Claim specialist jobs in Clovis, CA

Junior Program Manager (SAP) Since its establishment, TAWA Services, Inc. has been committed to providing exceptional service and support to the diverse Asian American communities. Leveraging our extensive network and global resources, we ensure timely and efficient delivery of quality goods across the United States. Our dedication to excellence and community underscores the vital role of service in enhancing everyday life. TAWA Services, Inc. invites you to be a part of our mission and team! Summary: As a Junior Program Manager (SAP), you will assist in the planning, coordination, and execution of SAP projects under the direction of the SAP Program Manager. You will work closely with cross-functional teams, stakeholders, and vendors to ensure projects are delivered on time, within scope, and within budget. This role requires a strong foundation in project management methodologies, excellent organizational skills, and an eagerness to grow within the SAP ecosystem. Responsibilities: Support the SAP Program Manager in coordinating and monitoring the execution of SAP implementation, upgrades, and enhancement projects. Assist in project planning activities including defining project scope, goals, timelines, and deliverables. Track project milestones and deliverables, prepare status reports, and help manage project documentation. Facilitate communication between project stakeholders, including business units, technical teams, and external vendors. Organize and schedule project meetings, document meeting minutes, and follow up on action items. Help identify project risks, issues, and dependencies, and support mitigation planning. Monitor and support change management activities related to SAP projects. Ensure compliance with internal standards, governance frameworks, and best practices in project execution. Maintain and update project tracking tools, including timelines, risk logs, and issue trackers. Participate in testing and training coordination for SAP modules, as needed. Perform other duties as assigned by management. Qualification: A Bachelor's degree in Business Administration, Information Systems, Computer Science, or a related field. 1-3 years of experience in project coordination or junior project management, ideally in an IT or ERP environment. Bilingual proficiency in English/Mandarin is strongly preferred. Familiarity with SAP systems and modules (such as SAP S/4HANA, FICO, MM, SD). Understanding of project management methodologies (Waterfall, Agile, etc.). Proficiency in Microsoft Office tools, especially Excel, PowerPoint, and Project. Strong organizational, multitasking, and time management skills. Effective verbal and written communication skills. Detail-oriented with a proactive, solution-focused mindset. PMP, CAPM, or SAP-related certifications are a plus. Authorized to work in the United States without sponsorship. Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. This job may require standing or walking for extended periods of time, lifting up to 25 pounds, and performing repetitive motions. Position Details: Employment Type: Full Time Location: 6338 Regio Ave, Buena Park, CA 90620 Benefits: Medical, Dental, Vision, and Life Insurance. 401 (k) Retirement Saving Plan with 4% Company Match. Long-Term Services Award. Employee Discount. Paid Time Off. Compensation: The pay range for this job starts at $70,000 per year. This is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) the responsibilities of the job, your education, skills, qualifications, experience, and location. Beware of Job Scams: We prioritize applicant safety at TAWA Services, Inc. Please exercise caution during your job search. Be wary of unsolicited offers, requests for personal information or upfront payments, poorly written s, unrealistic promises, and unprofessional communication. Research employers, verify job postings, and trust your instincts. Report any suspicious activity. For helpful guidance on identifying job scams, visit this link provided by the Indeed website: ************************************************************ Disclaimer: Our goal is to be a recognized leader in the industry while providing a great workplace for employees. Please note the job descriptions are intended to describe the general nature and level of work being performed by people assigned to the position. They do not cover all the details of skills, duties, or responsibilities required for the positions. Thus, they are not to be construed as an exhaustive list of all skills, duties, and responsibilities required for personnel. All personnel may be required to perform duties outside of their normal responsibilities as instructed by management. Skills, duties and responsibilities may change at any time with or without notice. We are an E.E.O. employer.

About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members. SUMMARY: Under the direction of the Vice President of Claims, this position is responsible for manual input and adjudication of claims submitted to the health plan. The ideal candidate will need to interpret and utilize capitation contracts, payor matrixes, subscriber benefit plan, and provider contracts; as well as resolving customer service inquiries, status calls, andclaim tracers. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following: • Data enter paper claims into EZCAP. • Review and interpret provider contracts to properly adjudicate claims. • Review and interpret Division of Financial Responsibility (DOFR) for claims processing. • Perform delegated duties in a timely and efficient manner. • Verify eligibility and benefits as necessary to properly apply co-pays. • Understands eligibility, enrollment, and authorization process. • Knowledge of prompt payment guidelines for clean and unclean claims • Process claims efficiently and maintains acceptable quality of at least 95% on reviewed claims. • Meets daily production standards set for the department. • Prepares claims for medical review and signature review per processing guidelines. • Identify the correctly received date on claims, with knowledge of all time frames for meeting compliance for all lines of business. Maintains good working knowledge of system/internet and online tools used to process claims • Good knowledge of CPT/HCPCS/ICD-10, and Revenue Codes, including modifiers. • Assist customer service as needed to assist in claims resolution on calls from providers. • Research authorizations and properly selects appropriate authorization for services billed. • Coordinate with the claims clerks on issues related to the submission and forwarding of claims determined to be financial responsibility of another organization. • Coordinate Benefits on claims for which member has another primary coverage • Run monthly reports. • Review pre and post check run. • Regular and consistent attendance • Other duties as assigned QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: • High School Diploma or GED required. • 1 to 3 years of previous experience in a health plan, IPA or medical group. • Strong understanding of the benefit process including member services or customer service. • Demonstrated proficiency in MS Office (Excel, Word, Outlook, and PowerPoint). • Able to navigate difficult situations with empathy, discretion, and professionalism. • Strong understanding of Senior Medicare Advantage Health plans. • Able to explain member benefits, answer questions and concerns using a “Customer Service First” attitude. • Able to live our mission, vision, and values, • Bilingual in another language (written and oral) preferred.

