Claim processor jobs in West Virginia - 32 jobs

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

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

Nature of Work * This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. , you must apply directly to the hiring agency.* HOW TO APPLY: Email resumes or inquiries toresumes@wvsto.govby January 30, 2026 CLAIMS SPECIALIST, UNCLAIMED PROPERTY-WV STATE TREASURER'S OFFICE-KANAWHA CO. Salary: $40,000 - $50,000; salary commensurate with training and experience. Full-time employees of the West Virginia State Treasurer's Office (WVSTO) are eligible for Public Employee Insurance Agency benefits and a number of other benefits available to state employees. Location:Charleston, WV Job Type:Full-Time Permanent; Not in the Classified Service; FSLA; non-exempt Division:WVSTO Unclaimed Property Reports To:Claims Manager, Unclaimed Property Nature of Work: Under direct supervision, this position is responsible for claims processing unclaimed property and returning the property back to the rightful owner. This position works with the general public, both by phone and in person, and must possess excellent communication and customer service skills. In addition, the position must have both analytical and good writing skills to effectively evaluate the evidence and communicate with the claimant. Returns unclaimed property to rightful owners and maintains records by performing the following duties. Work is performed according to detailed instructions and the methods of work are well established and outlined by the Claims Manager. Job Duties: * Provides customer service in the form of responding to telephone calls, walk-in assistance, and in follow up letters to the public on claims, as applicable. * Process and review all claims in accordance with the Unclaimed Property Guidelines and in compliance with West Virginia Unclaimed Property Act. As well as any other applicable policies and procedures. * Reviews claims to determine if all necessary information is provided. Provide necessary follow up. * Processes claims, by the appropriate claim type, in the KAPS unclaimed property system when received from the state website. * Creates claims as needed from paper claim forms and from claimants that call in and need assistance. * Responsible for compiling all evidence required to approve the claim at first level in KAPS. * Adds appropriate evidence to the workflow as needed. * Acts as peer reviewer, which is second level review, to co-workers claims. * Process agency requests for reimbursement and transferring of funds in wv OASIS. * Process traveler's checks and money orders. * Scan mail into OnBase to interface with KAPs * Back up to the receptionist, as needed. * Assists other staff as needed. * Assist with unclaimed property outreach at events, as needed. * Notifies supervisor when potential problems arise. * Assists with related special projects, as required. Minimum Qualifications Associate degree (A. A.) or equivalent from two-year College or technical school required; Bachelor's degree from four-year college or university preferred; or equivalent combination of education and related experience. Required Knowledge, Skills, and Abilities: * Knowledge of Unclaimed Property procedures to ensure compliance with the West Virginia Unclaimed Property Act. * Ability to process and review all claims in accordance with the Unclaimed Property Guidelines and in compliance with West Virginia Unclaimed Property Act. * Skill in explaining complicated unclaimed property matters to claimants. * Ability to converse in a professional manner with disgruntled claimants. * Ability to establish and maintain effective working relationships. * Ability to deal with highly sensitive issues in an orderly and controlled manner. * Ability to learn and utilize Unclaimed Property database systems. Other Information The State Treasurer's Office provides equal opportunities to all employees and applicants for employment without regard to race, sex, color, religion, national origin, age, disability, veteran status, or any other factors made unlawful under applicable federal and state laws. Equal employment opportunity applies to all terms and conditions of employment, including hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training. Applicants have rights under the following Federal Employment Laws: Family Medical Leave Act and Equal Employment Opportunity. To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform essential job functions. This job opportunity is not in the classified service and is not covered by the West Virginia Division of Personnel merit system. Therefore, interested persons must apply directly to the hiring agency as directed above.

