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Insurance Claims jobs near me - 197 jobs

  • CPC Processor Customer Support - Remote - Bilingual in Spanish

    Datavant

    Remote job

    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. CPC Processor I Customer Support to ensure the accurate and timely handling of release of information account issues with internal and external customers while maintaining a high level of professionalism. **You will:** + Answer and conduct business on the telephone while maintaining excellent Customer Service. This includes: 100% + Answering release of information related telephone calls and inquiries accurately and timely. + Review, research, resolve and respond to inquiries that are received via telephone, email or written correspondence. + Document all calls, inquiries and resolution in detail in appropriate areas of our software systems. + Follow all department and/or site specific processes and procedures accordingly. + Meet and maintain the department's productivity and quality assurance expectations. + Responsible for following all company policies and procedures as posted or communicated by management. + Maintain confidentiality by keeping all information seen and heard within the boundaries of the role in the strictest confidence. + Maintains a high level of professionalism and good rapport with co-workers and members of management + Maintain open lines of communication with other employees and members of management in regards to any problems, complaints, incidents, etc. immediately. + Performs work in accordance with the training and direction provided and adheres to facility specific procedures + Attends mandatory employee in-service meetings and/or training sessions, if so directed + Maintain an acceptable attendance record and reports to work as scheduled. + Performs other duties as assigned. **What you will bring to the table:** + Fluent in English AND Spanish + High school diploma or equivalent. (Must be from an Accredited Institute recognized by the State Dept. of Education.) + Friendly, professional manner of communication. Good customer service skills. + Experience with multi-line phone system is required. Computer proficiency: Knowledge of MS-Office at intermediate/advanced level and one year experience would be beneficial. + Experience in the following fields would be beneficial: Data Entry, Medical Records, Health Care, Insurance Claims Processing and Proof Reading/Editing of Documents + Ability to stay organized while working quickly. Strong attention to detail is also required. + Passing annual Introductory HIPAA examination. (Testing to be given annually in accordance with employee review.) + Required to take and pass a 90-day ROI Certification course with a score of 85% or higher. + To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. For remote work, this position requires that you provide a high-speed internet connection, subject to applicable expense reimbursement requirements (if any), and a work environment free from distractions. We are committed to building a diverse team of Datavanters who are all responsible for stewarding a high-performance culture in which all Datavanters belong and thrive. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. Our compensation philosophy is to be externally competitive, internally fair, and not win or lose on compensation. Salary ranges for this position are developed with the support of benchmarks and industry best practices. We're building a high-growth, high-autonomy culture. We rely less on job titles and more on cultivating an environment where anyone can contribute, the best ideas win, and personal growth is driven by expanding impact. The range posted is for a given job title, which can include multiple levels. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job. The estimated salary range for this role is $15.00-18.32. **_Target comp range is $16 - $18 hr_** . To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .
    $16-18 hourly 33d ago
  • Senior Client Services Representative

    Reliant 4.0company rating

    Remote job

    Reliant Health Partners is an innovative medical claims repricing service provider, helping employers achieve maximum health plan savings with minimum noise. We tailor our services to each client's needs, providing everything from individual specialty claims repricing, to full plan replacement as a high-performance, open-access network alternative. As a Senior Client Services Representative, you are responsible for assisting assigned clients with various requests. Perform as liaison between Reliant and its clients by providing support to all Customer Service and Negotiator team members to assist in achieving timing and savings goals. Deliver quality Customer Service via telephone and written correspondence, using established guidelines to ensure issues are satisfactorily resolved. Primary Responsibilities Research and resolve issues for negotiators, providers, and payors. Communicate via telephone and written correspondence. Utilize the Action Request Process to document and manage requests. Respond to client, negotiator or management requests in a timely manner. Follow department policies and procedures. Meet or exceed production, accuracy and turnaround time requirements. Review and update claim pends and exceptions, as assigned. Answer incoming calls, assist callers with questions and transfer calls to the proper individual when needed. Document calls as appropriate. Perform administrative duties Perform other job-related duties or special projects as required. Monitor inventory, queues and workload. Address concerns as appropriate, facilitate resolution of large dollar and high priority claims. Provide initial and on-going training to team members. Provide feedback to team members and/or management. Assist others in organizing, setting priorities, and monitoring workflow. Participate and support client implementations. Create and maintain reference materials and complete other assigned tasks. Handle special requests made by clients or account managers. Serve as backup support for the department leader, as needed. Qualifications 4 - 6 years of insurance claims or customer service experience. Ability to analyze patient information and determine appropriate course of action. Experience understanding Reliant critical behaviors and compliance requirements. Broad healthcare policy and payment understanding. Experience with claims workflow tools or systems. Individual compensation will be commensurate with the candidate's experience and qualifications. Certain roles may be eligible for additional compensation, including bonuses, and merit increases. Additionally, certain roles have the opportunity to receive sales commissions that are based on the terms of the sales commission plan applicable to the role. Pay Transparency$50,000-$65,000 USDBenefits: Comprehensive medical, dental, vision, and life insurance coverage 401(k) retirement plan with employer match Health Savings Account (HSA) & Flexible Spending Accounts (FSAs) Paid time off (PTO) and disability leave Employee Assistance Program (EAP) Equal Employment Opportunity: At Reliant, we know we are better together. We value, respect, and protect the uniqueness each of us brings. Innovation flourishes by including all voices and makes our business-and our society-stronger. Reliant Health Partners is an equal opportunity employer and we are committed to providing equal opportunity in all of our employment practices, including selection, hiring, performance management, promotion, transfer, compensation, benefits, education, training, social, and recreational activities to all persons regardless of race, religious creed, color, national origin, ancestry, physical disability, mental disability, genetic information, pregnancy, marital status, sex, gender, gender identity, gender expression, age, sexual orientation, and military and veteran status, or any other protected status protected by local, state or federal law.
    $50k-65k yearly Auto-Apply 15d ago
  • VP, Business Development (Commercial Auto)

    Reserv

    Remote job

    Reserv is an insurtech creating and incubating cutting-edge AI and automation technology to bring efficiency and simplicity to claims. Founded by insurtech veterans with deep experience in SaaS and digital claims, Reserv is venture-backed by Bain Capital and Altai Ventures and began operations in May 2022. We are focused on automating highly manual tasks to tackle long-standing problems in claims and set a new standard for TPAs, insurance technology providers, and adjusters alike. We have ambitious (but attainable!) goals and need adjusters who can work in an evolving environment. If building a leading TPA and the prospect of tackling the long-standing challenges of the claims world sounds exciting, we can't wait to meet you. About the role You will play a pivotal role in driving our growth within the commercial auto and fleet claims market. Your primary responsibility will be to identify and pursue new business opportunities within this market segment, manage the end-to-end sales process, and expand our footprint. You will shape Reserv's reputation as leading TPA for the commercial auto market and build and nurture relationships with MGAs, carriers, and self-insured entities. Who you are You are a driven professional who thrives in an entrepreneurial environment and has a deep understanding of the commercial auto claims industry. Your ability to build and maintain strong relationships, combined with your strategic mindset, makes you an invaluable asset to any team. Commercial Auto Expertise: You have extensive experience in the commercial auto insurance market, with a deep understanding of claims processes and industry dynamics. Your knowledge of industry trends and competitive landscape sets you apart Proven Track Record: You have a history of successful business development in the commercial auto/fleetsector,fromgeneratingleadstoclosinghigh-valuedeals.Youexcelatidentifyingnew opportunities and converting them into long-term partnerships. Relationship Builder: Your interpersonal skills and ability to communicate complex concepts make you a trusted advisor. You excel at building rapport with clients and stakeholders at all levels. Tech-Savvy: You thrive working in a tech-forward environment utilizing CRM tools and sales software to manage your pipeline and drive results. You understand and can succinctly articulate our value proposition as a digital-native TPA for clients in the commercial auto sector. Strategic Thinker: You are a strategic thinker with the ability to develop and implement sales plans that align with company objectives. Your analytical skills enable you to make data-driven decisions and stay ahead of market trends. Results-Oriented: You are highly motivated and results-driven, with a relentless focus on achieving your targets. Your entrepreneurial spirit and proactive approach drive you to go above and beyond to meet and exceed expectations. Collaborative Team Player: While you are capable of working independently, you thrive in a collaborative environment. You enjoy working with cross-functional teams to deliver the best outcomes for clients and the company. What we need We need you to do all things typical to the role, including: Develop and Execute Business Development Plans: Craft and implement strategic sales plans to achieve revenue growth and market expansion objectives within the commercial auto segment Build Senior Relationships: Establish and maintain strong relationships with key stakeholders within MGAs, carriers, and self-insured clients to foster long-term partnerships Generate Leads and Quarterback the Sale: Identify potential business opportunities, engage in prospecting activities, and manage the end-to-end sales process to secure new business in commercial auto segment Conduct Market Research and Analysis: Conduct thorough market research to stay abreast of industry trends, competitive landscape, and emerging opportunities Collaborate Cross-Functionally: Work closely with internal teams, including marketing, product, and account management, and provide a ‘voice of the customer' perspective to our teams Represent Reserv: Attend industry events, conferences, and networking opportunities to promote Reserv's brand and expand our market presence. Requirements Success in this role will best be supported by someone who meets the following requirements: Significant experience in the commercial auto/fleet claims market in a business development, sales, or account management role Proven track record of developing and maintaining senior client relationships, with a focus on driving new revenue growth Strong ability to communicate, present and influence key stakeholders at all levels of an organization, including executive and C-level In-depth understanding of the P&C insurance, claims, and TPA market landscape in the US Experience with CRM software (e.g., Salesforce, HubSpot, Notion) and MS Office (particularly MS Excel) Highly motivated and results-oriented individual Willingness to travel as needed Benefits Reserv is committed to providing employees with a competitive benefits package, including: Generous health-insurance package with nationwide coverage, vision, & dental 401(k) retirement plan with employer matching Competitive PTO policy - we want our employees fresh, healthy, happy, and energized! Generous family leave policy Work from anywhere to facilitate your work life balance Apple laptop, large second monitor, and other quality-of-life equipment you may want. Technology is something that should make your life easier, not harder! Additionally, we will Listen to your feedback to enhance and improve upon the long-standing challenges of an adjuster and the claims role Foster a culture of empathy, transparency, and empowerment in a remote -first environment
    $129k-210k yearly est. Auto-Apply 60d+ ago
  • Surveillance Investigator