Pilot CBP Air Interdiction Agent Air and Marine Operations (AMO), a component of U.S. Customs and Border Protection (CBP), offers skilled Pilots interested in law enforcement an opportunity to work with an elite team of highly trained professionals whose camaraderie, pride, and purpose are hallmarks of their daily mission to protect America. If you are looking for an exciting and rewarding career with excellent pay, exceptional federal benefits and job stability, now is the time to make your move: become an Air Interdiction Agent. AMO is actively recruiting for these full-time security-based opportunities with a streamlined application process. Notably, seasoned pilots and those with military training are in demand APPLY TODAY! Duty Locations Locations are offered based on operational requirements, mission requirements, and critical agency hiring needs as determined by AMO. You must be willing to work at any duty location within the region you select to include but not limited to the following: Southeast Region:Homestead, FL and CAMB:Aguadilla, PR Southwest Region: Tucson and Yuma, AZ; San Diego, CA; El Paso, Laredo, and McAllen, TX NASOC UAS locations:Sierra Vista, AZ; San Angelo, TX Duties and Responsibilities As an Air Interdiction Agent (AIA) you will perform aviation-based law enforcement operations for the detection, prevention, interdiction, and apprehension of terrorists, terrorist weapons, and other contraband and persons from illegally entering or attacking the United States. Typical duties include: Conducting air patrol, surveillance, and pursuit activities related to the interdiction of smuggled contraband via land vehicles, aircraft, or vessels. Monitoring behavior patterns and activities of suspect persons, vehicles, or vessels believed to be engaged in illegal activities. Collecting, refining, and analyzing strategic and tactical intelligence. Supporting search and rescue and humanitarian efforts. Salary and Benefits Begin your career as an Air Interdiction Agent (AIA) and make up to $106,000 -$127,000 per year based on your qualifications for the GS-11 grade level and possible extra compensation based on your duty location (see below) and overtime pay, up to 25% of your salary. Your starting salary will include Special Salary Rate (SSR); Law Enforcement Availability Pay (LEAP); Recruitment Incentive; and Retention Incentive. This career ladder position has a grade level progression of GS-11, GS-12, and GS-13. You may be eligible for a promotion to the next higher grade level automatically (without re-applying) once you complete 52 weeks at each grade level (with supervisor approval). Example of annual compensation for the first three years at our new-hire locations which are currently authorized to receive LEAP (amounts below include the SSR + LEAP). GS-11, 1st year annual pay - $106,588 GS-12, 2nd year annual pay - $127,754 GS-13, 3rd year annual pay - $151,817 Example of annual compensation for the first three years at our new-hire locations which are currently authorized to receive a 10% Retention Incentive (amounts below include the SSR + LEAP + 10% Retention Incentive UAS Sites: Sierra Vista, AZ; Grand Forks, ND; San Angelo, TX). GS-11, 1st year annual pay - $115,115 GS-12, 2nd year annual pay - $137,974 GS-13, 3rd year annual pay - $164,071 Example of annual compensation for the first three years at our new-hire locations which are currently authorized to receive a 25% Recruitment Incentive (amounts below include the SSR + LEAP + 25% Recruitment Incentive CAMB location only; Aguadilla, PR). GS-11, 1st year annual pay - $127,906 GS-12, 2nd year annual pay - $153,305 GS-13, 3rd year annual pay - $182,302 Air Interdiction Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional and ROTH 401(k) offering. Qualifications Experience:You qualify for the GS-11 grade level if you possess one (1) year of specialized professional aviation experience performing duties such as: Flying as a Pilot-in-Command or sole manipulator in an airplane and helicopter in all environments of flight, including night, poor weather, unfavorable terrain, low altitudes, or speed. Evaluating information rapidly and making judicious decisions promptly during in-flight operations. Developing strategies and coordinating aircraft and ground assets. Using information systems and databases to conduct information surveys, queries, update files and disseminate information. Experience may include Operation of an aircraft as Captain, Pilot in Command, Aircraft Commander, First Officer, Certified Flight Instructor, Second in Command, or Co-pilot. Hiring Minimums: Certification & Ratings: A current FAA Commercial or ATP Pilot Certification with one of the following ratings: Dual Rated: Airplane (Single-engine land or multi-engine land) with instrument rating AND Rotorcraft Helicopter with instrument rating. Airplane Rated: Airplane (Single-engine land or multi-engine land) with instrument. Helicopter Rated: Rotorcraft Helicopter with instrument rating. Equivalent military rating of the above at the time of application (eligibility based on military flight experience must provide official orders, forms or logbooks showing their status as a rated military pilot). Flight Hours: Pilot Enter on Duty minimums are 1500 flight hours; (up to 500 hours can be waived, reducing the pilot enter on duty minimums to 1000 hours. 250 Pilot-in-Command hours; 75 Instrument hours; 75 Night hours (Flight Hour Waiver available, see Required Documents); and 100 Flight hours in the last 12 months This qualification requirement is currently being waived by OPM through August 5, 2025. FAA Class 2 medical required for assessment dated within the last 12 calendar months; FAA Class 1, FAA Class 2 or Military medical flight clearance dated within the last 12 months qualifies to start the pre-employment process for the AIA position. Apply at 750 hours total time:Applicants applying at 750 flight hours are required to obtain at least 1,000 flight hours (depending on the number of hours approved for a waiver) at their own expense before being able to attend the 3-part flight assessment. Applicants must still meet 250 Pilot-in-Command, 75 instrument, and 75-night hours (100 flight hours in the last 12 months. This qualification requirement is currently being waived by OPM through August 5, 2025) UAS Flight Hours:Applicants may include UAS Predator A (MQ-1), Predator B (MQ-9) flight hours and Predator A (MQ-1), Predator B (MQ-9) or predator-based flight hours. These hours may be credited towards satisfying the Total flight time 1,500 flight hour requirement only. UAS hours do not count towards the 250 flight hours as a Pilot in Command, 75 flight hours Instrument, and 75 flight hours Night. Flight hour logbooks will be required at the time of your Flight Assessment for verification. Other Requirements Citizenship: You must be a U.S. Citizen to apply for this position. Residency: You must have had primary U.S. residency (includes protectorates as declared under international law) for at least three of the last five years. Age Requirement: Provisions of Public Laws 93-350 and 100-238 allow the imposition of a maximum age for initial appointment to a primary Law Enforcement Officer position within the Department of Homeland Security (DHS). In accordance with DHS Management Directive 251-03, the day before an individual's 37th birthday is the maximum age for original appointment to a position as a primary law enforcement officer within DHS. The age requirement is also necessary to ensure that you are able to complete the 20 years of applicable service for retirement. NOTE: The Commissioner of CBP has approved a temporary increase in the maximum allowable age to 40 for original placement into an Air Interdiction Agent position. Age Waiver: Creditable law enforcement officer service -Covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d), or creditable service covered by Title 5 U.S.C. 8401(36) (as a Customs and Border Protection Officer) on or after July 6, 2008, may be applied toward the maximum age requirement. This age restriction may not apply if you are currently serving in a federal civilian (not military) law enforcement position covered by Title 5 U.S.C. 8336(c) or Title 5 U.S.C. 8412(d). Veterans' Preference Eligibility: To ensure compliance with statutes pertaining to the appointment of preference eligible veterans as determined by the Merit Systems Protection Board in its decision Isabellav.Dept of State,the maximum age for original appointment articulated above shall not apply to the hiring of individuals entitled to veterans' preference eligibility under 5 U.S.C. 3312.