Under the direction of the Manager of Claims, the reviewer performs initial review of claims, including HCFA 1500 and UB 04 claims. Reviewer must meet or exceed production and quality standards and follow documented policies and procedures. Required: High school diploma or equivalent. Ability to follow written directions and work independently. Familiarity with medical terminology, CPT and ICD-10 coding is required. Computer and typing experience is required. Desired: Previous claims processing. Experience in billing or physician office experience is preferred. Responsibilities: Performs initial review of all claim edits as directed. Completes or routes all reviews in accordance with time parameters established by The Health Plan. Reviews each claim flag in sequence, totally completing one at a time in accordance with established criteria/payment guidelines. Reports patterns of incorrect billing and utilization to manager or claims coordinator. Advises management of items that are unclear or that are not addressed in the established criteria/payment guidelines. Maintain a quality rating of 98%. Processes 15-20 claims per hour. Consistently displays a positive attitude and acceptable attendance. Participate in external and/or internal trainings as requested. Equal Opportunity Employer The Health Plan is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. The Health Plan strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. The Health Plan employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

Full-time Description Ready to look forward to going to work every day? Want to be a part of a service driven culture where employees are appreciated? Check out our opportunity with Bayer Heritage Federal Credit Union! The processor role is responsible for supporting the loan approval process by collecting, reviewing, and verifying financial documents for commercial credit applications. They ensure all required information is complete and accurate, prepare loan files for underwriting, coordinate with borrowers and internal teams, and maintain compliance with lending regulations and bank policies. This role requires strong attention to detail, excellent organizational skills, and the ability to manage multiple loan files simultaneously while maintaining accuracy and timely processing. Essential Functions & Responsibilities Processes commercial loans and organizes/maintains current commercial lending portfolio files. Assists in collection efforts with past due loans within the commercial lending portfolio. Reviews closing documentation for accuracy to ensure all loan conditions are being met prior to closing. Maintains complete and accurate files with current information. Manages relationship with third party vendors that assist with commercial loan processing. Reviews and assists with the credit unions CBS loan portfolio. Assist on phone to answer various questions. Prepare Real Estate packets Performance Measurements Adapts to fast-changing environments. Makes prudent decisions that are timely, researched, and reflect awareness of impact. Recognizes, welcomes, and effectively utilizes differences among employees to achieve department goals and objectives. Leads by example and exemplify organizational core values Requirements Two-five years of similar or related experience. Strong understanding of underwriting and loan documentation. Excellent writing, communication, and presentation skills. Strong interpersonal skills. A high school education or GED. EEO Statement Bayer HFCU is an equal opportunity employer. We are committed to our policy of providing equal employment opportunity in a manner consistent with applicable laws and regulations, including federal laws prohibiting employment discrimination on the basis of race, color, creed, national origin, sex, age, disability, sexual orientation or genetic information.

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals. - Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. **Required Qualifications** - New York Independent Adjuster License - Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system knowledge **Education** **-** High School Diploma required - Preferred Associates degree or equivalent work experience. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

To see the full job description, please click the link below: Processor Full-Time Careers at Gabe's Offer: * Flexible Schedules * Employee Discount and Assistance Program * Wide Range of Employee Benefit Programs * Fun, Casual Work Environment

$12.50 Hourly Rate The Store Processor is responsible for meeting the production goals of the store. They are responsible for pre-sorting, quality sorting, hanging, and tagging of product going onto the sales floor. Essential Functions: Receive product donations from donors. Determine usable and saleable items as specified in guidelines for acceptable donations. Meet production targets within specified time period. Maintain store cleanliness by sweeping, mopping, dusting, emptying trash cans, and insuring hangers and racks are orderly. Follow all required safety and security procedures. Maintain compliance to all company policy and procedures as well as store policies to include but not limited to: opening and closing tasks, pricing, markdowns, and accurate, timely completion of required paperwork. Receive and verify merchandise incoming to the location from warehouse and vendors. Participate in training as required. Perform all other duties as assigned. Qualifications Minimum Requirements: Ability to pass pre-screenings such as background or drug screenings. Ability to lift, push, and pull up to fifty (50) lbs., with or without assistance. Potential Career Paths: Shift Manager Assistant Manager Store Manager