    Security Director In San Diego, California

    Columbus, OH

    Advance Your Career in Insurance Claims with Allied Universal Compliance and Investigation Services. Allied Universal Compliance and Investigation Services is the premier destination for a career in insurance claim investigation. As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators, and surveillance investigators. Our team is committed to innovation and excellence, making a significant impact in the insurance industry. If you're ready to grow with the best, explore a career with us and make a difference. Job Description Allied Universal is hiring a Surveillance Investigator. The Surveillance Investigator will perform discreet mobile and stationary surveillance of a Claimant to confirm current activities and capabilities to assist with the administration of an Insurance claim. Pay Rate: $20 - $22 / hr Private Investigator's license required prior to applying Must possess a valid driver's license with at least one year of driving experience RESPONSIBILITIES: Conduct independent investigations of insurance claims across a range of coverage types, including workers' compensation, general liability, property and casualty, and disability Utilize various surveillance techniques and equipment to monitor subjects covertly Document and report observations, activities, and any relevant information in a clear and concise manner Collaborate with other investigators and law enforcement agencies as needed to gather information and coordinate efforts Maintain confidentiality and adhere to legal and ethical standards in conducting surveillance operations QUALIFICATIONS (MUST HAVE): High school diploma or equivalent Post offer, must be able to successfully complete the Allied Universal Investigations' training/orientation course Prior educational or professional exposure to witness interviews or video monitoring Prior educational or professional incident reporting and/or investigations experience Flexibility to work varied and irregular hours/days including weekends and holidays Ability to type reports in Microsoft Word format with minimal grammatical and punctuation errors Proficient in utilizing laptop computers, video cameras and cell phones Capable of maintaining focus and multitasking effectively in a dynamic environment Demonstrated ability to manage stressful situations with composure and professionalism Ability to work in a very independent environment PREFERRED QUALIFICATIONS (NICE TO HAVE): Associate's Degree or higher, preferably in Criminal Justice Security/Loss Prevention experience Military experience Law enforcement experience Prior insurance investigations experience BENEFITS: Medical, dental, vision, basic life, AD&D, and disability insurance Enrollment in our company's 401(k)plan, subject to eligibility requirements Seven paid holidays annually, sick days available where required by law Vacation time offered at an initial accrual rate of 3.08 hours biweekly for full time positions. Unused vacation is only paid out where required by law Closing Allied Universal is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: *********** If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: ***********/offices. Requisition ID 2025-1494392
    $20-22 hourly Auto-Apply 6d ago
  • Senior Coordinator, Revenue Cycle Management

    Cardinal Health 4.4company rating

    Columbus, OH

    **_What Revenue Cycle Management (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series of clinical and administrative processes that healthcare providers utilize to capture, bill, and collect patient service revenue. The revenue cycle shadows the entire patient care journey and begins with patient appointment scheduling and ends when the patient's account balance is zero. Directly supporting cCare, the largest private oncology practice in California, our experienced revenue cycle management specialists simplify and optimize the practice's revenue cycle, from prior authorization through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ensuring the accuracy of accounts and supporting overall revenue cycle process. This includes, billing follow up, collections, payment posting, denial resolution, and responding to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and reimbursement. + Contact patients regarding past due balance and/or billing questions and set up payment arrangements if needed. + Analyze claims, process payments and complete adjustments + Analyze explanation of benefits (EOBs) and remittance advice to determine the reason for patient responsibility. + Document all activities in the billing system according to departmental procedures. + Liaise with third party vendors supporting any patient billing and collections processes + Collaborate with billing, coding, posting and front office teams to resolve account issues + Ensure compliance with HIPAA and all relevant federal/state payor regulations. + Flag trends or recurring issues for team Supervisor or Manager. + Meet daily/weekly productivity goals (e.g., number of claims worked, follow-ups completed). + Assist with special projects, audits, or other duties as assigned. **_Qualifications_** + 2-3 years' experience working in health insurance accounts receivable preferred. + Strong knowledge of insurance claim processing and denial management preferred. + Familiarity with Medicare, Medicaid, commercial insurance plans, and managed care preferred. + Proficiency in billing software (e.g. Athena, G4 Centricity, etc.) and Microsoft Office Suite. + Excellent verbal and written communication skills. + Ability to work independently and manage time effectively. + Detail-oriented with strong analytical and problem-solving skills + Knowledge of basic medical terminology + Experience with 3rd party vendor management **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **Anticipated hourly range:** $17.90 - $26.80 Hourly USD **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close: 1/10/26** if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************
    $17.9-26.8 hourly 41d ago
  • Optometric Technician

    Pearle Vision 4.4company rating

    Columbus, OH

    The below Job Description is intended to describe the general nature and level of work being performed by associates assigned to this job. It is not an exhaustive list of responsibilities, and is subject to changes and exceptions at the discretion of senior management. JOB TITLE: Optometric Office Technician / Medical Office Administrator REPORTS TO: Store General Manager FLSA STATUS: Hourly; Non-Exempt POSITION PURPOSE: The major responsibility of the Optometric Office Technician is to assist the Managing Optometrist in the technical and administrative operation of an optometric practice. The position will interact with patients/customers by delivering an exceptional patient/customer experience, foster patient/customer retention, and promotes outstanding associate/doctor satisfaction. OPTOMETRIC OFFICE TECHNICIAN The Optometric Office Technician plays a key role in the optometric practice. Their duties may include the utilization of computerized medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports. An Optometric Office Technician role may combine skills of a medical office administrator, medical billing and collections, appointment scheduler or medical records clerk and direct patient care. ESSENTIAL DUTIES AND RESPONSIBILITIES: Clinical Duties Taking patient medical histories Preparing patients for examinations Administering tests prior to the eye exam Assisting doctors during examinations Assist with ordering glasses and contact lens supply Administrative Job Duties Greeting and directing patients Answering telephones Updating and maintaining Electronic Medical Records Obtaining insurance verification and authorization Adjust scheduling for priority patients Scheduling appointments Processing insurance claim forms Patient and insurance billing Optometric medical billing and coding Vision insurance billing and coding Accounts receivable and accounts payable Bookkeeping Selling glasses and contact lens supplies *The Clinical Skills can be learned on the job. No experience with clinical skills is necessary to apply. TRAVEL REQUIREMENTS: Occasional travel locally, within 15 mile radius. QUALIFICATIONS: Experience, Competencies and Education Must have at least 1-2 year teching experience within the last 2 years. Ability to provide enthusiastic and concise communication to meet/exceed customer expectations as well as foster positive and results-oriented associate, doctor and host relationships. Ability to manage priorities through adaptability, willingness to take calculated risks, and follow-up. Experience with personal computers preferred. Valid State Driver's License and State Minimum Insurance coverage. High school diploma or equivalent.
    $26k-36k yearly est. Auto-Apply 60d+ ago
  • CA Workers' Comp Lien & Medical Management Adjuster - Remote (Rep I)