Who We Are Through our service brands Hyundai Motor Finance, Genesis Finance, and Kia Finance, Hyundai Capital America offers a wide range of financial products tailored to meet the needs of Hyundai, Genesis, and Kia customers and dealerships. We provide vehicle financing, leasing, subscription, and insurance solutions to over 2 million consumers and businesses. Embodying our commitment to grow, innovate, and diversify, we strive to reimagine the customer and dealer experience and launch innovative new products that broaden our market reach. We believe that success comes from within and are proud to support our team members through skill development and career advancement. Hyundai Capital America is an Equal Opportunity Employer committed to creating a diverse and inclusive culture for our workforce. We are a values-driven company dedicated to supporting both internal and external communities through volunteering, philanthropy, and the empowerment of our Employee Resource Groups. Together, we strive to be the leader in financing freedom of movement. We Take Care of Our People Along with competitive pay, as an employee of HCA, you are eligible for the following benefits: Medical, Dental and Vision plans that include no-cost and low-cost plan options Immediate 401(k) matching and vesting Vehicle purchase and lease discounts plus monthly vehicle allowances Paid Volunteer Time Off with company donation to a charity of your choice Tuition reimbursement What to Expect The Cybersecurity Governance Manager plays a critical role in the organization's second line of defense, ensuring policies, governance frameworks, and regulatory adherence in cybersecurity governance, risk and compliance across the organization. This role establishes oversight mechanisms, monitors compliance with industry regulations, and ensures access-related risks are effectively managed. In addition, this role ensures governance and compliance strategies are aligned with business objectives and security standards. What You Will Do 1. Cybersecurity Governance and Risk Management Manage, maintain and enforce security policies, standards and guidelines related to Cybersecurity governance processes. Develop, implement, maintain and execute a Cybersecurity Risk Register, Policy Risk Exception Process, and Procedures. Conduct risk assessments and impact analyses to identify risks, manage remediations, to ensure compliance across business systems, IT Infrastructure, and network operating environments. 2. Cybersecurity Risk Assessment Perform Global Integrated Security Framework (GSIF) assessments, monitor and ensure remediations are following GSIF ISO 27001 standards across cross-functional departments. Collaborate with Cybersecurity Risk Management, Cybersecurity Engineering Operations, and IT to ensure security best practices are integrated within each project and system deployment. Cybersecurity Governance and Risk Reporting Develop metrics and reporting for senior management and stakeholders that identify security risks and provide actionable insights to address gaps. Develop and maintain the governance mechanisms and automation tools track the Risk Register, and compliance status across the organization. Develop and maintain dashboards and regular reporting to manage management performance metrics, risk metrics. Qualifications What You Will Bring Minimum 5-7 years progressive experience in cybersecurity governance, risk management, or compliance within financial services with a deep understanding of the IT systems. Bachelor's degree in Cybersecurity, Information Security, Risk Management or a related field Master's degree a plus. Certifications such as CISSP, CISM, CRISC, CGEIT, CISA, and ITIL are highly desirable. Working knowledge of Cybersecurity risk management frameworks, Governance, Risk, and Compliance process, IT general controls (e.g. asset classification, risk assessments, vulnerability and threat analysis, risk treatment, audit controls and remediation, vendor risk management, and IT risk management & reporting). Working knowledge of Information Security & Risk Frameworks including ISO 27001/2, ISO 31000:2009, ISO 27005:2008; NIST Special Publications and Methodologies (e.g. SP800-12, 30, 37, 39, 53,150, 161). Working knowledge of California Consumer Privacy Act (CCPA), Gramm-Leach-Bliley Act (GLBA), NYDFS Cybersecurity Regulation, PCI-DSS, FFIEC, SOX, and other relevant laws and regulations. Basic understanding of financial regulatory frameworks and cybersecurity best practices. Ability to communicate complex security concepts to business leaders and technical teams. Work Environment Employees in this class are subject to extended periods of sitting, standing and walking, and using a computer. Work is performed in an office environment. The posted salary range for this job takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; geographic location, and other business and organizational needs. Successful candidates may be hired anywhere in the salary range based on these factors. It is uncommon to hire candidates at or near the top of the range. California Privacy Notice This notice only applies to our applicants who reside in the State of California. The latest version of our Privacy Policy can be found here. This Privacy Policy provides you with notice, at or before the point of collection, about the categories of personal information to be collected from you, the purposes for which your personal information is collected or used, and whether that information is sold or shared, so that you can exercise meaningful control over our use of your personal information. We are providing this notice to comply with the California Consumer Privacy Act of 2018, as amended as amended by the California Privacy Rights Act of 2020 (“CCPA”). If you have any questions about CCPA regarding California residents or HCA team members, please contact the Privacy Team at Privacy2@hcs.com. Primary Location: United States-California-Irvine Work Locations: Headquarters 1 3161 Michelson Dr. Ste 1900, Irvine 92612 Job: Information Security Job Type: Regular Overtime Status: Exempt Schedule: Full-time Minimum Salary: $92,500.00 Maximum Salary: $143,500.00

Title: Digital & IT SAP FICO Specialist Salary range: $130k-$155k US Citizen only Exp: SME Finance & Controlling SAP configuration Manufacturing background preferred POSITION SUMMARY: The SAP Finance and Controlling functional subject matter expert is accountable for ensuring the SAP solution provided to the customer is fit for purpose, consistent across businesses, aligns with the company'sSAP template and satisfies the business requirements. Knowledge areas are SAP ECC 6.0 and S/4 in-depth knowledge of the modules for Finance, Controlling and Project Systems but as the role is broad additional SAP modules knowledge will be beneficial. RESPONSIBILITIES: Act as the subject matter expert to projects on SAP FICO functional modules in the role arena and advise on what the art of the possible is. Elicit requirements using interviews, process reviews, shadowing, document analysis, requirements workshops, surveys, site visits, business process descriptions, use cases, scenarios, business analysis, and task & workflow analysis. This will either be as an individual SAP Subject Matter Expert or in conjunction with a Business Analyst. Critically evaluate information gathered from multiple sources, reconcile conflicts, identify, and close gaps, decompose high-level information into details, abstract up from low-level information to a general understanding, and distinguish user requests from the underlying true needs. Proactively communicate and collaborate with external and internal customers to analyze information needs and SAP functional requirements and deliver appropriate artefacts on standard templates, including but not limited to Process Flows, Technical Design, Solution Design, User Stories, Use Cases, GUI Screen and Interface designs. Successfully engage in multiple initiatives simultaneously. Interpret customer business needs and translate them into application and operational requirements. Act as the liaison between the customer community and the SAP application teams regards SAP capability. Collaborate with developers and subject matter experts to establish the technical vision and analyze trade-offs between usability, functionality and performance needs. Implement and deploy SAP template solution to achieve defined business goals to design, maintain, deploy solution for Finance and controlling component and cross functional components such as production planning, procurement etc. Owns and manages the design, documentation and implementation of processes and process improvements in conjunction with process owners, Super Users, SAP functional specialists and third-party as part of the SAP CoE. Initiates continuous improvements activities to increase the efficiency of the business information systems and meet global business objectives. QUALIFICATIONS: 4-year University / College Degree and relevant technical / business certifications Five or more years experience in Information Technology Experience in security best practices and compliancy requirements for area of expertise Ability to travel as needed Available to provide after-hours technical support as needed Additional SAP Qualifications: A minimum of 5 years SAP full cycle implementation experience in Financial Accounting, Controlling and Management Accounting as well as support experience. Experienced SAP finance and controlling subject matter expert who is able to engage with business, extract business requirements and configure SAP solutions. Must have worked in customized processes and SAP Template solutions within the SAP arena. Must have worked in RICEFW developments, exposure to BAPI, Integration, User exits. Excellent verbal and written communication skills and the ability to interact professionally with a diverse stakeholder group including executives, managers, business process owners and subject matter experts. Identify and manage senior stakeholders, evaluate their interests and establish effective communication channels ensuring effective stakeholder management and engagement. Specify requirements for toolset adaptions, acceptance testing of implemented solutions, develop migration strategies and plans. Provide Technical expertise within their functional area with the team, prove accountability and be a role models to others. Ensure processes, deliverables and responsibilities are fully aligned with strategic priorities / goals of the organization. Good appreciation of systems design and SAP configuration. Working knowledge of appropriate legislation, accounting standards, including the Data Protection Act, DFARS and ITARS. Day-to-day use of Microsoft Outlook, Excel, Word, Visio & PowerPoint Able to facilitate workshops, lead discussions and gain consensus views on decisions. Knowledge of business processes, commercial drivers and activities.