$1,000 Signing Bonus Available! Highlights: Looking for a new opportunity to apply your fingerprint (latent print or tenprint), facial, or iris examination experience in a fast-paced environment in support of the Department of Defense (DoD) Warfighter? Are you interested in expanding your examination skills to be trained on a new emerging biometric examination skillsets in facial and iris identification? If so, the Biometric Examiner position on the Ideal Innovations, Inc. Department of Army Criminal Investigative Division (DACID) Biometric Operations Department (BOD) Examination Services Support (ESS) contract is the perfect position for you. Working within a unique 100% digital environment, the Biometric Examiners on the ESS contract work both independently and often as a team to work through individual biometric examination requests and/or routine casework. The ESS Biometric Examiner position is unique because of the unique mission that it serves. Given that the operation is a 100% digital operation, the ESS Biometric Examiners play an important role in supporting DoD customers to build and search biometric files through DoD ABIS and often perform complex examinations on extremely fragmented friction ridge detail impressions and differing quality of facial and iris images. This requires experienced fingerprint examiners to transform and utilize previously learned non-digital comparison skills into a digital environment, while also being trained on facial and iris identifications. The ESS Biometric Examiners are also trained to perform case reception/administrative tasks to help serve on the ESS Biometric Technician operations as necessary. The ESS Biometric Examiner will be working on the front lines, performing biometric examinations, comparisons and effecting identifications to help serve the DoD Warfighter and protect the United States of America. The ESS Biometric Examiner candidate will have the opportunity to hone their skills in using the Microsoft Office Suite and Windows through day-to-day operational work. The ESS Biometric Examiner will have the opportunity to become proficient in using Adobe Photoshop to format fingerprint, palm print, facial and iris images for searching purposes, as well as utilizing Lakota Whorl to help complete necessary tasks to support the Warfighter. The ESS Biometric Examiner will receive unique training in performing facial and iris examinations. Typical Day: The DACID BOD Examination Services section is a 100% digital operation. Therefore, the typical day for a Biometric Examiner consists of working on a Windows 10 computer performing biometric examinations and comparisons as part of completing internal BOD and/or external customer request and casework Tasks: Responsibilities include, but are not limited to: Preparation of biometric files (fingerprints, palm prints, facial images and/or iris images) for entry into DoD ABIS through digital imaging techniques to enhance and maintain integrity of the images. Monitor queue applications to resolve DoD ABIS yellow resolve transactions. Manual comparison (on screen) of available biometrics with candidate biometrics retrieved from the DoD ABIS to eliminate individuals or effect positive identifications. Verification of fingerprints to validate the correct sequence and orientation. Perform manual biometric comparisons for the purpose of identity deconfliction at the request of BOD customers. Utilize a case management/database portal system to properly document case notes and metrics as well as prepare reports to communicate results to the submitting customer. Maintain digital Standard Operating Procedures (SOPs) and Work Instructions (WIs). Provide case reception/admin support, as necessary, to the ESS Biometric Technician operation. Requirements: Education: Doctorate, Masters, or Bachelor's degree and 6 years related work experience OR Associate degree and 8 years related work experience OR High School diploma and 10 years related work experience. Be able to obtain/maintain DoD Secret Clearance and FBI CJIS campus access clearance. Must be able to successfully pass proficiency testing prior to and periodically during employment with the company. Must be willing to work shifts (10-12 hours) based on a 24/7, 365 days a year schedule to include nights, weekends and holidays. Must be willing to relocate or commute to the Clarksburg, WV area. Must be willing to complete pre-employment comparison assessment test. Desired Qualifications: Current certification by the International Association for Identification (IAI) as a Certified Tenprint Examiner Prior tenprint, facial or iris examination experience Digital imaging processing tool experience (Adobe Photoshop preferred) AFIS/ABIS system experience Physical Job Requirements: Meet physical demands of working in a general office environment to include long hours working at a computer, either sitting or standing. Work Shift Information: Must be willing to work shifts (10-12 hours) based on a 24/7, 365 days a year schedule to include nights, weekends and holidays. Candidates will have the option of working either 10 or 12-hour days for an indefinite period of time, depending on coverage requirements. Shift times are flexible and are up to the discretion of management based off the needs of the operation. No shift differential available. Shifts: Day: 5a-5p, 5a-3p or 7a-5p Afternoon: 3p-3a Evening: 5p-5a, 5p-3a or 7p-5a Rotating or set shifts? No Rotation, primarily set shifts. Citizenship: US citizenship required Clearance: Must be willing to obtain/maintain US Secret clearance Current Interim Secret or Secret clearance preferred Location: Clarksburg, WV Ideal Innovations, Inc. is an Equal Opportunity Employer: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability, or veteran status. Ideal Innovations, Inc. is a VEVRAA Federal Contractor .

