or as part of a team, and capable of managing multiple competing priorities. Skilled in Microsoft Office (Excel and Word), with demonstrated critical thinking and problem-solving abilities, objectivity, and the ability to maintain confidentiality in handling sensitive information. Ability to pass a pre-employment drug test, background check including employment and educational verification, and to work extended schedule during the fresh pack season, typically July to early October. Compensation: The wage range is $22.50-$25.00 based on experience and qualifications. Benefits: Medical, Dental, & Vision coverage 401(k) match with Traditional & Roth options available Company paid Life and AD&D insurance 10 paid vacation days, 9 paid holidays, and separate sick time Employee Assistance Program Numerous other voluntary insurance products available Convenient location, 2 miles west of downtown Vancouver Free parking Applicants have rights under Federal Employment Laws Family and Medical Leave Act (FMLA) Equal Employment Opportunity (EEO) Employee Polygraph Protection Act (EPPA) The Neil Jones Food Company participates in E-Verify E-Verify Participation If You Have the Right to Work, Don't Let Anyone Take It Away We are an Equal Opportunity and Fair Chance Employer. Qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, disability, age, citizenship status, genetic information, military or veteran status, and other protected status under applicable law. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Details Reservation Wide - WA $21.82 - $23.15 HourlyDescription SALARY: $21.82 to $23.15 per hour DOE REPORTS TO: Program Supervisor LOCATION: Nepelem for 6 month Training, Purchased/Referred Care, Nespelem, WA - posible opprotunity to work in other Tribal Districts after training completed Basic Functions: This is a Non-Exempt position. The Claims Processing Specialist is responsible for the accurate and timely processing of claims submitted to the Purchased/Referred Care (PRC) program. This role involves verifying patient eligibility, ensuring compliance with federal PRC regulations, coordinating with providers and vendors, and maintaining detailed records of claims for audit and reporting purposes. The position requires a working knowledge of medical billing codes, insurance reimbursement processes, and the PRC program guidelines governed by the Indian Health Service and tribal policies. Qualifications MINIMUM QUALIFICATIONS: Education and Training: Associate's degree in health administration, business, or a related field preferred. Minimum of two (2) years' experience in medical billing, claims processing, or PRC services. Experience working with tribal health programs or IHS preferred. Certification in medical billing or coding preferred (e.g., CPC, CPB, CBCS). Must possess a valid Washington State driver's license and be insurable under the Tribe's vehicle insurance policy. Knowledge, Skills, and Abilities: Requires a Working knowledge of PRC program regulations and federal IHS policies. Requires proficiency in medical claims processing, including knowledge of CPT, ICD-10, and HCPCS coding systems. Requires knowledge of insurance reimbursement systems and coordination of benefits. Requires familiarity with tribal health programs and funding streams is preferred. Requires strong analytical and decision-making skills. Requires proficient in data entry and electronic health records systems. Requires effective written and verbal communication skills. Requires ability to maintain confidentiality and comply with HIPAA regulations. Requires ability to work under pressure and meet strict deadlines. Requires ability to resolve billing discrepancies diplomatically and effectively. Requires ability to work independently and collaboratively with clinical and administrative teams. Requires ability to prioritize work, multitask, and adapt to changing program requirements. Requires ability to explain program eligibility, denials, and payment policies to patients and providers. Requires ability to interpret policies, procedures, and medical documents accurately Must be able to sit and work at a computer station for extended periods. Requires physical ability such as occasional lifting of files, records, or office supplies up to 25 pounds. Requires hearing and speaking to exchange information and read documents. Requires ability to travel occasionally for training or program coordination. Note: Pursuant to Tribal Policy, if this position is safety sensitive it is subject to pre-employment drug testing. In addition, this position is subject to reasonable suspicion and post-accident drug testing. TRIBAL MEMBER AND INDIAN PREFERENCE WILL APPLY; PREFERENCE WILL ALSO BE GIVEN TO HONORABLY DISCHARGED VETERANS WHO ARE MINIMALLY QUALIFIED. If required of this position, you must possess and maintain a valid Washington State driver's license and be eligible for the Tribes' Vehicle Insurance. In addition, this position may be subject to pre-employment background clearances. If applicable, these clearances must be maintained throughout employment. INFORMATION: Tanya Ives, HR Technician Senior, Confederated Tribes of the Colville Reservation, Human Resources Office, P.O. Box 150, Nespelem, WA 99155, **************. *********************************