AI Specialist - Generative AI & Business Intelligence Onsite 2-3 times a week: 100 Waterfront Place West Sacramento, CA 95605 W-2 with Brooksource - not able to work c2c or 1099 We are looking for an experienced AI Specialist to lead the design and implementation of advanced Artificial Intelligence (AI) and Generative AI (GenAI) solutions for CalSTRS. This role will focus on enabling AI-driven analytics, building scalable AI platforms, and integrating intelligent capabilities into enterprise Business Intelligence (BI) and Data Warehousing (DW) environments using AWS, Snowflake, and Power BI. Key Responsibilities Design and implement AI/ML and GenAI use cases to enhance BI and analytics capabilities. Develop AI platform architectures with agentic AI capabilities for accelerated deployment. Collaborate with stakeholders to identify AI opportunities and create business cases. Integrate AI solutions with BI/DW tools and ensure seamless data flow and governance. Establish and enforce enterprise-wide Data Governance frameworks, policies, and standards. Ensure compliance with California State IT policies, SDLC methodologies, and industry best practices. Provide technical leadership on AWS Bedrock and Microsoft Copilot integrations. Mandatory Qualifications Successfully delivered at least one BI/DW engagement with a total project budget of $20M+. 3+ years of experience designing and implementing AI or ML use cases. Proven experience developing enterprise-wide Data Governance frameworks and implementation plans. 5+ years of experience identifying BI use cases and creating KPI analyses, risk assessments, and implementation roadmaps. Desired Qualifications 5+ years consulting for California State agencies, adhering to state SDLC methodologies and IT standards. Technical certifications in cloud architecture, GenAI, or GenBI. Experience designing and building AI platform architectures with agentic AI capabilities. Familiarity with AWS Bedrock and Microsoft Copilot integrations. Expertise in project management using PMI PMBOK and Scaled Agile Framework. Local to California and able to work onsite as needed.

About the Company: This is a fast-paced retail and e-commerce company specializing in apparel and lifestyle products. The team is collaborative and detail-oriented, supporting both brick-and-mortar stores and online sales channels. Role Overview: The Data Entry / Report Specialist will support retail operations, customer service, and reporting. This is a temporary-to-permanent position filling in for an employee on leave. Key Responsibilities: Retail Store Support: Process seasonal and replenishment orders, including pick tickets, UPC labels, and invoices. Communicate replenishment status and shipping updates to retail stores. Maintain POS systems, including uploading stock and making inventory adjustments. Process store RMAs and adjust stock accordingly. Customer Support: Process bounced back orders (Return to Customer). Manage FedEx claims and Shopify chargebacks. Support online returns via ReturnGO as needed. ERP - Style Master: Create new product styles and update existing ones. Upload product images and generate UPCs. Export styles to JOOR when applicable and manage product URLs. Send UPC/QR code labels to vendors. NuOrder: Create and maintain linesheets. Upload style images and make updates as needed. Additional Support: Assist with WSL-related tasks and gift order processing/invoicing. Print UPC/QR codes as requested by DC. Reporting: Generate weekly Work-in-Progress (WIP) Flow report. Produce weekly Exchange Tracking report and UPC reports. Generate additional reports as requested by the Operations team. Temp-to-Perm Data Entry / Report Specialist Location: Vernon, CA (3 days onsite) Pay: $30hr Start Date: ASAP - urgent Schedule: Part-time, 3 days per week

[JD] CX Specialist Employment Type: Full-time, Exempt Pay Range: $70,000 - $85,000/year + Eligible for annual performance-based bonus Benefits: 401(k) with Company Match, Employee Discount Program, Lifestyle Allowance, Mobile Phone Plan Reimbursement, Comprehensive Health/Dental/Vision Insurance, Generous Paid Time Off, Flexible Work Hours, Wellness Days, Creative Days, Monthly Team Building Budget and more! About Us CJ Olive Young introduced the first Korean Health & Beauty store in 1999, pioneering the industry and becoming Korea's No. 1 Health & Beauty store. With over 1,390 stores across Korea and a global network reaching 150 countries, OLIVE YOUNG is now evolving into a Global Lifestyle Platform that brings the best of Health & Beauty to customers worldwide. CJ Olive Young USA, Inc. is a dynamic Health & Beauty retailer specializing in skincare and cosmetics in North America! As we expand, we are also curating a selection of local U.S. beauty brands, bringing innovative and high-quality products to our customers. Job Summary We are seeking a Customer Experience (CX) Specialist to enhance the overall shopping experience for our customers. This role will focus on customer service operations, claims handling, feedback analysis, and experience optimization across various retail channels. The ideal candidate is passionate about beauty, understands customer needs, and can create strategies to improve customer satisfaction and loyalty. What You'll Do Oversee and manage customer service operations across online and offline retail channels Handle customer inquiries, complaints, and claims, ensuring prompt resolution and customer satisfaction Analyze customer feedback and data to identify areas for improvement in the shopping experience Develop and implement customer engagement strategies, including loyalty programs and personalized services Work closely with the marketing, sales, and store operations teams to align customer experience initiatives Train and support retail staff to ensure consistent and high-quality customer interactions Collaborate with HQ and cross-functional teams to enhance the overall brand experience Monitor and report on customer satisfaction KPIs and recommend improvements Qualifications Bachelor's degree in Business, Marketing, Communications, Retail Management, or a related field 4+ years of experience in customer experience, customer service, or retail operations, preferably in the beauty industry Strong problem-solving and communication skills, with a customer-first mindset Ability to analyze data and implement customer-centric solutions Experience working with customer experience management tools and service platforms Ability to multitask and work in a fast-paced retail environment Solid understanding of consumer protection laws and hands-on experience in developing or managing customer-related policies Preferred Qualifications Experience in beauty, cosmetics, or skincare retail. Familiarity with e-commerce and omnichannel customer service strategies. Bilingual in English and Korean is a plus.

Founded in 1988 by Kenneth Picerne, The Picerne Group is an investment company that focuses on distressed debt, apartment acquisition, land acquisition, entitlement and apartment development. The Picerne Group creates above market returns by strategically capitalizing on its most significant competitive advantage: the ability to finance the acquisition of unentitled land. The Picerne Group acquires premium sites for multifamily development in areas that are supply constrained and have growing employment. The Picerne Group's development business focuses on Class A properties in its core markets of Southern California, Denver and Las Vegas. The Picerne Group is positioned to capitalize on rare development opportunities because of its liquidity and banking relationships. Additionally, its entrepreneurial yet professional approach to investing allows the company to take measured entitlement risk that institutional investors and less well capitalized sponsors cannot. Job Description Overview The Yardi Administrator will be the in-house Yardi expert, responsible for technical support, platform management, integrations, and implementations for corporate and a portfolio of operating apartment properties. This role requires a strong understanding of the Yardi multi-family platform and will be the main point of contact for our corporate and on-site team to ensure timely resolution of support issues. Essential Duties Provide day to day operational troubleshooting for our corporate and on-site property users Identify areas of improvement for our current Yardi modules, which include but are not limited to, Property Management, RentCafe, GL, Procure to Pay, Payscan, Maintenance IQ, Job Cost and Investment Management, for both Yardi Voyager and Elevate platforms End-to-end project management Input and manage escalated Yardi tickets from internal team Serve as liaison for new property set up for operations once construction is completed Create and update leases and addendums in Yardi usings FillDocs Test and troubleshoot integrations, upgrades, and new modules Collaborate with new partnerships and Yardi for integration and programming Complete, manage, and maintain report scheduling and task optimization Create custom reports as needed Manage and review Yardi billings Identify opportunities and prioritize new products and initiatives Attend annual Yardi conference Manage Yardi users (add, disable, maintain security settings, etc.) Assist Accounting with the following requests: Create GL accounts Update account trees Update security for access Update/edit/remove permissions Update/edit/remove roles and workflows Create and setup entity/property/job Update/edit/remove roles Setup out of office Troubleshoot any issues with the above Additional duties or responsibilities as assigned Qualifications Multi-family experience required Knowledge of accounting principles preferred 5+ years of Yardi experience including both property accounting and technical support/system administration Intermediate knowledge of SQL, custom reporting, and technical support in Yardi Strong project management skills and understanding of system integrations Advanced excel skills Strong attention to detail, problem-solving and process improvement skills Must be a team-player who takes initiative Strong communication skills required Must have a passion for learning new technology and developing innovative solutions Report to: Corporate Controller Salary Range: $95,000-$125,000 Placement within this compensation range will be determined by the candidate's knowledge, experience and skills.