Service Wire Company, a premier supplier of industrial and utility wire and cable, is currently seeking a Customer Quality and Claims Specialist in Culloden, WV. If you are looking to join a great organization and a chance to become a part of our growing team, this may be the opportunity for you! Position Summary:The Customer Quality and Claims Specialist supports internal and external customers by managing product claims, returns, and quality related inquiries. The role investigates issues, coordinates resolutions across departments, and ensures timely, accurate, and professional communication while recommending process improvements to prevent future claims.Tasks/Duties/Responsibilities: Monitor and manage customer cases, proactively addressing delays Investigate and resolve product claims, pricing adjustments, and deductions in coordination with Sales, Shipping and Quality Control Analyze customer complaints to determine root cause, corrective actions, and preventive measures Communicate findings, resolutions, and recommendations to customers and internal stakeholders Manage freight claim by providing raw material scrap values and re-claimed materials while tracking the funds received Check records, such as bills, computer printouts, and related documents and correspondence, and converse or correspond with customer and other company personnel, such as sales, shipping, engineering, and credit, to obtain facts regarding customer complaint Notify customer and designated personnel of findings, adjustments, and recommendations, such as exchange of merchandise Recommend improvements in product, packaging, shipping methods, service, or billing processes to minimize future claims. Perform additional duties as assigned Knowledge/Skills/Requirements: High school diploma or equivalent; 2-year degree preferred Strong research, documentation, and analytical skills Proficient with Microsoft Office Solid basic math skills Ability to multi-task, prioritize, and manage time effectively Strong written and oral communication skills Ability to effectively interact with internal and external customers Ability to travel from time to time (less than 10%) Familiarity with office equipment including printers, copiers, scanners etc. Reports To: Quality Assurance Manager

Join Goodwill in making a meaningful impact in Weirton, WV. At Goodwill, we are dedicated to serving our community by providing high-quality goods, cultivating a supportive environment, and promoting an inclusive and equitable workplace. Our mission is to act as stewards of donations and the environment while celebrating success and adapting to change. We are hiring retail associates to sort, hang, and tag quality apparel and domestic donations, ensuring compliance with soft-line department quality standards. You will uphold customer service standards by greeting and thanking customers and donors in accordance with agency policies and procedures. Some of the great perks of working at Goodwill: * Bonus incentive plan * Generous paid time off * Retirement planning with company match * Employee Assistance Program * Employee discount Employees who work full-time are also eligible for: * Medical, dental, & vision benefits at a fraction of the premium cost * Short-term and long-term disability insurance at no cost * Life insurance at no cost * Paid holidays Key Responsibilities: * Stay knowledgeable of brand names, current and vintage items, fashion trends, and price points for apparel and domestic categories. * Sorts apparel into salable and salvage categories. Provides quality assurance by checking for tears, stains, wetness, smell, soiled, broken zippers, and missing buttons. Items must be flaw-free. * Hangs and tags quality donations quickly, in accordance with agency standards, while meeting or exceeding individual production targets. * Always maintain the processing area in a neat and clean condition. The station should always be ready for the next shift. * Embodies DGR MODE Guiding Principles. * Other duties as assigned. Goodwill is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status. Background check required.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. **You will:** + Receive and process requests for patient health information in accordance with Company and Facility policies and procedures. + Maintain confidentiality and security with all privileged information. + Maintain working knowledge of Company and facility software. + Adhere to the Company's and Customer facilities Code of Conduct and policies. + Inform manager of work, site difficulties, and/or fluctuating volumes. + Assist with additional work duties or responsibilities as evident or required. + Consistent application of medical privacy regulations to guard against unauthorized disclosure. + Responsible for managing patient health records. + Responsible for safeguarding patient records and ensuring compliance with HIPAA standards. + Prepares new patient charts, gathering documents and information from paper sources and/or electronic health record. + Ensures medical records are assembled in standard order and are accurate and complete. + Creates digital images of paperwork to be stored in the electronic medical record. + Responds to requests for patient records, both within the facility and by external sources, retrieving them and transmitting them appropriately. + Answering of inbound/outbound calls. + May assist with patient walk-ins. + May assist with administrative duties such as handling faxes, opening mail, and data entry. + Must meet productivity expectations as outlined at specific site. + May schedules pick-ups. + Other duties as assigned. **What you will bring to the table:** + High School Diploma or GED. + Ability to commute between locations as needed. + Able to work overtime during peak seasons when required. + Basic computer proficiency. + Comfortable utilizing phones, fax machine, printers, and other general office equipment on a regular basis. + Professional verbal and written communication skills in the English language. + Detail and quality oriented as it relates to accurate and compliant information for medical records. + Strong data entry skills. + Must be able to work with minimum supervision responding to changing priorities and role needs. + Ability to organize and manage multiple tasks. + Able to respond to requests in a fast-paced environment. **Bonus points if:** + Experience in a healthcare environment. + Previous production/metric-based work experience. + In-person customer service experience. + Ability to build relationships with on-site clients and customers. + Comfortable bringing new ideas, process improvement suggestions, and feedback to internal stakeholders. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated _salary range_ for this role is $15.00 - $18.32. _Comp target_ is between $16.00 - $17.00 for this role _At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your responses will be_ _anonymous and_ _used to help us identify areas of improvement in our recruitment process._ _(_ _We can only see aggregate responses, not individual responses. In fact, we aren't even able to see if you've responded or not_ _.)_ _Responding is your choice and it will not be used in any way in our hiring process_ _._ Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

