Specialist jobs in Ormond Beach, FL

SHIFTS M-F 10am-7pm M-F 10:30am-7:30pm M-F 11am-8pm Responsibilities Communicate with customers via phone, email and chat Provide knowledgeable answers to questions about product, pricing and availability Work with internal departments to meet customer's needs Data entry in various platforms Qualifications At least 1 - 3 years' of relevant work experience Excellent phone etiquette and excellent verbal, written, and interpersonal skills Ability to multi-task, organize, and prioritize work

Commercial Auto - Multi Line Claim Specialist Hours: Monday - Friday, 8:00 AM to 4:30 PM ET Salary Range: $60,000-$85,000 NY License required At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of assigned general liability claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi-line claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of multi-line claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications 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, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience 10+ years multi-line claim experience is required. Bachelor's Degree is preferred. NY license required Computer Skills Proficient with Microsoft Office programs. Certificates, Licenses, Registrations Adjusters license may be required based upon jursidiction. AIC, ARM or CPCU Designation preferred. 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. Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. 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. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. 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. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #CCMSICareers #CCMSIMaitland #EmployeeOwned #ESOP #GreatPlaceToWorkCertified #ClaimsSpecialist #LiabilityClaims #HybridWork #FloridaJobs #InsuranceCareers #GeneralLiability #AutoClaims #MultiJurisdiction #FLAdjusters #CommercialAuto #NowHiring #InsuranceJobs #FLLiability #IND123 #LI-Hybrid We can recommend jobs specifically for you! Click here to get started.

Remote Role - Live Anywhere in the United StatesBuild your best future with the Johnson Controls team As a global leader in smart, healthy and sustainable buildings, our mission is to reimagine the performance of buildings to serve people, places and the planet. Join a winning team that enables you to build your best future! Our teams are uniquely positioned to support a multitude of industries across the globe. You will have the opportunity to develop yourself through meaningful work projects and learning opportunities. We strive to provide our employees with an experience, focused on supporting their physical, financial, and emotional wellbeing. Become a member of the Johnson Controls family and thrive in an empowering company culture where your voice and ideas will be heard - your next great opportunity is just a few clicks away! What we offer Competitive salary Paid vacation/holidays/sick time Comprehensive benefits package Encouraging and collaborative team environment Dedication to safety through our Zero Harm policy JCI Employee discount programs (The Loop by Perk Spot) Check us Out: A Day in the Life of the Building of the Future ******************* ZMNrDJviY What you will do The Operations Claims Specialist is part of our Building Solutions business at Johnson Controls. Under general direction, works in concert with the Claims Consultants to ensure consistent delivery of services and assure customer expectations are being met as well as internal financial commitments. Responsible for Claim Status Reporting trend analysis along with recommendations on analysis of construction documents (i.e. certified payroll analysis, continuous improvement of process documentation, schedule collection and verification). Proactively track time horizons and claim deadlines to keep the Claims Consultants focused on client triage, recommending and implementing solutions where appropriate How you will do it Provides support for Claims Consultants and ensures completion of all phases of the Claim Identifies issues and recommends solutions to the appropriate processes. Participates in monthly Claims Status, Local Market Backlog Reviews, and Staff Meetings. Serve as Publisher and Editor of the team's affirmative and defensive claims. Initiates research and follow up on fact gathering, document retention and e-discovery. Provides feedback to Manager of Construction Claims and Claims Consultants as appropriate. Owns, maintains and ensures the integrity of the team's project data for purposes of forecasting, scheduling and staffing. Serves as the team's data historian. Prioritizes work activities based upon financial impact to desired business goals What we look for Required Bachelor's Degree in Construction Management, Business Administration, Finance, or equivalent directly related work experience plus two to three years' experience in the construction industry/contracting business performing similar contract and project management functions. Read copy or proof to detect and correct errors in spelling, punctuation, and syntax. Ability to effectively represent JCI and communicate with clients at varying levels. Demonstrated proficiency to simultaneously handle a large and diverse number of projects and issues with tact, cooperation, and persistence. Ability to prioritize work activities based upon financial impact to desired business goals. Innovative and conceptual thinker. High level of productivity and efficiency. HIRING SALARY RANGE: $85,000- 107,000(Salary to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, location and alignment with market data.) This position includes a competitive benefits package. For details, please visit the About Us tab on the Johnson Controls Careers site at ***************************************** #LI-MM1 #LI-Remote Johnson Controls International plc. is an equal employment opportunity and affirmative action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, protected veteran status, genetic information, sexual orientation, gender identity, status as a qualified individual with a disability or any other characteristic protected by law. To view more information about your equal opportunity and non-discrimination rights as a candidate, visit EEO is the Law. If you are an individual with a disability and you require an accommodation during the application process, please visit here.