Create Music Group is currently looking for a Youtube Publishing Administrator to join our Publishing Department. This role is responsible for ensuring complete delivery of our publishing content, as well as maintaining internal systems and metadata to company standards. This is a full-time position located in our Hollywood office. YouTube monetization provides an alternative consulting and revenue-generating resource for our clients to grow their audience and earnings. We have helped our clients monetize and collected millions in previously unclaimed revenue for artists and labels. REQUIREMENTS: 1-3 years work experience Excellent communication skills, both written and verbal Internet culture and social media platforms, especially YouTube Conducting basic level research Organizing large amounts of data efficiently Proficiency with Mac OSX, Microsoft Office, and Google Apps PLUSES: Strong understanding of the online video market (YouTube, Instagram, TikTok) Bilingual - any language, although Spanish, Mandarin, and Russian is preferred RESPONSIBILITIES: Watching YouTube videos for several hours daily Content claiming Uploading and defining intellectual assets Administrative metadata tasks Researching potential clients Staying on top of accounts for current client roster You are required to bring your own laptop for this position. BENEFITS: Paid company holidays, paid time off, and health benefits (medical, dental, vision, and supplementary policies) are included. TO APPLY: Send us your resume and cover letter (in one file). After you apply, you will be redirected to take our Culture Index survey here. Otherwise, copy and paste the link to your web browser: ********************************************************* Info.php?cfilter=1&COMPANY_CODE=cYEX5Omste Applications without a cover letter and Culture Index survey will not be considered. OPTIONAL: Link relevant social media campaigns and/or writing samples from your portfolio.

Now Hiring: Impact Claims Negotiation Specialist - Inspire, Lead, and Transform! Are you a driven leader with a passion for empowering others and creating lasting impact? We are looking for ambitious individuals to join our team as Claims Negotiation Specialist, where you'll mentor, develop, and guide individuals toward financial success and leadership excellence. Who We're Looking For: ✅ Visionary entrepreneurs & business professionals ready to lead ✅ Mentors and coaches who thrive on helping others grow ✅ Licensed & aspiring Life & Health Insurance Agents (We'll guide you through licensing!) ✅ Individuals eager to inspire and drive meaningful success As a Claims Negotiation Specialist, you'll be at the forefront of mentoring, coaching, and leading high-potential individuals, helping them unlock new levels of success while also scaling your own leadership and financial growth. Is This You? ✔ Passionate about mentorship, leadership, and personal growth? ✔ A natural motivator who thrives on empowering others? ✔ Self-motivated, disciplined, and committed to success? ✔ Open to ongoing mentorship and leadership development? ✔ Looking for a recession-proof and scalable career opportunity? If you answered YES, keep reading! Why Become a Claims Negotiation Specialist? 🚀 Work from anywhere - Build a flexible, high-impact career. 💰 Uncapped earning potential - Part-time: $40,000-$60,000+/year | Full-time: $70,000-$150,000+++/year. 📈 No cold calling - Work with individuals who have already requested guidance. ❌ No sales quotas, no pressure, no pushy tactics. 🏆 Leadership & Ownership Opportunities - Build and scale your own team. 🎯 Daily pay & performance-based bonuses - Direct commissions from top carriers. 🎁 Incentives & rewards - Earn commissions starting at 80% (most carriers) + salary. 🏥 Health benefits available for qualified participants. This isn't just a job-it's an opportunity to create impact, lead with purpose, and build a lasting legacy. 👉 Apply today and take your first step as a Claims Negotiation Specialist! (Results may vary. Your success depends on effort, skill, and commitment to learning and execution.)

Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. As part of the Tokio Marine Group of companies TM Claims Service provides claims handling services throughout the US and the Americas. Founded in 1879, Tokio Marine is recognized as Japan's oldest insurer and one of the largest insurance groups in the world. Tokio marine has offices in 38 countries staffed by more than 15000 employees outside of Japan. ($34.00 to $47.00 hourly) Job Summary: Adjust Marine and Inland Marine claims, which includes surveyor appointment, reserve notification, and file maintenance. Understand claims relative to loss history and application of special claims procedures as may be required for individual accounts. Responsible for pursuing recovery against liable carriers. Essential Job Functions: Process and adjust ocean and inland marine claims. Determine liability and/or necessity of surveyor with availability for occasional travel to loss sites. Review survey reports or supporting documentation for determining loss. Determine whether coverage exists for loss. Prepare necessary correspondence with assured/claimant/broker inclusive of loss control and damage prevention reporting. Handle tasks that require a high level of organization and attention to detail. Conclude all settlement agreements. Responsible for protecting all rights against third parties and/or responsible parties which may be liable. Such responsibility may include direct recovery handling. Comply with MCD business plan by conducting self audits, meet expectations of TMM/TMNF audits, and follow SLR procedures. Participate in training seminars and additional technical training courses. Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company. Qualifications: College degree preferred Strong PC skills, including Word and Excel Strong written and oral communication skills Auto industry experience preferred Minimum 3 years claims handling experience. Ability to work as part of a team EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.

Schedule: Full-time | Monday-Friday, 8:00 a.m. - 5:00 p.m. Compensation: Starting $25.00/hour plus quarterly incentives About Us At TCI, we're committed to delivering outstanding logistics solutions with integrity, teamwork, and innovation. We're seeking a detail-oriented and motivated Claims Specialist to join our team. This is a great opportunity to work in a fast-paced environment where your organizational skills and problem-solving abilities will make a real impact. Position Overview: The Claims Specialist is responsible for investigating, evaluating, and resolving claims involving auto, bodily injury, property damage, freight, and subrogation. This role requires direct interaction with claimants, insurance carriers, attorneys, vendors, and internal stakeholders to ensure claims are handled efficiently, fairly, and in compliance with company policies. The claims specialist plays a key role in controlling costs while delivering responsive, customer-focused claims service. What You'll Do Investigate and evaluate claims by reviewing incident reports, inspecting damages, interviewing involved parties, and gathering supporting documentation. Determine liability and damages by assessing coverage, establishing responsibility, and calculating fair settlements for auto, property, bodily injury, and freight claims. Negotiate and resolve claims with claimants, attorneys, and carriers to reach fair and timely settlements. Communicate with stakeholders, including insurance carriers, internal departments, and external partners, throughout the claims process. Manage claim files by documenting all activities, maintaining detailed notes, and ensuring compliance with company requirements. Work with the team to approve repairs, determine fair market value, and manage asset salvage, disposal, or sale decisions. Respond to inquiries from claimants, vendors, and internal teams, providing updates and follow-up information. Prepare reports on claim activity, outcomes, and trends for management review. Support continuous improvement by identifying opportunities to improve claims handling processes and outcomes. What We're Looking For Strong administrative, organizational, and customer service skills. Excellent written and verbal communication. Ability to thrive in a fast-paced environment with accuracy and attention to detail. A team-oriented, flexible, and solution-driven mindset. High level of confidentiality and professional ethics. Preferred Skills & Experience Proficiency in Microsoft Excel, Word, Teams, Adobe, DocuSign, and Outlook Prior experience in transportation, logistics, or insurance claims adjusting Familiarity with freight and subrogation claim processes Why Join Us? Be part of a dedicated, supportive team in a growing company. Contribute directly to resolving claims and improving processes. Work in a culture that values innovation, accountability, and teamwork. Compensation: Starting at $25/Hourly plus quarterly incentives About Us: We are a family-owned company doing business since 1978. We are dedicated and committed to safety, each other, and our customers. Our team is positive and passionate and come to work each day with a "Can Do" attitude. We strive to be creative problem solvers who bring innovative thinking in all our work. Being ethical, transparent, and accountable has helped shape our team and how we do business. We are looking for more people that match our core values to join our team.