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 Investigates and processes claim adjustments for all medical lines of business and COB claim adjustments for Medicare/Medicaid plans. Also processes adjustments related to overpayment recovery, underpayment adjustments and other corrections. Performs COB updates (excluding Commercial), file reviews, issues adjustment related letters to members and providers, performs payment offsets and also validates and completes stop payment requests. Assists in customer service inquiries regarding contractual and administrative policies and applies excellent customer service when a phone call is needed to complete an adjustment or other support work. This is a FT WFH role. Pay Range $20.88 - $23.49 hourly **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=27763834&refresh=true Benefits: Medical, Dental, Vision, Pharmacy, Life, & Disability 401K- Matching FSA Employee Assistance Program PTO and Company Paid Holidays Schedule: PST Primary Functions: Performs basic and moderately complex claim adjustments within the system while interpreting coding and understanding medical terminology in relation to diagnosis and procedures as well as member plan benefits. Review, analyze, and resolve claims issues through the utilization of available resources for moderately complex claims. Analyze and apply plan concepts to claims that include deductible, coinsurance, copay, COB, and out of pocket, etc. Examines claims to determine if further investigation is needed from other departments and routes claims appropriately through the system. Adjudication and adjustment of claims to achieve quality and production standards applicable to this position. Release claims and adjustments by deadline to meet company, state regulations, contractual agreements, and group performance guarantee standards. Reviews Policies and Procedures (P&Ps) for process instructions to ensure accurate and efficient claims processing as well as providing suggestions for potential process improvements. Monitors and maintains unit inventory through adjustments, refunds, telephone calls and reports. Prepares and sends refund requests and other form letters. Reviews files, analyzes results, and organizes multiple adjustments and/or accumulator updates as needed. Processes voided checks, reissues payment or manual checks, and works stop payments of checks. Issues follow up correspondence letters as needed. Communicates via telephone with claimants, policyholders, providers, and other insurance carriers. Thoroughly documents actions as required by internal procedure and market conduct guidelines. Assists internal departments with programming issues as needed. Responds and follows up using Facets, Content Manager and E-mail. Provides back up to Medical Customer Service, COB and Medical Claims when requested. Performs all job functions with a high degree of discretion and confidentiality in compliance with federal, state, and departmental confidentiality guidelines. Perform other duties as assigned. Required Skills, Experience & Education: High School diploma or equivalent. Minimum of 6 months medical claim processing or customer service dealing with all types of plans/claims and consistently exceeding performance levels At least 12 months experience as a Processor I and consistently performing at an exceeding level of performance. Support Processor I designation may also be obtained through equivalent work experience and knowledge level at Moda Health or when recruiting externally. Professional and effective written and verbal communication skills 10-key proficiency of 135 wpm net on a computer numeric keypad. Type a minimum of 35 wpm net on a computer keyboard. Ability to show a pattern of maintaining balanced performance, which consistently exceeds expectations in areas of production and quality. Strong and proficient organizational abilities and the ability to handle a variety of functions Ability to efficiently multitask and work well under pressure and meet timelines. Ability to maintain confidentiality internally and externally and project a professional business image always. Strong analytical, problem solving, decision making and detail-oriented skills with ability to shift priorities as needed. Strong proficiency in claims processing systems; Facets, Word, and Excel. Excellent knowledge and understanding of Moda Health administrative policies affecting claims and customer service. Demonstrates work habits that consistently exceeds Moda Health standards of attendance and punctuality as well as high flexibility. Consistently communicates in a positive and effective manner, both written and verbal, to co-workers and management. Receives and carries out tasks in a cooperative manner and demonstrates a spirit of teamwork. 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.

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.

An Insurance Claim Specialist is responsible for managing, investigating, and processing insurance claims to ensure timely and accurate settlements. This role requires strong analytical skills, attention to detail, and in-depth knowledge of insurance policies, claims procedures, and industry regulations. Key Responsibilities Review and analyze insurance claims to determine coverage eligibility. Investigate claim details by gathering documentation, interviewing relevant parties, and liaising with insurance adjusters. Ensure all claims comply with regulatory guidelines and company policies. Communicate with clients, providers, and stakeholders to resolve claim-related queries. Maintain accurate claim records and update claims management systems. Prepare detailed claim reports and recommend settlement options. Required Skills & Qualifications Proven experience as an Insurance Claim Specialist or in a related role. Strong knowledge of insurance industry standards and claims processing procedures. Excellent communication, negotiation, and customer service skills. Ability to analyze data and make informed decisions. Proficiency in claims management software and Microsoft Office Suite. Educational Requirements Bachelors degree in Business Administration, Insurance and Risk Management, or a related field. Certification in Claims Handling or Insurance Adjusting is a plus.