You have a clear vision of where your career can go. And we have the leadership to help you get there. At CNA, we strive to create a culture in which people know they matter and are part of something important, ensuring the abilities of all employees are used to their fullest potential. This individual contributor position works under moderate direction, and within defined authority limits, to manage commercial claims with moderate to high complexity and exposure for a specific line of business. Responsibilities include investigating and resolving claims according to company protocols, quality and customer service standards. Position requires regular communication with customers and insureds and may be dedicated to specific account(s). JOB DESCRIPTION: Essential Duties & Responsibilities: Performs a combination of duties in accordance with departmental guidelines: Manages an inventory of moderate to high complexity and exposure commercial claims by following company protocols to verify policy coverage, conduct investigations, develop and employ resolution strategies, and authorize disbursements within authority limits. Provides exceptional customer service by interacting professionally and effectively with insureds, claimants and business partners, achieving quality and cycle time standards, providing regular, timely updates and responding promptly to inquiries and requests for information. Verifies coverage and establishes timely and adequate reserves by reviewing and interpreting policy language and partnering with coverage counsel on more complex matters , estimating potential claim valuation, and following company's claim handling protocols. Conducts focused investigation to determine compensability, liability and covered damages by gathering pertinent information, such as contracts or other documents, taking recorded statements from customers, claimants, injured workers, witnesses, and working with experts, or other parties, as necessary to verify the facts of the claim. Establishes and maintains working relationships with appropriate internal and external work partners, suppliers and experts by identifying and collaborating with resources that are needed to effectively resolve claims. Authorizes and ensures claim disbursements within authority limit by determining liability and compensability of the claim, negotiating settlements and escalating to manager as appropriate. Contributes to expense management by timely and accurately resolving claims, selecting and actively overseeing appropriate resources, and delivering high quality service. Identifies and addresses subrogation/salvage opportunities or potential fraud occurrences by evaluating the facts of the claim and making referrals to appropriate Recovery or SIU resources for further investigation. Achieves quality standards on every file by following all company guidelines, achieving quality and cycle time targets, ensuring proper documentation and issuing appropriate claim disbursements. Maintains compliance with state/local regulatory requirements by following company guidelines, and staying current on commercial insurance laws, regulations or trends for line of business. May serve as a mentor/coach to less experienced claim professionals May perform additional duties as assigned. Reporting Relationship Typically Manager or above Skills, Knowledge & Abilities Solid working knowledge of the commercial insurance industry, products, policy language, coverage, and claim practices. Solid verbal and written communication skills with the ability to develop positive working relationships, summarize and present information to customers, claimants and senior management as needed. Demonstrated ability to develop collaborative business relationships with internal and external work partners. Ability to exercise independent judgement, solve moderately complex problems and make sound business decisions. Demonstrated investigative experience with an analytical mindset and critical thinking skills. Strong work ethic, with demonstrated time management and organizational skills. Demonstrated ability to manage multiple priorities in a fast-paced, collaborative environment at high levels of productivity. Developing ability to negotiate low to moderately complex settlements. Adaptable to a changing environment. Knowledge of Microsoft Office Suite and ability to learn business-related software. Demonstrated ability to value diverse opinions and ideas Education & Experience: Bachelor's Degree or equivalent experience. Typically a minimum four years of relevant experience, preferably in claim handling. Candidates who have successfully completed the CNA Claim Training Program may be considered after 2 years of claim handling experience. Must have or be able to obtain and maintain an Insurance Adjuster License within 90 days of hire, where applicable. Professional designations are a plus (e.g. CPCU) #LI-AR1 #Li-Hybrid In certain jurisdictions, CNA is legally required to include a reasonable estimate of the compensation for this role. In District of Columbia, California, Colorado, Connecticut, Illinois , Maryland, Massachusetts , New York and Washington, the national base pay range for this job level is $54,000 to $103,000 annually. Salary determinations are based on various factors, including but not limited to, relevant work experience, skills, certifications and location. CNA offers a comprehensive and competitive benefits package to help our employees - and their family members - achieve their physical, financial, emotional and social wellbeing goals. For a detailed look at CNA's benefits, please visit cnabenefits.com. CNA is committed to providing reasonable accommodations to qualified individuals with disabilities in the recruitment process. To request an accommodation, please contact ***************************.