NATURE OF WORK: To provide an examination and preliminary diagnosis of individuals who are the subject of a mental hygiene proceeding (respondent), with the goal of determining if they suffer from mental illness and/or addiction, and whether they present an immediate danger to themselves or others. This evaluation will be presented at a mental hygiene hearing and will function as a recommendation to the court as to the disposition of the respondent. MINIMUM QUALIFICATIONS: LPC, LICSW or Licensed Psychologist Ability to obtain and maintain CPR, First Aid, and MANDT Certifications. Ability to comply with Client's Rights. Ability to comply with all agency and departmental safety procedures. Ability to read, write, understand and speak the English language.

To ensure procurement of accurate pre-certification authorization/referral for applicable returning and new patients as well as review and completion of accurate, complete patient charts. Scheduling of multiple physician ordered tests, exams and surgeries where applicable. Responsibilities * Daily review of charts to determine if pre-certification/pre-authorization or referrals are needed. * Review specific patient insurance info to determine medical necessity requirements for specific treatments. * Correspond with medicare and various insurance companies to facilitate obtaining pertinent data on compliance, authorizations, verifications, progress notes, medical necessity guidelines and precertification and pre-authorization requirements. * Perform clerical duties as necessary, including composing letters to patients, insurance carriers and referring physicians regarding any issues. * Per physician order, schedule patient surgery and communicate all necessary information to the appropriate parties. * Make subsequent referrals to other physicians per physician review of test/scan results. * Establish new patient account in billing software upon receiving referral from physician. Forward all applicable info to appropriate personnel for inclusion in the medical chart. * Maintain continuing education treatment trends, current medical terminology used in pre-certification, and ICD-10, CPT and HCPCS codes. * Cross train for front desk and medical assistant roles. Provide back up as needed. * Schedule all procedures, collect, apply and deposit all funds. Knowledge, Skills & Abilities Patient Group Knowledge (Only applies to positions with direct patient contact) The employee must possess/obtain (by the end of the orientation period) and demonstrate the knowledge and skills necessary to provide developmentally appropriate assessment, treatment or care as defined by the department's identified patient ages. Specifically the employee must be able to demonstrate competency in: 1) ability to obtain and interpret information in terms of patient needs; 2) knowledge of growth and development; and 3) understanding of the range of treatment needed by the patients. Competency Statement Must demonstrate competency through an initial orientation and ongoing competency validation to independently perform tasks and additional duties as specified in the job description and the unit/department specific competency checklist. Common Duties and Responsibilities (Essential duties common to all positions) 1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations. 3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution. 5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations. 7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable. 9. Perform related duties as assigned. Education * High School Diploma or GED Credentials * No Certification, Competency or License Required Work Schedule: Days Status: Full Time Regular 1.0 Location: General-MSOB Location of Job: US:WV:Charleston Talent Acquisition Specialist: Jamie L. Douglas ********************************