    Cannon Cochran Management 4.0company rating

    Remote job

    Overview Workers' Compensation Claim Representative I - Remote (CA Jurisdiction, Future Medical / Lien Specialist) Schedule: Monday-Friday, 8:00 AM-4:30 PM PST Salary Range: $60,000-$75,000 annually Reports To: Workers' Compensation Supervisor Accounts: Multiple accounts within the staffing and transportation industries Build Your Career With Purpose at CCMSI At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success. We don't just process claims-we support people. As the largest privately owned Third Party Administrator (TPA), CCMSI delivers customized claim solutions that help our clients protect their employees, assets, and reputations. We are a certified Great Place to Work , and our employee-owners are empowered to grow, collaborate, and make meaningful contributions every day. Job Summary We are seeking an experienced Workers' Compensation Claim Representative I to handle California jurisdiction claims with a focus on lien resolution and lifetime medical management. This remote position supports multiple accounts within the staffing and transportation industries and requires an individual who can manage complex medical issues, negotiate lien settlements, and maintain strong compliance with state and client requirements. This role is ideal for someone who enjoys analytical problem-solving, communicating with medical providers and attorneys, and driving claims toward fair and timely resolution. Important - Please Read Before Applying This is a true insurance claims adjusting role, not an HR, benefits, safety, consulting, or administrative position. Candidates must have direct experience investigating, evaluating, reserving, negotiating, and resolving claims as an adjuster or adjuster supervisor within a carrier, TPA, or similar claims environment. Responsibilities When we hire adjusters at CCMSI, we look for professionals who understand that every claim represents a real person's livelihood, take ownership of outcomes, and see challenges as opportunities to solve problems. Investigate, evaluate, and adjust workers' compensation claims in accordance with established procedures and California regulations. Negotiate and settle liens with lien claimants, medical providers, and applicant attorneys. Handle future medical/lifetime medical claims, ensuring timely authorization and payment of treatment, services, and prescriptions. Review medical reports, legal correspondence, and billing to determine reasonableness and relatedness to ongoing claims. Coordinate with defense counsel and vendors to resolve complex lien disputes. Maintain current and accurate diary, documentation, and billing records. Ensure compliance with CCMSI standards, client requirements, and jurisdictional timeframes. Deliver exceptional customer service to clients, claimants, and internal partners. Qualifications Required: Minimum 2 years of workers' compensation claim handling experience, with exposure to lien resolution and/or lifetime medical management. SIP certification or Experienced Adjuster designation. Excellent written and verbal communication skills. Strong time management and organizational abilities with attention to detail. Proficiency in Microsoft Office programs (Word, Excel, Outlook). Preferred: Prior experience managing claims within the staffing or transportation industries. Bilingual (Spanish) proficiency - highly valued for communicating with claimants, employers, or vendors, but not required. Why You'll Love Working Here 4 weeks PTO + 10 paid holidays in your first year Comprehensive benefits: Medical, Dental, Vision, Life, and Disability Insurance Retirement plans: 401(k) and Employee Stock Ownership Plan (ESOP) Career growth: Internal training and advancement opportunities Culture: A supportive, team-based work environment How We Measure Success At CCMSI, great adjusters stand out through ownership, accuracy, and impact. We measure success by: Quality claim handling - thorough investigations, strong documentation, well-supported decisions • Compliance & audit performance - adherence to jurisdictional and client standards • Timeliness & accuracy - purposeful file movement and dependable execution • Client partnership - proactive communication and strong follow-through • Professional judgment - owning outcomes and solving problems with integrity • Cultural alignment - believing every claim represents a real person and acting accordingly This is where we shine, and we hire adjusters who want to shine with us. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. Equal Opportunity Employer: CCMSI complies with all applicable employment laws, including pay transparency and fair chance hiring regulations. Our Core Values At CCMSI, we believe in doing what's right-for our clients, our coworkers, and ourselves. We look for team members who: Lead with transparency We build trust by being open and listening intently in every interaction. Perform with integrity We choose the right path, even when it is hard. Chase excellence We set the bar high and measure our success. What gets measured gets done. Own the outcome Every employee is an owner, treating every claim, every decision, and every result as our own. Win together Our greatest victories come when our clients succeed. We don't just work together-we grow together. If that sounds like your kind of workplace, we'd love to meet you. #NowHiring #WorkersCompensation #ClaimsAdjuster #LienResolution #RemoteJobs #InsuranceCareers #CaliforniaClaims #CareerGrowth #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #LI-Remote #WorkersComp #WorkersCompensationJobs #WCAdjuster #ClaimsJobs #AdjusterJobs #InsuranceJobs #RemoteAdjuster #CaliforniaJobs #CaliforniaAdjusters #InsuranceProfessionals #RiskManagementJobs #LegalSupportJobs #TPACareers #ClaimsHandling #LienSpecialist #FutureMedicalClaims #RemoteWork #HiringNow #RemoteCareers #JobSearch #LI-Remote We can recommend jobs specifically for you! Click here to get started.
    $60k-75k yearly Auto-Apply 20h ago
  • Aviation Desk Adjuster

    Claim Assist Solutions

    Remote job

    Parker Loss Consultants, LLC To know more, visit us at ************************************* We are seeking a highly motivated Aviation Desk Adjuster to join our team. This position will be responsible for handling aviation-related claims remotely or from a desk environment. The ideal candidate will have strong knowledge of aviation policies, claims management, and technical expertise in assessing damages or losses related to aircraft accidents, repairs, or general aviation incidents. Key Responsibilities: Claims Handling: Review, investigate, and process aviation insurance claims for various types of incidents, including accidents, equipment damage, and liability claims. Claim Evaluation: Assess the validity of claims based on policy terms, including coverage limits, exclusions, and deductibles. Damage Assessment: Analyze aircraft damage reports, repair estimates, and adjust payouts accordingly, coordinating with adjusters, repair shops, and other stakeholders. Coordination: Work closely with underwriters, claims adjusters, and other departments to ensure a smooth and accurate claims process. Documentation: Maintain thorough records of all claims, communication, and decision-making processes. Customer Communication: Effectively communicate with policyholders, legal representatives, and contractors to gather required information and resolve disputes. Compliance: Ensure that all claims are processed in compliance with aviation insurance laws and regulations. Reporting: Provide detailed reports on claim status and updates to senior management. Continuous Learning: Stay up-to-date with industry standards, regulatory changes, and technological advancements in aviation insurance. Qualifications: Education: Bachelor's degree in Insurance, Aviation Management, or a related field (preferred). Experience: Minimum of 3-5 years of experience as a desk adjuster, with a focus on aviation claims (or related experience). Technical Expertise: Strong knowledge of aviation terminology, aircraft types, and industry-specific regulations. Certifications: Relevant certifications such as AIC (Associate in Claims) or other insurance-related qualifications are a plus. Skills: Strong analytical and problem-solving skills Excellent written and verbal communication Ability to work independently and prioritize tasks effectively Proficiency in claims management software (e.g., Xactimate, Guidewire, or similar) Proficient with MS Office Suite (Excel, Word, Outlook) Preferred Attributes: Familiarity with both general aviation and commercial aviation claims. Knowledge of FAA regulations, aircraft repair processes, and aviation safety protocols. Experience with international aviation claims or multi-jurisdictional policies.
    $41k-58k yearly est. Auto-Apply 60d+ ago
  • Patient Care Coordinator

    Williams Oral Surgery

    Columbus, OH

    Williams Oral Surgery, a leader in dental and maxillofacial care, is excited to announce the opening for a full-time Patient Care Coordinator. This is a pivotal role within our facility, designed for a dedicated individual who thrives in a dynamic, patient-focused environment. Due to the hands-on nature of the position, it is not suitable for remote work. Working as a Patient Care Coordinator, you will be the front line in providing a stellar patient experience, ensuring efficient and effective patient care through your day-to-day management of clinical and administrative tasks. This role requires excellent communication skills, a knack for organization, and a deep commitment to patient welfare. Duties and Responsibilities Greet and assist patients in a friendly and professional manner. Schedule and confirm patient appointments, surgeries, and follow-ups. Manage patient records and documentation, ensuring accuracy and confidentiality. Coordinate with medical, nursing, and administrative staff to ensure patient needs are addressed. Handle patient inquiries and provide clear, accurate responses or escalate to appropriate medical staff. Prepare and manage patient invoices, receipts, and insurance claims. Facilitate patient preparation for surgeries and consultations. Maintain a clean and welcoming front office environment. Update and maintain the scheduling system to optimize workflow and resource utilization. Provide compassionate support and information to patients and their families. Undertake continuous professional development to stay informed on the latest health policies and compliance requirements. Ensure compliance with healthcare regulations and safety standards. Participate in regular staff meetings to share best practices and improve services. Handle emergency situations with calmness and professionalism. Must be willing to travel between two offices. Requirements Proven experience as a Patient Care Coordinator or similar role in a busy oral surgery or dental practice preferred. Strong understanding of medical and dental terminology. Excellent organizational and multi-tasking skills. Superior communication and interpersonal skills. Demonstrated ability to handle sensitive information confidentially. Care stream dental software knowledge preferred Capability to work under pressure in a fast-paced environment. Commitment to delivering high-quality support to both patients and staff. Empathetic and compassionate demeanor. Attention to detail and problem-solving skills.
    $23k-38k yearly est. 20d ago
  • Corporate Counsel, Claims Litigation