Primarily responsible for investigating, analyzing and processing, adjusting all levels of property damage and minor bodily injury claims for third party claimants and company stores. PRIMARY RESPONSIBILITIES: 70% - Manage, assess and adjust property damage claims and related investigations, including interviewing and corresponding with claimants and other involved persons, documenting findings, researching and analyzing investigative information and documents, and preparing and supervising settlement offers and denials. Negotiate settlements with claimants, insurance companies and attorneys and document results. Pursue subrogation and restitution on behalf of the company.. 20% - Provide claim support and advice to tire centers, including receiving and documenting claim information (property damage and minor bodily injury); investigative processes, claim reporting, documentation, etc. Analyze and discuss liability analysis and exposure, and loss prevention, with store managers. Create new incidents/claims in STARS Claim Management System. 10% - Manage, assess and tender product liability claims to Les Schwab product suppliers and vendors. MINIMUM REQUIREMENTS: Educational/Experience Requirements: * Bachelor Degree preferred * Minimum of 1-2 years property and casualty claim handling experience preferred * Completion of insurance claim specific courses or other insurance related training preferred Required Technical Skills/Knowledge: * Strong knowledge of automotive design, function and repair (i.e., brake, alignment, suspension, auto body repair & estimates) * Advanced understanding of legal liability principles as they relate to property and casualty claims * Intermediate knowledge property and casualty insurance policy language * Proficient in the use of MS Word and Excel General Knowledge and Abilities: * Ability to work effectively and independently without close supervision; excellent negotiation skills; ability to manage concurrent task assignments; excellent oral and written communication skills; excellent organizational, investigative, analytical and decision-making skills; ability to collect, analyze and research data; ability to establish and maintain cooperative working relationships with others; regular attendance; ability to effectively deal with and resolve conflict and stress. PHYSICAL REQUIREMENTS: Frequent sitting and typing; ability to move around and between offices; occasional lifting (20-30lbs). WORK ENVIRONMENT: Office/non-manual. EXPOSURE TO CONFIDENTIAL EMPLOYEE INFORMATION: HIPAA √; PCI √; Payroll √ BENEFITS: * Annual profit-sharing bonus * Medical, dental, vision, and life insurance * Company-funded retirement plan - no cost to employee * Paid holidays * Paid time off * Hybrid arrangements available (work 1-2 days/week from home) * Tuition Assistance * Employee discount Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions/primary responsibilities. This job description is not all inclusive and is subject to change. Additional duties, responsibilities, and tasks may be assigned, as necessary. Employment remains "AT WILL" at all times.

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. In accordance with the AAUP collective bargaining agreement this position is open only to current PSU AAUP academic professionals. Article 17 Section 11 refers.

