Claim specialist jobs in Spokane Valley, WA

We are seeking an experienced BIM Specialist to support our client's design-build operations across HVAC, Mechanical, Plumbing, and Renewable Energy systems. This role is responsible for developing and managing intelligent Revit and CAD models, supporting BIM coordination efforts, and contributing to prefab and fabrication workflows. The ideal candidate will bring a strong background in Revit modeling, detailing, and BIM standards, with a proactive approach to collaboration and innovation in construction technology. Work in close collaboration with the engineering, construction, and project management teams to coordinate designs for constructability. Key Responsibilities Develop and maintain detailed Revit models for HVAC, plumbing, and mechanical systems. Support fabrication and detailing processes with accurate, constructible BIM content. Participate in BIM coordination meetings and clash detection using Navisworks. Collaborate with engineers, project managers, and field teams throughout the construction lifecycle. Implement and uphold company BIM standards, CAD layering, and file management protocols. Assist in prefab planning and model-based workflows for construction efficiency. Generate construction documents and as-built models from markups and field input. Qualifications 5+ years of professional experience with Autodesk Revit in a construction or MEP environment. Strong understanding of detailing and fabrication workflows. Experience with prefab construction processes and BIM coordination. Proficiency in AutoCAD and Navisworks; BIM 360 experience is a plus. Familiarity with BIM standards and execution plans. 2-year degree in CAD, Drafting, or a related field (preferred). High level of attention to detail and ability to work independently. Strong communication skills and a positive, team-oriented attitude. Proficient with PC-based applications including Windows, Excel, and Word. High school diploma or GED. Excellent driving record. Ability to pass a background check and drug screen. Benefits: 401(k) Dental insurance Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance

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

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

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

**Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. **Job Category** Claim **Compensation Overview** The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. **Salary Range** $52,600.00 - $86,800.00 **Target Openings** 2 **What Is the Opportunity?** This is an entry level position that requires satisfactory completion of required training to advance to Claim Professional, Outside Property. This position is intended to develop skills for investigating, evaluating, negotiating and resolving claims on losses of lesser value and complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. As part of the hiring process, this position requires the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration. This position is based 100% remotely and may include a combination of mobile work and/or work from your primary residence. This position services Insureds/Agents in and around Seattle, Washington. The selected candidate must reside in or be willing to relocate at their own expense to the assigned territory. **What Will You Do?** + Completes required training which includes the overall instruction, exposure, and preparation for employees to progress to the next level position. It is a mix of online, virtual, classroom, and on-the-job training. The training may require travel. + The on the job training includes practice and execution of the following core assignments: + Handles 1st party property claims of moderate severity and complexity as assigned. + Establishes accurate scope of damages for building and contents losses and utilizes as a basis for written estimates and/or computer assisted estimates. + Broad scale use of innovative technologies. + Investigates and evaluates all relevant facts to determine coverage (including but not limited to analyzing leases, contracts, by-laws and other relevant documents which may have an impact), damages, business interruption calculations and liability of first party property claims under a variety of policies. Secures recorded or written statements as appropriate. + Establishes timely and accurate claim and expense reserves. + Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles and work product of Independent Adjusters. + Negotiates and conveys claim settlements within authority limits. + Writes denial letters, Reservation of Rights and other complex correspondence. + Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. + Meets all quality standards and expectations in accordance with the Knowledge Guides. + Maintains diary system, capturing all required data and documents claim file activities in accordance with established procedures. + Manages file inventory to ensure timely resolution of cases. + Handles files in compliance with state regulations, where applicable. + Provides excellent customer service to meet the needs of the insured, agent and all other internal and external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers claims with Major Case Unit exposure to the manager. + Performs administrative functions such as expense accounts, time off reporting, etc. as required. + Provides multi-line assistance in response to workforce management needs; including but not limited to claim handling for Auto, Workers Compensation, General Liability and other areas of the business as needed. + May attend depositions, mediations, arbitrations, pre-trials, trials and all other legal proceedings, as needed. + Must secure and maintain company credit card required. + In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. + In order to progress to Claim Representative, a Trainee must demonstrate proficiency in the skills outlined above. Proficiency will be verified by appropriate management, according to established standards. + This position requires the individual to access and inspect all areas of a dwelling or structure which is physically demanding including walk on roofs, and enter tight spaces (such as attic staircases, entries, crawl spaces, etc.) The individual must be able to carry, set up and safely climb a ladder with a Type IA rating Extra Heavy Capacity with a working load of 300 LB/136KG, weighing approximately 38 to 49 pounds. While specific territory or day-to-day responsibilities may not require an individual to climb a ladder, the incumbent must be capable of safely climbing a ladder when deploying to a catastrophe which is a requirement of the position + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Bachelor's Degree preferred or a minimum of two years of work OR customer service related experience preferred. + Demonstrated ownership attitude and customer centric response to all assigned tasks - Basic + Verbal and written communication skills -Intermediate + Attention to detail ensuring accuracy - Basic + Ability to work in a high volume, fast paced environment managing multiple priorities - Basic + Analytical Thinking - Basic + Judgment/ Decision Making - Basic + Valid passport preferred. **What is a Must Have?** + High School Diploma or GED and one year of customer service experience OR Bachelor's Degree required. + Valid driver's license - required. **What Is in It for You?** + **Health Insurance** : Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. + **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. + **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. + **Wellness Program:** The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. + **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. **Employment Practices** Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email (*******************) so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit ******************************************************** .