    Porch Group 4.6company rating

    Remote job

    Porch Group is a leading vertical software and insurance platform and is positioned to be the best partner to help homebuyers move, maintain, and fully protect their homes. We offer differentiated products and services, with homeowners insurance at the center of this relationship. We differentiate and look to win in the massive and growing homeowners insurance opportunity by 1) providing the best services for homebuyers, 2) led by advantaged underwriting in insurance, 3) to protect the whole home. As a leader in the home services software-as-a-service (“SaaS”) space, we've built deep relationships with approximately 30 thousand companies that are key to the home-buying transaction, such as home inspectors, mortgage companies, and title companies. In 2020, Porch Group rang the Nasdaq bell and began trading under the ticker symbol PRCH. We are looking to build a truly great company and are JUST GETTING STARTED. Job Title: Corporate Counsel, Claims Litigation Location: United States Workplace: Remote Job Summary At Porch, no two days will ever be the same and you'll have the opportunity to help solve big problems, with a refreshing balance of team support and ownership of your work. The future is bright for the Porch Group, and we'd love for you to lead the way for us, as our Corporate Counsel, Claims Litigation. What You Will Do As A Corporate Counsel, Claims Litigation The Corporate Counsel, Claims Litigation will provide legal services and advice regarding insurance claims of heightened complexity, including extracontractual matters, bad faith, and other major litigation. The Corporate Counsel will be a key partner to the Claims organization. This role reports to the Senior Director & Counsel, Insurance and will be responsible for working with our legal team on a wide variety of matters of significance to the organization, has in-depth experienced knowledge and the proven ability to lead efforts to resolve complex issues. Manage complex litigation, bad faith, coverage, and extra-contractual allegations against the Company. Effectively manage outside counsel to obtain legal advice Successfully work with all levels of the organization, including advising senior leadership on legal risks and business strategies related to claims operations. Manage claims litigation budget to ensure expense metrics are met. Proactively monitor and analyze changes in laws, regulations and industry and advises appropriate organizational leadership of such changes in a timely manner. Anticipate potential or future legal and operational issues that present a risk to the organization and proactively engage with others to identify potential solutions. Be a business partner to Porch executives and business leaders, providing advice and assistance aimed at maximizing shareholder value. Effectively communicate with stakeholders and varying levels of leadership in both verbal and written forms. Produce clear and concise legal positions involving highly complex issues. Advise on broader insurance legal and compliance issues as needed. What You Will Bring As A Corporate Counsel, Claims Litigation J.D. from an accredited law school; active and in good standing with U.S. state bar membership. Candidates should have 8+ years of litigation experience at a law firm, government, and/or in-house role. Demonstrated experience handling bad faith or extra-contractual litigation against an insurance company. 1st or 2nd chair trial and/or appellate experience Experience effectively managing outside counsel Up-to-date understanding of the key legal issues germane to an insurance organization Knowledge of insurance-specific operational risks, such as reinsurance, underwriting compliance, product review and claims Monitor evolving laws and regulations in the insurance services sectors and proactively advise leadership on their impact. Excellent written and verbal communication skills, with the ability to explain complex legal concepts to non-lawyers Flexible, solution-oriented, collaborative mindset Strong analytical, problem-solving, and decision-making skills Proficiency in managing multiple priorities, projects, and stakeholders Outstanding judgment and integrity, and the ability to balance complex matters independently Ability to build and maintain strong relationships across the Company; and provide practical counsel and solutions. The application window for this position is anticipated to close in 2 weeks (10 business days) from October 23, 2025 . Please know this may change based on business and interviewing needs. At this time, Porch Group does not consider applicants from the following states or jurisdictions for Remote positions: Alaska, Delaware, Hawaii, Iowa, Maine, Mississippi, Montana, New Hampshire, West Virginia, or the District of Columbia. What You Will Get As A Porch Group Team Member Pay Range*: $138,800.00 - $194,300.00 annually *Please know your actual pay at Porch will reflect a number of factors among which are your work experience and skillsets, job-related knowledge, alignment with market and our Porch employees, as well as your geographic location. Additionally, you will be eligible to receive long-term incentive awards, subject to program guidelines and approvals. You will also be eligible to receive an annual bonus based on individual and company performance, subject to program guidelines and approvals Our benefits package will provide you with comprehensive coverage for your health, life, and financial wellbeing. Our traditional healthcare benefits include three (3) Medical plan options, two (2) Dental plan options, and a Vision plan from which to choose. Critical Illness, Hospital Indemnity and Accident plans are offered on a voluntary basis. We offer pre-tax savings options including a partially employer funded Health Savings Account and employee Flexible Savings Accounts including healthcare, dependent care, and transportation savings options. We provide company paid Basic Life and AD&D, Short and Long-Term Disability benefits. We also offer Voluntary Life and AD&D plans. Both traditional and Roth 401(k) plans are available with a discretionary employer match. Supportlinc is part of our employer paid wellbeing program and provides employees and their families access to on demand guided meditation and mindfulness exercises, mental health coaching, clinical care and online access to confidential resources including will preparation. LifeBalance is a free resource to employees and their families for year-round discounts on things like gym memberships, travel, appliances, movies, pet insurance and more. Our wellness programs include flexible paid vacation, company-paid holidays of typically nine per year, paid sick time, paid parental leave, identity theft program, travel assistance, and fitness and other discounts programs. #LI-JS1 #LI-Remote What's next? Submit your application and our Porch Group Talent Acquisition team will be reviewing your application shortly! If your resume gets us intrigued, we will look to connect with you for a chat to learn more about your background, and then possibly invite you to have virtual interviews. What's important to call out is that we want to make sure not only that you're the right person for us, but also that we're the right next step for you, so come prepared with all the questions you have! Porch is committed to building an inclusive culture of belonging that not only embraces the diversity of our people but also reflects the diversity of the communities in which we work and the customers we serve. We know that the happiest and highest performing teams include people with diverse perspectives that encourage new ways of solving problems, so we strive to attract and develop talent from all backgrounds and create workplaces where everyone feels seen, heard and empowered to bring their full, authentic selves to work. Porch is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected veteran status, or any other characteristic protected by applicable laws, regulations, and ordinances. Porch Group is an E-Verify employer. E-Verify is a web-based system that allows an employer to determine an employee's eligibility to work in the US using information reported on an employee's Form I-9. The E-Verify system confirms eligibility with both the Social Security Administration (SSA) and Department of Homeland Security (DHS). For more information, please go to the USCIS E-Verify website.
    $138.8k-194.3k yearly Auto-Apply 12d ago
  • (2027 Bachelor's/Master's graduates) Cyber and Forensic Technology Consulting Analyst/Associate Intern (Summer 2026)