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

Are you humble, hungry and smart? Are you also people smart? At PracticeLink.com, regardless of role or position, these are the personal traits we look for in a potential new colleague and teammate. Our culture is built on collaboration, commitment and care; our values are based upon trust, respect and mutual accountability; and our mission is to create, enhance and deliver value to those we serve. PracticeLink has been acknowledged three times as an Inc. 5000 company and recognized two times as one of the 100-Best Place to Work in Healthcare by Modern Healthcare Magazine. PracticeLink Magazine has been recognized by the American Society of Healthcare Publishing Executives and received multiple awards for both content and design each year for the last 5 continuous years. We are seeking a Physician/Provider Relations Representative to be a part of our growing team responsible for serving physicians and healthcare providers during the job search process. This position reports directly to the Director of Provider & Data Services, and interacts regularly with sales and support team members. This candidate would be accountable for completing and providing a high volume of quality phone interviews with candidates using effective communication to drive candidates to the PracticeLink website. In addition, will involve creating profiles for residents, physicians, and other healthcare professionals by developing contact information and contacting the candidates by phone or email; and other duties as needed, such as representing PracticeLink at regional and national conferences. Desired Skills & Experience Two or four-year degree in a related field Proficiency with MS Office, especially with Excel, and how to use various functions, Salesforce.com, GoToMeeting Recruitment, medical, and/or call center experience preferred but not required Knowledge of medical terminology is preferred but not required Highly organized and able to work in a fast-paced environment Relationship development skills at multiple levels within a client organization Excellent oral, written, presentation, and interpersonal skills, a teamwork-centric style, strong interpersonal skills, and superior organizational skills. Professional demeanor, poise, and appearance Must be able to travel Results-driven Ability to thrive in a team environment, and support department and cross-department team members Professional communication skills both verbal and written Friendly & outgoing attitude Quick study and pick up on new concepts quickly PracticeLink offers team members excellent growth and development opportunities, 401(k) with employer match, and FREE health benefits including dental and vision coverage, disability and life insurance. Education reimbursement programs available up to $1,500 per person per year. Please respond to Megan Harvey, VP of Human Resources & Staff Development, practicelink.bamboohr.com/jobs, 415 2nd Avenue, Hinton, WV 25951. PracticeLink is an Equal Opportunity Employer. Minorities and Women are encouraged to apply.