Are you looking for an opportunity to join a fast-growing company that consistently outpaces the industry in year-over-year growth? Liberty Mutual offers exciting openings for Workers Compensation Claims Specialists within the Central Region! As a Workers Compensation Claims Specialist, the successful candidate will join a dedicated Claims Team, utilizing the latest technology to manage a caseload of routine to moderately complex claims. Responsibilities include investigating claims, assessing liability and compensability, evaluating losses, and negotiating settlements. The role involves interactions with claimants, policyholders, appraisers, attorneys, and other third parties throughout the claims management process. The position offers training developed with an emphasis on enhancing skills needed to help provide exceptional service to our customers. Training is a critical component of your success, and that success starts with reliable attendance. Attendance and active engagement during training are mandatory. Training will require 1 week in our Plano, TX office onsite in February 2026. This position may be filled as a Workers Compensation Associate Claims Specialist, Workers Compensation Claims Specialist I, or a Workers Compensation Claims Specialist II. The salary range posted reflects the range for the varying pay scale across various locations. To be considered for this position, candidates must reside within 50 miles of Hoffman Estates, IL, or Indianapolis, IN, and will be required to work in the office twice a month. Candidates located in Ohio, Montana, and Virginia are eligible for 100% remote work, as we do not have claims offices in these states. Please note that this policy is subject to change. Responsibilities Manages an inventory of claims to evaluate compensability/liability. Establishes action plan based on case facts, best practices, protocols, regulatory issues and available resources. Plans and conducts investigations of claims to confirm coverage and to determine liability, compensability and damages. Assesses policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim, refers claims to the subrogation group or Special Investigations Unit as appropriate. Evaluates actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims. Performs other duties as assigned. Qualifications Effective interpersonal, analytical and negotiation abilities required Ability to provide information in a clear, concise manner with an appropriate level of detail Demonstrated ability to build and maintain effective relationships Demonstrated success in a professional environment; success in a customer service/retail environment preferred Effective analytical skills to gather information, analyze facts, and draw conclusions; as normally acquired through a bachelor's degree or equivalent Knowledge of legal liability, insurance coverage and medical terminology helpful, but not mandatory Licensing may be required in some states About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