Working Title: NURSING PROGRAM SPECIALIST - RM - 50950039 Pay Plan: Career Service 50950039 Salary: $74,298.38 Total Compensation Estimator Tool Requisition # 861211 NURSING PROGRAM SPECIALIST - RISK MANAGER FLORIDA DEPARTMENT OF VETERANS AFFAIRS Clyde E. Lassen State Veterans Nursing Home Saint Augustine, St. Johns County, Florida Annual Salary: $74,298.38 Paid Bi-Weekly The Florida Department of Veterans Affairs is an agency dedicated to serving those who served the U.S. We are seeking a motivated, dynamic individual to join our Team. Our skilled nursing facility boasts a loyal team of long-term employees and a fantastic work culture. Excellent retirement package and optional deferred compensation plan. Health, vision, dental, disability, and other supplemental insurance are available at reasonable premium rates. Paid vacation and sick leave. Nine (9) paid holidays and personal days. Tuition waiver available for State Universities and Community Colleges (up to 6 credits per semester). The FDVA Nursing State Veterans' Nursing Homes and Domiciliary are designated employment sites for the Nursing Student Loan Forgiveness Program. * From funds available, the program may make nursing education loan repayments of up to $4,000.00 per year, per nurse enrolled in the program, for a maximum of four years. * Payment is made at the end of each 12-month enrollment period and made directly to the participant's lender. * Enrollment and payment of awards is based on available funds. Employment history and education must be verifiable. Please attach any credentials you claim (degrees, certifications, etc.) to your application. MINIMUM QUALIFICATIONS: * Valid licensure as a Registered Nurse in the state of Florida. * At least one (1) years of experience as a Risk Manager, Director of Nursing (DON), Assistant DON, or Unit Manager in a skilled nursing facility. * Successful completion of the due diligence process to include, but not limited to, a Level II background check and drug test. PREFERRED QUALIFICATIONS: Applicants with the following, will be shown preference: * Florida licensure or certification as a Risk Manager (must obtain within first year of employment). * Knowledge of Florida's Workers' Compensation system, law, and procedures. * Knowledgeable in use of Microsoft Office Suite, including Outlook. POSITION DESCRIPTION: * The incumbent reports directly to the Nursing Home Administrator. The incumbent develops and implements the facility's risk management program that fulfills the mission and goals of the agency while complying with state and federal laws related to safety and risk management. * Collects, investigates, and analyzes root causes, patterns or trends that could result in compensatory or sentinel events. * Implement corrective action where appropriate and maintain data concerning patient injuries, resident grievances, claims, workers' compensation, and other risk-related data. * Completes and promptly reports incidents as appropriate to pertinent regulatory bodies per protocol. * Facilitates and implements systems, policies and procedures for the identification, collection, and analysis of risk related information. * Performs risk assessments of all departments within the facility, analyzes and trends risk data. * Identifies facility's risk potential, identifies, and develops alternatives and Risk Management Plan of Action. * Acts as consultant to department heads and section supervisors regarding risk issues. * Assists in completion of incidents or event reports. * Performs investigations and event reporting process. * Educates and trains the leadership, staff, and business associates as to the risk management program, and their respective responsibilities in carrying out the risk management program. * Leads, facilitates, and advises departments in designing risk management programs within their own departments. * Collects, evaluates, reports, and maintains data concerning patient injuries, resident grievances, claims, workers' compensation, and other risk-related data. * Helps to identify and implement corrective action where appropriate. * Actively participates in or facilitates committees related to risk management, safety and quality improvement and quality assurance meetings monthly. * Performs other duties as assigned. This position is in the Career Service system. The State of Florida is an Equal Opportunity Employer/Affirmative Action Employer, and does not tolerate discrimination or violence in the workplace. Candidates requiring a reasonable accommodation, as defined by the Americans with Disabilities Act, must notify the agency hiring authority and/or People First Service Center (***************. Notification to the hiring authority must be made in advance to allow sufficient time to provide the accommodation. The State of Florida supports a Drug-Free workplace. All employees are subject to reasonable suspicion drug testing in accordance with Section 