Goodwill of North Central West Virginia is a human services agency and network of not-for-profit businesses whose mission is to help people with special needs overcome barriers to employment and enjoy the dignity and benefits of work and improved quality of life. Goodwill retail stores are the principal business operation of Goodwill of Southwestern Pennsylvania. Members of our retail management team play a vital role in our organization. Our thrift stores are considered the "backbone' of the company by contributing nearly 60% of our annual revenues as well as offering training and employment opportunities for clients and consumers. Job Description As a production processor, you will have an opportunity to see all the amazing treasures that go up for sale in a Goodwill Retail Store. As a Production Processor your primary responsible will be to process donated material for sale in a Goodwill retail location while following established quality standards and pricing guidelines. The Production Processor will also support store operations by completing tasks in expected timeframes while maintaining accuracy and thoroughness. Responsibilities also include stocking and rotating product on the sales floor, and processing unsalable donations according to salvage guidelines. Understanding the benefits of working together as a team while maintaining a clean and safe work environment is also required. External Hiring Range: Up to $8.75/Hour To apply to this position, cut and paste this link; ********************** Qualifications Education: High school diploma or equivalent preferred Experience: 0-1 year Additional Information To apply for this position, follow the link: ********************** All your information will be kept confidential according to EEO guidelines.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The EMR Remote Processor serves as a key member of the EMR Remote team. This position is responsible for processing Release of Information (ROI), specifically medical record requests in a timely and efficient manner, ensuring accuracy and individual metrics are met. Verifying and analyzing data to affect the efficient and effective retrieval of charts in accordance with the core business function of Ciox Health. Associates must always safeguard and protect the patient's right to privacy by ensuring that only authorized individuals have access to the patient's medical information and that all releases of information are in compliance with the request, authorization, company policy and HIPAA regulations. **You will:** + Enter accurate data when assigned by team lead + Remote processing of electronic medical records through various EMR systems as directed + Ability to work with minimum supervision responding to changing priorities and role needs + Report any technical difficulties that you may experience as soon as they occur. + Meet required metrics for your role - CPH (Charts Per Hour) & Attendance. + Actively participate in all training that is assigned to you by your supervisor + Maintain high standards of Confidentiality to safeguard and protect Patient's Right and comply with all company and facilities policies and HIPPAA regulations + Read all documentation and follow written instructions provided to ensure compliance and accurate job completion. + Immediately report to team lead/coordinator/supervisor or management any security breaches, unsafe behavior witnessed or any site difficulties. + Support a service environment that focuses on quality processes + Ensure that deadlines are met and respond to emails and other requests for information timely + Adhere to company policies + Perform other duties as assigned **What you will bring to the table:** + High School Diploma or equivalent required + Six months plus Data Entry Experience + EMR experience A+ Experience in a healthcare environment or release of information setting is strongly preferred. + Demonstrate ability to address problems constructively to find acceptable solutions + Demonstrate accuracy and attention to detail. + Computer skills including Windows based applications (Word, PowerPoint, Excel, Access, Outlook) + Excellent organizational skills + Excellent detail-orientation and accuracy with high volume environment + Adaptable to changing business environment + Demonstrated ability to work within a diverse group of individuals and collaboratively in a matrixed, cross-departmental remote environment Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $15-$18.32 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

Job DescriptionSalary: Are you humble, hungry and smart? Are you also people smart? At PracticeLink.com, regardless of role or position, these are the personal traits we look for in a potential new colleague and teammate. Our culture is built on collaboration, commitment and care; our values are based upon trust, respect and mutual accountability; and our mission is to create, enhance and deliver value to those we serve. PracticeLink has been acknowledged three times as an Inc. 5000 company and recognized two times as one of the 100-Best Place to Work in Healthcare by Modern Healthcare Magazine. PracticeLink Magazine has been recognized by the American Society of Healthcare Publishing Executives and received multiple awards for both content and design each year for the last 5 continuous years. We are seeking a Physician/Provider Relations Representative to be a part of our growing team responsible for serving physicians and healthcare providers during the job search process. This position reports directly to the Director of Provider & Data Services, and interacts regularly with sales and support team members. This candidate would be accountable for completing and providing a high volume of quality phone interviews with candidates using effective communication to drive candidates to the PracticeLink website. In addition, will involve creating profiles for residents, physicians, and other healthcare professionals by developing contact information and contacting the candidates by phone or email; and other duties as needed, such as representing PracticeLink at regional and national conferences. Desired Skills & Experience Two or four-year degree in a related field Proficiency with MS Office, especially with Excel, and how to use various functions, Salesforce.com, GoToMeeting Recruitment, medical, and/or call center experience preferred but not required Knowledge of medical terminology is preferred but not required Highly organized and able to work in a fast-paced environment Relationship development skills at multiple levels within a client organization Excellent oral, written, presentation, and interpersonal skills, a teamwork-centric style, strong interpersonal skills, and superior organizational skills. Professional demeanor, poise, and appearance Must be able to travel Results-driven Ability to thrive in a team environment, and support department and cross-department team members Professional communication skills both verbal and written Friendly & outgoing attitude Quick study and pick up on new concepts quickly PracticeLink offers team members excellent growth and development opportunities, 401(k) with employer match, and FREE health benefits including dental and vision coverage, disability and life insurance. Education reimbursement programs available up to $1,500 per person per year. Please respond to Megan Harvey, VP of Human Resources & Staff Development, practicelink.bamboohr.com/jobs, 415 2nd Avenue, Hinton, WV 25951. PracticeLink is an Equal Opportunity Employer. Minorities and Women are encouraged to apply.