JOB TITLE: Cosmetology Proctor/Examiner (Part-time) Proctors are responsible for objective observation of candidates performing a demonstration of skills while the candidates is taking the NIC Cosmetology and related discipline licensing examinations. Practical Exams to be Administered - The examiners must be able to examine candidates for the exams below: NIC Barber Styling Practical Exam NIC Cosmetology Practical Exam NIC Esthetics Practical Exam NIC Instructor Practical Exam NIC Nail Technology Practical Exam NIC Hair Design Practical Exam Positions are part-time. The exams will typically be administered on Mondays (with the exception of state holidays). PROCTOR RESPONSIBILITIES Proctors are always present at each examination site at all times the candidates are present Time each section of the exam Read, speak, and write English the instructions and verbal instructions with reasonable proficiency. Dress in a professional manner Test Event Delivery & Security * Control test area by maintaining a working knowledge of Prometric policies and practices * Greet examinees and verify identification * Monitor candidates as they complete their written exam * Observe and rate candidates as they complete their practical exam * Resolve candidate issues or report them to the appropriate supervisor * Protect security of all computer software in Test Center environment * Possess technical proficiency to reboot workstations, and reset passwords as necessary * Report any occurrences which fall outside company guidelines to corporate management REQUIRED EXPERIENCE: Applicants must meet all of the following criteria to be considered for an examiner position: Must be 21 years or older. Active license in good standing with at least 3 years experience in the industry. Cannot be affiliated with schools or teaching in any way for students preparing to take state board examinations. Cannot work for a manufacturer or beauty supply. Examiners must be certified as required by NIC and maintain certification as a condition of employment. NIC Examiner training will be provided. Examiners must dress and handle themselves in a professional manner at all times. Examiners cannot visit or be guest speakers at schools. Examiners cannot grade any candidates that they know either personally or professionally or have had any contact with. Applicants cannot work for a manufacturer, beauty supply, or a school and cannot have any school affiliation for 2 years prior to applying for an Examiner position. NO PHONE CALLS PLEASE

ProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challenging environment? ProSidian Consulting is looking for professionals who share our commitment to integrity, quality, and value. ProSidian is a management and operations consulting firm with a reputation for its strong national practice spanning six solution areas including Risk Management, Energy & Sustainability, Compliance, Business Process, IT Effectiveness, and Talent Management. We help clients improve their operations. Linking strategy to execution, ProSidian assists client leaders in maximizing company return on investment capital through design and execution of operations core to delivering value to customers. Visit ***************** or follow the company on Twitter at ************************* for more information. Job Description ProSidian Seeks a EEOICPA Claims Processing and Verification Specialist located in The Hanford Tri-Cities Area (Kennewick | Pasco | Richland) to support an engagement for the US Dept. of Energy (DOE) Hanford in Eastern Washington (Tri-Cities - Kennewick | Pasco | Richland) Area. The ProSidian Engagement Team Members work to provide General Support Services Contractor (GSSC) assistance to support DOE Hanford [which consists of Richland Operations Office (RL), and Office of River Protection (ORP)] in support of the Govt's operations, personnel management, and general administration of regional operations at the Hanford Site in Richland, Washington. EEOICPA OP AB Support Candidates shall work to support requirements as a EEOICPA Claims Processing and Verification Specialist and support to the Energy Employees Occupational Illness Compensation Program (EEOICPA) Program Mgr. across the U.S. Dept. of Energy (DOE), Richland Operations Office (RL), Assistant Mgr. for Mission Support (AMMS), Site Stewardship Division (SSD). EEOICPA Claims Processing and Verification Specialist shall provide staff to effectively support the EEOICPA Program Mgr. in all phases of program implementation, including but not limited to managing all incoming and outgoing EEOICPA claims, preparing verifications of employment, and providing support for data capture requests from the National Institute of Occupational Safety and Health (NIOSH), Dept. of Labor (DOL) and other involved parties. DELIVERABLES The EEOICPA Claims Processing and Verification Specialist shall provide support to the DOE-RL EEOICPA Program Mgr. . Such support shall include limited support to the DOE EEOICPA Program Mgr. , as requested, in support of the completion of DOE's requirements to support DOL and NIOSH during on-site data capture visits and in preparation for the data capture visits. The ProSidian Engagement Team may be required to escort visitors to classified meetings, assist in documenting data captures, and providing other various administrative or basic technical support during these data capture visits, as directed by the EEOICPA Program Mgr. Other direct support by definitive work category shall include: Have the ability to review and analyze personnel records for relevant information, as well as skills at preparing summary documents, as requested. After receipt of the information from others on site, ,EEOICPA Claims Processing