112.0455, F.S., Drug-Free Workplace Act. VETERANS' PREFERENCE. Pursuant to Chapter 295, Florida Statutes, candidates eligible for Veterans' Preference will receive preference in employment for Career Service vacancies and are encouraged to apply. Certain service members may be eligible to receive waivers for postsecondary educational requirements. Candidates claiming Veterans' Preference must attach supporting documentation with each submission that includes character of service (for example, DD Form 214 Member Copy #4) along with any other documentation as required by Rule 55A-7, Florida Administrative Code. Veterans' Preference documentation requirements are available by clicking here. All documentation is due by the close of the vacancy announcement. Location:

Worldwide TechServices is a global leader in delivering technology services and solutions to the world's most demanding clients. Headquartered in Billerica, MA; we provide infrastructure services and professional services to the world's leading technology providers, outsourcers, large and small businesses and consumers. The Dynamic PC Support is a position that performs tasks related to the repair of a variety of client products. Performs basic and moderately complex troubleshooting activities for desktops and laptops. May support Desk Side applications and infrastructure. Interacts directly with clients to address technical issues and respond to them timely and accurately. Responsibilities Provide customer support for designated equipment Answer client questions in a professional manner Accept and deliver all service calls assigned within the established service level agreement for each client Meet established customer service satisfaction criteria as outlined in established guidelines and policies Complete all administrative tasks associated with each call as documented in established policies and guidelines Complete real-time reporting of all calls as documented in established policies and guidelines Follow various established policies, guidelines, and documents relating to the successful delivery of service for each client Ensure control of assets and inventory through prompt turnaround of parts and equipment as required by client service agreements Report all activity in an accurate and timely manner Understand all Safety policies and guidelines and work within the guidelines of policies daily Additional requirements may exist if offer of employment is extended Other duties may be assigned to meet business needs Qualifications Education and Experience: Typically requires technical school certification or equivalent and 0-2 years of relevant experience Previous customer service experience is a plus Certifications and/or Qualifications: Maintain all required OEM Certifications as directed by Management Knowledge of relevant software and hardware Valid Driver's License and reliable transportation with valid registration and adequate insurance Skills: Ability to communicate regarding technical issues with clients Ability to drive to client locations Ability to drive long distances, and occasional overnight assignments within other geographies Ability to lift and or move various computer equipment up to 50 lbs Must own a basic repair tool kit

Job DescriptionBenefits: 401(k) matching Bonus based on performance Competitive salary Dental insurance Health insurance Opportunity for advancement Paid time off Training & development Vision insurance CLIENT INTAKE SPECIALIST TK LAW (ALTAMONTE SPRINGS, FL) A people-first role for a detail-oriented, relationship-driven individual ABOUT TK LAW At TK Law, we dont just solve legal problems we help families through some of the most important and often most difficult moments of their lives. We believe in creating lifelong client relationships, delivering straightforward advice, and approaching every case with empathy, professionalism, and teamwork. We are a highly organized, system-driven, growth-oriented law firm located in Altamonte Springs, Seminole County, FL. Our team is known for being supportive, collaborative, and young in spirit, with many team members having been with us for years. We believe in promoting from within, rewarding excellence, and building careers, not just filling roles. If you want to be part of a team that values integrity, communication, curiosity, ownership, and trust, youll fit right in. THE OPPORTUNITY: CLIENT INTAKE SPECIALIST We are hiring a full-time Client Intake Specialist to become the warm, passionate, and highly dependable first point of contact for potential clients. This position is ideal for someone who is: Personable and empathetic A strong communicator Comfortable with technology Highly organized Motivated by helping people Able to thrive in a fast-paced, professional environment Business Professional Dress is required. KEY RESPONSIBILITIES Serve as the first voice of TK Law by answering and screening calls Build rapport with prospective clients