Job Description The Field Adjuster will investigate and evaluate daily property claims for clients pursuant to client and company direction. Provide timely, accurate, fair, and professional service to all clients and insured parties while maintaining a high level of production. Essential Functions: Handles all assigned claims promptly and effectively, with minimal need for direction and oversight. Inspect damaged property and determine claim related damage. Makes decisions within delegated authority as outlined in company policies and procedures. Understands insurance coverage and applies appropriate claims practices to resolve claims in alignment with company guidelines. Sets and relays adequate reserves according to carrier guidelines. Maintains current knowledge of insurance policies and carrier guidelines. Maintains current knowledge of local industry repair procedures and local market pricing. Submits severe incident reports, insured to value (ITV) reports and other information to claims management as needed. Delivers outstanding customer service experience to all internal, external, current, and prospective customers nationwide. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service. Perform other duties as assigned. Job Requirements: Bachelors preferred; High School required. Must have a valid adjuster license for state residing/covering. Must have a valid driver's license to travel to insureds locations. 2-3 years of experience with property claims required. Experience preparing estimates with Symbility required. Xactimate preferred. Knowledge of insurance policies, theories, and practices. General understanding of construction concepts and principles strongly preferred. Must have the ability to climb ladders, get in attics/crawlspaces, get on roofs, kneel, bend, etc. Must complete continuing education credits where required to maintain licensing. Strong investigative, analytical, and problem-solving skills Capability to plan, organize and manage time efficiently. Ability to work within specific client guidelines concerning both service timelines and preparation of estimates.

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $19.38 - $29.09/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description At Manheim (a Cox Automotive company), we strive to make sure every customer is completely satisfied when they do business with us. On the off-chance we fall short, we do our best to make things right, pronto. That's where you come in. We're looking for an Arbitrator I to learn the ropes of resolving customer complaints and ensuring we don't make the same mistake again. Do you have the skills we're looking for? Keep reading for more details! Benefits * We all have lives and responsibilities outside of work. We have an exceptional work/life balance at Cox, with accommodating work schedules and flexible time-off policies. * We show our appreciation for our talent with a competitive salary package and top-notch bonus & incentive plans. * How does a great healthcare benefits package from day one sound? Multiple options are available for individuals and families. One employee-only plan could be FREE, if you participate in our health screening program. * 10 days of free child or senior care through your complimentary Care.com membership. * Generous 401(k) retirement plans with up to 6% company match. * Employee discounts on hundreds of items, from cars to computers to continuing education. * Looking to grow your family? You'll have access to our inclusive parental leave policies, plus comprehensive fertility coverage and adoption assistance. * Want to volunteer in your community? We encourage that, and even offer paid hours for you to do so. * We all love our pets-whether they walk, crawl, fly, swim or slither-and we're happy to supply insurance for them as well. At Cox, we believe in being transparent - please click on this link (Cox Benefits Overview) to learn more about our amazing benefits. What You'll Do From your very first day on the job, you'll receive guidance and coaching so you can learn the ropes. You'll work with everyone from buyers to sellers to dealers in coordinating and validating customer returns and claims. With Guidance, responsibilities include: * Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. * Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision-making. * Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. * Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. * Uses appropriate levels/limits of financial approval authority to resolve cases. * Evaluate claims by obtaining, comparing, evaluating, and validating various forms of information. * Prepares and facilitates communication for resolution via telephone, email, and in-person discussion. * Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. * Monitors and maintains accurate files for each arbitration case, verifying the accuracy of all required documentation, including invoices and settlement agreements. * Engages with supervisor/manager to determine if escalation is required. * Performs other duties as assigned. Who You Are You've got a knack for negotiation. You're ethical, dependable, and trustworthy. You're eager to learn. You also have the following qualifications: Minimum * A high school diploma or GED and less than 2 years of related experience. * Accuracy and attention to detail. * Organizational and time management skills. * The ability to adapt in a fluid and changing environment. Preferred * 1+ years of automotive or body shop experience. * Claims adjuster experience. Cox is a great place to be, wouldn't you agree? Apply today! Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship.

Manage the claims internal audit functions, which includes audit process for adjudicated claims and encounters. Monitor check run process for accuracy. Develop policies and procedures for periodic claims audits and ensure compliance with affiliated health plans, client groups, and administrative contractual agreements. Designs, plans, directs and implements claims training programs for the organization, to include adaptations to changes in policies, procedures and technologies. Must be familiar with applicable State and Federal claim payment and denial timeliness legislation. Must be familiar with Timeliness Compliance pursuant to State and Federal rules and regulations. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: + Bachelor's Degree or equivalent educ/experience + 10 or more years of HMO claims processing and/or auditing experience in a managed care environment, preferably PMG/IPA setting within the last 7 years or any combination of education and/or experience which produces an equivalency. Why Join Providence? Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities. About Providence At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities. Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits. Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. About the Team Providence Clinical Network (PCN) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers. PCN is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington's greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence's St. John's Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 396066 Company: Providence Jobs Job Category: Claims Job Function: Revenue Cycle Job Schedule: Full time Job Shift: Day Career Track: Admin Support Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES Address: CA Anaheim 200 W Center St Promenade Work Location: St Joseph Home Health-Anaheim Workplace Type: Remote Pay Range: $27.92 - $42.73 The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

Job DescriptionDescriptionPosition: Production Public Adjuster (Licensed) Compensation: $75,000 - $100,000 compensation + Performance-based bonuses QUICK FACTS: Must have Public Adjuster License Must have experience with Xactimate Must have network of Condo, Apartment, Property Management partners Must be able to physically examine all buildings top to bottom (roofs as well) About the Company:A well-established, industry-leading public adjusting firm is seeking motivated and driven Outside Sales Representatives to join our growing team. We specialize in advocating for policyholders, ensuring they receive fair settlements for property damage claims. Our sales team plays a critical role in developing strong client relationships and driving company growth. Position Overview:We are looking for a results-oriented Outside Sales Representative with a strong background in direct-to-consumer (D2C) or business-to-business (B2B) sales. This role requires a motivated self-starter who thrives in building and maintaining client relationships while working in a fast-paced, competitive environment. Key ResponsibilitiesKey Responsibilities: Identify and pursue new business opportunities with homeowners, contractors, and referral partners. Educate prospective clients on our services and guide them through the insurance claims process. Develop and maintain a pipeline of leads through prospecting and networking efforts. Conduct presentations and training sessions to build brand awareness and establish partnerships. Provide exceptional customer service to existing clients, ensuring their satisfaction and retention. Work closely with internal teams to optimize the sales process and improve closing rates. Maintain accurate records of sales activities and client interactions. Skills, Knowledge and ExpertiseQualifications & Experience: 3+ years of proven sales experience as a licensed Public Adjuster Strong ability to generate leads, manage relationships, and close deals. Bachelor's degree in Business, Marketing, Communications, or equivalent experience. Familiarity with CRM tools, Microsoft Office Suite, and digital communication platforms. Highly organized with strong follow-through skills in a fast-paced environment. Public Adjuster license BenefitsWhat We Offer: Extensive training and support to help you succeed. Flexible work environment with opportunities for growth and career advancement. A team-oriented culture with strong leadership and professional development opportunities. If you're a highly motivated sales professional looking for a rewarding career with a company that makes a difference, apply today!