    Charles River Associates 4.7company rating

    Remote job

    If your background is in Cybersecurity, Computer Science and Engineering, Digital Forensics, Management Information Systems, or Security Information Systems, learn more about internships at Charles River Associates! Charles River Associates is a leading global consulting firm that provides economic, financial, and business management expertise to major law firms, corporations and governments around the world. CRA advises clients on economic and financial matters pertaining to litigation and regulatory proceedings, and guides corporations through critical business strategy and performance-related issues. Since 1965, clients have engaged CRA for its combination of industry experience and rigorous, fact-based analysis that provide clients with clear, implementable solutions to complex business concerns. Practices seeking to hire interns with this profile include (hiring locations listed): Forensic Services/Cybersecurity & Digital Forensics (Boston, Chicago, Dallas, New York, Washington DC) Our team supports cyber due diligence, incident response, insurance claims, and security transformation. Forensic Services/E-Discovery (Boston, Chicago, New York) Our team assists companies and their counsel in data preservation, collection, analysis, reporting, and delivery from cloud-based and other repositories. Learn more about our work by reviewing our Services and Industries on our website. Position Overview Our Summer Analyst/Associate Internship program mirrors the analyst experience to give you an understanding of our business and experience project work at Charles River Associates. Throughout the 8-10 week program, Analyst/Associate Interns work alongside senior colleagues to deliver live client consulting projects within the practice area. Along the way, you'll benefit from professional development and wellness support programs, social events to connect you with peers and a collegial work environment. Successful interns will be offered a full-time position following graduation. During the Cyber and Forensic Technology Analyst/Associate Internship program, you may work on many aspects of a project: Assist with security and privacy investigations in response to data security matters, which may include ongoing breaches and fraud; Engage in problem solving and forensic analysis of digital information using standard computer forensic and evidence handling techniques and tools; Apply investigative techniques, scientific reasoning, and digital forensic techniques against various systems to answer questions; Identify, research, and organize information to determine what a hacker did to a compromised system, whether data was stolen from a company asset, or what data to assess and provide in a litigation; Defensibly collect digital evidence and complete chain-of-custody documentation; Leverage your programming, model building, and database administration skills (including using Python, T-SQL, VBA, Excel, C#, and/or other programming languages and tools); Share investigative and analytical findings, and assist with the drafting of written reports to summarize procedures performed and findings; Stay current with developments in digital forensics, e-discovery, and incident response. Learn more about our work by reviewing our Services and Industries on our website. Desired Qualifications Bachelor's or Master's (non-MBA) degree candidates graduating December 2026/Summer 2027 with a related academic focus (Cybersecurity, Computer Science and Engineering, Digital Forensics, Management Information Systems, or Security Information Systems or related); Familiarity with several core skills: Strong understanding of computer operating systems, software, and hardware; Ability to conduct detailed forensic investigations and analyses of computers, networks, mobile devices, and removable media; Experience with conducting digital forensic analyses using commercial and open-source forensic tools, including file system forensics, memory analysis, and network analysis; Experience with conducting static/dynamic malware analyses in a lab environment and threat hunting in a live environment; Understanding of proper evidence handling procedures and chain-of-custody; Experience with drafting technical and investigative reports and communicating technical findings; Experience with utilizing automation tools and scripts to expedite analyses; Understanding of incident handling procedures, including preparation, identification, containment, eradication and recovery-to-protect enterprise environments; Understanding of common attack techniques used by an adversary on a victim network and how to leverage those techniques to stop further adversary activity; Individuals with digital forensics/incident response training and/or certifications, including SANS GIAC (GCIA, GCFA, GCFE, GNFA, GCCC, and/or GREM), IACIS (CFCE or CIFR), and/or Guidance Software (EnCE), are preferred but not required. Effective written and oral communication skills; Demonstrated high level of initiative and leadership; Strong teamwork and collaboration capabilities; Excellent time management and task prioritization skills; Clear and demonstrated interest in consulting through coursework, work experience, activities, or attendance at CRA recruiting events. To Apply To be considered for the Summer 2026 Analyst/Associate Internship program, we require: Resume - please include current address, personal email and telephone number; Cover letter - please describe your interest in CRA and how this role matches your goals. Also, please note if you have interest in a particular practice and/or a location preference; Transcript - may be unofficial. Note: you must be graduating from a bachelor's or master's degree program for this role. If you are graduating from an MBA/PhD program or have work experience, please visit our Careers site to see current open roles. If you are interested in applying for one of our international locations, please visit our Careers site to view and apply for available jobs. Candidate resume review will commence during the fall semester and continue on a rolling basis until positions are filled. Work Location Flexibility CRA creates a work environment that enables our colleagues to benefit from being together in the office to best deliver on our promise of career growth, mentorship and inclusivity. At the same time, we realize that individuals realize a range of benefits when working from home periodically. We currently ask that individuals spend 3 to 4 days a week on average working in the office, with specific days determined in coordination with your practice or team. Our Commitment to Equal Employment Opportunity Charles River Associates is an equal opportunity employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, status as a protected veteran, or any other protected characteristic under applicable law. The city of New York and the District of Columbia require CRA to include a good-faith estimate of the wage range for this role. This range is specific to individuals applying to work in our New York and Washington DC offices and considers several factors including but not limited to experience, education level, and expertise. A good-faith estimate of the base wage range for this role is $30 - $36 per hour; actual total compensation may also include benefits and bonus.
    $30-36 hourly Auto-Apply 60d+ ago
  • Claims Counsel

    Capital Insurance Group 4.4company rating

    Remote job

    Why CIG? At Capital Insurance Group we offer our employees more than just a job. We foster career growth, provide opportunities to give back to our communities, and help you take the next step in your career! CIG was founded in 1898 by a group of earnest farmers in need of protection and today, we are the leading West Coast Property & Casualty insurer. CIG is certified as a Great Place to Work and provides a collaborative, inclusive, and fun work culture for all employees. Benefits * Accrue twenty-one days of Paid Time Off during your first year * Up to eighty-seven percent of benefits covered by CIG for you and your family members * Medical, dental, vision plans * One hundred percent covered plans * Basic Life & AD&D * Employee Assistance * Leave Management * Long Term Disability * Short Term Disability (Outside of CA) * Family Caregiver Support (Homethrive) * Child Care Resources (Tootris) * Business Travel Accident Protection * Voluntary benefit offerings * Short-term (CA only) * Voluntary Life AD&D self, spouse and child plans * Flexible Spending * Health Savings (HSA) * Hospital Indemnity * Accidental Injury * Critical Illness * ARAG Legal Services * Norton LifeLock * Nine paid holidays, plus two floating holidays * Above and Beyond Reward Recognition Program * Kudos & Shout Out Points Program * Quarterly Above and Beyond Bonus Program * Annual Above and Beyond Bonus Program * Competitive compensation * Base compensation * Salary Management Spot Bonuses * Annual Incentive/Profit sharing program, potential payout annually based on company results. * Discount partnerships * Gym memberships, credit union, travel, shopping, restaurants, theme parks, and more * Insurance Educational reimbursement and bonus programs * Employee Referral Bonus Program * You have a voice! You are encouraged to share your voice through multiple channels, get involved with our Employee Experience and DEI committees to drive and continue the health and wellbeing of our organization for everyone. * Home and Auto Insurance Discount Program. * Paid Volunteer Time Through company planned community events and choose your own adventure PVT in giving back in ways that are meaningful to you! * Retirement savings benefit (401k and Roth + match) * Health & Financial Wellness * Wellness platform, tools and events * Health Savings Account match * Financial Wellness Resources Work Environment & Format: This is a remote position, ideally with someone based in Orange County (Irvine, Costa Mesa, Newport Beach, Santa Ana, Anaheim, Orange, Huntington Beach, and Fullerton). Job Overview: Under general supervision, this position will be part of the Claims Legal team, which will provide settlement authority and general strategic support for claims/exposures that exceed the line units authority. The position encompasses a variety of responsibilities that include the analysis of unique jurisdictional concerns and ensuring consistency in claims positions. Overall, this position will assist in consulting on complex claim files that are reported to Claims Legal. Responsibilities: * Responsible for consultation with claims staff in a variety of claims issues, including but not limited to, coverage, indemnification, policy limit demand reviews, indemnity agreement review, release language review. * Identifies coverage issues which require assignment to outside counsel and works with outside counsel as needed. * Directly handle some policyholder suits against the company and work with outside counsel in managing the litigation. Will need to attend mediations as needed. * Assists in training to claims staff on various jurisdictional issues and/or Fair Claims Practices training. * Respond to insurance claims questions from a variety of departments. * Works closely as part of the Claims Legal team in providing outstanding service to claims staff. * Responsible for tracking claim files reported to Claims Legal ability to stay organized, and diary cases for future follow-up. * Participate in roundtable discussions on a variety of claims topics, including trial authority, and taking the lead on future follow-up of action items. * Will work collaboratively with current Panel Counsel to ensure consistency of service to CIG insureds. May also participate and/or take the lead in identifying new firms to join Panel list. * Work with Analyst in Claims Legal in ensuring consistency of Reinsurance reporting as required. * Ability to analyze complex insurance claims situations and develop recommendations to be shared with claims staff. * Ability to handle conflicting requests from multiple stakeholders in a fast-paced environment while paying attention to detail. * Good communication and interpersonal skills, ability to work independently and in a team setting. * Ability to interface with multiple levels of the organization. * Ability to travel ( * Ability to stay organized and manage time effectively in order to manage competing priorities. * Have effective research skills and ability to stay current with changes in case law and regulatory changes. * Job description is not prescriptive, but rather a guide as to the duties and responsibilities you will have, however it is not limited to the listed above. Minimum Requirements: * Bachelors degree and JD from an accredited law school required. * Member in good standing of any CIG operating state (Arizona, California, Nevada, Oregon, Washington) bar required. * Minimum of 8 years experience in property and casualty insurance required. * Experience working inside insurance company claims department and/or law firm setting required. * First Party Property experience strongly preferred. * Experience advising on or litigating first party property coverage issues strongly preferred. * Experience with adjustment and/or oversight of complex claims is strongly preferred. * Experience in following jurisdictions preferred: California and Washington. * CPCU preferred. * A valid drivers license may be required. Salary Range: $107,669 - $177,654 The salary range listed here has been provided to comply with local regulations and represents a potential base salary range for this role. Please note that actual salaries may vary within the range above or below, depending on experience and location. We look at compensation for each individual and base our offer on your unique qualifications, experience, and expected contributions. This position may also be eligible for other types of compensation in addition to base salary, such as benefits and bonus programs.
    $107.7k-177.7k yearly 60d+ ago
  • Remote Program Specialist