who may be experiencing stress or crisis Qualify and onboard new leads Schedule consultations and manage attorney calendars Track leads, follow up, and collect intake documentation Manage data entry, spreadsheets, and CRM records Collaborate with marketing and support firm growth Assist attorneys and staff with administrative tasks as needed IDEAL CANDIDATE PROFILE Emotionally intelligent and able to connect with clients Detail-oriented and comfortable managing multiple priorities Clear, confident verbal and written communicator Able to maintain professionalism and confidentiality Team-oriented with initiative and reliability MINIMUM REQUIREMENTS Experience in a client-facing or administrative role (legal experience is a plus) Strong interpersonal skills and professional phone presence Ability to handle sensitive situations with discretion Tech savvy with proficient computer skills, including Microsoft Word, Excel, Outlook, and Google Suites High level of attention to detail COMPENSATION & BENEFITS Competitive pay commensurate with experience ranging from $18 - $23 per hour (negotiable) Health insurance Dental insurance 401(k) with employer match Paid time off Bonus potential *Waiting period may apply; benefits subject to change.* HOW TO APPLY Call ************ and ask to speak with Adrienne in reference to this job posting, or email *************************** with your resume if you are interested in joining our team.

FIELD SUPPORT TECHNICIANS No cubicles here - if you like to work outside independently with your hands, Banko Overhead Doors has a career waiting for you. Work independently in the field where you are needed and on projects needed by the installation team. Whether it is garage door opener installation, site readiness, warranty resolution and/or product delivery, your ability to pivot and help as needed through the organization will be key. If you are mechanically and technically inclined, this is a perfect job for you. We provide tools, vehicle and have an excellent benefits program. EXPERIENCE AND EDUCATION: Relevant proven prior experience in a related field of garage door and opener service, construction, framing, HVAC, or related field preferred Must have ability to pivot at a moments notice to assist where needed. High School Education Associate or bachelors degree would be a plus COMPETENCIES AND SKILL SET: Ability to troubleshoot and think independently Ability to move or lift 90 plus pounds Ability to read and understand directions and instructions Mechanically inclined Comfortable with face-to-face customer interaction Strong communication skills Ability to communicate with homeowners, builders, and other trades professionally Flexible Style (do whatever it takes approach). Aptitude for problem solving; ability to determine solutions for customers. RESPONSIBILITIES: Work with installers on projects. Site readiness Quality Control reviews Product delivery Warranty work Responsible for safe driving of company vehicles. Responsible for safe work site, equipment, and truck. Assists in customer service issues in the garage door department. Reviews work orders for accuracy and completeness before departing to job site. Installs garage door openers and associated components. Other duties as assigned. OTHER: Valid drivers license with acceptable driving record for past 3-years. Ability to work a full-time schedule. Clean criminal background. It is the policy of Banko Overhead Doors to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Banko Overhead Doors will provide reasonable accommodation for qualified individuals with disabilities. {Show Up for Banko & Banko Will Show Up for You We strive to provide long-standing partnerships with our customers. To do that requires our team members to be present and on the ready according to their schedules. We require all team members to show up for work with minimal call-outs based on our attendance policy. } Compensation details: 15-19 Hourly Wage PIa11efecb57e5-31181-38928980

My name is Pondsy Anthony , and I am Recruiting Specialist with Mindlance Inc . I have reviewed your resume and at a first glance find it to be a good fit for a Position that we are exclusively recruiting for. We are working very closely with our Client based in FL to fill this requirement urgently. This is a 4+ months of contract position with a possible extension depending on performance. You can get back to me at ************ to discuss in detail. Job Description Job Title: Claim Specialist Client Location : 255 Technology Park, Lake Mary, FL 32746 Contract Duration : 4+ months (High possibility of Extension) ***Info about Schedules: - Candidates being selected need to be open for the contractor shift of either 9a-6p or 10a-7p or 11-8. - If contractors are hired on, they have to be available for shifts like 11a-8p and 12p-9p. Please let candidates know this! Looking for :- Candidates must have reimbursement experience that is within the past 6 months Prior authorization - submission, review, support, completion, verification Appeal - submission, review, support, completion, verification, coordination Reimbursement - investigation, verification JOB SUMMARY: The primary function/purpose of this job:- Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside of Express Scripts. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team. SCOPE OF JOB Reimbursement verification of enrollments MINIMUM QUALIFICATIONS TO ENTER THE JOB: Formal Education and/or Training: High school diploma or equivalent required, some college or technical training preferred YEARS OF EXPERIENCE: Two years' experience in P.B.M. environment is helpful but not required. KNOWLEDGE AND ABILITIES: • Strong data entry and 10-key skills • Retail pharmacy, customer service experience helpful but not required • PC and MS Office literate • Strong attention to detail • Excellent retention and judgment ability • Proficient written and oral communication skills • Ability to work in fast-paced, production environment • Reliable, self-motivated with excellent attendance • Team player who has the ability to stay on task with little supervision Qualifications • Prior authorization - submission, review, support, completion, verification • Appeal - submission, review, support, completion, verification, coordination • Reimbursement - investigation, verification Additional Information All your information will be kept confidential according to EEO guidelines.

If you are Competitive, Influential, Organized with Outstanding Interpersonal Skills, we want you to join our team as an Area Sales & Design Specialist! We offer an unlimited commission program. WHAT YOU WILL DO AS AN AREA SALES & DESIGN SPECIALIST In this role, you will be responsible for driving sales growth and providing exceptional design consultation services to our clients. You will work on-site at assigned Home Depot stores, within a specific territory, managing relationships with Home Depot store leaders and associates, leveraging Home Depot employees and customer traffic to generate leads and sales. Weekend work required. WHAT'S IN IT FOR YOU? Eligible for a Sales Performance Incentive Bonus Eligible to receive Earned Commissions. A weekly minimum guaranteed subsidy payment (if earned commissions are less than the minimum guarantee.) Total annual compensation average is $74,000 (based on 2024 Tuff Shed data) and could reach in excess of $100,000. Hands-on training program by Local and Regional leaders. Great benefits package and mileage reimbursement. WE ARE COUNTING ON OUR AREA SALES & DESIGN SPECIALISTS FOR: Working on-site, at assigned Home Depot stores including weekends, holidays, and some evenings. Manage a sales pipeline. Regularly plan, coordinate, execute lead generating events and leverage event sales. Self-direction and the ability to work independently and build relationships. Enjoy training others and communicating product knowledge. Proven computer skills and the aptitude to learn new software. Partner with Home Depot leaders providing updates on sales performance, merchandising and displays. Ensure our Tuff Shed displays are presentable, clean, and maintained; signage is updated. JOB REQUIREMENTS Availability to work standard retail hours, including weekends, holidays and some evenings. Proven relationship building skills Current valid driver's license and a satisfactory Motor Vehicle Report Tuff Shed offers a great Benefits package for our full-time employees! - It pays to be a Tuff Shed team member: OUR COMPETITIVE BENEFITS AND REWARDS Competitive compensation and bonus programs (based on position) Medical Benefits including Virtual Visits- The care you need-when, where and how you need it! Dental & Vision Benefits Flexible Savings Account (FSA) Employee Stock Ownership Plan (ESOP) - You're more than an employee - Get rewarded for long and loyal service with ownership interest in the Company Paid Time Off and Paid Holidays. 401(k) plan On-Demand Access to Your Pay! - Why wait until pay day? Learn more about us at ***************** As part of the application process, please take a short survey, called Predictive Index. Click on the following link to complete this five-seven minute survey: ************************************************************************************************ SLS2021