and Verification Specialist shall compile the entire package including the employment verification prepared, evaluate it for completeness and process the claim to the requesting agents. Ensure that these duties are performed in a competent, professional manner that meets established milestones and delivery schedules. Work products are expected to be thorough, accurate, appropriately documented, and comply with mandated schedules. Contacts with claimants or other EEOICPA related staff are expected to be of the highest competence and professionalism, recognizing the personal dynamics and issues of the claimants and other impacted personnel. CLAIMS PROCESSING Provide support on the day-to-day administration, management and tracking of all aspects of the EEOICPA claim process applicable to the Hanford and PNNL facilities and Hanford and PNNL employees. Process all requests in a timely manner, as is within their scope of work and control. Prepare reports, correspondence, copying, computer input, documentation as requested. Communicate effectively with all Federal and contractor staff, as well as with all claimants that are in contact with the office. Keep DOE-RL Program Mgr. informed of work progress, new issues, concerns, or other items as appropriate. Shipments and electronic downloads/uploads of claim related information shall be in accordance with the DOE-RL EEOICPA Program Mgr. ' s and DOE-HQ direction, policies and procedures Provide routine monthly status reports and other reports as requested by the DOE-RL Program Mgr. . . Conduct research to respond to inquiries from DOL and NIOSH relating to Hanford past practices or history to support claim development. These requests for research will be sporadic but require some specialized knowledge of Hanford's past contractor history. Compile finding aids, as available, that document unusual sources of employment information, including historical lists of Hanford's contractors. Manage that information collection in a secure and appropriate manner. VERIFICATION OF EMPLOYMENT SUPPORT Provide verification of employment reports on employees for former contractors, based on review and analysis of personnel records available. These verifications should include a narrative of the job title and work location, as well completion of the EE-5 forms required by Dept. of Labor. TECHNICIAN SUPPORT Assist in logging documents/boxes into an established tracking system. Move records boxes from one location in a work area to another to ensure the boxes are accurately staged for various work processes. The ProSidian Engagement Team employee will scan personnel, medical or claim records from paper and electronic format and merge and consolidate the scanned files e-claim files. The .contractor employee will provide typing, scanning, or records management support to EEOICPA claim and other EEOICPA related functions. Create documents, lists or indices from various sources. Qualifications The EEOICPA Claims Processing and Verification Specialist shall have consecutive employment in a position with comparable responsibilities within the past five (5) years, Must be able to use a computer to communicate via email; and proficient in Microsoft Office Products (Word/Excel/Power point) and related tools and technology required for the position. QUALIFICATIONS REQUIREMENTS Depending on specific task assignments, certain permanent employees must have the ability to obtain a “Q” Clearance. High school diploma required; 6 years of relevant experience; and, Contractor must be a U.S. citizen. TRAVEL: Travel, both offsite and local onsite travel on the Hanford Site as coordinated with the EEOICPA Program Mgr. and Contracting Officer is allowed, in accordance with the Federal Travel Regulations, on an as needed basis. Local travel on the Hanford Site is expected to facilitate the transfer of claim related or data capture related information. LOCATION: Work shall be conducted at the Dept. of Energy - Richland Operations Office located in Richland, WA. Additional Information As a condition of employment, all employees are required to fulfill all requirements of the roles for which they are employed; establish, manage, pursue, and fulfill annual goals and objectives with at least three (3) Goals for each of the firms Eight Prosidian Global Competencies [1 - Personal Effectiveness | 2 - Continuous Learning | 3 - Leadership | 4 - Client Service | 5 - Business Management | 6 - Business Development | 7 - Technical Expertise | 8 - Innovation & Knowledge Sharing (Thought Leadership)]; and to support all business development and other efforts on behalf of ProSidian Consulting. CORE COMPETENCIES Teamwork - ability to foster teamwork collaboratively as a participant, and effectively as a team leader Leadership - ability to guide and lead colleagues on projects and initiatives Business Acumen - understanding and insight into how organizations perform, including business processes, data, systems, and people Communication - ability to effectively communicate to stakeholders of all levels orally and in writing Motivation - persistent in pursuit of quality and optimal client and company solutions Agility - ability to quickly understand and transition between different projects, concepts, initiatives, or work streams Judgment - exercises prudence and insight in decision-making process while mindful of other stakeholders and long-term ramifications Organization - ability to manage projects and activity, and prioritize tasks ------------ ------------ ------------ OTHER REQUIREMENTS Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Business Tools - understanding and proficiency with business tools and technology, including Microsoft Office. The ideal candidate is advanced