Marketing Statement: TM Claims Service (TMCS) is an independent global claims management firm established in 1987 to provide clients with a broad range of claims related services in the areas of transportation, product liability and overseas travel accident insurance. As part of the Tokio Marine Group of companies TM Claims Service provides claims handling services throughout the US and the Americas. Founded in 1879, Tokio Marine is recognized as Japan's oldest insurer and one of the largest insurance groups in the world. Tokio marine has offices in 38 countries staffed by more than 15000 employees outside of Japan. ($34.00 to $47.00 hourly) Job Summary: Adjust Marine and Inland Marine claims, which includes surveyor appointment, reserve notification, and file maintenance. Understand claims relative to loss history and application of special claims procedures as may be required for individual accounts. Responsible for pursuing recovery against liable carriers. Essential Job Functions: * Process and adjust ocean and inland marine claims. * Determine liability and/or necessity of surveyor with availability for occasional travel to loss sites. * Review survey reports or supporting documentation for determining loss. * Determine whether coverage exists for loss. * Prepare necessary correspondence with assured/claimant/broker inclusive of loss control and damage prevention reporting. * Handle tasks that require a high level of organization and attention to detail. * Conclude all settlement agreements. * Responsible for protecting all rights against third parties and/or responsible parties which may be liable. * Such responsibility may include direct recovery handling. * Comply with MCD business plan by conducting self audits, meet expectations of TMM/TMNF audits, and follow SLR procedures. * Participate in training seminars and additional technical training courses. * Responsible for complying with proper internal controls as necessary to conduct job functions and/or carry out responsibilities and/or administrative activities at Company. Qualifications: * College degree preferred * Strong PC skills, including Word and Excel * Strong written and oral communication skills * Auto industry experience preferred * Minimum 3 years claims handling experience. * Ability to work as part of a team EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law.