Join Grange Insurance Association, a well-established leader in the insurance sector for over 130 years! Headquarters in the city of Seattle, with a footprint stretching across six Western states, we've been protecting families, farms, and businesses with unwavering commitment. As you embark on a fulfilling career with Grange, discover why our average employee tenure surpasses a decade. Make your mark with an organization that values quality, service, and the lasting impact you can bring! This is a hybrid position, requiring 2 days in the Seattle office. Position Overview: Casualty Claims Representatives are an essential part of our team, managing the injury and damages portions of claims for Auto, Home Owners and Farm. Incumbents provide the support our customers need, while ensuring claims are resolved swiftly. Casualty Claims Reps analyze and determine the extent of Grange Insurance Association's Coverage and Liability concerning loss and damages on a claim. Key Responsibilities: Interpret policies, gather relevant details, and determine the appropriate course of action. Investigate claims by contacting involved parties, assessing injuries, determining liability, and evaluating unrepresented bodily injury claims. Negotiate settlements with customers and other insurance carriers. Work effectively in a hybrid environment (in-office and remote), unless ADA accommodations apply. Perform additional duties as assigned. Qualifications: REQUIRED: Bachelor's degree and one year of work experience in the insurance industry; preference given to those with background in claims liability In lieu of a degree, a total of three to five years of work experience, some of which must be claims handling in the insurance industry Experience and ability to make decisions, problem solve, plan, prioritize and organize Effective verbal and written communication Excellent customer service skills Comprehensive Benefits: Pay Range: $24.52 to $39.16 Flexible hybrid work schedule (2 days per week in Seattle office required) Medical, Dental, and Vision plans 401(k) plan with up to 5% match Employer sponsored LTD, life insurance, and AD&D Discretionary profit sharing and bonuses Fully subsidized ORCA card and/or free parking for Seattle employees Education Reimbursement On-Site Fitness Center Opportunities for career growth and advancement within the organization. A supportive and collaborative work environment. Ongoing training and professional development opportunities. How to Apply: If you are passionate about helping people, have a strong understanding of casualty claims , and are ready to join a dynamic team, we encourage you to apply. Grange Insurance Association is an equal opportunity employer and welcomes all qualified candidates to apply. Grange Insurance Association is committed to ensuring a diverse and inclusive workplace where all employees are treated with respect and dignity. We encourage applications from candidates of all backgrounds and experiences.

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 Adjuster - Multi Line (Casualty/GL/Property) **PRIMARY PURPOSE** : To handle losses and claims for property and casualty insurers. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Examines insurance policies and other records to determine insurance coverage. + Interviews, telephones, and/or corresponds with claimant and witnesses regarding claim. + Consults police and hospital records and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance. + Estimates cost of repair, replacement, or compensation. + Prepares report of findings and negotiates settlement with claimant. + Recommends litigation by legal department when settlement cannot be negotiated. + Attends litigation hearings. + Revises case reserves in assigned claims files to cover probable costs. + Assists in preparing loss experience report to help determine profitability and calculates adequate future rates. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Obtain IIA-AIC designation within 12 to 18 months. Appropriate state adjuster license is required. **Experience** None. **Skills & Knowledge** + Strong oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Demonstrated commitment to timely reporting + Strong customer service skills + Strong interpersonal skills + Attention to detail and accuracy + Good time management and organizational skills + Ability to work independently or in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** : Clear and conceptual thinking ability; excellent judgment and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** : + Must be able to stand and/or walk for long periods of time. + Must be able to kneel, squat or bend. + Must be able to work outdoors in hot and/or cold weather conditions. + Have the ability to climb, crawl, stoop, kneel, reaching/working overhead + Be able to lift/carry up to 50 pounds + Be able to push/pull up to 100 pounds + Be able to drive up to 4 hours per day. + Must have continual use of manual dexterity. **Auditory/Visual** : Hearing, vision and talking The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. 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 $70-$120k. 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. 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**

Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. * Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal departments to determine appropriate resolution of claims issues. * Researches claims tracers, adjustments, and resubmissions of claims. * Adjudicates or readjudicates high volumes of claims in a timely manner. * Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. * Meets claims department quality and production standards. * Supports claims department initiatives to improve overall claims function efficiency. * Completes basic claims projects as assigned. Required Qualifications * At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. * Research and data analysis skills. * Organizational skills and attention to detail. * Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. * Customer service experience. * Effective verbal and written communication skills. * Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $21.16 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