with Excel, Access, Outlook, PowerPoint and Word, and proficient with Adobe Acrobat, data analytic tools, and Visio with the ability to quickly learn other tools as necessary. Commitment - to work with smart, interesting people with diverse backgrounds to solve the biggest challenges across private, public and social sectors Curiosity - the ideal candidate exhibits an inquisitive nature and the ability to question the status quo among a community of people they enjoy and teams that work well together Humility - exhibits grace in success and failure while doing meaningful work where skills have impact and make a difference Willingness - to constantly learn, share, and grow and to view the world as their classroom ------------ ------------ ------------ BENEFITS AND HIGHLIGHTS ProSidian Employee Benefits and Highlights: Your good health and well-being are important to ProSidian Consulting. At ProSidian, we invest in our employees to help them stay healthy and achieve work-life balance. That's why we are also pleased to offer the Employee Benefits Program, designed to promote your health and personal welfare. Our growing list of benefits currently include the following for Full Time Employees: Competitive Compensation: Pay range begins in the competitive ranges with Group Health Benefits, Pre-tax Employee Benefits, and Performance Incentives. For medical and dental benefits, the Company contributes a fixed dollar amount each month towards the plan you elect. Contributions are deducted on a Pre-tax basis. Group Medical Health Insurance Benefits: ProSidian partners with BC/BS, to offer a range of medical plans, including high-deductible health plans or PPOs. ||| Group Dental Health Insurance Benefits: ProSidian dental carriers - Delta, Aetna, Guardian, and MetLife. Group Vision Health Insurance Benefits:ProSidian offers high/low vision plans through 2 carriers: Aetna and VSP. 401(k) Retirement Savings Plan: 401(k) Retirement Savings Plans help you save for your retirement for eligible employees. A range of investment options are available with a personal financial planner to assist you. The Plan is a pre-tax Safe Harbor 401(k) Retirement Savings Plan with a company match. Vacation and Paid Time-Off (PTO) Benefits: Eligible employees use PTO for vacation, a doctor's appointment, or any number of events in your life. Currently these benefits include Vacation/Sick days - 2 weeks/3 days | Holidays - 10 ProSidian and Government Days are given. Pre-Tax Payment Programs: Pre-Tax Payment Programs currently exist in the form of a Premium Only Plan (POP). These Plans offer a full Flexible Spending Account (FSA) Plan and a tax benefit for eligible employees. Purchasing Discounts & Savings Plans: We want you to achieve financial success. We offer a Purchasing Discounts & Savings Plan through The Corporate Perks Benefit Program. This provides special discounts for eligible employees on products and services you buy on a daily basis. Security Clearance: Due to the nature of our consulting engagements there are Security Clearance requirements for Engagement Teams handling sensitive Engagements in the Federal Marketplace. A Security Clearance is a valued asset in your professional portfolio and adds to your credentials. ProSidian Employee & Contractor Referral Bonus Program: ProSidian Consulting will pay up to 5k for all referrals employed for 90 days for candidates submitted through our Referral Program. Performance Incentives: Due to the nature of our consulting engagements there are performance incentives associated with each new client that each employee works to pursue and support. Flexible Spending Account: FSAs help you pay for eligible out-of-pocket health care and dependent day care expenses on a pre-tax basis. You determine your projected expenses for the Plan Year and then elect to set aside a portion of each paycheck into your FSA. Supplemental Life/Accidental Death and Dismemberment Insurance: If you want extra protection for yourself and your eligible dependents, you have the option to elect supplemental life insurance. D&D covers death or dismemberment from an accident only. Short- and Long-Term Disability Insurance: Disability insurance plans are designed to provide income protection while you recover from a disability. ----------- ------------ ------------ ADDITIONAL INFORMATION - See Below Instructions On The Best Way To Apply ProSidian Consulting is an equal opportunity employer and considers qualified applicants for employment without regard to race, color, creed, religion, national origin, sex, sexual orientation, gender identity and expression, age, disability, or Vietnam era, or other eligible veteran status, or any other protected factor. All your information will be kept confidential according to EEO guidelines. ProSidian Consulting has made a pledge to the Hiring Our Heroes Program of the U.S. Chamber of Commerce Foundation and the “I Hire Military” Initiative of The North Carolina Military Business Center (NCMBC) for the State of North Carolina. All applicants are encouraged to apply regardless of Veteran Status. Furthermore, we believe in "HONOR ABOVE ALL" - be successful while doing things the right way. The pride comes out of the challenge; the reward is excellence in the work. FOR EASY APPLICATION USE OUR CAREER SITE LOCATED ON http://*****************/ OR SEND YOUR RESUME'S, BIOS, AND SALARY EXPECTATION / RATES TO ***********************. ONLY CANDIDATES WITH REQUIRED CRITERIA ARE CONSIDERED. Be sure to place the job reference code in the subject line of your email. Be sure to include your name, address, telephone number, total compensation package, employment history, and educational credentials.

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