    Teksystems 4.4company rating

    Remote job

    Program Specialist REMOTE - Equipment Provided Pay Rate: $21/hr Schedule Ranges: Monday - Friday between 8:30am-8pm EST (must have full availability within these hours) 4 Month Contract Description: + The Program Specialist is responsible for serving as the customer's primary point of contact providing operational and reimbursement support to complex programs. + The focus of the Program Specialist is to own issues and remove obstacles that prevent patients or providers from accessing the therapies requested. The Program Specialist will be a self-starter who is comfortable taking initiative, identifying barriers, and working with the appropriate parties to eliminate these obstructions for the customer. + Will be required to manage a high-volume of customer facing tasks daily or be responsible for quickly and accurately performing data entry in the program's tracking system. Job Duties: + Agents will support high inbound calls; previous inbound experience is required with familiarity with medical terminology a plus. + Agents will be handling 60-100 inbound calls per day. Average handle time per call is 6 minutes. + Calls will include enrollment status, medication shipment status, general patient inquiries, outreach for missing information. Safety/adverse event experience is preferred. + Agents will be be expected to have 100% call quality. + Heavy call volume expected from February to March. + The Program Specialist must be disciplined with the ability to speak with customers, sit and talk for long stretches. Top Skills Details insurance claim, call center, insurance verification, health care, insurance, patient access, medical terminology, patient registration, prior authorization, inbound call, administrative support, customer service, Medicare, Medicaid Additional Skills & Qualifications - Call Center Experience: (High Volume) At least 2 year of previous experience. - Customer Service: Minimum 2 years of experience in healthcare required. - Remote Work Experience: Proven ability to work effectively in a remote setting. - Computer/Technology Proficiency: Comfortable with using various software and technology tools. - Strong Communication Skills: Excellent verbal and written communication abilities. - Empathy and Patience: Ability to understand and address customer needs with compassion. - Attention to Detail: Strong focus on accuracy and thoroughness. - Independent Work: Capable of working independently with minimal supervision. Preferred experience in any of these areas: - Major medical experience - Buy and bill experience - Acquisition channel experience - Insurance benefits verification support Experience Level Intermediate Level #eastpriority25 Job Type & Location This is a Contract position based out of Daytona Beach, FL. Pay and Benefits The pay range for this position is $21.00 - $21.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: - Medical, dental & vision - Critical Illness, Accident, and Hospital - 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available - Life Insurance (Voluntary Life & AD&D for the employee and dependents) - Short and long-term disability - Health Spending Account (HSA) - Transportation benefits - Employee Assistance Program - Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Dec 19, 2025. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
    $21-21 hourly 11d ago
  • Assistant Controller

    Otterbein University 4.2company rating

    Westerville, OH

    Otterbein University is in search of an Assistant Controller. The Assistant Controller provides financial leadership for Business Services and the university community. They bring knowledge, experience and integrity to maintain accurate financial data, guide and direct staff, produce tax returns and create useful and timely financial reports. Their excellent analytical and problem-solving skills along with strong interpersonal and customer service approach make them successful in this role. This is a full-time, exempt position working 40 hours a week, 52 weeks a year. Otterbein offers a comprehensive benefits package including: * Tuition benefit to employee, spouse or domestic partner and dependents * Accrue 4 weeks of paid vacation * 10 days paid sick time * 12 paid holidays plus bonus days * Medical, dental and vision insurance to you, dependents or domestic partner * Life Insurance * Defined contribution retirement plan * and much more Provide leadership in the Business Service areas of accounting, payables, payroll, procurement and student accounts. Directly supervise accounts payable and procurement staff. Responsible for all payroll tax remittances, quarterly and year-end payroll reconciliations and tax return filings. Prepares University financial statements including reconciliations, sub-schedules, balance sheet, cash flow and footnotes. Participates in the annual financial audit. Coordinates with external auditors and university staff. Prepares audit requests, bank confirmations, annuity and trust schedules and reconciliation of fixed assets. Reviews all balance sheet reconciliations. Prepares Form 990 and 990T by working closely with the Controller and Senior Accountant to compile necessary information, coordinate with external tax accountants on finalizing the returns. Arrange for review by the Board of Trustees Audit and Risk Committee. Oversees all capital plant and fixed asset financial processes. Sets up new projects and coordinates with departments on funding, monitors GL for capital expenditures, prepares depreciation schedules. Works with CFO and Risk Manager on insurance claims by collecting all financial information. Provides leadership for accounts payable including reviewing and approving invoices, coordinating with IT to maintain the Chrome River system, and assist with processing as needed. Help develop policies and procedures. Oversee training. Coordinate 1099 reporting. Participate in redesign of university procurement process. Banking responsibilities include direct deposit files for payroll and AP, domestic and international wires, maintaining relationships with banking partners, coordinating bank and investment access for approved personnel. Other duties: Performs chart of accounts maintenance in Banner by setting up new funds, indexes and accounts. Maintains accounting records and audit work papers in compliance with record retention policies. Develops and maintains Business Office related procedure manuals for the University. Prepares, reviews and approves journal entries. Performs other duties and projects as assigned. SUPERVISORY RESPONSIBILITIES: Accounts Payable Coordinator, AP / Purchasing Specialist To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Specific skills include: * Strong analytic and problem-solving abilities. * Strong background in use of technology and analytical tools. Knowledge and proven experience with enterprise resource planning (ERP) systems and their capabilities, software solutions, spreadsheet and database functionality. Banner experience preferred. * The ability to work independently, manage details, organize and prioritize. * Strong accounting, analytical and process planning skills. * Strong leadership skills, excellent verbal and written communicator with the ability to work collaboratively with all campus areas to further University priorities; and * Ability to manage confidential data appropriately. EDUCATION and/or EXPERIENCE: Bachelor's degree in accounting, CPA preferred, audit experience, minimum of five (5) years' experience in higher education, non-profit and/or public accounting; Banner experience preferred; tax experience desirable. CERTIFICATES, LICENSES, REGISTRATIONS: CPA preferred. REASONING ABILITY: Critical thinking and strong analytical skills are required along with the ability to work under the pressure of deadlines with speed, accuracy and attention to detail. Must possess excellent problems solving skills. Must develop strong working relationships with team members and university constituents in order to lead, train, listen and guide. Must maintain confidentiality. MATHEMATICAL SKILLS: Must be competent in business math common to the accounting profession. TECHNICAL SKILLS: Knowledge of generally accepted accounting principles and government accounting standards for higher education institutions. Knowledge of accounts payable procedures and payroll regulations; data entry capability; strong analytical skills and spreadsheet capability; must have a good understanding of computerized accounting, payables and payroll systems. Must take pride in and be thorough in quality of work produced; must be able to use general office equipment including office PC, copier, telephone, facsimile machine, etc. LANGUAGE SKILLS: Must demonstrate competency in verbal and written English skills including grammar. Ability to communicate effectively with all members of the campus community - faculty, staff and students. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Must be able to spend prolonged periods of time working on an office PC; able to reach, lift to 10 pounds, travel throughout office to use other office equipment; must be able to hear and make self heard by co-workers and other constituencies; must be able to see to process work that the position is responsible for completing; must be able to work under deadlines with constant interruptions. Must be able to meet regular and predictable attendance standards. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Duties are performed in an environmentally controlled office setting. This description is intended to indicate the kinds of tasks and levels of work difficulty that will be required of positions that will be given this title and shall not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct and control the work of employees under supervision. The use of a particular expression or illustration describing duties shall not be held to exclude other duties not mentioned that are of similar kind of level of difficulty. Otterbein University is an Equal Opportunity Educator and Employer. Otterbein University is committed to providing a welcoming environment free from unlawful discrimination. To this end, the University prohibits any form of discrimination against any person on the basis of race, color, sex, gender, pregnancy, religion, creed, marital status, partnership status, age, sexual orientation, gender identity, gender expression, national origin, disability, military status, or any other legally protected status in its programs and activities. However, the University's commitment to a nondiscriminatory environment is not intended to abridge unduly its commitment to academic freedom, free speech, or its educational mission.
    $53k-66k yearly est. 7d ago
  • PHARMACY TECHNICIAN

