Claims support specialist jobs near me - 1,001 jobs

Job Title: Online Customer Support Specialist - Remote Job Type: Full-Time / Part-Time About the Job Are you ready to kickstart your career in a fast-growing industry with no prior experience required? Join one of the nation's leading supplemental benefits providers, proudly serving families for over 65 years. We're actively hiring Entry-Level Benefits Representatives who are eager to learn, grow, and build a successful career-all from the comfort of their home. This is a great opportunity for recent high school graduates, college students, career changers, or anyone seeking a remote entry-level job with real potential. Key Responsibilities: Provide friendly, helpful support to customers regarding their benefits Educate clients on available supplemental health and life insurance options Answer questions, schedule virtual consultations, and walk customers through coverage Learn and stay up to date with our products, services, and training tools Help clients choose the most effective and affordable benefit plans Collaborate in a team environment while working independently What You'll Need to Succeed: No experience required - we'll train you! A strong work ethic and eagerness to learn Great communication and people skills Basic computer literacy and ability to use video conferencing tools Professional attitude with a positive mindset Must be 18 years or older and eligible to work in the U.S. We're Looking For Someone Who Is: Looking to build a long-term career with advancement potential Reliable, self-motivated, and goal-oriented Comfortable speaking with people and enjoys helping others A team player who takes pride in their work Benefits & Perks: Remote position - work from home anywhere in the U.S. Weekly pay and performance-based bonuses Residual income for long-term earnings Paid company trips and travel incentives Full training provided - no experience needed Flexible schedule (full-time or part-time) Opportunities to advance into leadership and management roles Apply Today! Start a rewarding career in customer service and sales from the ground up. We're hiring now-no degree or experience needed. If you're ready to learn, grow, and thrive in a remote, entry-level position, apply now and join a team that values your potential. Powered by JazzHR

About Us At Property Soar, we specialize in elevating real estate ventures through strategic guidance, data-driven insight, and expert consulting. Our team is committed to helping clients unlock new opportunities in property development, acquisition, and sales optimization. With a strong foundation in business intelligence and market analytics, we pride ourselves on delivering measurable results and empowering our clients to grow with confidence. Job Description Property Soar is seeking a skilled and detail-oriented Customer Service Specialist to support our client relationships by providing timely, accurate, and courteous assistance. This position is ideal for individuals who are passionate about delivering high-quality service in a dynamic, professional environment. Responsibilities Respond promptly and professionally to customer inquiries via phone, email, and internal ticketing systems Resolve customer concerns and issues with accuracy and efficiency Maintain a thorough knowledge of our property offerings and processes Document interactions, feedback, and resolutions in company systems Collaborate with internal departments to ensure a seamless customer experience Assist with administrative tasks related to client accounts and support requests Qualifications Qualifications High school diploma or equivalent (Associate or Bachelor's degree preferred) 2+ years of experience in a customer service role, preferably in real estate or a professional services environment Excellent verbal and written communication skills Strong problem-solving abilities and attention to detail Proficiency in Microsoft Office and CRM systems Ability to work independently and manage multiple priorities Additional Information Benefits Competitive salary: $59,000 - $66,000 annually Opportunities for professional development and internal advancement Comprehensive training and onboarding support Health, dental, and vision insurance Paid time off and holidays A dynamic and collaborative team environment

Job title: Customer Support/Account Rep Duration: 6months Pay rate: $18/hr - $19.17/hour Remote to Start: Kick off your journey with us from home! All classes and training sessions will be held remotely for 4-5 weeks. In-Office Experience: Once training is complete, your role will transition to 5 days per week in-office, fostering collaboration, hands-on experience, and strong team bonds. Hybrid Work Flexibility: After 6 months of service, enjoy a hybrid schedule that balances in-office and remote work-3 days in-office and 2 days from home-for greater flexibility and convenience. Preference Criteria: We prefer candidates with either a College Degree or Previous Contact Center Experience. Position Description: Join our Client as a Customer Support Representative where you'll handle incoming phone calls regarding various service inquiries. You'll respond with accuracy and efficiency, consistently meeting key department performance metrics. Functional support areas include cash management products, online services, and general account or financial-related inquiries. Successful applicants will be highly professional, career-driven, and committed to delivering world-class service. Key Responsibilities: Addressing incoming phone calls with a high degree of accuracy and efficiency. Providing support on cash management products, online services, and general financial inquiries. Contributing to a fast-paced, team-oriented environment. Multi-tasking and adjusting quickly to changes in a busy financial service center. Qualifications: Preference for a College Degree or Previous Contact Center Experience. Highly professional, career-driven, and committed to delivering world-class service. Excellent communication skills and ability to work effectively in a team environment. Strong aptitude for multitasking and adjusting to fast-paced environments. Why Join Us: Opportunity to work with a reputable financial institution. Dynamic and collaborative work environment. Competitive compensation package and opportunities for career advancement. Be part of a team dedicated to delivering excellence in client service.

The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience. Schedule: Remote Role / Monday - Friday 8am to 5pm. >> We offer our team the best Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Essential Duties: Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims. Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors. Submit and follow up on HCHB Support Tickets. Assist in project tasks related to new agency acquisitions. Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues. Identifying trending issues and providing thorough research and documentation of findings. Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite. Ability to take assigned projects to successful completion. The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications. Position Requirements & Competencies: High school diploma or GED equivalent, some college preferred. No less than 2 years of recent HCHB software experience. Excellent written and oral communication skills. Excellent customer service skills. Computer proficiency required: including intermediate level knowledge in Microsoft Suite. Ability to analyze and interpret situations to complete tasks or duties assigned. Detail oriented, strong organizational skills. Team players who are passionate about their work and will actively contribute to a positive and collaborative environment. Quick learners with strong problem solving and creative thinking abilities. Driven individuals who remain engaged in their own professional growth. Ability to Travel: Heavy travel (varies and may exceed 50%) is required during acquisition phases. Some travel may be required on weekends or evenings. Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. To apply via text, text 9930 to ************ #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR We may text you during the hiring process. By proceeding, you give us permission to text you at the mobile number provided. Message and data rates may apply. Message frequency varies. Reply 'Opt Out' at any time if you no longer wish to receive text messages regarding our opportunities. Employee wellbeing is top priority at Addus Homecare, and we're thrilled to announce our recognition as the top healthcare company on Indeed's 2024 Top 100 Work Wellbeing Index.

The HCHB Support Representative is responsible for handling software support calls and tickets initiated by Addus Home Health, Hospice, and Private Duty, and Personal Care branches. The role will also assist in training during acquisition integration projects as well as testing hot fixes and system upgrades HCHB releases. Must have recent Homecare Homebase Software experience. Schedule: Remote Role / Monday - Friday 8am to 5pm. >> We offer our team the best Medical, Dental and Vision Benefits Continued Education PTO Plan Retirement Planning Life Insurance Employee discounts Essential Duties: Managing a service desk (ServiceNow) ticket queue which includes triaging incoming requests, managing escalations to Addus team members, building out new worker login profiles, device buildout, user errors, and assisting branches in clearing claims or preventing ineligible claims. Consult with HCHB's Customer Experience team as needed to provide solutions to HCHB errors. Submit and follow up on HCHB Support Tickets. Assist in project tasks related to new agency acquisitions. Communicate with branches via phone, email, and live chat in a timely fashion to identify and resolve reported issues. Identifying trending issues and providing thorough research and documentation of findings. Effectively provide consultation and education on the appropriate use of all products within the HCHB Suite. Ability to take assigned projects to successful completion. The role may also include training staff during HCHB rollouts, assisting in HCHB quarterly release testing, assist in audit reviews, and develop and conduct training programs to support team members on HCHB applications. Position Requirements & Competencies: High school diploma or GED equivalent, some college preferred. No less than 2 years of recent HCHB software experience. Excellent written and oral communication skills. Excellent customer service skills. Computer proficiency required: including intermediate level knowledge in Microsoft Suite. Ability to analyze and interpret situations to complete tasks or duties assigned. Detail oriented, strong organizational skills. Team players who are passionate about their work and will actively contribute to a positive and collaborative environment. Quick learners with strong problem solving and creative thinking abilities. Driven individuals who remain engaged in their own professional growth. Ability to Travel: Heavy travel (varies and may exceed 50%) is required during acquisition phases. Some travel may be required on weekends or evenings. Addus provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. To apply via text, text 9930 to ************ #ACADCOR #CBACADCOR #DJADCOR #IndeedADCOR

About Client: Client is a global financial services firm that provides a wide range of investment banking, securities, wealth management, and investment management services. It is a prominent global financial services firm with a rich history and a strong presence in the financial industry. The Client is committed to corporate responsibility and sustainability. It aims to make a positive impact on society through various initiatives, such as promoting environmental sustainability, supporting diversity and inclusion, and engaging in philanthropic activities. Rate: $19.17/Hr Job Description: Client Support Service Professionals handle incoming phone calls regarding various service inquiries on *** accounts. Calls will need to respond with a high degree of accuracy and efficiency, while consistently meeting key department performance metrics. Functional support areas include *** Cash Management products and services, *** Online (client website) and Mobile app, and general account or financial related inquiries. Successful applicants will be highly professional, career driven, and committed to World-Class Service. Ability to contribute in a fast paced, team-oriented environment. Aptitude to multi-task and adjust quickly to change in a busy financial service center Preference for 1 of the following criteria: College Degree Previous contact center experience Non-benefitted (other than those mandated under state or federal law).Please note that this position does not include paid time off benefits. ApTask offers subsidized insurance coverage to our employees. About ApTask: ApTask is a leading global provider of workforce solutions and talent acquisition services, dedicated to shaping the future of work. As an African American-owned and Veteran-certified company, ApTask offers a comprehensive suite of services, including staffing and recruitment solutions, managed services, IT consulting, and project management. With a focus on excellence, collaboration, and innovation, ApTask provides unparalleled opportunities for professional growth and development. As a member of the ApTask team, you will have the chance to connect businesses with top-tier professionals, optimize workforce performance, and drive success across diverse industries. Join us at ApTask and be part of our mission to empower organizations to thrive while fostering a diverse and inclusive work environment. Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview. Candidate Data Collection Disclaimer: At ApTask, we prioritize safeguarding your privacy. As part of our recruitment process, certain Personally Identifiable Information (PII) may be requested by our clients for verification and application purposes. Rest assured, we strictly adhere to confidentiality standards and comply with all relevant data protection laws. Please note that we only collect the necessary information as specified by each client and do not request sensitive details during the initial stages of recruitment. If you have any concerns or queries about your personal information, please feel free to contact our compliance team at Applicant Consent: By submitting your application, you agree to ApTask's (*************** and , and provide your consent to receive SMS and voice call communications regarding employment opportunities that match your resume and qualifications. You understand that your personal information will be used solely for recruitment purposes and that you can withdraw your consent at any time by contacting us at ************ or ***************. Message frequency may vary. Msg & data rates may apply. About ApTask: ApTask is a leading global provider of workforce solutions and talent acquisition services, dedicated to shaping the future of work. As an African American-owned and Veteran-owned company, ApTask offers a comprehensive suite of services, including staffing and recruitment solutions, managed services, IT consulting, and project management. With a focus on excellence, collaboration, and innovation, ApTask provides unparalleled opportunities for professional growth and development. As a member of the ApTask team, you will have the chance to connect businesses with top-tier professionals, optimize workforce performance, and drive success across diverse industries. Join us at ApTask and be part of our mission to empower organizations to thrive while fostering a diverse and inclusive work environment. Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview. Candidate Data Collection Disclaimer: At ApTask, we prioritize safeguarding your privacy. As part of our recruitment process, certain Personally Identifiable Information (PII) may be requested by our clients for verification and application purposes. Rest assured, we strictly adhere to confidentiality standards and comply with all relevant data protection laws. Please note that we only collect the necessary information as specified by each client and do not request sensitive details during the initial stages of recruitment. If you have any concerns or queries about your personal information, please feel free to contact our compliance team at . Applicant Consent: By submitting your application, you agree to ApTask's (*************** and , and provide your consent to receive SMS and voice call communications regarding employment opportunities that match your resume and qualifications. You understand that your personal information will be used solely for recruitment purposes and that you can withdraw your consent at any time by contacting us at ************ or ***************. Message frequency may vary. Msg & data rates may apply.

We are looking for an individual with great customer service skills for one of the main supplemental benefits companies in the nation for over 65 years! The Company is expanding in our territories and we are in immediate need of dedicated Benefits Representatives with ambitious goals. Requirements Excellent communication skills Basic computer knowledge Work ethics Outgoing, fun & energetic with an upbeat personality Accountability and coachability Time management skills Pass a criminal background check Benefits (after 90 days) Paid weekly Bonuses Health Insurance Reimbursement Life Insurance Retirement Plan Requirements: Computer Cell phone (unlimited long distance calling) Access to Wifi Powered by JazzHR

We are seeking a dedicated and knowledgeable customer service representative to join our team and provide exceptional customer service and support regarding employee benefits, 401K plans, and payroll inquiries, and other benefit and time off related inquiries. The ideal candidate should possess excellent communication skills, a strong attention to detail, and a solid understanding of benefits administration and payroll processes. This role involves addressing customer queries, resolving concerns, and assisting employees with accurate information to ensure their overall satisfaction. Responsibilities: Customer Support: Serve as the first point of contact for employees' inquiries related to benefits, 401K plans, and payroll matters, health insurance, or supplemental insurance plans as needed through inbound calls. Issue Resolution: Identify and troubleshoot employees' concerns and issues, providing efficient solutions or escalating complex matters to appropriate internal departments. Documentation: Maintain detailed and organized records of all interactions, inquiries, and resolutions in the company's customer relationship management (CRM) system. Education and Guidance: Offer guidance and explanations to employees on benefit enrollment processes, retirement planning, investment options, and any updates to payroll policies. Policy Knowledge: Stay updated on company policies, industry regulations, and compliance requirements to provide accurate information and ensure consistent service quality. Qualifications: High school diploma or equivalent is required. Proven experience in a customer service or call center role, ideally with a focus on employee benefits, 401K plans, or payroll inquiries. Strong interpersonal and communication skills, with the ability to explain complex concepts in a clear and understandable manner. Familiarity with benefits administration platforms, retirement plans, and payroll systems is highly desirable. Exceptional problem-solving skills and the ability to handle challenging situations with empathy and professionalism. Detail-oriented with excellent organizational and multitasking abilities. Availability to work flexible shifts, based on call center needs. Demonstrated commitment to delivering outstanding customer experiences. If you are passionate about assisting employees with their benefits, 401K, and payroll inquiries and are dedicated to delivering top-notch customer service, we encourage you to apply for this rewarding position. Join our team and be an essential part of providing a positive employee experience. Activus Connect is only hiring for this role within the United States at this time. Pay Rate: $15.25 per hour during training $17.00 per hour once you reach production Benefits: Paid time off Community time Referral program Dental and Vision Insurance Health Insurance Completely remote work Technical Requirements: You will need to have your own equipment for this position as outlined below: Desktop or Laptop Computer (Tablets, Chromebooks, WinBooks, Macs, or Virtual Machines etc are not permitted) Processor: i5 or newer (or Ryzen 5+) 2GHZ processing power or better Minimum 8GB RAM 256 GB SSD You must have administrator access on the computer you are using. Windows 11 OS High Speed Internet Access with 20MBPS Download and 20MBPS Upload or better You are unable to use a wireless internet connection for this position, you must be hardwired with a hardline cable or DSL connection. VPN's are not permitted while on the clock Dual Monitors, at least 20 inch. Wired USB headset Plantronics Model 3310 or 3320 Webcam for meetings and training All peripherals must be hardwired for use (keyboard, mouse, etc.)

The Customer Service Specialist is responsible for delivering exceptional service to policyholders and supporting the agency's retention and growth goals. This role involves handling customer inquiries, processing payments, conducting proactive outreach, and assisting with remarketing efforts. The ideal candidate will be detail-oriented, customer-focused, and comfortable managing both inbound and outbound communications. Key Responsibilities: + Respond to customer policy inquiries via phone, email, and other communication channels. + Collect and process payments accurately and in compliance with agency standards. + Perform proactive outreach to policyholders for renewals, retention, and remarketing opportunities. + Handle inbound and outbound calls with policyholders and insurance carriers to resolve issues and provide updates. + Quote and sell insurance policies across multiple lines, ensuring compliance with state regulations and agency guidelines. + Assist with remarketing efforts to retain customers and improve satisfaction. + Complete administrative duties, including data entry, document management, and updating customer records in agency systems. + Collaborate with team members to meet service level agreements and retention goals. Qualifications: + High school diploma or equivalent + Insurance license (Property & Casualty) or willingness to obtain within a specified timeframe. + Prior experience in customer service, preferably in an insurance or financial services environment. + Strong communication skills (verbal and written) and ability to handle high-volume calls. + Proficiency in agency management systems (e.g., AMS360, Salesforce) and Microsoft Office Suite. + Ability to multitask, prioritize, and work in a fast-paced environment. Key Competencies: + Customer-focused mindset with strong problem-solving skills. + Sales aptitude and ability to identify cross-selling opportunities. + Attention to detail and accuracy in handling transactions. + Team-oriented with a proactive approach to achieving goals. Our Insurance Agency helps real estate agents provide consumers with a seamless transaction experience. An independent provider of personal lines of insurance, the team works with national and regional insurance companies to design affordable coverage options and combination policies that meet a variety of budgets and lifestyles. Anywhere Real Estate Inc. (************************ **(NYSE: HOUS) is moving real estate to what's next.** Home to some of the most recognized brands in real estate Better Homes and Gardens Real Estate (*********************** , Century 21 (*************************** , Coldwell Banker (******************************** , Coldwell Banker Commercial (****************************** , Corcoran (************************** , ERA (********************* , and Sotheby's International Realty (*********************************** , we fulfill our purpose to empower everyone's next move through our leading integrated services, which include franchise, brokerage, relocation, and title and settlement businesses, as well as mortgage and title insurance underwriter minority owned joint ventures. Anywhere supports nearly 1 million home sale transactions annually and our portfolio of industry-leading brands turns houses into homes in more than 118 countries and territories across the world. **At Anywhere, we are empowering everyone's next move - your career included.** What differentiates us is our scale, expertise, network, and unique business model that positions us as a trusted advisor throughout every stage of the real estate transaction. **We pursue talent** - strategic thinkers who are eager to always find a better way, relentlessly focus on talent, obsess about growth, and achieve exceptional results. **We value our people-first culture,** which thrives on empowerment, innovation, and cross-company collaboration as we keep moving the world forward, together. Read more about our company culture and values in our annual Impact Report (********************************************************************** . We are proud of our award-winning culture and are consistently recognized as an employer of choice by various organizations including: + Great Place to Work + Forbes World's Best Employers + Newsweek World's Most Trustworthy Companies + Ethisphere World's Most Ethical Companies EEO Statement: EOE including disability/veteran

This position is geared toward being the subject matter expert concerning the daily Treasury Services processes. This role will perform typical Analyst level tasks while supporting the Treasury Services team with any day-to-day issues and concerns. This position is responsible for building out processes and providing additional training to the Treasury Services team. ESSENTIAL FUNCTIONS Complete Monthly Reconciliations of client accounts through Great Plains Process New business banking setup (BPO & ASO) Make existing business banking changes (BPO & ASO) Vendor maintenance for print fulfillment VCC/EFT Implementation & support Complete Check Tracer processes Positive Pay submission Create and implement new processes as needed Lead new hire and existing team member training as needed Other duties as assigned EDUCATION Bachelor's degree in accounting, or equivalent work experience required. EXPERIENCE AND SKILLS A minimum of 2 years' experience as a Treasury Analyst required Must be detailed oriented Excellent written and verbal communication skills required. Excellent organizational and time management skills required. Proficient with Microsoft Office Suite, Excel, Word, or similar software required Experience with financial management systems, such as Great Plains or similar Good computer skills with programs such as MS Excel, Access, and Power BI. Exceptional analytical and problem-solving skills. Strong financial and mathematic abilities. Excellent verbal and written communication skills. Strong time management and organizational abilities POSITION COMPENTENCIES Communication Customer Focus Accountability Functional/Technical Job Skills PHYSICAL DEMANDS This is an office environment requiring extended sitting and computer work WORK ENVIRONMENT Remote Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive. The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate. Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life & Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend. Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role. Protect Yourself from Hiring Scams Important Notice About Our Hiring Process To keep your experience safe and transparent, please note: All interviews are conducted via video. No job offer will ever be made without a video interview with Human Resources and/or the Hiring Manager. If someone contacts you claiming to represent us and offers a position without a video interview, it is not legitimate. We never ask for payment or personal financial information during the hiring process. For your security, please verify all job opportunities through our official careers page: Current Career Opportunities at Allied Benefit Systems Your security matters to us-thank you for helping us maintain a fair and trustworthy process!

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it's our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people's lives. It takes empathy, precision, and a strong sense of partnership-and that's exactly what you'll find here. We're a team of fast-paced fixers, empathetic experts, and outcomes drivers - people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you'll play a vital role in helping businesses and individuals move forward with confidence. Here, you'll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you're here, you're part of something bigger. You're part of a team that shows up, stands together, and leads with purpose. Overview Salary: up to $165,000 per year, dependent upon experience Jurisdictions: Open to Any Licenses: must be willing to obtain all licenses stated by manager within specified timeframe Location: This role is eligible for fully remote work. Claims Background: Medical Malpractice - Long Term Care How you'll make an impact * Analyzes coverage and settles the most complex and challenging claims within Gallagher Bassett's specialty claims areas (excluding workers' compensation). * Handles the full life cycle of all assigned claims files, from intake to resolution. * Determines coverage applicability and defense obligations independently. * Conducts thorough investigations and analysis to assess exposure and develop settlement strategies and action plans. * Drafts and issues reservation of rights and coverage denial letters. * Negotiates settlements with clients, client attorneys, and Public Adjusters. * Engages with all parties involved in the claims process; may recommend retaining outside experts when appropriate. * Prepares reserve and settlement authority requests for both client and carrier approval. * May act as a client advocate with carriers to ensure proper handling of claims, including scoping, estimating, and addressing coverage issues. * Possesses solid understanding of claims processing and the insurance brokerage business. * Demonstrates deep knowledge of industry-specific terminology, case law, and specialized claims areas. * Handles claims in alignment with client and corporate policies, best practices, and all regulatory and ethical standards. * Provides guidance and mentorship to junior adjusters. * Capable of handling a full caseload independently and effectively. About You Potential candidates should have the following: Claims Background: Medical Malpractice - Long Term Care Jurisdictional Experience: Any Active Adjusters' licenses: must be willing to obtain all licenses stated by manager within specified timeframe As a key member of our Claims Adjuster team, you will: Investigate, evaluate, and resolve complex Medical Malpractice claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. Work in partnership with our clients to deliver innovative solutions and improve the claims management process Think critically, solve problems, plan, and prioritize activities to optimally serve clients REQUIRED QUALIFICATIONS: * High school diploma. * Minimum of 5+ years of experience handling claims within the applicable specialty area (Medical Malpractice). * Proven ability to handle complex and challenging claims issues at a senior adjuster level. * Licensed and/or certified in all applicable states, or able to acquire necessary licenses per local requirements. * Familiarity with accepted industry standards and practices. * Proficient with relevant claims management and business software. DESIRED: Bachelor's Degree Law Degree (JD) Litigation Experience 10+years of prior experience adjusting claims in applicable specialty area Experience in claims as well as the insurance legal and regulatory environment #LI-TJ1 #GBTopJob

Service Scheduling Administrator (SSA) Part-Time | Fully Remote After Training Training Location: Charlotte North Ops Center 115 Rhyne Road, Charlotte, NC Training is conducted onsite, five days a week. Work Schedule & Mobility: Onsite for training; fully remote after training Part-time role (minimum 22 hours/week) Hours may increase to 36+ per week if the contingent worker is available Required availability: Weekends: 7:00 AM - 6:00 PM Holidays: 7:00 AM - 4:00 PM Position Purpose: The Service Scheduling Administrator (SSA) is responsible for assigning, routing, and adjusting workloads for field service personnel to support daily operations, customer service commitments, and emergency response. This role serves as a critical point of contact for technicians, first responders, and emergency customers, ensuring timely, accurate, and professional resolution of service needs. The SSA supports after-hours operations and contributes to maintaining 24/7/365 emergency coverage across the service area. Nature & Scope The SSA supports the Planning & Progression Department, a centrally-led and regionally-executed team responsible for receiving, routing, and assigning all service orders for the Natural Gas Business Unit. This role requires: Independent judgment and analytical skills to optimize workloads in a dynamic operational environment The ability to assess service calls and emergencies and apply appropriate human relations skills Coordination of service and emergency response across a three-state service area operating 24/7/365 Operational Impact: Supports approximately 350 Service Technicians Helps manage an average of 56,000 emergency calls annually Key Responsibilities: Assign, route, and adjust daily workloads for field service personnel Answer inbound calls from technicians, first responders, and emergency customers Handle complex calls requiring research, follow-up, and sound judgment Monitor service workflows and adjust schedules as operational conditions change Ensure timely, accurate resolution of customer inquiries and emergencies Support after-hours technician operations and emergency response coverage Required Skills & Qualifications: Strong analytical, problem-solving, and decision-making skills Ability to multitask and prioritize in a fast-paced, high-volume environment Excellent communication and customer service skills Ability to remain calm and professional during emergency situations Education Requirement: High School Diploma or GED required

Create Music Group is currently looking for self-described viral internet culture enthusiasts to join our Viral Department. Viral Content Claiming Specialist perform administrative tasks such as YouTube copyright claiming and asset onboarding, as well as scope out trending memes and social media videos on a daily basis. This position requires a regular workload of data entry/administration in order to carry out the most basic functions of our department but there are plenty of opportunities for more creative and ambitious pursuits if you are so inclined. This is a full time position which may be done remotely, however our office is located in Hollywood, California, and we are currently only looking for job candidates who are located in California. In the future, you may be encouraged to come into our office for meetings or company functions, so it is best if you are located in the Los Angeles/Southern California area. Through our Viral team, we collaborate with some of the most prominent viral talent from the TikTok and meme world including Supa Hot Fire (Deshawn Raw), Welven Da Great (Deez Nuts), Verbalase, KWEY B, Hoodnews, presidentofugly1, 10k Caash, dimetrees, Zackass, Supreme Patty, The Man with the Hardest Name in Africa, ViralSnare, Adin Ross, and more. 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 content creators, 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: We work directly with our clients and their team to help them break down the data and find potential opportunities to build their career. Daily responsibilities include but are not limited to the following. 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 As this is a remote position, you are required to have your own computer and reliable internet connection. This position may require you to download a great deal of video files (files which may be deleted once onboarding tasks are completed) so please make sure that you have a computer that is up to the task. Laptops are preferable if you would like to come into our office to work (snacks, soft drinks, and Starbucks coffee are provided at our physical office). 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.

Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As a Medical Claims Appeal Specialist, you are responsible for contacting providers to educate on NSA process/payments, respond to appeals for various products, and negotiate these post pay appealed claims to resolve payment disputes. Primary Responsibilities Monitor and manage your post payment queues. Conduct outreach, education, and negotiation calls to providers for post payment claims. Effectively communicate with providers to verify/confirm understanding of NSA claims payments and regulations. Effectively communicate with providers to explain claim payments for various pricing products. Maintain compliance, including but not limited to Confidentiality and HIPAA requirements. Maintain acceptable levels of production including but limited to turn around time standards as mandated by the regulation(s). Document all conversations and record name, phone number, and email of contact person if available, payment rates offered on behalf of clients, and any counter offers by the provider. Adhere to client specific and Reliant protocols, scripts, and other requirements. Develop a comprehensive understanding of the state and federal regulations that will impact payments to providers. Develop a comprehensive understanding of our various products. Perform other job-related duties and special projects as required. Qualifications 2-3 years of related job experience - appeals, negotiations, medical billing. Experience conducting outreach to providers via phone calls or other communication means. Experience understanding Reliant critical behaviors and compliance requirements. Broad healthcare policy and payment understanding. Experience with claims workflow tools or systems. Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$60,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.

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

OverviewAt Advocate, our mission is to empower Americans to obtain the government support they've earned. Advocate aims to reduce long wait times and bureaucratic obstacles of the current government benefits application process by developing a unified intake system for the Social Security Administration, utilizing cutting-edge technologies such as artificial intelligence and machine learning, crossed with the knowledge and experience of our small team of EDPNA's and case managers. We are seeking a Claims Assistant to play a key role in ensuring smooth case management and operational support at Advocate. In this position, you will handle a variety of important administrative tasks, from managing incoming communication to scheduling appointments for case managers. You'll ensure that our administrative processes flow efficiently, contributing directly to the success of our mission. If you're organized, detail-oriented, and enjoy working in a fast-paced environment, this could be the perfect opportunity for you to make a meaningful impact.Job Responsibilities Ensure the Social Security Administration (SSA) has processed representative forms and provided access to Electronic Records Express (ERE). Manage a high volume of incoming mail as the company continues to grow. Handle calls and texts to the client care team's dedicated 888 line. Schedule appointments for case managers to keep operations on track. Request medical source statements and assist with other administrative tasks to ensure smooth process flow. Qualifications Strong administrative and clerical skills are essential. Prior experience with Social Security disability is preferred but not required. Highly organized and capable of managing multiple tasks efficiently. Strong attention to detail and task-oriented mindset. Ability to thrive in a fast-paced and growing work environment. This is a remote position and Advocate is currently a fully remote team. Advocate is an equal opportunity employer and values diversity in the workplace. We are assembling a well-rounded team of people passionate about helping others and building a great company for the long term.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES Evaluates residential and commercial contents inventories obtained by or submitted to VeriClaim on both a Replacement Cost and Actual Cash Value (ACV) basis. Applies limitations and/or exclusions on claims based on coverage afforded by the policy. Tracks time and log file notes for daily field activity. Assists with answering telephones. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). QUALIFICATIONS: Education & Licensing High school diploma or GED required. Resident Insurance Adjuster License (Fire and Other Hazards) preferred. Experience One (1) year customer service experience or equivalent combination of education and experience preferred. Accounting and insurance background preferred. Skills & Knowledge Oral and written communication skills PC literate, including Microsoft Office products Good comprehensive decision making skills Ability to read and comprehend policy language Ability to work in a team environment Ability to meet or exceed Performance Competencies

Location: Candidates are required to live in Ohio. This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The MyCare Ohio Plan program is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs. The Claims Process Expert Sr. oversees the administration of claims processing and operational support functions to ensure compliance with the regulatory standards of Anthem's Ohio Medicaid products. Works with Provider Experience to research provider inquiries for possible configuration and rate related claims errors, and responsible for ensuring claims resolution success. Also responsible for adhering and reporting against State Prompt Pay and Claims Issue reporting requirements. How you will make an impact Primary duties may include, but are not limited to: * Oversee the end-to-end claims process, including receipt, adjudication, payment, and performance reporting on claims timeliness, accuracy, backlog and provider payment compliance. * Serve as the operational liaison with the state of Ohio, Provider Experience, and internal executive leadership. * Researches operations workflow problems and system irregularities. * Develops, tests, presents process improvement solutions for new systems, new accounts and other operational improvements. * Develops and leads project plans and communicates project status, * Provides process direction and decision making for all minor and major project work. * Provides guidance to process experts. * May perform duties as a lead when involved with enterprise wide initiatives/projects. Minimum Qualifications: * Requires a BA/BS and minimum of 8 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: * Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred. * Experience with Dual Products: Medicaid and Medicare strongly preferred. * Ohio state regulatory reporting experience preferred. * Broad experience in claims Medicaid and/or Medicare within the state of Ohio is strongly preferred. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $81,760.00 to $122,640.00 Location(s): Columbus, OH. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: BSP > Process Improvement Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Our client in the medical supply industry is seeking a Claims Specialist to support a high-impact revenue recovery project tied to recent Medicare and Tricare processing changes. Salary is $41,600-$52,000, DOE ABOUT OUR CLIENT A well-established provider of medical equipment in the Columbus-area Known for supporting both private and government healthcare networks Collaborative, detail-driven office culture focused on accuracy and results Casual work environment with an emphasis on professional accountability Opportunity to make a measurable impact on recovering aged receivables and strengthening cash flow as the Claims Specialist RESPONSIBILITIES OF THE CLAIMS SPECIALIST The Claims Specialist will post claims in Bonafide, ensuring all data meets current HCPC and Tricare standards The Claims Specialist will reconcile and correct rejected or pending claims, attaching required documentation and resubmitting for processing Communicate directly with Medicare and Tricare representatives to verify claim receipt, payment status, and issue resolution Track, document, and report claim and cash recovery progress to leadership PREFERRED QUALIFICATIONS FOR THE CLAIMS SPECIALIST Must have hands-on experience with both Tricare and Medicare billing Must have direct experience using Bonafide billing software Knowledge of claims processing, EOB reconciliation, and appeals workflow Experience with Excel is a plus (basic to intermediate proficiency) Salary is $41,600-$52,000, DOE