At EAC Claims Solutions, we are dedicated to resolving claims with integrity and efficiency. Join us in delivering exceptional service while upholding the highest standards of professionalism and compliance. Explore more about our commitment to innovation and community impact at ********************** Overview: Join EAC Claims Solutions as a Property Field Adjuster, where you will be managing insurance claims from inception to resolution. Key Responsibilities: - Planning and organizing daily workload to process claims and conduct inspections - Investigating insurance claims, including interviewing claimants and witnesses - Handling property claims involving damage to buildings, structures, contents and/or property damage - Conducting thorough property damage assessments and verifying coverage - Evaluating damages to determine appropriate settlement - Negotiating settlements - Uploading completed reports, photos, and documents using our specialized software systems Requirements: - Ability to perform physical tasks including standing for extended periods, climbing ladders, and navigating tight spaces - Strong interpersonal communication, organizational, and analytical skills - Proficiency in computer software programs such as Microsoft Office and claims management systems - Self-motivated with the ability to work independently and prioritize tasks effectively - High school diploma or equivalent required - Previous experience in insurance claims or related field is a plus but not required Next Steps: If you're passionate about making a difference, thrive on challenges, and deeply value your work, we invite you to apply. Should your application progress, a recruiter will reach out to discuss the next steps. Join us at EAC Claims Solutions, where your passion meets purpose, and where your contributions truly matter.

IS IT TIME FOR A CAREER CHANGE? INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjuster? This is your chance to join a thriving industry with endless opportunities for growth and advancement. Why This Opportunity Matters: With the current surge in storm-related events sweeping across the nation, there's an urgent need for new adjusters to meet the escalating demand. As a Licensed Claims Adjuster, you'll play a crucial role in helping individuals and businesses recover from unforeseen disasters and rebuild their lives. This is not just a job-it's a rewarding career path where you can make a real difference in people's lives while enjoying flexibility, autonomy, and competitive compensation. Join Our Team: Are you actively working as a Licensed Claims Adjuster with 100 claims or more under your belt? If so, that's great! If not, no problem! Let us help you on your career path as a Licensed Claims Adjuster. You're welcome to sign up on our jobs roster if you meet our guidelines. How We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you with hands-on training, insider tips, and practical insights to prepare you for real-world challenges. Whether you're a seasoned professional or a newcomer to the field, our training programs are designed to meet you where you are and help you reach your full potential as a claims adjuster. Don't miss out on this opportunity-let us assist you in advancing your career in claims adjusting and achieving your professional goals. With our guidance and support, you'll have the opportunity to thrive in a dynamic and rewarding industry, making a positive impact on the lives of others while achieving your professional goals. Seize the Opportunity Today! Contact us now at ************ or [email protected] to learn more about our training programs and take the first step towards a fulfilling career as a Licensed Claims Adjuster. Visit our website at ******************************** to explore our offerings and view our 375+ Five-Star Google Reviews. You can also find us on YouTube at: (********************************************************* and Facebook at: (************************************************** for additional resources and updates. APPLY HERE #AdjustersNeeded #CareerOpportunity #ClaimsAdjusterTraining #MileHighAdjustersHouston By applying to this position, you consent to receive informational and promotional messages from MileHigh Adjusters Houston about training opportunities and related career programs. You may opt out at any time.

Essential Job Duties and Responsibilities: To accept, contract, and handle claims as assigned. Work as many claims as possible. Assist in resolving complaints from policy holder relative to claims. Assist in investigating more complex claims. Complete Quality Control functions as assigned. Assists with other duties as necessary. Knowledge, Skills, and Abilities: Knowledge of or the ability to learn the agricultural industry, including an understanding of the kinds of crops produced in the territory; agricultural issues. Knowledge of or the ability to learn Rain and Hail's products, services and systems. Knowledge of and the ability to learn the underwriting and claim adjustment rules and regulations associated with the Multiple Peril Crop Insurance program, crop-hail program and the other insurance products offered by the company. Ability to organize and prioritize multiple tasks. Ability to work in a team oriented environment. Ability to effectively communicate and maintain business relationships with Company personnel, outside resources and customers. Ability to use the Company's terminology, procedures and systems. Ability to use department equipment. Ability to perform basic and complex mathematical calculations. Ability to drive a vehicle and maintain a valid drivers license. Ability to remain calm and professional during peak periods of activity. Ability to work from oral and written communication. Ability to maintain confidentiality. Ability to work independently. Ability to travel away from home for extended periods of time and on short notice. Willingness to relocate to another division if requested. Ability to assist in other work-related areas as required. The pay range for the role is $61,000.00 to $95,000.00. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program. Chubb offers a comprehensive benefits package, more details on which can be found on our careers website. The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled. High School or GED required, baccalaureate degree in Agricultural Business or related field preferred with 1-3 years of experience.

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

WE ARE HIRING! Join our team as a Hazard Claims Representative dedicated to providing exceptional support to our borrowers. In this role, you will be the primary point of contact for customers in regard to their insurance claims. You will answer questions regarding claims, start the claims process for borrowers, and complete claims processing per Agency requirements. In This Role, You Will: Initiate the claims process for borrowers and ensure all necessary documentation is collected and inspections have been ordered Provide clear information and answer questions about claims procedures Collect paperwork and order inspections for claims Process customer requests related to insurance claims efficiently and accurately Enter, track, and update claims information in accordance with agency requirements Monitor claims progress and follow up to ensure timely completion Answer incoming phone calls from borrowers regarding their insurance claims Collaborate with internal teams to resolve any issues or discrepancies related to claims Other duties as assigned Why Work With Us? At our organization, we are dedicated to improving lives and strengthening Idaho communities. We believe that housing opportunities, self-sufficiency, and economic development are the pillars of progress. Our commitment to our team is unwavering, and we consider our employees our greatest priority. Join us and be part of a professional and mission-driven organization that makes a meaningful impact on the lives of Idahoans. Requirements 6+ months of experience in residential real estate lending, residential loan processing, loan closing, and/or loan servicing preferred Strong customer service orientation and interpersonal skills Excellent verbal and written communication skills Ability to work independently, organize, prioritize, perform job responsibilities Ability to be flexible, engaged, reliable and respectful to maintain excellent team relations Attention to detail and accuracy in data entry and documentation High school diploma or equivalent Salary Description $18.00

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006. And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine! You can make a difference here. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide. Magnet: Commitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more! Pre-Employment Requirements All new employees must complete several pre-employment requirements prior to starting. Click here to learn more! Claims Specialist I/Government (Full-time) PATIENT FINANCIAL SERVICES - 120.8855 (ROCKY MOUNTAIN PROFESSIONAL BUILDING) req10854 Shift: Day Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours every two weeks (Non-Exempt) Starting Wage DOE: $17.00 - 21.25 The Claim Specialist's main focus is to obtain maximum and appropriate reimbursement for all claims from government and third-party payers. The Claims Specialist is responsible for preparing and submitting timely and accurate insurance claims to government and third-party payers, assisting in the implementation of payer regulations and ensuring compliance to the regulatory requirements, and verifying payments and adjustments are appropriately applied to accounts based on government, contract or other regulations or agreements. The Claims Specialist is responsible for appropriate follow up on all accounts pending payment from government and third-party payers. Essential Job Functions * Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. * Responsible for submission of timely and accurate claims to primary, secondary, and tertiary insurances for both electronic and paper submission. Generates telephone calls to insurance carriers to follow up on insurance using reports generated for this purpose to ensure the timely collection of money due on the account. * Audits accounts by verifying that reimbursement amounts are appropriate, coordination of refunds, if appropriate, and coordinating adjustments when necessary, claims appeals or resubmissions, moving balances from insurance responsibility to patient responsibility when appropriate, and reviews and resolves credit balances. * Ensure that claims have appropriate information on them for submission to insurance companies or agencies by reviewing errors and other prebilling insurance reports/worklists. Analyzes and review claims to ensure that payer specific regulations and requirements are met. * Prepares and presents verbally and in writing challenges to third party payers for additional reimbursement for denied charges and/or reductions in reimbursement as appropriate. * Provides guidance and or assistance to the cashiers. * Provides timely follow-up on correspondence received from the insurance carrier or patient. * Responds to inquiries from customers/other departments/insurance carriers regarding insurance coverage issues, coordination of benefits, reconciliation of account balances and complaints regarding services received. Initiates appropriate follow-up on outstanding issues. * Sets up registration and insurance information when necessary. * Utilizes performance improvement principles to assess and improve quality. * Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements. * Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. * Performs other duties as assigned or needed to meet the needs of the department/organization. Minimum Qualifications Education * High School or GED Experience * One year of previous office experience * Patient accounts or insurance billing experience preferred Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at ****************************** Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100 TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Description · Under supervision, this position is responsible for processing complex claims requiring further investigation, including coordination of benefits, and resolving pended claims · Review and compare information in computer systems and apply proper codes/documentation · May place outgoing calls to providers and/or pharmacies for further investigation before processing claims Job Specific Qualifications: · High school diploma or GED · Data Entry and/or typing experience · Clear and concise written and verbal communication skills · Ability to multi task and prioritize is required · Interpersonal, verbal and written communication skills · Ability to sit for long periods of time · Analytical and problem solving skills Qualifications High school diploma or GED · Data Entry and/or typing experience · Clear and concise written and verbal communication skills · Ability to multi task and prioritize is required · Interpersonal, verbal and written communication skills · Ability to sit for long periods of time · Analytical and problem solving skills · Must be dependable and flexible Additional Information Kelly Services is a U.S.-based Fortune 500 company. With our global network of branch locations, we are uniquely positioned to provide our customers with international staffing support and our employees with diverse assignments around the world. We invite you to bookmark our Web site and encourage you to review it regularly for new opportunities worldwide: www.kellyservices.com.

Northwest Specialty Hospital is seeking a detail oriented; customer service focused Authorization & Verification Specialist to join our team! The Authorization & Verification Specialist is responsible for assuring that surgical cases are scheduled and verifying patient insurance. This position is responsible for assuring that clerical duties are accurately performed in completion of, but not limited to, the following areas: calling all primary and secondary insurance for verification of benefits for deductibles; in and out of network benefits including copays; notifying front desk and necessary staff members of non-reimbursable benefits; telephone backup and transferring of all calls; smooth transitioning of patients through the services they require; ensure that copies of appropriate documentation are obtained to facilitate the billing and collections process; ensure that co-payments and payments on patients accounts are taken, accounted for and processed accurately; backup for completing a daily log of patient payments collected as needed; ensure that all information entered into the automated admitting/registration system is accurate and complete; prepare preregistration packets for all patients; update medical records for return patients as needed; help with closing procedures. Works under stress and is able to work under pressure and in situations that demand patience, tact, stamina and endurance. Qualifications and Preferred Experience: * High school diploma is required; bachelor's degree in related field is preferred * Must be able to achieve CPR certification within 60 days of employment * Ability to relate and work effectively with others * Demonstrated skills in verbal, written English, and public speaking ability * Willingness to participate in goal-setting and educational activities for own professional advancement and that of others * Demonstrated computer skills in utilizing word processing, integrated databases, and other computer functions * Previous experience with healthcare scheduling and insurance knowledge is required About Northwest Specialty Hospital: Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally, and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what's best for patients. Northwest Specialty Hospital includes 12 operating rooms and 28 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties. Northwest Specialty Hospital has earned numerous awards for patient care, surgical skills, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven consecutive years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient-focused approach, and robust benefits package! Some of our amazing perks and benefits offered to employees are: * Company-sponsored events such as sporting events, BBQs, and holiday parties * Comprehensive health care coverage with options for Medical, Dental, & Vision Insurance (for benefit-eligible positions) * Tuition reimbursement * Growth opportunities, ongoing education, training, leadership courses * A generous 401K retirement plan * A variety of discounts throughout the hospital and community are available to employees * Wellness benefits offered to staff such as: weight loss challenge, access to a dietitian, and discount gym memberships * Culture that promotes and supports work/life balance Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.

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

Job Summary/Basic Function: Provides a variety of high level program support functions; reviews and processes documents; determines and explains compliance with laws, rules, regulations and policies and takes appropriate action; maintains a manual or computerized records system; performs related work. Department Overview: The Office of the Registrar is the hub of the University. We provide assistance with transcripts, registration and course scheduling, transfer credit and graduation evaluation, determination of Idaho residency for tuition, and catalog information. Level Scope: Applies skills and job knowledge in area of specialization; may adapt procedures, operations, techniques, tools, materials, and/or equipment to meet needs of area of specialization; may work on non-routine tasks; resolves issues/makes working decisions within area of specialization or responsibility with minimal supervision. Essential Functions: 60% of Time the Technical Records Specialist 1 must: ● Extensive research, analysis, problem solving, and greater use of judgment in determining an appropriate course of action. Considerable latitude in interpreting and applying laws and regulations and determining if programmatic requirements have been met. Generally have expertise in a single program area. Typically perform minimal clerical support, the focus of the positions is on record keeping. ● Gather information, make decisions, resolve problems, and respond to inquiries. Utilize independent judgment and discretion as to the methods, policies, and procedures used to complete assignments. Conduct involved searches which may require accessing and selecting multiple information sources or contact with clients, vendors, or outside sources to obtain information. Perform specialized support, extensive in-depth knowledge of the program. ● Generally review, evaluate, approve, and process records and/or documents; determine acceptability; explain requirements, processes, and procedures to customers; manipulate and update manual and/or computerized records systems; and develop reports. ● May supervise other support staff or have leadwork responsibilities. 35% of the Time • Manage enrollment and degree verifications. This involves tracking incoming requests, overseeing Marketplace (uStore) payments, and deposits. • Serve as back-up for appeals, customer service, and production teams. This involves compiling documentation and working with campus partners on academic appeals, as well as acting as the primary backup for Idaho residency questions. • Maintain a working knowledge of curriculum, class scheduling, and class set-up to assist with registration questions. • Manage multiple computer software programs (i.e., PeopleSoft, Perceptive Content, Google Apps, Zoom, Capture Perfect) to assist in researching registration questions. • Communicate registration information and provide appropriate answers in an efficient, thorough, and friendly manner. 5% other duties as assigned Knowledge, Skills, Abilities: ● Knowledge of: supervisory practices; financial record keeping; bookkeeping practices; payroll methods. ● Experience: using spreadsheet software; storing, retrieving, and compiling information in a report format using database software; reviewing high school or college transcripts; using word processing software to create and modify documents; transcribing tapes into written format, OR, willing to learn this skill; working with sensitive or restricted data; using MS Excel and MS Access software; monitoring or tracking grants or contracts. Minimum Qualifications: Experience: monitoring a records system to identify and correct errors; researching a variety of sources to resolve problems; interpreting, explaining, and applying regulations, laws, or complex policies to carry out assignments; entering and retrieving data using a computerized records system. Preferred Qualifications: • Interpreting, explaining, and applying laws, regulations, and complex policies for multiple or highly specialized programs. • Analyzing information and researching a variety of sources to identify and resolve problems or issues. • Communication skills- active listening, speaking and writing clearly, ability to ask probing questions to assist and troubleshoot student questions. • Monitoring record systems to identify and correct errors with accuracy and efficiency Salary and Benefits: Starting salary is $17.94 per hour and is commensurate with experience. Boise State University provides a best-in-class benefits package, including (but not limited to): 12 paid holidays AND the University is closed between Christmas and New Year's (requires use of 3 vacation days) Between 12-24 annual paid vacation days for full-time Professional and Classified staff depending on position type and years of service 10.76% University contribution to your ORP retirement fund (Professional and Faculty employees) 11.96% University contribution to your PERSI retirement fund (Classified employees) Excellent medical, dental and other health-related insurance coverages Tuition fee waiver benefits for employees, spouses and their dependents See our full benefits page for more information! Required Application Materials: ● Cover letter detailing your interest in the position ● Professional resume ● Three professional references, including at least one current or former direct supervisor About Us: Nestled along the Boise River and steps from the state capitol, Boise State University fosters a vibrant and welcoming academic environment that fuels student and employee success. We're a trailblazing institution, nationally recognized for our innovative spirit and commitment to positive impact on Idaho and beyond. Boise State is proud to be recognized by Forbes as the only Idaho employer listed in the top 100 of all national midsize and large employers. We're building a thriving community of faculty and staff whose unique skills, experiences, and perspectives come together to create a rich and rewarding academic experience. Applications from all backgrounds are welcomed. Learn more about Boise State and living in Idaho's Treasure Valley at *********************************