    Heart of Ohio Family Health 3.0company rating

    Columbus, OH

    supports the pharmacist on-duty in the following manner: * Greet patients, visitors and others upon entry * Process prescriptions by performing data entry, adjudication of insurance claims, filling and providing medications to patients at pick-up * Support the clinical staff with obtaining information for the dispensation of prescriptions, as necessary Reports to: Pharmacy Manager Supervises: N/A Dress Requirement: Scrubs in accordance to Heart of Ohio Family Health's dress code policy Work Schedule: Full Time Monday through Friday during standard business hours Times are subject to change due to business necessity Non-Exempt Job Duties and Responsibilities: * Support of pharmacy services by assembling and dispensing medications in an efficient, accurate and patient-centered manner * Process prescriptions via paper and electronic prescription formats * Adjudication of prescriptions through insurance while being conscious of out-of-pocket costs and exploring ways to provide patients with medications at the lowest possible cost * Respond to requests from providers and patients via phone, computer and face-to-face interactions * Assisting in the maintenance of records in accordance with company policy and state/federal law * Inventory management which includes, but not limited to, annual controlled substance inventory and daily maintenance of in-stock medications and supplies * Non-sterile compounding * Attention to detail, analytical skills, admirable customer service and dependability is a must * A positive attitude with a passion for providing high-quality, holistic, and compassionate care to every patient every time * Willingness to continuously grow, learn and accept different cultures in an environment surrounded by great diversity * Maintain compliance with Ohio State Board of Pharmacy licensing requirements and Heart of Ohio Health Relias training (and others as necessary) Job Qualifications (Experience, Knowledge, Skills and Abilities: * Must be 18 years of age or older * High school diploma or equivalent * Registration (Trainee or Registered/Certified) with the Ohio State Board of Pharmacy required * National certification from an accredited pharmacy technician certification program (PTCB, ExCPT, etc.) preferred at hire. * Knowledge of the 340B program preferred * Previous experience in a retail pharmacy preferred * Prefer experience with Allscripts and PioneerRx software system * Understanding of laws and regulations impacting the medication dispensing process preferred * Prefer an understanding of third-party payer benefits, the requirements and troubleshooting rejected claims * Ability to accurately enter data, preferably typing at a minimum of 45 wpm * Ability to accurately input prescriptions and/or other information as dictated by the pharmacist * Has the ability to diffuse and handle difficult situations by using good judgment, control of emotion and diplomacy * Demonstrates grammatically-correct verbal and written communication skills * Demonstrates efficient and courteous telephone skills * Demonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environment * Ability to work in a team setting and/or with minimal supervision Equipment Operated: Pharmacy Equipment; telephone; computer; printer; fax machine; copier; other office equipment as assigned Facility Environment: Heart of Ohio Family Health operates in multiple locations, in Columbus, OH. All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. This position's primary work area is within the pharmacy on the second floor (elevator access on site). The pharmacy area: * kept at a normal working temperature * sanitized daily * maintains standard pharmacy environment with minimal opportunities to sit, long hours standing * maintains standard office equipment; i.e., computer, copier, fax machine, etc. at a normal working height Physical Demands and Requirements: these may be modified to accurately perform the essential functions of the position: * Mobility = ability to easily move without assistance * Bending = occasional bending from the waist and knees * Reaching = occasional reaching no higher than normal arm stretch * Lifting/Carry = ability to lift and carry a normal stack of documents and/or files * Pushing/Pulling = ability to push or pull a normal office environment * Dexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quickly * Hearing = ability to accurately hear and react to the normal tone of a person's voice * Visual = ability to safely and accurately see and react to factors and objects in a normal setting * Speaking = ability to pronounce words clearly to be understood by another individual
    $29k-34k yearly est. 60d+ ago
  • Healthcare Virtual Assistant (US)

    Wing Assistant

    Remote job

    Please whitelist the domains "lever.co" and "hire.lever.co" with your email provider to make sure you get our emails. Disclaimer: This is a generic job description for the position stated below. Actual tasks and tools will be discussed further when you reach the final interview stage. Please ensure you apply for the right job based on your location and experience. We prioritize people who can do this successfully! Healthcare Virtual Assistant (Remote) Wing is on the exciting mission of redefining the future of work for companies worldwide! We are looking to be the one-stop shop for companies that are looking to build world-class teams & place their operations on autopilot. And we're looking for a Healthcare Virtual Assistant to start immediately! Duties and Responsibilities include but are not limited to:1. Manage prior authorizations and related administrative paperwork2. Document new patient and referral intake3. Manage appointment bookings, cancellations, and rescheduling for patients and healthcare providers.4. Input patient information, medical records (CPT, ICD-10, HCPCS), and billing date into EMR/EHR systems5. Assist with processing insurance claims, verifying patient insurance information, and handling billing inquiries, concerns, and documentation.6. Respond to incoming patient inquiries, providing information and directing them to the appropriate healthcare professional.7. Assist in analyzing healthcare data, preparing reports, and maintaining records. 8. Ensure HIPAA compliance, privacy regulations, and maintenance of patient confidentiality.9. Coordinate the sending of medical records to various departments, healthcare providers, and professionals as directed by the Managing Physician. 10. Ad hoc tasks Qualifications:• Bachelor's degree in medical fields or the pharmaceutical-related industry• At least 3 years experience as a Medical Virtual Assistant, experience in Psychiatry or Psychiatric Clinic strongly preferred. • Excellent English communication skills both written and verbal (At least C1 level)• Solid understanding of medical terminologies and practices• Proficient in EHR/EMR systems and ability to troubleshoot common technical issues• Understanding of healthcare privacy regulations• Strong interpersonal skills• Solid organizational & time management skills with keen attention to details• Tech savvy & familiar with current technologies, like desktop sharing, cloud services, and VoIP• Able to work on a graveyard shift Technical Requirements:• USB Headset with Noise Cancellation feature• Working Webcam• Main and backup computer: at least 1.8 GHz processor with at least 4GB RAM• Main Internet Service Speed: at least 25 Mbps wired connection• Backup Internet Service Speed: at least 10 Mbps Benefits:• Performance Incentives• Job Security and Stability• Paid Training• Inclusive Culture• Upskilling Opportunities• 100% Work-From-Home• Exceptionally Supportive Team• Opportunities for Career Growth• Fun Work Environment• Holiday & Overtime Pay Schedule: US work hours (40 hours per week) Location: This is a remote job Salary: To be based on experience and skills Please note:• Only qualified candidates will be invited to take the assessment & scheduled for an interview.• We have other vacancies that might interest your friends & colleagues. They can check us out at our Jobs Website.• You may also refer your friends using our Affiliate Marketing Program and earn up to $30 if your referral is hired.
    $33k-46k yearly est. Auto-Apply 60d+ ago
  • Prior Authorization Supervisor - Specialty Testing (REMOTE)

    Labcorp 4.5company rating

    Remote job

    Prior Authorization Supervisor, Speciality Testing Schedule: Mon-Fri, 8am-5pm ET Pay range: $52,200.00 - $92,600.00 a year At Labcorp, you are part of a journey to accelerate life-changing healthcare breakthroughs and improve the delivery of care for all. You'll be inspired to discover more, develop new skills and pursue career-building opportunities as we help solve some of today's biggest health challenges around the world. Together, let's embrace possibilities and change lives! Primary Responsibilities: Oversee work assignments, ensuring efficient task distribution and timely completion. Generate and analyze inventory reports to guide decision-making. Proactively assess inventory throughout the day to optimize workflow and prioritize urgent cases. Communicate effectively with various departments to resolve discrepancies, including missing work files and IT platform issues. Audit employee work for accuracy, providing constructive feedback and coaching to enhance performance. Conduct one-on-one meetings with employees, fostering professional growth and setting annual goals. Offer timely support by answering employee and stakeholder inquiries. Train new hires and develop comprehensive training resources. Create and interpret complex SOPs, job aids, and special workflows for diverse processes. Design and lead engaging team meetings. Navigate multiple platforms and websites to facilitate prior authorization tasks. Perform specimen history research to assist with escalations, training, and troubleshooting. Deliver exceptional customer service with professionalism, patience, and empathy. Escalate critical issues to leadership when necessary. Identify and recommend process improvements to enhance efficiency. Maintain a thorough understanding of policies, guidelines, and payer requirements related to specialty testing (such as oncology, women's health, and other advanced diagnostics). Ensure compliance with specialty test regulations and proactively address any policy updates that impact workflow. Meet deadlines consistently while maintaining high accuracy and minimal errors. Complete required trainings punctually and thoroughly. Qualifications: High school diploma or equivalent required; associate degree or higher strongly preferred. Minimum 3 years of relevant work experience required. Minimum 1 year of experience in prior authorizations strongly preferred (concurrent experience acceptable). 3+ years of leadership experience strongly preferred. Minimum 2+ years prior work experience in insurance claims, pre-authorization, and medical benefits strongly preferred. Utilize MS Excel, Word and Outlook; PowerPoint proficiency preferred Experience with specialty testing (such as oncology, women's health, and other advanced diagnostics) preferred. Proven ability to identify improvement opportunities and implement recommendations preferred. Additional Desired Skills: Exceptional interpersonal communicator with the ability to build rapport and motivate teams. Strong problem-solving and decision-making abilities. Detail-oriented with a proven track record of delivering results. Comfortable managing performance in a production-driven environment while enforcing company policies. Demonstrates integrity, trustworthiness, accountability, and respect in all professional interactions. Maintains confidentiality and upholds high ethical standards. Strong verbal and written communication skills. Self-motivated with the ability to thrive under pressure in a dynamic environment. Reliable and punctual. Application window closes: 10/24/2025 All job offers will be based on a candidate's skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. Benefits: Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Casual, PRN & Part Time employees regularly scheduled to work less than 20 hours are eligible to participate in the 401(k) Plan only. For more detailed information, please click here. Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.
    $52.2k-92.6k yearly Auto-Apply 60d+ ago
  • Central Business Office Specialist Remote