Introduction The San Joaquin County District Attorney's Office mission is clear: to serve and support victims of crime with unwavering dedication. The office has a staff of over 300 employees comprised of attorneys, investigators, and support personnel located in downtown Stockton, the Juvenile Justice Center in French Camp, and within branches of the Superior Court in Lodi and Manteca. This departmental promotional recruitment is being held to fill (1) vacancy in the District Attorney's Office and to establish a list that may be used to fill future vacancies. To qualify for this position, you must currently be employed with the San Joaquin District Attorney's Office. Resumes will not be accepted in lieu of an application. A completed application must be postmarked or received online by the final filing deadline. NOTE: All correspondences relating to this recruitment will be delivered via e-mail. The e-mail account used will be the one provided on your employment application during time of submittal. Please be sure to check your e-mail often for updates. If you do not have an e-mail account on file, Human Resources will send you correspondences via US Mail. Pre-employment Drug Screening and Background: Potential new hires into this classification are required to successfully pass a pre-employment drug screen and a background as a condition of employment. Final appointment cannot be made unless the eligible has passed the drug screen and background. The County pays for the initial drug screen. TYPICAL DUTIES * Reviews and evaluates victim-of-crime applications for adherence to California State statutory and eligibility requirements; obtains and analyzes crime reports and other documents from the appropriate law enforcement agency to verify factual case information; contacts law enforcement officers, court officials, attorneys, and others to obtain pertinent information in order to determine initial and on-going Program eligibility; establishes appropriate computer records for applicants based on approval or denial of victim application. * Reviews and processes a variety of claims submitted by victims including medical bills, mental health bills, funeral/burial bills, wage loss requests and other expenses; researches information as required to establish a link to the qualifying crime and to verify losses claimed by the victim; calculates losses to victims and determines reimbursements considering all other sources of compensation available; approves or denies claim reimbursement and level of services; notifies victims of claim determinations. * Acts as a lead worker as assigned; identifies staff training needs and learning opportunities; develops and oversees training plans; assesses and assigns work to staff as appropriate; may provide input to supervisory staff regarding staff assignments and performance; audits staff work for quality control and training purposes; may be assigned to complete special reports or projects. * Interacts effectively with victims, families, law enforcement personnel and others; obtains accurate information and identifies potential problem issues; acts as a liaison between victims, families and other organizations/individuals regarding Program benefits; interacts with other counties in order to fulfill contract obligations for claims processing. * Keeps accurate logs of all claims submitted; creates detailed computer files on all claims processed, whether approved or denied; processes approved bills for payment; creates pre-authorization statements as appropriate. * Monitors caseload data and develops comprehensive, periodic summary reports as required to receive State credit; prepares various memorandums and correspondence. * Coordinates victim claim services with the Victim Witness Advocates; refers victims to other agencies as appropriate. MINIMUM QUALIFICATIONS PLEASE NOTE: This is a departmental promotion. Qualified applicants must currently be employed with San Joaquin County District Attorney's Office and meet the promotional eligibility requirements as stated in Civil Service Rule 10, Section 3-Eligiblity for Promotional Examinations. Experience: One year performing claims review and/or program eligibility determination at a level comparable to or higher than Victim Claims Specialist II in San Joaquin County. Note: Individuals employed in the San Joaquin County classes of Victim Claims Technician II at the time of adoption of this class specification by the Civil Service Commission will be credited with their experience on a year-for-year basis. Special Requirement: Successful completion of the State of California Victims of Crime Introductory/Basic Training Course. License: Possession of a valid California driver's license. KNOWLEDGE Principles and practices of leadership and training; standard office procedures including the use of computers and other technological equipment; mathematics, reading and writing skills; technical research methods as they apply to evaluating and processing financial claims; principles of interviewing and gathering information; fundamental aspects of human behavior; basic medical and legal terminology. ABILITY Lead, train and audit the work of others; follow oral and written directions; read, understand, and apply regulations and other job related materials; maintain records and prepare reports; deal tactfully with the public; interview, gather, record and evaluate information; establish effective working relationships with a wide variety of people. PHYSICAL/MENTAL REQUIREMENTS Mobility-Frequent keyboard operation, sitting; occasional pushing, pulling, bending, squatting; Lifting-Frequent lifting up to 5 pounds; Vision-Constant reading and close-up work requiring good overall vision; frequent eye/hand coordination; occasional color/depth perception and peripheral vision; Dexterity-Frequent holding, gripping, writing and repetitive motion; occasional reaching; Hearing/Talking-Constant hearing normal speech, hearing/talking in person and on the telephone; occasional hearing faint sounds; Emotional/Special Conditions-Frequent public contact, decision making, and concentration; frequent exposure to trauma, grief and death; occasional working overtime. BENEFITS Employees hired into this classification are members of a bargaining unit which is represented by SEIU Local 1021. Health Insurance: San Joaquin County provides employees with a choice of three health plans: a Kaiser Plan, a Select Plan, and a Premier Plan. Employees pay a portion of the cost of the premium. Dependent coverage is also available. Dental Insurance: The County provides employees with a choice of two dental plans: Delta Dental and United Health Care-Select Managed Care Direct Compensation Plan. There is no cost for employee only coverage in either plan; dependent coverage is available at the employee's expense. Vision Insurance: The County provides vision coverage through Vision Service Plan (VSP). There is no cost for employee only coverage; dependent coverage is available at the employee's expense. For more detailed information on the County's benefits program, visit our website at ************* under Human Resources/Employee Benefits. Life Insurance: The County provides eligible employees with life insurance coverage as follows: 1 but less than 3 years of continuous service: $1,000 3 but less than 5 years of continuous service: $3,000 5 but less than 10 years of continuous service: $5,000 10 years of continuous service or more: $10,000 Employee may purchase additional term life insurance at the group rate. 125 Flexible Benefits Plan: This is a voluntary program that allows employees to use pre-tax dollars to pay for health-related expenses that are not paid by a medical, dental or vision plan (Health Flexible Spending Account $2550 annual limit with a $500 carry over); and dependent care costs (Dependent Care Assistance Plan $5000 annual limit). Retirement Plan: Employees of the County are covered by the County Retirement Law of 1937. Please visit the San Joaquin County Employees' Retirement Association (SJCERA) at ************** for more information. NOTE: If you are receiving a retirement allowance from another California county covered by the County Employees' Retirement Act of 1937 or from any governmental agency covered by the California Public Employees' Retirement System (PERS), you are advised to contact the Retirement Officer of the Retirement Plan from which you retired to determine what effect employment in San Joaquin County would have on your retirement allowance. Deferred Compensation: The County maintains a deferred compensation plan under Section 457 of the IRS code. You may annually contribute $18,000 or 100% of your includible compensation, whichever is less. Individuals age 50 or older may contribute to their plan, up to $24,000. The Roth IRA (after tax) is also now available. Vacation: Maximum earned vacation is 10 days each year up to 3 years; 15 days after 3 years; 20 days after 10 years; and 23 days after 20 years. Holidays: Effective July 1, 2017, all civil service status employees earn 14 paid holidays each year. Please see the appopriate MOU for details regarding holidays, accruals, use, and cashability of accrued time. Sick Leave: 12 working days of sick leave annually with unlimited accumulation. Sick leave incentive: An employee is eligible to receive eight hours administrative leave if the leave balance equals at least one- half of the cumulative amount that the employee is eligible to accrue. The employee must also be on payroll during the entire calendar year. Bereavement Leave: 3 days of paid leave for the death of an immediate family member, 2 additional days of accrued leave for death of employee's spouse, domestic partner, parent or child. Merit Salary Increase: New employees will receive the starting salary, which is the first step of the salary range. After employees serve 52 weeks (2080 hours) on each step of the range, they are eligible for a merit increase to the next step. Job Sharing: Employees may agree to job-share a position, subject to approval by a Department Head and the Director of Human Resources. Educational Reimbursement Program: Eligible employees may be reimbursed for career-related course work up to a maximum of $850 per fiscal year. Eligible employees enrolled in an approved four (4) year College or University academic program may be reimbursed up to $800 per semester for a maximum of $1600 per fiscal year. Parking Supplemental Downtown Stockton: The County contributes up to $17 per pay period for employees who pay for parking and are assigned to work in the Downtown Core Area. School Activities: Employees may take up to 40 hours per year, but not more than eight (8) hours per month, to participate in their children's school activities. Selection Procedures Civil Service Rule 10 - Section 3 - Eligibility for Promotional Examinations To compete in a promotional examination, an employee must: A. Meet the minimum qualifications of the class on or before the final filing date for filing applications. B. Meet one of the following qualifying service requirements: 1. Have permanent status in the Classified Service. 2. Probationary, part-time, or temporary employees who have worked a minimum of 1040 hours in the previous 12 months or previous calendar year. 3. Exempt employees who have worked a minimum of 2,080 continuous and consecutive hours. C. Have a rating of satisfactory or better on the last performance evaluation. D. If a person whose name is on a promotional list is separated (except for layoff) the name shall be removed from the promotional list of the action. Employees who meet the minimum qualifications will go through one of the following examination process: * Written Exam: The civil service written exam is a multiple choice format. If the written exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. * Oral Exam: The oral exam is a structured interview process that will assess the candidate's education, training, and experience and may include a practical exercise. The oral exam selection process is not a hiring interview. A panel of up to four people will determine the candidate's score and rank for placement on the eligible list. Top candidates from the eligible list are referred for hiring interviews. If the oral exam is administered alone, it will be 100% of the overall score. Candidates must achieve a minimum rating of 70% in order to be placed on the eligible list. * Written & Oral Exam: If both a written exam and an oral exam is administered, the written exam is weighted at 60% and the oral exam is weighted at 40% unless otherwise indicated on the announcement. Candidates must achieve a minimum rating of 70% on each examination in order to be placed on the eligible list. * Rate-out: A rate-out is an examination that involves a paper rating of the candidate's application using the following criteria: education, training, and experience. Candidates will not be scheduled for the rate-out process. Online Written Exams: Written exams may be administered in-person, online. Candidates will be notified of the examination date and will be responsible to complete the written exam per notice instructions. Candidates are required to read the Online Exam Guide for Test Takers prior to taking an online written exam. The link to the guide is here: Online Exam Guide For Test Takers Note: The rating of 70 referred to may be the same or other than an arithmetic 70% of the total possible points. Testing Accommodation: Candidates who require testing accommodation under the Americans with Disabilities Act (ADA) must call Human Resources Division at ************** prior to the examination date. Eligible Lists: Candidates who pass the examination will be placed on an eligible list for that classification. Eligible lists are effective for nine months, but may be extended by the Human Resources Director for a longer period which shall not exceed a total of three years for the date esblished. Certification/Referral: Names from the eligible list will be referred to the hiring department by the following methods. * Rule of Five: The top five names will be referred for hiring interviews. This applies only to department or countywide promotional examination. Physical Exam: Some classifications require physical examinations. Final appointment cannot be made until the eligible has passed the physical examination. The County pays for physical examinations administered in its medical facilities. Employment of Relatives: Applicants who are relatives of employees in a department within the 3rd degree of relationship, (parent, child, grand parent, grand child or sibling) either by blood or marriage, may not be appointed, promoted, transferred into or within the department when; * They are related to the Appointing Authority or * The employment would result in one of them supervising the work of the other. Department Head may establish additional limitations on the hiring of relatives by departmental rule. HOW TO APPLY Please be advised that Human Resources will only be accepting Online Application submittals for this recruitment. Paper application submittals will not be considered or accepted. Apply Online: *************/department/hr Office hours: Monday - Friday 8:00 am to 5:00 pm; excluding holidays. Phone: ************** Job Line: For current employment opportunities please call our 24-hour job line at **************. When a final filing date is indicated, applications must be submitted online to the Human Resources Division before the submission deadline. Resumes and paper applications will not be accepted in lieu of an online application. (The County assumes no responsibility for online applications which are not received by the Human Resources Division). San Joaquin County Substance Abuse Policy: San Joaquin County has adopted a Substance Abuse Policy in compliance with the Federal Drug Free Workplace Act of 1988. This policy is enforced by all San Joaquin County Departments and applies to all San Joaquin County employees. Equal Opportunity Employer: San Joaquin County is an Equal Employment Opportunity (EEO) Employer and is committed to providing equal employment to all without regard to age, ancestry, color, creed, marital status, medical condition, national origin, physical or mental disability, political affiliation or belief, pregnancy, race, religion, sex, or sexual orientation. For more information go to *************/department/hr/eeo. Click on a link below to apply for this position: