Processor jobs at HUB International - 201 jobs

Document Processor / Compliance Analyst (Full-Time - NJ) Business Credentialing Services, Inc. (BCS) is a fast-growing technology company in the insurance and risk management industries. We are growing our Operations department and are looking to hire a Document Processor to assist with data entry and customer support. Today, we have more than 70 employees and two office locations in Parsippany, NJ and Provo, UT. Our compliance and risk management platform helps companies reduce their risk exposure by systematically verifying Vendors/Suppliers they do business with. Blending professional services with web-based applications, BCS continues to maintain its foothold as one of the industry leaders. Job Type: Full-time Employee Pay: $19.50 per hour Responsibilities: Perform data entry tasks, including inputting and updating information in databases. Review incoming documentation to verify pertinent information for our clients. Send emails and make phone calls to provide feedback on the documents received. Assist with administrative tasks as needed. Attend team meetings/phone calls. Requirements: Strong data entry skills with a high level of accuracy and attention to detail. Strong written and verbal communication skills. Excellent organizational and time management skills. Ability to perform data entry tasks within our software platform quickly and accurately. Intermediate computer literacy is required. Bachelor's Degree required in any field. Employee Benefits and Additional Information: Starting Pay Rate: $19.50 per hour. Required to report to the office in Parsippany, NJ Monday - Friday. When an employee reaches six months of employment, they can work remotely one day per week. When an employee reaches three years of service, they can work remotely two days per week. Semi-Annual Pay Increases - Employee can earn up to a 2.5% pay rate increase every six months based on performance. Healthcare Benefits (Medical, Vision, Dental) are available for employees on their first day of employment. 401(k) / Retirement Benefits - An employee is eligible to participate in the BCS 401(k) program with company matching on their three-month anniversary. Paid Federal Holidays and Paid Time Off.

The Mail & Document Processor, Associate is responsible for, but not limited to, handling all incoming NJM, policyholder, and claim related correspondence. They are responsible for ensuring and maintaining customer satisfaction according to company standards with regard to timeliness, accuracy, availability, document identification, data entry and quality review of scanned documents. Key tasks include sorting incoming mail, operating various types of scanners for the creation of electronic documents, and data entry. This role does require working in the NJM-Hammonton office. Schedule: Mon-Fri 8:00 AM - 4:15 PM. Essential Duties and Responsibilities: Ability to sort all incoming mail (both physical and electronic) accurately and identify documents according to pre-established business rules within a designated timeframe. Ability to operate department scan equipment to produce high-quality images and understand how to adjust scanned images using NJM's capture software (i.e., rotating, deleting, splitting, and moving pages). Ability to complete document classification and data entry requirements based on department procedures and business rules. Ability to learn and work in a document capture software system. Assist the department in meeting their defined Service Level Agreements (SLA's). Stays current with departmental procedures and schedules. Demonstrate adaptability and flexibility. Consistently maintains a high level of confidentiality. Performs other tasks as assigned. Required Qualifications: Strong clerical / data entry skills Strong organizational skills Strong communication skills Strong attention to detail and accuracy Effective verbal and written communication skills Demonstrates an understanding of the importance of teamwork Self-motivated and has demonstrated initiative Knowledge of Microsoft Office Products Knowledge of document capture software; OnBase knowledge is a plus High school diploma or GED Preferred Qualifications: Some physical effort (handling light materials and boxes up to 30 lbs.) Starting Rate: $39,131 Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses. Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Job DescriptionDocument Processor / Compliance Analyst (Full-Time - NJ) Business Credentialing Services, Inc. (BCS) is a fast-growing technology company in the insurance and risk management industries. We are growing our Operations department and are looking to hire a Document Processor to assist with data entry and customer support. Today, we have more than 70 employees and two office locations in Parsippany, NJ and Provo, UT. Our compliance and risk management platform helps companies reduce their risk exposure by systematically verifying Vendors/Suppliers they do business with. Blending professional services with web-based applications, BCS continues to maintain its foothold as one of the industry leaders. Job Type: Full-time Employee Pay: $19.50 per hour Responsibilities: Perform data entry tasks, including inputting and updating information in databases. Review incoming documentation to verify pertinent information for our clients. Send emails and make phone calls to provide feedback on the documents received. Assist with administrative tasks as needed. Attend team meetings/phone calls. Requirements: Strong data entry skills with a high level of accuracy and attention to detail. Strong written and verbal communication skills. Excellent organizational and time management skills. Ability to perform data entry tasks within our software platform quickly and accurately. Intermediate computer literacy is required. Bachelor's Degree required in any field. Employee Benefits and Additional Information: Starting Pay Rate: $19.50 per hour. Required to report to the office in Parsippany, NJ Monday - Friday. When an employee reaches six months of employment, they can work remotely one day per week. When an employee reaches three years of service, they can work remotely two days per week. Semi-Annual Pay Increases - Employee can earn up to a 2.5% pay rate increase every six months based on performance. Healthcare Benefits (Medical, Vision, Dental) are available for employees on their first day of employment. 401(k) / Retirement Benefits - An employee is eligible to participate in the BCS 401(k) program with company matching on their three-month anniversary. Paid Federal Holidays and Paid Time Off.

The Contribution Accounting Processor provides account reconciliation and resolves customer inquiries for assigned Trusts ensuring compliance with associated plans and company guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by /Role." Key Duties and Responsibilities Handles customer inquiries via telephone, electronic modes, and in-person for billing questions to stakeholders such as employers, providers, auditors, or client representatives. Processes COBRA payments, self-pay payments, refund requests, and cash receipts. Receives and processes new employer contracts. Maintains and updates existing contracts. Prepares and processes incoming and outgoing contribution reports; reconciles reports to payments. Researches discrepancies, credits, retro-payments and problems; contacts employers regarding discrepancies. Submits deposits, requests stop payments, and reconciles batch files making corrections when needed. Performs delinquency and payroll audit processing to include reporting, follow-up, and preparation for entry into computer system. Reviews, researches, corrects, and balances month end edit reports. Performs other duties as assigned. Minimum Qualifications High school diploma or GED. Six months of related work experience such as third-party administrator processing, bookkeeping, finance, banking, or accounting. Proficiency with MS Office tools and applications. Computer literate with ability to learn new applications and systems. Preferred Qualifications Experience working in a healthcare environment or a third-party benefits administrator. Bilingual English/Spanish verbal and written communication skills. Proficiency with 10 key calculations. *Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee of this job. Duties, responsibilities and activities may change at any time with or without notice. Working Conditions/Physical Effort Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. May be required to work remotely based on business needs. Disability Accommodation Consistent with the Americans with Disabilities Act (ADA) and other applicable federal and state law, it is the policy of Zenith American Solutions to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Recruiting Department at ******************************, and we would be happy to assist you. Zenith American Solutions Real People. Real Solutions. National Reach. Local Expertise. We are currently looking for a dedicated, energetic employee with the necessary skills, initiative, and personality, along with the desire to get the most out of their working life, to help us be our best every day. Zenith American Solutions is the largest independent Third Party Administrator in the United States and currently operates over 44 offices nationwide. The original entity of Zenith American has been in business since 1944. Our company was formed as the result of a merger between Zenith Administrators and American Benefit Plan Administrators in 2011. By combining resources, best practices and scale, the new organization is even stronger and better than before. We believe the best way to realize our better systems for better service philosophy is to hire the best employees. We're always looking for talented individuals who share our dedication to high-quality work, exceptional service and mutual respect. If you're interested in working in an environment where people - employees and clients - really matter, consider bringing your talents to Zenith American! We realize the importance a comprehensive benefits program to our employees and their families. As part of our total compensation package, we offer an array of benefits including health, vision, and dental coverage, a retirement savings 401(k) plan with company match, paid time off (PTO), great opportunities for growth, and much, much more!

This is a Hybrid position at our Rancho Cordova, CA branch. Please sign the application at the end. SIP required At the Direction of the Claims Supervisor and/or Manager - manages all aspects of complex and litigated indemnity claims from inception to conclusion within established authority and guidelines. This position requires considerable interaction with clients, claimants, Medical providers, Attorneys, vendors, Nurse and Vocational Case Managers and other TRISTAR staff. DUTIES AND RESPONSIBILITIES: Effectively manages a caseload of indemnity claim files, including very complex and litigated claims.* Initiates and conducts investigation in a timely manner.* Determines compensability of claims and administer benefits based upon state law and TRISTAR Best Practices for claim handling.* Manages medical treatment and medical billing, authorizing as appropriate.* Refers cases to outside defense counsel and participates in litigated matters.* Communicates with claimants, attorneys, providers and vendors regarding claims issues.* Work in an organized and proactive manner.* Computes and set reserves within Company guidelines.* Settles and/or finalize all claims and obtains authority as designated.* Maintains diary system for case review and documents file to reflect the status and work being performed on the file, including a plan of action.* Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.* Conducts file reviews as scheduled by the client and management.* Identify and review claims for Apportionment assignment.* Identify and investigate subrogation potential and pursue recovery.* Identify claim standard criteria for excess reporting and reimbursement.* Assist with State Audit and reporting responses.* Mentors less experienced Examiners Other duties as assigned and including claims management of other jurisdictional workers' comp claims. Adheres to all TRISTAR company policies and procedures.* * Essential job function. Qualifications Education/Experience: Minimum five (5) or more years related experience; or equivalent combination of education and experience. HS diploma required, BS preferred Knowledge, Skills and Abilities: Technical knowledge of statutory regulations and medical terminology. Analytical skills. Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff. Ability to interact with persons at all levels in the business environment. Ability to independently and effectively manage very complex claims. Proficient in Word and Excel (preferred). Other Qualifications: Licenses as required by Jurisdiction.. SIP required Here are some of the benefits you can enjoy in this role: Medical, Dental, Vision, Disability & Life insurance. 401(K) plan Paid time off Paid holidays Referral bonus

Our West Trenton General Claims Legal Department is seeking a motivated, detail-oriented individual for a PIP Appeal and Litigation (PAL) Processor role. Reporting to the designated supervisor and accountable for efficiently collecting and organizing pertinent information of appeal, litigation/arbitration process for adjusters and defense counsel. Essential Duties and Responsibilities: Receive, analyze, and process complaints/arbitration demands, create litigation matters, and assign to appropriate PAL adjuster for review. Assist PAL Adjusters and supervisors by accurately entering pertinent information into Claim Center, OnBase, and AgilePoint. Provide support as needed to First Notice of Loss (FNOL) Dept in taking claims. Review the investigation file material, select appropriate information, and electronically send to defense firms. Provide support to PAL Adjusters with document requests and information needed for pertinent matters. Process monthly vendor bills. Properly answer and accurately process incoming inquiries from attorneys requesting payment status, missing Bottomline entries and document requests. Periodic telephone and email communication with vendors, defense, and plaintiff counsel firms regarding litigated matters. Process incoming mail for distribution to the appropriate PAL Adjuster. Maintain Legal Exchange (electronic billing site) by creating matters for defense counsel to bill at conclusion of matter. Maintain monthly reports of arbitration demands for management review. Process all zero EOB's within statutory timeframes for upheld payment appeals. Required Qualifications: Strong verbal and written communication skills, including active listening Multi-tasking, problem-solving and decision-making abilities Ability to work independently Effective computer skills and ability to work in multiple systems Organization, time management and prioritization abilities Demonstrate reliability and conform to the company's attendance policy Minimum High School Diploma or GED required Compensation: Salary is commensurate with experience and credentials. Pay Range: $46,950-$54,546 Eligible full-time employees receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses. Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

**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** Technology **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** $99,100.00 - $163,400.00 **Target Openings** 1 **What Is the Opportunity?** We are seeking a highly skilled ITSM Process SME with expertise in Incident, Problem, and Change Management, emphasizing data analysis. The ideal candidate will enhance production engineering practices by supporting Problem and Change Management and analyzing ITSM process data. In this role you will serve as the primary point of accountability for management and stakeholders, ensuring the adoption and integration of ITSM processes to achieve corporate goals. Independent and critical thinking are a must as you will plan and execute process activities and collaborate with many levels within the organization to meet established cost, time and quality objectives. Apply ITSM knowledge, skills, tools and techniques to all deliverables, process and systems to meet or exceed stakeholder expectations. High impacting Incident management, root cause analysis and driving other groups to find root causes as well as being part of the change management processes. Proficiency in data analysis and process improvement. This role operates with general oversight and with the expectation of taking the lead in the ITSM space. **What Will You Do?** + **Data Analysis** : Develop and implement data observations from ITSM and associated data sources to provide actionable insights for improved experiences. + **Problem Management** : Facilitate root cause analysis and ensure timely resolution of problems to prevent recurrence. + **Production Engineering Practices** : Collaborate with teams on implementing and improving production engineering practices. Ensure alignment of engineering practices with ITSM processes. Engage with Software Engineering chapter for identified improvement opportunities. + **ServiceNow Expertise** : Act as the Subject Matter Expert (SME) for ServiceNow, providing guidance and support to the team. Leverage ServiceNow capabilities to enhance ITSM processes and workflows. Work with enterprise ServiceNow team on practices + **Process Improvement and Mindset** : Identify areas for process improvement and implement best practices to enhance efficiency and effectiveness. Develop and maintain process documentation to ensure consistency and compliance. Leverage Artificial Intelligence (AI) as appropriate. + **Incumbent may have responsibility for one or more of the following:** + **Analytics and Reporting Management:** Performs analysis, design and integration of business intelligence and reporting application throughout the life cycle with a focus on development and implementation. Performs technical, hand-on role in developing and designing solutions involving multiple data sources, data warehouse, presentation and reporting technologies. + **Incident Management** : Develops MTTR (Mean Time to Resolve) and trending reporting, identifies key data and process improvements related to incidents. + Implements action plans to eliminate future incidents and escalates to senior management as appropriate. + Opens problems and, on a monthly basis, generates an overview of incident information to identify problems. + **Problem Management:** Analyzes Incident/Problem report summaries for trends, incomplete solutions, high profile users, and business critical services. Reviews resolved problems for permanent solutions and potential future problems. + **Change Management** : Develops change management policy and process recommendations. Develops instructions and training in support of change management. + Conducts post-implementation change incident review analysis and process audits. Produces and Packages Key Performance indicators to Process and Portfolio Owners and Senior Management. + **Configuration Management** : Provides mentorship to and oversight for Configuration Coordinators. Ensures Change, Release and Configuration Management policies and processes are understood and properly utilized. + Produces and maintains the Configuration Management plan and design documentation. + **Release Management:** Partners with Project Managers to create project plans for infrastructure release projects. Identifies requirements for implementation resources. + Monitors and confirms Request for Change orders are created, approved appropriately, successful production checkout and status updates are accurate. + **Service Request Management** : Works with service owners to drive process correction and create new processes.Works with appropriate partners to ensure appropriate requests are created and delivered. + Identifies and clarifies requirements for implementation - confirms proper implementation. + Input/submit Service Requests, Project Records, Change Controls, and Work Orders to support various internal services. + **Capacity Managemen** t:Plan, monitors, supports, and reports system and solution capacity, performance measurement, and forecast for the Technology organization. Participates in forecasting future service capacity requirements. + **Service Level Management** :Defines, negotiates and implements Operational Level Agreements (OLAs) for internal IT departments and Underpinning Contracts (UCs) for internal IT and external service providers. Ensures that service levels are met. + Assists in determining availability requirements from the business. Review IT Service and component availability to identify unacceptable levels. + **Availability Management** :Establishes measures and reporting of availability, reliability, and maintainability. Monitors and investigates any availability issues. + Helps set strategic direction for team and assigns work where applicable. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Three years of experience as an ITSM Practitioner preferred. + Specific knowledge of purpose and benefits associated with good ITSM processes and their interaction with other processes in an organization preferred. + Familiarity with Six Sigma, ITIL, Capability Maturity Model Integration (CMMi) and/or other process improvement frameworks, methodologies and best practices preferred. + ITIL Service Management Foundation Certification or equivalent experience preferred. **Problem Solving and Decision Making:** + Demonstrates sound analytic and diagnostic skills dealing with issues that are loosely defined and/or where information is available but must be further manipulated. + Once decisions are made, is able to follow and direct action to implement intended results. + Breaks a problem down to manageable pieces and implements effective, timely solutions. + Openly and directly confronts conflict until resolved. **Team Orientation:** + Strong customer orientation with excellent oral and written communication skills. + Builds relationships with peers to achieve objectives. Working to build relationships with other departments to work as one team. + Balances team and individual responsibilities. + Exhibits objectivity and openness to others' views. + Gives and welcomes feedback. + Puts success of team above self. + Expert ability to work in a highly matrix environment. **Leadership:** + Supports a distinct business unit or several smaller functions. + Responsibilities are assigned with some latitude for setting priorities and decision-making using established policies and procedures. Results are reviewed with next level manager for clarification and direction before proceeding. **Planning and Project Management:** + Works with the project manager/manager in identifying those projects tasks that are most important, establishes clear priorities and understands the larger picture. + Anticipates and effectively responds to changes in workload and resources. **Financial Impact:** + Understands, has input to the budget process, and shares responsibility for cost-effective expense control of assigned projects. Is responsible for important and confidential information. **What is a Must Have?** + High school diploma or equivalent required. + Two years of experience in Technology or IT Service Management role 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 ******************************************************** .

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 Technology 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 $99,100.00 - $163,400.00 Target Openings 1 What Is the Opportunity? We are seeking a highly skilled ITSM Process SME with expertise in Incident, Problem, and Change Management, emphasizing data analysis. The ideal candidate will enhance production engineering practices by supporting Problem and Change Management and analyzing ITSM process data. In this role you will serve as the primary point of accountability for management and stakeholders, ensuring the adoption and integration of ITSM processes to achieve corporate goals. Independent and critical thinking are a must as you will plan and execute process activities and collaborate with many levels within the organization to meet established cost, time and quality objectives. Apply ITSM knowledge, skills, tools and techniques to all deliverables, process and systems to meet or exceed stakeholder expectations. High impacting Incident management, root cause analysis and driving other groups to find root causes as well as being part of the change management processes. Proficiency in data analysis and process improvement. This role operates with general oversight and with the expectation of taking the lead in the ITSM space. What Will You Do? * Data Analysis: Develop and implement data observations from ITSM and associated data sources to provide actionable insights for improved experiences. * Problem Management: Facilitate root cause analysis and ensure timely resolution of problems to prevent recurrence. * Production Engineering Practices: Collaborate with teams on implementing and improving production engineering practices. Ensure alignment of engineering practices with ITSM processes. Engage with Software Engineering chapter for identified improvement opportunities. * ServiceNow Expertise: Act as the Subject Matter Expert (SME) for ServiceNow, providing guidance and support to the team. Leverage ServiceNow capabilities to enhance ITSM processes and workflows. Work with enterprise ServiceNow team on practices * Process Improvement and Mindset: Identify areas for process improvement and implement best practices to enhance efficiency and effectiveness. Develop and maintain process documentation to ensure consistency and compliance. Leverage Artificial Intelligence (AI) as appropriate. * Incumbent may have responsibility for one or more of the following: * Analytics and Reporting Management: Performs analysis, design and integration of business intelligence and reporting application throughout the life cycle with a focus on development and implementation. Performs technical, hand-on role in developing and designing solutions involving multiple data sources, data warehouse, presentation and reporting technologies. * Incident Management: Develops MTTR (Mean Time to Resolve) and trending reporting, identifies key data and process improvements related to incidents. * Implements action plans to eliminate future incidents and escalates to senior management as appropriate. * Opens problems and, on a monthly basis, generates an overview of incident information to identify problems. * Problem Management: Analyzes Incident/Problem report summaries for trends, incomplete solutions, high profile users, and business critical services. Reviews resolved problems for permanent solutions and potential future problems. * Change Management: Develops change management policy and process recommendations. Develops instructions and training in support of change management. * Conducts post-implementation change incident review analysis and process audits. Produces and Packages Key Performance indicators to Process and Portfolio Owners and Senior Management. * Configuration Management: Provides mentorship to and oversight for Configuration Coordinators. Ensures Change, Release and Configuration Management policies and processes are understood and properly utilized. * Produces and maintains the Configuration Management plan and design documentation. * Release Management: Partners with Project Managers to create project plans for infrastructure release projects. Identifies requirements for implementation resources. * Monitors and confirms Request for Change orders are created, approved appropriately, successful production checkout and status updates are accurate. * Service Request Management: Works with service owners to drive process correction and create new processes.Works with appropriate partners to ensure appropriate requests are created and delivered. * Identifies and clarifies requirements for implementation - confirms proper implementation. * Input/submit Service Requests, Project Records, Change Controls, and Work Orders to support various internal services. * Capacity Management:Plan, monitors, supports, and reports system and solution capacity, performance measurement, and forecast for the Technology organization. Participates in forecasting future service capacity requirements. * Service Level Management:Defines, negotiates and implements Operational Level Agreements (OLAs) for internal IT departments and Underpinning Contracts (UCs) for internal IT and external service providers. Ensures that service levels are met. * Assists in determining availability requirements from the business. Review IT Service and component availability to identify unacceptable levels. * Availability Management:Establishes measures and reporting of availability, reliability, and maintainability. Monitors and investigates any availability issues. * Helps set strategic direction for team and assigns work where applicable. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Three years of experience as an ITSM Practitioner preferred. * Specific knowledge of purpose and benefits associated with good ITSM processes and their interaction with other processes in an organization preferred. * Familiarity with Six Sigma, ITIL, Capability Maturity Model Integration (CMMi) and/or other process improvement frameworks, methodologies and best practices preferred. * ITIL Service Management Foundation Certification or equivalent experience preferred. Problem Solving and Decision Making: * Demonstrates sound analytic and diagnostic skills dealing with issues that are loosely defined and/or where information is available but must be further manipulated. * Once decisions are made, is able to follow and direct action to implement intended results. * Breaks a problem down to manageable pieces and implements effective, timely solutions. * Openly and directly confronts conflict until resolved. Team Orientation: * Strong customer orientation with excellent oral and written communication skills. * Builds relationships with peers to achieve objectives. Working to build relationships with other departments to work as one team. * Balances team and individual responsibilities. * Exhibits objectivity and openness to others' views. * Gives and welcomes feedback. * Puts success of team above self. * Expert ability to work in a highly matrix environment. Leadership: * Supports a distinct business unit or several smaller functions. * Responsibilities are assigned with some latitude for setting priorities and decision-making using established policies and procedures. Results are reviewed with next level manager for clarification and direction before proceeding. Planning and Project Management: * Works with the project manager/manager in identifying those projects tasks that are most important, establishes clear priorities and understands the larger picture. * Anticipates and effectively responds to changes in workload and resources. Financial Impact: * Understands, has input to the budget process, and shares responsibility for cost-effective expense control of assigned projects. Is responsible for important and confidential information. What is a Must Have? * High school diploma or equivalent required. * Two years of experience in Technology or IT Service Management role 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 *********************************************************

PHP Agency Addison, TX About PHP PHP is a life insurance field marketing organization, founded in 2009 by visionary entrepreneur Patrick Bet David. PHP partners with leading insurance and annuity carriers to offer a comprehensive basket of insurance products to a diverse client base. PHP provides part-time or fulltime opportunities to individuals pursuing careers as life insurance agent. PHP passionately serves people through a field sales force comprised of thousands of licensed agents deployed nationwide in offices they independently own and operate. PHP's headquarters office is in Addison, Texas (Dallas metroplex). The company was acquired in 2022 and is now a proud part of the Integrity family. Job Summary This position is responsible for data entry, research and calculate monthly, quarterly, and annual commissions from various insurance carriers to be distributed to our dedicated servicing agents. The Commissions Processor is focused on ensuring accuracy, timely completion, and the highest level of customer service to our internal and external clients. Primary Responsibilities: Reconcile and resolve discrepancies in revenue assignments and commission pay Handles research tasks and error resolution, communicates with our field agents and internal departments to resolve problems Ensure adequate troubleshooting and resolution during high-volume periods Process field agents commission payments using a third-party payroll system to ensure timely pay Assist field agents via phone/email with commission related inquiries as necessary and provide outstanding customer service Additional duties as required by business needs Primary Skills & Requirements: 1+ year in a customer-centric business environment Associate or bachelor's Degree a plus Excellent Customer Service and communication skills required (both written and oral) Detail oriented and excellent time management Skillful in using the following programs including, but not limited to: Microsoft Office programs such as Excel, Word, and Outlook. Ability to learn internal CRM and external life insurance-related applications. Solid MS Excel knowledge and working with large amounts of data Excellent math aptitude and organizational skills required 1099 Independent Contractor payroll experience a plus but not required Previous experience with commissions a plus Benefits Available Medical/Dental/Vision Insurance 401(k) Retirement Plan Paid Holidays PTO Community Service PTO FSA/HSA Life Insurance Short-Term and Long-Term Disability About Integrity Integrity is one of the nation's leading independent distributors of life, health and wealth insurance products. With a strong insurtech focus, we embrace a broad and innovative approach to serving agents and clients alike. Integrity is driven by a singular purpose: to help people protect their life, health and wealth so they can prepare for the good days ahead. Integrity offers you the opportunity to start a career in a family-like environment that is rewarding and cutting edge. Why? Because we put our people first! At Integrity, you can start a new career path at company you'll love, and we'll love you back. We're proud of the work we do and the culture we've built, where we celebrate your hard work and support you daily. Joining us means being part of a hyper-growth company with tons of professional opportunities for you to accelerate your career. Integrity offers our people a competitive compensation package, including benefits that make work more fun and give you and your family peace of mind. Headquartered in Dallas, Texas, Integrity is committed to meeting Americans wherever they are - in person, over the phone or online. Integrity's employees support hundreds of thousands of independent agents who serve the needs of millions of clients nationwide. For more information, visit Integrity.com. Integrity, LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, national origin, disability, veteran status, or any other characteristic protected by federal, state, or local law. In addition, Integrity, LLC will provide reasonable accommodations for qualified individuals with disabilities.

Please make sure that you complete all the questions and navigate to the end of the application to sign the application. Investigates, evaluates, disposes, and settles moderately complex to complex/high exposure claims. Includes the investigation, evaluation, and determination of coverage, compensability, and responsibility, and the setting of proper reserves. DUTIES AND RESPONSIBILITIES: Processes moderately complex to complex or high exposure claims consistent with clients' and corporate policies, procedures, and “Best Practices” and in accordance with any statutory, regulatory, and ethics requirements. Independently analyzes claim exposure, determines a proper plan of action to appropriately mitigate and settle/close the claim, working within the established level of authority. Interacts with injured workers, client contacts, and attending Physician(s) to ensure awareness and understanding of the Workers' Compensation process, requirements, and entitlements. Interacts with disability and leave examiners for coordination of non-occupational benefits. Prepares and issues notices in accordance with mandated requirements and regular reviews and stays abreast of applicable laws, rules, and regulations that may impact how claims are processed. Establishes and maintains proper reserving throughout the life of the claim. Identify subrogation potential and pursue the process for reimbursement. Complies with carrier excess reporting and threshold requirements. Coordinates medical treatment for injured workers and provides information to treating physicians(s) regarding the employee's medical history, health issues, and job requirements. Fully understands Medicare reporting requirements as they relate to a Workers' Compensation claim. Facilitates early RTW through temporary, transitional, alternate, or modified work. Manages all medical aspects of a claim file with a focus on RTW and end of treatment. Refers appropriate files for task management assignments to approved vendors for medical management, special investigative needs, conditional payments, etc., up to assigned authority. Monitors' status and quality of work performed. Serves as a liaison between medical providers, employees, legal professionals, clients, and vendors. Independently manages claims in litigation with regular and consistent communication with defense counsel to make recommendations and develop a strategy. Enters and maintains accurate information in the claims management computer system. Clearly communicates concise action plans and presents plans for moving the claim to resolution. Meets with clients to discuss ongoing claims or review open claim inventory. Effectively controls expenses on all Workers' Compensation claims. Mentors first-level WC Examiners. All other duties as assigned. EQUIPMENT OPERATED/USED: Computer, fax machine, copier, printer and other office equipment. SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire. Qualifications QUALIFICATIONS REQUIRED: Education: High School Diploma or GED required: Bachelor's degree in related field (strongly preferred) or equivalent combination of education and experience. Experience: Three (3) to five (5) years of Workers' Compensation Claims administration experience required, working with self-insured and/or insured claims. Preferred Skills: Demonstrated experience working with complex, high-exposure, and litigated WC claims. Appropriately licensed and/or certified in all States in which claims are handled. Multi-Jurisdiction experience is a (+). Bilingual Spanish is a (+) Able to work in a fast-paced, high-stress, changing environment. Strong analytical, critical thinking, and problem-solving skills are required. Effective verbal and written communication skills required. Excellent planning, organizing, and negotiation skills required. Attention to detail. Negotiation and interpretive skills are necessary. Demonstrated knowledge of established claims strategy and mitigation techniques. Establishes and maintains effective working relationships with those contacted in the course of work. Proficiency with computers and technology - working knowledge of Microsoft Office application suite (MS Word, Excel, etc. and familiarity and experience using standard claims administration applications. Good interpersonal skills with an ability to work within a team environment. Able to effectively handle multiple priorities simultaneously. Works independently. Here are some of the benefits you can enjoy in this role: Medical, Dental, Vision Insurance. Life and Disability Insurance. 401(k) Plan Paid Holidays Paid Time Off. Referral bonus. Mental and Physical Requirements: [see separate attachment for a copy of the checklist of mental and physical requirements] MENTAL AND PHYSICAL REQUIREMENTS 1. MENTAL EFFORT a. Reasoning development: Follow one- or two-step instructions; routine, repetitive task. Carry out detailed but uninvolved written or verbal instructions; deal with a few concrete variables. Follow written, verbal, or diagrammatic instructions; several concrete variables. X Solve practical problems; variety of variables with limited standardization; interpret instructions. Logical or scientific thinking to solve problems; several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts. b. Mathematical development: Simple addition and subtraction; copying figures, counting, and recording. Add, subtract, multiply, and divide whole numbers. X Arithmetic calculations involving fractions, decimals, and percentages. Arithmetic, algebraic, and geometric calculations. Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination. Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination, require theoretical application. c. Language development: Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. X Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data. 2. PHYSICAL EFFORT a. Physical activity required to perform the job: Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. X Light work: a. Exerting up to 20 pounds of force occasionally b. Exerting up to 10 pounds frequently c. Exerting a negligible amount of force constantly to move objects (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work). Medium work: a. Exerting up to 50 pounds of force occasionally b. Exerting up to 20 pounds of force frequently c. Exerting up to 10 pounds of force constantly to move objects Heavy work: a. Exerting up to 100 pounds of force occasionally b. Exerting up to 50 pounds of force frequently c. Exerting up to 20 pounds of force constantly to move objects Very heavy work: a. Exerting in excess of 100 pounds of force occasionally b. Exerting in excess of 50 pounds of force constantly to move objects c. Exerting in excess of 20 pounds of force constantly to move objects Visual requirements necessary to perform the job: Far vision: clarity of vision at 20 feet or more X Near vision: clarity of vision at 20 inches or less X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are Color vision: ability to identify and distinguish colors Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point 2. PHYSICAL EFFORT (cont.) FREQUENCY c. Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion. Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium. X Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. X Kneeling: Bending legs at knee to come to a rest on knee or knees. X Crouching: Bending the body downward and forward by bending legs and spine. Crawling: Moving about on hands and knees or hands and feet. X Reaching: Extending hand(s) and arm(s) in any direction. X Standing: Particularly for sustained periods of time. X Walking: Moving about on foot to accomplish tasks, particularly for long distances. X Pushing: Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward. X Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion. Foot Motion: Using feet to push pedals. X Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles. X Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling. X Grasping: Applying pressure to an object with the fingers and palm. Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Frequently Frequently Occasionally 2. PHYSICAL EFFORT (cont.) FREQUENCY X Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts. Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips. X Repetitive Substantial movements (motions) of the wrists, hands, Motion: and/or fingers. Frequently Frequently Frequently 3. WORKING CONDITIONS Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure. WORKING CONDITION ENVIRONMENTAL FACTOR NATURE/REASON OF EXPOSURE FREQUENCY Dirt/Dust Noise Temperature extremes Dampness Vibrations Equipment movement hazard Chemicals/solvents Electrical shock Significant work pace/pressure Odors/Fumes

will be Hybrid BE SURE TO SIGN THE APPLICATION WHEN YOU APPLY Investigates, evaluates, disposes and settles moderately complex to complex/high exposure claims. Includes the investigation, evaluation and determination of coverage, compensability and responsibility and the setting of proper reserves. DUTIES AND RESPONSIBILITIES: Processes moderately complex to complex or high exposure claims consistent with clients' and corporate policies, procedures and “Best Practices” and in accordance with any statutory, regulatory and ethics requirements. Independently analyzes claim exposure, determines a proper plan of action to appropriately mitigate and settle/close the claim working within established level of authority. Interacts with injured workers, client contacts and attending Physician(s) to ensure awareness and understanding of the Workers' Compensation process, requirements and entitlements. Interacts with disability and leave examiners for coordination of non-occupational benefits. Prepares and issues notices in accordance with mandated requirements and regularly reviews and stays abreast of applicable laws, rules and regulations that may impact how claims are processed. Establishes and maintains proper reserving throughout the life of the claim. Identify subrogation potential and pursue the process for reimbursement. Complies with carrier excess reporting and threshold requirements. Coordinates medical treatment for injured workers and provides information to treating physician(s) regarding the employee's medical history, health issues and job requirements. Fully understands Medicare reporting requirements as they relate to a Workers' Compensation claim. Facilitates early RTW through temporary, transitional, alternate, or modified work. Manages all medical aspects of a claim file with a focus on RTW and end of treatment. Refers appropriate files for task management assignments to approved vendors for medical management, special investigative needs, conditional payments, etc. up to assigned authority. Monitors status and quality of work performed. Serves as a liaison between medical providers, employees, legal professionals, clients and vendors. Independently manages claims in litigation with regular and consistent communication with defense counsel to make recommendations and develop strategy. Enters and maintains accurate information in the claims management computer system. Clearly communicates concise action plans and present plans for moving the claim to resolution. Meets with clients to discuss on-going claims or review open claim inventory. Effectively controls expenses on all Workers' Compensation claims. Mentors first level WC Examiners. All other duties as assigned. Qualifications QUALIFICATIONS REQUIRED: this is a hybrid position....please sign the application at the end Education: High School Diploma or GED required: Bachelor's degree in related field (strongly preferred) or equivalent combination of education and experience. Experience: Three (3) to five (5) years of Workers' Compensation Claims administration experience required working with self-insured and/or insured claims. Licenses/Certificate: SIP Preferred Skills: Demonstrated experience working with complex, high exposure and litigated WC claims. Appropriately licensed and/or certified in all States in which claims are being handled. Multi-Jurisdiction experience is a (+). Bilingual Spanish is a (+) Able to work in a fast paced, high stress, changing environment. Strong analytical, critical thinking and problem-solving skills required. Effective verbal and written communication skills required. Excellent planning, organizing and negotiation skills required. Attention to detail. Negotiation and interpretive skills necessary. Demonstrated knowledge of established claims strategy and mitigation techniques. Establishes and maintains effective working relationships with those contacted in the course of work. Proficiency with computers and technology - working knowledge of Microsoft Office application suite (MS Word, Excel, etc. and familiarity and experience using standard claims administration applications. Good interpersonal skills with an ability to work within a team environment. Able to effectively handle multiple priorities simultaneously. Works independently. Here is some of the benefits you can enjoy in this role Medical, Dental, Vision, Life insurance & Disability 401 (k) plan Paid holidays. Paid time off. Mental and Physical Requirements: [see separate attachment for a copy of checklist of mental and physical requirements] MENTAL AND PHYSICAL REQUIREMENTS 1. MENTAL EFFORT a. Reasoning development: Follow one- or two-step instructions; routine, repetitive task. Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables. Follow written, verbal, or diagrammatic instructions; several concrete variables. X Solve practical problems; variety of variables with limited standardization; interpret instructions. Logical or scientific thinking to solve problems; several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts. b. Mathematical development: Simple additional and subtraction; copying figures, counting, and recording. Add, subtract, multiply, and divide whole numbers. X Arithmetic calculations involving fractions, decimals, and percentages. Arithmetic, algebraic, and geometric calculations. Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination. Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application. c. Language development: Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. X Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data. 2. PHYSICAL EFFORT a. Physical activity required to perform the job: Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. X Light work: a. Exerting up to 20 pounds of force occasionally b. Exerting up to 10 pounds frequently c. Exerting a negligible amount of force constantly to move objects (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work). Medium work: a. Exerting up to 50 pounds of force occasionally b. Exerting up to 20 pounds of force frequently c. Exerting up to 10 pounds of force constantly to move objects Heavy work: a. Exerting up to 100 pounds of force occasionally b. Exerting up to 50 pounds of force frequently c. Exerting up to 20 pounds of force constantly to move objects Very heavy work: a. Exerting in excess of 100 pounds of force occasionally b. Exerting in excess of 50 pounds of force constantly to move objects c. Exerting in excess of 20 pounds of force constantly to move objects Visual requirements necessary to perform the job: Far vision: clarity of vision at 20 feet or more X Near vision: clarity of vision at 20 inches or less X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are Color vision: ability to identify and distinguish colors Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point 2. PHYSICAL EFFORT (cont.) FREQUENCY c. Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion. Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium. X Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. X Kneeling: Bending legs at knee to come to a rest on knee or knees. X Crouching: Bending the body downward and forward by bending legs and spine. Crawling: Moving about on hands and knees or hands and feet. X Reaching: Extending hand(s) and arm(s) in any direction. X Standing: Particularly for sustained periods of time. X Walking: Moving about on foot to accomplish tasks, particularly for long distances. X Pushing: Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward. X Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion. Foot Motion: Using feet to push pedals. X Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles. X Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling. X Grasping: Applying pressure to an object with the fingers and palm. Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Frequently Frequently Occasionally 2. PHYSICAL EFFORT (cont.) FREQUENCY X Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts. Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips. X Repetitive Substantial movements (motions) of the wrists, hands, Motion: and/or fingers. Frequently Frequently Frequently 3. WORKING CONDITIONS Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure. WORKING CONDITION ENVIRONMENTAL FACTOR NATURE/REASON OF EXPOSURE FREQUENCY Dirt/Dust Noise Temperature extremes Dampness Vibrations Equipment movement hazard Chemicals/solvents Electrical shock Significant work pace/pressure Odors/Fumes

Our West Trenton Medical Services Administration team is in search of a Billing Processor. Reporting to the designated supervisor, the Billing Processor is responsible and accountable to review assigned billing statements on a daily basis. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment. This role can report to either our West Trenton or Hammonton office. Six months training will be provided. Once complete the role will offer a Hybrid schedule of 2 days in the office and 3 days at home. Job Responsibilities Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes. Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability. Apply state fee schedules when appropriate Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests. Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner Required Qualifications and Experience Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes. Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability. Apply state fee schedules when appropriate Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests. Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner A medical background with billing/coding experience or education is required Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes required Multi-state knowledge for Workers' Compensation and/or Personal Auto (PIP) a plus Strong communication skills, including writing, speaking and active listening Ability to learn quickly, work in fast paced environment and adapt to change Organization, time management and prioritization abilities Strong interpersonal and customer service skills Ability to balance priorities by responding to customer concerns while performing thorough investigations of all issues encountered Multi-tasking, problem-solving and decision-making abilities Effective computer skills and ability to work in multiple systems Ability to work independently High School Diploma or GED required Salary: $36,000 to $40,000 commiserate with experience, credentials and licensure. Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Our West Trenton Medical Services Administration team is in search of a Billing Processor. Reporting to the designated supervisor, the Billing Processor is responsible and accountable to review assigned billing statements on a daily basis. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment. This role can report to either our West Trenton or Hammonton office. Six months training will be provided. Once complete the role will offer a Hybrid schedule of 2 days in the office and 3 days at home. Job Responsibilities Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes. Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability. Apply state fee schedules when appropriate Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests. Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner Required Qualifications and Experience Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes. Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability. Apply state fee schedules when appropriate Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests. Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner A medical background with billing/coding experience or education is required Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes required Multi-state knowledge for Workers' Compensation and/or Personal Auto (PIP) a plus Strong communication skills, including writing, speaking and active listening Ability to learn quickly, work in fast paced environment and adapt to change Organization, time management and prioritization abilities Strong interpersonal and customer service skills Ability to balance priorities by responding to customer concerns while performing thorough investigations of all issues encountered Multi-tasking, problem-solving and decision-making abilities Effective computer skills and ability to work in multiple systems Ability to work independently High School Diploma or GED required Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

Our West Trenton Medical Services Administration team is in search of a Billing Processor. Reporting to the designated supervisor, the Billing Processor is responsible and accountable to review assigned billing statements on a daily basis. This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment. Job Responsibilities Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes. Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability. Apply state fee schedules when appropriate Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests. Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner Required Qualifications and Experience A medical background with billing/coding experience or education is required Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes required Multi-state knowledge for Workers' Compensation and/or Personal Auto (PIP) a plus Strong communication skills, including writing, speaking and active listening Ability to learn quickly, work in fast paced environment and adapt to change Organization, time management and prioritization abilities Strong interpersonal and customer service skills Ability to balance priorities by responding to customer concerns while performing thorough investigations of all issues encountered Multi-tasking, problem-solving and decision-making abilities Effective computer skills and ability to work in multiple systems Ability to work independently High School Diploma or GED required Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.

**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** Technology **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** $99,100.00 - $163,400.00 **Target Openings** 1 **What Is the Opportunity?** We are seeking a highly skilled ITSM Process SME with expertise in Incident, Problem, and Change Management, emphasizing data analysis. The ideal candidate will enhance production engineering practices by supporting Problem and Change Management and analyzing ITSM process data. In this role you will serve as the primary point of accountability for management and stakeholders, ensuring the adoption and integration of ITSM processes to achieve corporate goals. Independent and critical thinking are a must as you will plan and execute process activities and collaborate with many levels within the organization to meet established cost, time and quality objectives. Apply ITSM knowledge, skills, tools and techniques to all deliverables, process and systems to meet or exceed stakeholder expectations. High impacting Incident management, root cause analysis and driving other groups to find root causes as well as being part of the change management processes. Proficiency in data analysis and process improvement. This role operates with general oversight and with the expectation of taking the lead in the ITSM space. **What Will You Do?** + **Data Analysis** : Develop and implement data observations from ITSM and associated data sources to provide actionable insights for improved experiences. + **Problem Management** : Facilitate root cause analysis and ensure timely resolution of problems to prevent recurrence. + **Production Engineering Practices** : Collaborate with teams on implementing and improving production engineering practices. Ensure alignment of engineering practices with ITSM processes. Engage with Software Engineering chapter for identified improvement opportunities. + **ServiceNow Expertise** : Act as the Subject Matter Expert (SME) for ServiceNow, providing guidance and support to the team. Leverage ServiceNow capabilities to enhance ITSM processes and workflows. Work with enterprise ServiceNow team on practices + **Process Improvement and Mindset** : Identify areas for process improvement and implement best practices to enhance efficiency and effectiveness. Develop and maintain process documentation to ensure consistency and compliance. Leverage Artificial Intelligence (AI) as appropriate. + **Incumbent may have responsibility for one or more of the following:** + **Analytics and Reporting Management:** Performs analysis, design and integration of business intelligence and reporting application throughout the life cycle with a focus on development and implementation. Performs technical, hand-on role in developing and designing solutions involving multiple data sources, data warehouse, presentation and reporting technologies. + **Incident Management** : Develops MTTR (Mean Time to Resolve) and trending reporting, identifies key data and process improvements related to incidents. + Implements action plans to eliminate future incidents and escalates to senior management as appropriate. + Opens problems and, on a monthly basis, generates an overview of incident information to identify problems. + **Problem Management:** Analyzes Incident/Problem report summaries for trends, incomplete solutions, high profile users, and business critical services. Reviews resolved problems for permanent solutions and potential future problems. + **Change Management** : Develops change management policy and process recommendations. Develops instructions and training in support of change management. + Conducts post-implementation change incident review analysis and process audits. Produces and Packages Key Performance indicators to Process and Portfolio Owners and Senior Management. + **Configuration Management** : Provides mentorship to and oversight for Configuration Coordinators. Ensures Change, Release and Configuration Management policies and processes are understood and properly utilized. + Produces and maintains the Configuration Management plan and design documentation. + **Release Management:** Partners with Project Managers to create project plans for infrastructure release projects. Identifies requirements for implementation resources. + Monitors and confirms Request for Change orders are created, approved appropriately, successful production checkout and status updates are accurate. + **Service Request Management** : Works with service owners to drive process correction and create new processes.Works with appropriate partners to ensure appropriate requests are created and delivered. + Identifies and clarifies requirements for implementation - confirms proper implementation. + Input/submit Service Requests, Project Records, Change Controls, and Work Orders to support various internal services. + **Capacity Managemen** t:Plan, monitors, supports, and reports system and solution capacity, performance measurement, and forecast for the Technology organization. Participates in forecasting future service capacity requirements. + **Service Level Management** :Defines, negotiates and implements Operational Level Agreements (OLAs) for internal IT departments and Underpinning Contracts (UCs) for internal IT and external service providers. Ensures that service levels are met. + Assists in determining availability requirements from the business. Review IT Service and component availability to identify unacceptable levels. + **Availability Management** :Establishes measures and reporting of availability, reliability, and maintainability. Monitors and investigates any availability issues. + Helps set strategic direction for team and assigns work where applicable. + Perform other duties as assigned. **What Will Our Ideal Candidate Have?** + Three years of experience as an ITSM Practitioner preferred. + Specific knowledge of purpose and benefits associated with good ITSM processes and their interaction with other processes in an organization preferred. + Familiarity with Six Sigma, ITIL, Capability Maturity Model Integration (CMMi) and/or other process improvement frameworks, methodologies and best practices preferred. + ITIL Service Management Foundation Certification or equivalent experience preferred. **Problem Solving and Decision Making:** + Demonstrates sound analytic and diagnostic skills dealing with issues that are loosely defined and/or where information is available but must be further manipulated. + Once decisions are made, is able to follow and direct action to implement intended results. + Breaks a problem down to manageable pieces and implements effective, timely solutions. + Openly and directly confronts conflict until resolved. **Team Orientation:** + Strong customer orientation with excellent oral and written communication skills. + Builds relationships with peers to achieve objectives. Working to build relationships with other departments to work as one team. + Balances team and individual responsibilities. + Exhibits objectivity and openness to others' views. + Gives and welcomes feedback. + Puts success of team above self. + Expert ability to work in a highly matrix environment. **Leadership:** + Supports a distinct business unit or several smaller functions. + Responsibilities are assigned with some latitude for setting priorities and decision-making using established policies and procedures. Results are reviewed with next level manager for clarification and direction before proceeding. **Planning and Project Management:** + Works with the project manager/manager in identifying those projects tasks that are most important, establishes clear priorities and understands the larger picture. + Anticipates and effectively responds to changes in workload and resources. **Financial Impact:** + Understands, has input to the budget process, and shares responsibility for cost-effective expense control of assigned projects. Is responsible for important and confidential information. **What is a Must Have?** + High school diploma or equivalent required. + Two years of experience in Technology or IT Service Management role 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 ******************************************************** .

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 Technology 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 $99,100.00 - $163,400.00 Target Openings 1 What Is the Opportunity? We are seeking a highly skilled ITSM Process SME with expertise in Incident, Problem, and Change Management, emphasizing data analysis. The ideal candidate will enhance production engineering practices by supporting Problem and Change Management and analyzing ITSM process data. In this role you will serve as the primary point of accountability for management and stakeholders, ensuring the adoption and integration of ITSM processes to achieve corporate goals. Independent and critical thinking are a must as you will plan and execute process activities and collaborate with many levels within the organization to meet established cost, time and quality objectives. Apply ITSM knowledge, skills, tools and techniques to all deliverables, process and systems to meet or exceed stakeholder expectations. High impacting Incident management, root cause analysis and driving other groups to find root causes as well as being part of the change management processes. Proficiency in data analysis and process improvement. This role operates with general oversight and with the expectation of taking the lead in the ITSM space. What Will You Do? * Data Analysis: Develop and implement data observations from ITSM and associated data sources to provide actionable insights for improved experiences. * Problem Management: Facilitate root cause analysis and ensure timely resolution of problems to prevent recurrence. * Production Engineering Practices: Collaborate with teams on implementing and improving production engineering practices. Ensure alignment of engineering practices with ITSM processes. Engage with Software Engineering chapter for identified improvement opportunities. * ServiceNow Expertise: Act as the Subject Matter Expert (SME) for ServiceNow, providing guidance and support to the team. Leverage ServiceNow capabilities to enhance ITSM processes and workflows. Work with enterprise ServiceNow team on practices * Process Improvement and Mindset: Identify areas for process improvement and implement best practices to enhance efficiency and effectiveness. Develop and maintain process documentation to ensure consistency and compliance. Leverage Artificial Intelligence (AI) as appropriate. * Incumbent may have responsibility for one or more of the following: * Analytics and Reporting Management: Performs analysis, design and integration of business intelligence and reporting application throughout the life cycle with a focus on development and implementation. Performs technical, hand-on role in developing and designing solutions involving multiple data sources, data warehouse, presentation and reporting technologies. * Incident Management: Develops MTTR (Mean Time to Resolve) and trending reporting, identifies key data and process improvements related to incidents. * Implements action plans to eliminate future incidents and escalates to senior management as appropriate. * Opens problems and, on a monthly basis, generates an overview of incident information to identify problems. * Problem Management: Analyzes Incident/Problem report summaries for trends, incomplete solutions, high profile users, and business critical services. Reviews resolved problems for permanent solutions and potential future problems. * Change Management: Develops change management policy and process recommendations. Develops instructions and training in support of change management. * Conducts post-implementation change incident review analysis and process audits. Produces and Packages Key Performance indicators to Process and Portfolio Owners and Senior Management. * Configuration Management: Provides mentorship to and oversight for Configuration Coordinators. Ensures Change, Release and Configuration Management policies and processes are understood and properly utilized. * Produces and maintains the Configuration Management plan and design documentation. * Release Management: Partners with Project Managers to create project plans for infrastructure release projects. Identifies requirements for implementation resources. * Monitors and confirms Request for Change orders are created, approved appropriately, successful production checkout and status updates are accurate. * Service Request Management: Works with service owners to drive process correction and create new processes.Works with appropriate partners to ensure appropriate requests are created and delivered. * Identifies and clarifies requirements for implementation - confirms proper implementation. * Input/submit Service Requests, Project Records, Change Controls, and Work Orders to support various internal services. * Capacity Management:Plan, monitors, supports, and reports system and solution capacity, performance measurement, and forecast for the Technology organization. Participates in forecasting future service capacity requirements. * Service Level Management:Defines, negotiates and implements Operational Level Agreements (OLAs) for internal IT departments and Underpinning Contracts (UCs) for internal IT and external service providers. Ensures that service levels are met. * Assists in determining availability requirements from the business. Review IT Service and component availability to identify unacceptable levels. * Availability Management:Establishes measures and reporting of availability, reliability, and maintainability. Monitors and investigates any availability issues. * Helps set strategic direction for team and assigns work where applicable. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Three years of experience as an ITSM Practitioner preferred. * Specific knowledge of purpose and benefits associated with good ITSM processes and their interaction with other processes in an organization preferred. * Familiarity with Six Sigma, ITIL, Capability Maturity Model Integration (CMMi) and/or other process improvement frameworks, methodologies and best practices preferred. * ITIL Service Management Foundation Certification or equivalent experience preferred. Problem Solving and Decision Making: * Demonstrates sound analytic and diagnostic skills dealing with issues that are loosely defined and/or where information is available but must be further manipulated. * Once decisions are made, is able to follow and direct action to implement intended results. * Breaks a problem down to manageable pieces and implements effective, timely solutions. * Openly and directly confronts conflict until resolved. Team Orientation: * Strong customer orientation with excellent oral and written communication skills. * Builds relationships with peers to achieve objectives. Working to build relationships with other departments to work as one team. * Balances team and individual responsibilities. * Exhibits objectivity and openness to others' views. * Gives and welcomes feedback. * Puts success of team above self. * Expert ability to work in a highly matrix environment. Leadership: * Supports a distinct business unit or several smaller functions. * Responsibilities are assigned with some latitude for setting priorities and decision-making using established policies and procedures. Results are reviewed with next level manager for clarification and direction before proceeding. Planning and Project Management: * Works with the project manager/manager in identifying those projects tasks that are most important, establishes clear priorities and understands the larger picture. * Anticipates and effectively responds to changes in workload and resources. Financial Impact: * Understands, has input to the budget process, and shares responsibility for cost-effective expense control of assigned projects. Is responsible for important and confidential information. What is a Must Have? * High school diploma or equivalent required. * Two years of experience in Technology or IT Service Management role 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 *********************************************************

Please sign the application at the end. SIP required At the Direction of the Claims Supervisor and/or Manager - manages all aspects of complex and litigated indemnity claims from inception to conclusion within established authority and guidelines. This position requires considerable interaction with clients, claimants, Medical providers, Attorneys, vendors, Nurse and Vocational Case Managers and other TRISTAR staff. DUTIES AND RESPONSIBILITIES: Effectively manages a caseload of indemnity claim files, including very complex and litigated claims.* Initiates and conducts investigations in a timely manner.* Determines compensability of claims and administers benefits based upon state law and TRISTAR Best Practices for claim handling.* Manages medical treatment and medical billing, authorizing as appropriate.* Refers cases to outside defense counsel and participates in litigated matters.* Communicates with claimants, attorneys, providers, and vendors regarding claims issues.* Work in an organized and proactive manner.* Computes and sets reserves within Company guidelines.* Settles and/or finalizes all claims and obtains authority as designated.* Maintains diary system for case review and documents file to reflect the status and work being performed on the file, including a plan of action.* Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety-related concerns.* Conducts file reviews as scheduled by the client and management.* Identify and review claims for Apportionment assignment.* Identify and investigate subrogation potential and pursue recovery.* Identify claim standard criteria for excess reporting and reimbursement.* Assist with State Audit and reporting responses.* Mentors less experienced Examiners Other duties as assigned including claims management of other jurisdictional workers' comp claims. Adheres to all TRISTAR company policies and procedures.* * Essential job function. EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment. SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire Qualifications Education/Experience: Minimum five (5) or more years related experience; or equivalent combination of education and experience. HS diploma required, BS preferred Knowledge, Skills, and Abilities: Technical knowledge of statutory regulations and medical terminology. Analytical skills. Excellent written and verbal communication skills, including the ability to convey technical details to claimants, clients, and staff. Ability to interact with persons at all levels in the business environment. Ability to independently and effectively manage very complex claims. Proficient in Word and Excel (preferred). Other Qualifications: Licenses as required by Jurisdiction.. SIP required Here are some of the benefits you can enjoy in this role: Medical, Dental, Vision Insurance. Life and Disability Insurance. 401(k) Plan Paid Holidays Paid Time Off. Referral bonus. Mental and Physical Requirements: [see separate attachment for a copy of checklist of mental and physical requirements] MENTAL AND PHYSICAL REQUIREMENTS 1. MENTAL EFFORT a. Reasoning development:: Follow one- or two-step instructions; routine, repetitive task. Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables. Follow written, verbal, or diagrammatic instructions; several concrete variables. X Solve practical problems; variety of variables with limited standardization; interpret instructions. Logical or scientific thinking to solve problems; several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts. b. Mathematical development: Simple additional and subtraction; copying figures, counting, and recording. Add, subtract, multiply, and divide whole numbers. X Arithmetic calculations involving fractions, decimals, and percentages. Arithmetic, algebraic, and geometric calculations. Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination. Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application. c. Language development: Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. X Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data. 2. PHYSICAL EFFORT a. Physical activity required to perform the job: Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. X Light work: a. Exerting up to 20 pounds of force occasionally b. Exerting up to 10 pounds frequently c. Exerting a negligible amount of force constantly to move objects (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work). Medium work: a. Exerting up to 50 pounds of force occasionally b. Exerting up to 20 pounds of force frequently c. Exerting up to 10 pounds of force constantly to move objects Heavy work: a. Exerting up to 100 pounds of force occasionally b. Exerting up to 50 pounds of force frequently c. Exerting up to 20 pounds of force constantly to move objects Very heavy work: a. Exerting in excess of 100 pounds of force occasionally b. Exerting in excess of 50 pounds of force constantly to move objects c. Exerting in excess of 20 pounds of force constantly to move objects Visual requirements necessary to perform the job: Far vision: clarity of vision at 20 feet or more X Near vision: clarity of vision at 20 inches or less X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are Color vision: ability to identify and distinguish colors Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point 2. PHYSICAL EFFORT (cont.) FREQUENCY c. Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion. Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium. X Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. X Kneeling: Bending legs at knee to come to a rest on knee or knees. X Crouching: Bending the body downward and forward by bending legs and spine. Crawling: Moving about on hands and knees or hands and feet. X Reaching: Extending hand(s) and arm(s) in any direction. X Standing: Particularly for sustained periods of time. X Walking: Moving about on foot to accomplish tasks, particularly for long distances. X Pushing: Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward. X Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion. Foot Motion: Using feet to push pedals. X Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles. X Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling. X Grasping: Applying pressure to an object with the fingers and palm. Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Frequently Frequently Occasionally 2. PHYSICAL EFFORT (cont.) FREQUENCY X Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts. Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips. X Repetitive Substantial movements (motions) of the wrists, hands, Motion: and/or fingers. Frequently Frequently Frequently 3. WORKING CONDITIONS Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure. WORKING CONDITION ENVIRONMENTAL FACTOR NATURE/REASON OF EXPOSURE FREQUENCY Dirt/Dust Noise Temperature extremes Dampness Vibrations Equipment movement hazard Chemicals/solvents Electrical shock Significant work pace/pressure Odors/Fumes Other (specify):

Please make sure that you complete all the questions and navigate to the end of the application to sign the application. This position is a hybrid This will be a permanent Floating Examiner position to cover open desks due to Vacations, Leaves of Absence, new business onboarding, increased pending inventories, Auditing, etc. At the Direction of the Claims Supervisor and/or Manager, under minimal supervision, manages all aspects of Workers' Compensation claims (complex, litigated, non-disabling) claims from inception to conclusion within established authority and guidelines. The position requires considerable interaction with clients, claimants, medical providers, Attorneys, vendors, nurses and Vocational Case Managers, and other TRISTAR staff. DUTIES AND RESPONSIBILITIES: Effectively manages a Temporary caseload of Workers' Compensation claim files, including very complex and litigated claims. * Initiates and conducts investigations in a timely manner. * Determines compensability of claims and administer benefits based upon state law and TRISTAR Best Practices for claim handling. * Manages medical treatment and medical billing, authorizing as appropriate. * Refers cases to outside defense counsel and participates in litigated matters. * Communicate with claimants, attorneys, providers and vendors regarding claims issues. * Work in an organized and proactive manner. * Computes and set reserves within Company guidelines. * Settles and/or finalize all claims and obtains authority as designated. * Maintains a diary system for case review and documents file to reflect the status and work being performed on the file, including a plan of action. * Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns. * Conducts file reviews as scheduled by the client and management.* Identify and review claims for Apportionment assignment. * Identify and investigate subrogation potential and pursue recovery.* Identify claim standard criteria for excess reporting and reimbursement.* Assist with State Audit and reporting responses.* Mentors less experienced Examiners Other duties as assigned and including claims management of other jurisdictional workers' comp claims. Adheres to all TRISTAR company policies and procedures. * Essential job function. EQUIPMENT OPERATED/USED: Computer, 10-key, fax machine, copier, printer, and other office equipment. SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire Qualifications QUALIFICATIONS REQUIRED: Education/Experience: Minimum five (5) or more years related experience; or equivalent combination of education and experience. Knowledge, Skills, and Abilities: Technical knowledge of statutory regulations and medical terminology. Analytical skills. Excellent written and verbal communication skills, including the ability to convey technical details to claimants, clients, and staff. Ability to interact with people at all levels in the business environment. Ability to independently and effectively manage very complex claims. Proficient in Word and Excel (preferred). Other Qualifications: California Self-Insurance Certificate Here are some of the benefits you can enjoy in this role: Medical, Dental, Vision Insurance. Life and Disability Insurance. 401(k) Plan Paid Holidays Paid Time Off. Referral bonus. Mental and Physical Requirements: [see separate attachment for a copy of checklist of mental and physical requirements] MENTAL AND PHYSICAL REQUIREMENTS 1. MENTAL EFFORT a. Reoning development: Follow one- or two-step instructions; routine, repetitive task. Carry out detail but uninvolved written or verbal instructions; deal with a few concrete variables. Follow written, verbal, or diagrammatic instructions; several concrete variables. X Solve practical problems; variety of variables with limited standardization; interpret instructions. Logical or scientific thinking to solve problems, several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts. b. Mathematical development: Simple additional and subtraction; copying figures, counting, and recording. Add, subtract, multiply, and divide whole numbers. X Arithmetic calculations involving fractions, decimals, and percentages. Arithmetic, algebraic, and geometric calculations. Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination. Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination; requires theoretical application. c. Language development: Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing. Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction. Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants. X Ability to compose original correspondence, follow technical manuals, and have increased contact with people. Ability to report, write, or edit articles for publication; prepare deeds, contracts or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data. 2. PHYSICAL EFFORT a. Physical activity required to perform the job: Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. X Light work: a. Exerting up to 20 pounds of force occasionally b. Exerting up to 10 pounds frequently c. Exerting a negligible amount of force constantly to move objects (If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work). Medium work: a. Exerting up to 50 pounds of force occasionally b. Exerting up to 20 pounds of force frequently c. Exerting up to 10 pounds of force constantly to move objects Heavy work: a. Exerting up to 100 pounds of force occasionally b. Exerting up to 50 pounds of force frequently c. Exerting up to 20 pounds of force constantly to move objects Very heavy work: a. Exerting in excess of 100 pounds of force occasionally b. Exerting in excess of 50 pounds of force constantly to move objects c. Exerting in excess of 20 pounds of force constantly to move objects Visual requirements necessary to perform the job: Far vision: clarity of vision at 20 feet or more X Near vision: clarity of vision at 20 inches or less X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are Color vision: ability to identify and distinguish colors Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point 2. PHYSICAL EFFORT (cont.) FREQUENCY c. Physical activity necessary to perform the job and frequency (e.g., continually, frequently, or occasionally): Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion. Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium. X Stooping: Bending body downward and forward by bending spine at the waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. X Kneeling: Bending legs at knee to come to a rest on knee or knees. X Crouching: Bending the body downward and forward by bending legs and spine. Crawling: Moving about on hands and knees or hands and feet. X Reaching: Extending hand(s) and arm(s) in any direction. X Standing: Particularly for sustained periods of time. X Walking: Moving about on foot to accomplish tasks, particularly for long distances. X Pushing: Using upper extremities top press against something with steady force in order to thrust forward, downward, or outward. X Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion. Foot Motion: Using feet to push pedals. X Lifting: Raising objects from a lower to a higher position or moving objects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles. X Fingering: Picking, pinching, typing, or otherwise working with fingers rather than with the whole hand or arm as in handling. X Grasping: Applying pressure to an object with the fingers and palm. Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Occasionally Frequently Frequently Occasionally 2. PHYSICAL EFFORT (cont.) FREQUENCY X Talking: Expressing or exchanging ideas by means of the spoken word. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts. Feeling: Perceiving attributes of objects, such as size, shape, temperature, or texture by touching with skin, particularly that of fingertips. X Repetitive Substantial movements (motions) of the wrists, hands, Motion: and/or fingers. Frequently Frequently Frequently 3. WORKING CONDITIONS Disagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure. WORKING CONDITION ENVIRONMENTAL FACTOR NATURE/REASON OF EXPOSURE FREQUENCY Dirt/Dust Noise Temperature extremes Dampness Vibrations Equipment movement hazard Chemicals/solvents Electrical shock Significant work pace/pressure Odors/Fumes Other (specify): Signatures: This job description has been approved by all levels of management: Human Resources: ____________________________Manager/Supervisor: _______________________________ The employee's signature below constitutes the employee's understanding of the mental and physical requirements, essential functions, and duties of the position. Employee____________________________________ Date_________________________