    Clearskyhealth

    Remote job

    Our hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. The Business Office Specialist position is responsible for the daily activities of the central business office accounts receivable, which include the preparation, submission and collection of insurance claims, Medicare/Medicaid billing, third party payer billing, and payment posting. Must have: hospital billing, collections, Medicare and commercial health care insurance experience. Prepares, processes, and files accurate and timely insurance claims for all payer types in accordance with department policy and payer requirements. Analyzes, interprets, and resolves all billing edits to ensure claims are filed accurately within the payer's regulations and filing limits. Adheres to compliance and regulatory rules as mandated by CMS, state and federal regulations, payer contracts, and established department policies and procedures. Processes and monitors all refunds, adjustments, corrections, etc. Monitors compliance of proper billing practices in accordance with federal, state, local standards, guidelines, and regulations. Prepares end of day, month and year to comply with financial policy and procedures. Handles correspondence related to the billing of a claim for all lines of business, answers questions and updates accounts as necessary. Assists in cost containment development of the department within budgeted parameters; reviews bad debt activity. Accurately posts payments to Patient Accounts. Oversees monthly cash reconciliations and reporting. Updates and reviews all accounts to keep records up to date, follow up with payer on unpaid claims. Resolves denials, appeals, and other payer issues, works with hospital personnel when required.
    $20k-29k yearly est. Auto-Apply 60d+ ago
  • (2027 Bachelor's/Master's graduates) Cyber and Forensic Technology Consulting Analyst/Associate Intern (Summer 2026)

    CRA International, Inc. 3.8company rating

    Remote job

    If your background is in Cybersecurity, Computer Science and Engineering, Digital Forensics, Management Information Systems, or Security Information Systems, learn more about internships at Charles River Associates! About Charles River Associates Charles River Associates is a leading global consulting firm that provides economic, financial, and business management expertise to major law firms, corporations and governments around the world. CRA advises clients on economic and financial matters pertaining to litigation and regulatory proceedings, and guides corporations through critical business strategy and performance-related issues. Since 1965, clients have engaged CRA for its combination of industry experience and rigorous, fact-based analysis that provide clients with clear, implementable solutions to complex business concerns. Practices seeking to hire interns with this profile include (hiring locations listed): * Forensic Services/Cybersecurity & Digital Forensics (Boston, Chicago, Dallas, New York, Washington DC) * Our team supports cyber due diligence, incident response, insurance claims, and security transformation. * Forensic Services/E-Discovery (Boston, Chicago, New York) * Our team assists companies and their counsel in data preservation, collection, analysis, reporting, and delivery from cloud-based and other repositories. Learn more about our work by reviewing our Services and Industries on our website. Position Overview Our Summer Analyst/Associate Internship program mirrors the analyst experience to give you an understanding of our business and experience project work at Charles River Associates. Throughout the 8-10 week program, Analyst/Associate Interns work alongside senior colleagues to deliver live client consulting projects within the practice area. Along the way, you'll benefit from professional development and wellness support programs, social events to connect you with peers and a collegial work environment. Successful interns will be offered a full-time position following graduation. During the Cyber and Forensic Technology Analyst/Associate Internship program, you may work on many aspects of a project: * Assist with security and privacy investigations in response to data security matters, which may include ongoing breaches and fraud; * Engage in problem solving and forensic analysis of digital information using standard computer forensic and evidence handling techniques and tools; * Apply investigative techniques, scientific reasoning, and digital forensic techniques against various systems to answer questions; * Identify, research, and organize information to determine what a hacker did to a compromised system, whether data was stolen from a company asset, or what data to assess and provide in a litigation; * Defensibly collect digital evidence and complete chain-of-custody documentation; * Leverage your programming, model building, and database administration skills (including using Python, T-SQL, VBA, Excel, C#, and/or other programming languages and tools); * Share investigative and analytical findings, and assist with the drafting of written reports to summarize procedures performed and findings; * Stay current with developments in digital forensics, e-discovery, and incident response. Learn more about our work by reviewing our Services and Industries on our website. Desired Qualifications * Bachelor's or Master's (non-MBA) degree candidates graduating December 2026/Summer 2027 with a related academic focus (Cybersecurity, Computer Science and Engineering, Digital Forensics, Management Information Systems, or Security Information Systems or related); * Familiarity with several core skills: * Strong understanding of computer operating systems, software, and hardware; * Ability to conduct detailed forensic investigations and analyses of computers, networks, mobile devices, and removable media; * Experience with conducting digital forensic analyses using commercial and open-source forensic tools, including file system forensics, memory analysis, and network analysis; * Experience with conducting static/dynamic malware analyses in a lab environment and threat hunting in a live environment; * Understanding of proper evidence handling procedures and chain-of-custody; * Experience with drafting technical and investigative reports and communicating technical findings; * Experience with utilizing automation tools and scripts to expedite analyses; * Understanding of incident handling procedures, including preparation, identification, containment, eradication and recovery-to-protect enterprise environments; * Understanding of common attack techniques used by an adversary on a victim network and how to leverage those techniques to stop further adversary activity; * Individuals with digital forensics/incident response training and/or certifications, including SANS GIAC (GCIA, GCFA, GCFE, GNFA, GCCC, and/or GREM), IACIS (CFCE or CIFR), and/or Guidance Software (EnCE), are preferred but not required. * Effective written and oral communication skills; * Demonstrated high level of initiative and leadership; * Strong teamwork and collaboration capabilities; * Excellent time management and task prioritization skills; * Clear and demonstrated interest in consulting through coursework, work experience, activities, or attendance at CRA recruiting events. To Apply To be considered for the Summer 2026 Analyst/Associate Internship program, we require: * Resume - please include current address, personal email and telephone number; * Cover letter - please describe your interest in CRA and how this role matches your goals. Also, please note if you have interest in a particular practice and/or a location preference; * Transcript - may be unofficial. Note: you must be graduating from a bachelor's or master's degree program for this role. If you are graduating from an MBA/PhD program or have work experience, please visit our Careers site to see current open roles. If you are interested in applying for one of our international locations, please visit our Careers site to view and apply for available jobs. Candidate resume review will commence during the fall semester and continue on a rolling basis until positions are filled. Work Location Flexibility CRA creates a work environment that enables our colleagues to benefit from being together in the office to best deliver on our promise of career growth, mentorship and inclusivity. At the same time, we realize that individuals realize a range of benefits when working from home periodically. We currently ask that individuals spend 3 to 4 days a week on average working in the office, with specific days determined in coordination with your practice or team. Our Commitment to Equal Employment Opportunity Charles River Associates is an equal opportunity employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, status as a protected veteran, or any other protected characteristic under applicable law. The city of New York and the District of Columbia require CRA to include a good-faith estimate of the wage range for this role. This range is specific to individuals applying to work in our New York and Washington DC offices and considers several factors including but not limited to experience, education level, and expertise. A good-faith estimate of the base wage range for this role is $30 - $36 per hour; actual total compensation may also include benefits and bonus.
    $30-36 hourly Auto-Apply 60d+ ago
  • A/R Specialist

    Ohiohealth 4.3company rating

    Remote job

    We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: This position submits medical billing to the appropriate party, works insurance edits/errors, follows-up on adjudication of claims, works payer rejections and denials. This position primarily communicates with payers but may also have communication with patients, family members, guarantors, hospital departments, physician practices regarding information needed or to obtain status of insurance claims. Responsibilities And Duties: Performs accurate review, analysis, and correction of denied and rejected claims. Performs follow-up on unpaid accounts to collect payment. Research correspondence and information from phone calls with payers to ensure accurate account handing. Reviews patient insurance information for accuracy making any necessary updates. Works closely with payer representatives to bring accounts to completion. Reports trends and payer issues to management. Minimum Qualifications: High School or GED (Required) Additional Job Description: SPECIALIZED KNOWLEDGE The position requires a high school level of skills plus at least 1 year experience with similar work. No certification or licensure required. The job requires analytical skills to gather and interpret data where the information or problems are not overly difficult or complex. This work also requires clear communication and organizational skills to prioritize and meet deadlines as needed. Work Shift: Day Scheduled Weekly Hours : 40 Department Map Physician Billing Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.
    $32k-38k yearly est. Auto-Apply 60d+ ago

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