Under minimal supervision, the Claims Examiner III Team Leader reports to the Claim Supervisor and/or Area Manager and manages all aspects of Auto Liability and Property claims handling from inception to conclusion within established authority and guidelines. This position requires considerable interaction with clients, claimants on the phone, TRISTAR management, other TRISTAR staff, and Claims Examiners, and Claims Examiners reporting directly to the Claims Examiner III Team Leader. DUTIES AND RESPONSIBILITIES: Effectively manages a caseload of 75-100 Auto Liability and Property files, including large exposure reportable claims. * Initiates and conducts investigations in a timely manner for claims assigned. * Determines compensability of claims and administers benefits, based upon state law and in accordance with established Company and client guidelines. * Communicate with clients, claimants, providers, and vendors regarding claims issues. * Computes and sets reserves within Company guidelines. Limits are larger than those allowed for Claims Examiner I and Claims Examiner II. * Settles and/or finalizes all claims assigned and obtains authority as designated. * Maintains a diary system for case review and documents file to reflect the status and work being performed on the file assigned. * Communicates appropriate information promptly to the Area Manager client to resolve claims efficiently, including any injury trends or other safety-related concerns. * Provides overall supervision, guidance, and support with 2-3 direct reports, TRISTAR adjusters on the Tower/Venture Leasing Team, whose duties are similar to those outlined above for claims they are assigned by the Claims Examiner III Team Leader * Adheres to all Company policies and procedures. * Conducts file reviews independently. * Other duties as assigned. * Essential job function. EQUIPMENT OPERATED/USED: Computer and other office equipment. SPECIAL EQUIPMENT OR CLOTHING: Appropriate office attire when on video or attending client meetings Qualifications QUALIFICATIONS REQUIRED: Education/Experience degree in related field (preferred); three (3) or more years related experience; or equivalent combination of education and experience. Knowledge, Skills, and Abilities: Technical knowledge of coverage, statutory regulations, and medical terminology. Analytical skills. Excellent written and verbal communication skills, including the ability to convey technical details to claimants, clients, and staff. Ability to interact with persons at all levels in the business environment. Ability to independently and effectively manage very complex claims. Proficient in Word and Excel (preferred). Other Qualifications: Active General Adjuster New York State License Mental and Physical Requirements: [see separate attachments for a copy of the checklist of mental and physical requirements} MENTAL AND PHYSICAL REQUIREMENTS 1. MENTAL EFFORTa. Reasoning development:Follow one- or two-step instructions, routine, repetitive task.Carry out detail but uninvolved written or verbal instructions, deal with a few concrete variables.Follow written, verbal, or diagrammatic instructions, several concrete variables.Logical or scientific thinking to solve problems; several abstract and concrete variables. Wide range of intellectual and practical problems; comprehend most obscure concepts. b. Mathematical development:Simple additional and subtraction; copying figures, counting, and recording. X Solve practical problems; variety of variables with limited standardization; interpret instructions. Add, subtract, multiply, and divide whole numbers.X Arithmetic calculations involving fractions, decimals, and percentages.Arithmetic, algebraic, and geometric calculations.Advanced mathematical and statistical techniques such as calculus, factor analysis, and probability determination.Highly complex mathematical and statistical techniques such as calculus, factor analysis, and probability determination requires theoretical application. c. Language development:Ability to understand and follow verbal or demonstrated instructions; write identifying information; request supplies verbally or in writing.Ability to file, post, and mail materials; copy data from one record to another; interview to obtain basic information such as age, occupation, and number of children; guide people and provide basic direction.Ability to transcribe dictation; make appointments and process mail; write form letters or routine correspondence; interpret written work instructions; interview job applicants.X Ability to compose original correspondence, follow technical manuals, and have increasedcontact with people.Ability to report, write, or edit articles for publication; prepare deeds, contracts, or leases, prepare and deliver lectures; interview, counsel, or advise people; evaluate technical data. 2. PHYSICAL EFFORTa. Physical activity required to perform the job:Sedentary work: Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.X Light work:a. Exerting up to 20 pounds of force occasionallyb. Exerting up to 10 pounds frequentlyc. Exerting a negligible amount of force constantly to move objects(If the use of arm and/or leg controls requires exertion of forces greater than that for Sedentary Work and the worker sits most of the time, the job is rated for Light Work).Medium work:a. Exerting up to 50 pounds of force occasionallyb. Exerting up to 20 pounds of force frequentlyc. Exerting up to 10 pounds of force constantly to move objects Heavy work:a. Exerting up to 100 pounds of force occasionallyb. Exerting up to 50 pounds of force frequentlyc. Exerting up to 20 pounds of force constantly to move objects Very heavy work:a. Exerting in excess of 100 pounds of force occasionallyb. Exerting in excess of 50 pounds of force constantly to move objectsc. Exerting in excess of 20 pounds of force constantly to move objects b. Visual requirements necessary to perform the job:Far vision: clarity of vision at 20 feet or moreX Near vision: clarity of vision at 20 inches or less Depth perception: the ability to judge distance and space relationships, so as to see objects where and as they actually are Color vision: ability to identify and distinguish colors Field of vision: ability to observe an area up or down or to the right or left while eyes are fixed on a given point 2. PHYSICAL EFFORT (cont.) FREQUENCY c. Physical activity necessary to perform the job and frequency (e.g.,continually, frequently, or occasionally):Climbing: Ascending or descending ladders, stairs, scaffolding,ramps, poles, and the like, using feet and legs and/or hands and arms. Body agility is emphasized. This factor is important if the amount and kind of climbing required exceeds that required for ordinary locomotion.Balancing: Maintaining body equilibrium to prevent falling when walking, standing, or crouching on narrow, slippery, or erratically moving surfaces. This factor is important if the amount and kind of balancing exceeds that needed for ordinary locomotion and maintenance of body equilibrium.X Stooping: Bending body downward and forward by bending spine atthe waist. This factor is important if it occurs to a considerable degree and requires full use of the lower extremities and back muscles. OccasionallyOccasionally X Mid-range vision: clarity of vision at distances of more than 20 inches and less than 20 feet X Kneeling: Bending legs at knee to come to a rest on knee or knees.X Crouching: Bending the body downward and forward by bending legs and spine.Crawling: Moving about on hands and knees or hands and feet.X Reaching: Extending hand(s) and arm(s) in any direction. X Standing: Particularly for sustained periods of time.X Pushing: Using upper extremities top press against something withsteady force in order to thrust forward, downward, or outward.FootMotion: Using feet to push pedals.X Lifting: Raising objects from a lower to a higher position or movingobjects horizontally from position to position. This factor is important if it occurs to a considerable degree and requires substantial use of the upper extremities and back muscles.X Fingering: Picking, pinching, typing, or otherwise working with fingersrather than with the whole hand or arm as in handling.X Grasping: Applying pressure to an object with the fingers and palm. OccasionallyOccasionallyOccasionallyOccasionallyOccasionallyOccasionallyFrequentlyFrequentlyOccasionally X Walking: Moving about on foot to accomplish tasks, particularly for long distances. X Pulling: Using upper extremities to extent force in order to drag, haul, or tug objects in a sustained motion. 2. PHYSICAL EFFORT (cont.) FREQUENCY X Talking: Expressing or exchanging ideas by means of the spokenword. Those activities in which workers must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly.X Hearing: Perceiving the nature of sounds with or without correction. Ability to receive detailed information through verbal communication, and to make fine discriminations in sound, such as when making find adjustments on machined parts.Feeling: Perceiving attributes of objects, such as size, shape, FrequentlyFrequently temperature, or texture by touching with skin, particularly that of fingertips.X Repetitive Substantial movements (motions) of the wrists, hands,Motion: and/or fingers. Frequently 3. WORKING CONDITIONSDisagreeable job conditions to which the employee may be exposed and the frequency (e.g., continually, frequently, or occasionally) of this exposure. WORKING CONDITIONENVIRONMENTALFACTOR NATURE/REASONOF EXPOSURE FREQUENCY Dirt/Dust Noise Temperature extremes Dampness Vibrations Equipment movement hazard Chemicals/solvents Electrical shock Significant work pace/pressure Odors/Fumes Other (specify):