Full-time Description Please Note: This is an in-person role based at our Altamonte Springs, FL office and handles moderate-to-complex bodily injury and property damage claims. Prior experience with BI/PD investigations, detailed analysis, evaluations, and settlements is required. Why Everstory At Everstory Partners, our mission is to create supportive spaces where individuals and families can find solace, meaning, and hope in the midst of loss. At the heart of our mission is a deep understanding of the profound and complex nature of grief. Every person's journey through loss is unique, and we are committed to providing compassionate and personalized support. We also believe that grief is not a problem to be solved or a burden to manage alone, but rather a natural and beautiful part of the human experience. Backed by our national strength and our local partners' role is to be a steady presence, a source of comfort and guidance, and a partner in celebrating the life and legacy of the person who has passed. The Impact You Will Make The Claims Specialist at Everstory will handle insurance claims for the Company, including general liability, auto and property damage claims, and assist with worker's compensation claims. The role reports to the Senior Litigation Counsel and works closely with the Legal Operations Manager. Essential Duties and Responsibilities: Investigate reported incidents to determine exposure and provide recommended action plans to manage incident or report the claim to Company's insurance carrier. Responsible for communicating with brokers and adjusters, facilitating contact with employees involved in a claim, gathering, and securing all needed information to effectively evaluate, investigate and resolve a claim. Making recommendations to members of the Everstory legal department with respect to reserves and excess authority. Responsible for evaluating claims, reviewing reserves, identifying and acting upon claims resolution opportunities within an assigned level of authority. Ensuring claims are properly documented and audited regularly. Work closely with internal counsel on General Liability claims by serving as the primary liaison between Everstory and the insurance carrier. The Claims Specialist will report incidents to the insurance carrier as directed by internal counsel and serve as the day-to-day point of contact with adjusters. Independently investigate and document claims by gathering statements, photos, and other evidence; coordinate with site operations to obtain necessary documentation; and provide detailed updates to internal counsel and Risk Management. Prepare and deliver written status reports on open General Liability claims; meet one-on-one with internal counsel to review strategy and progress; and participate in quarterly claim reviews with the insurance carrier and regular meetings with the broker. Analyze data from current incidents and claim trends to identify patterns, recommend corrective actions, and develop strategies to reduce losses and mitigate future risk exposure. Monitoring and reporting on trends in claims. The ideal candidate must have the ability and confidence to present on data, trends and recommendations to Everstory leadership team. Reviewing and evaluating claims-related expenses for reasonableness and necessity, and tracking/organizing broker and carrier invoices. Assisting with new vendor approvals by reviewing Certificates of Insurance (COI) for compliance with Everstory's coverage requirements. Providing administrative support to Legal Operations Manager on Workers' Compensation claims. Annually, working with departments to gather and secure all needed information to renew Everstory's insurance program, serving as the primary point of contact for Everstory's insurance broker. Adhering to Everstory's incident and claims reporting processes and procedures. Providing feedback and support to other departments. Requirements Bachelor's degree in a related field, such as business, finance, law, or health. 5 to 10 years of multi-line/multi-state insurance claims adjusting experience. 5+ years of experience in claims management, either with a corporate risk management department or with an insurance company. Must possess a valid Driver's License. Knowledge of property damage issues. Knowledge of relevant laws, regulations, and standards. Excellent research and communication skills. Able to handle complex claims. All-Lines License, preferred, but not required. Experience with multi-state, worker's compensation issues, including monopolistic states, preferred, but not required. Core Competencies: Compassion - Genuinely cares about people; is concerned about their work and non-work problems; is available and ready to help; is sympathetic to the plight of others not as fortunate; demonstrates real empathy with the joys and pains of others. Customer Focus - Is dedicated to meeting the expectations and requirements of internal and external customers; gets first-hand customer information and uses it for improvements in products and services; acts with customers in mind; establishes and maintains effective relationships with customers and gains their trust and respect. Ethics and Values - Adheres to appropriate (for the setting) and effective set of core values and beliefs during both good and bad times; acts in line with those values; rewards the right values and disapproves of others; practices what he/she preaches. Role Competencies: Organizing - Can marshal resources (people, funding, material, support) to get things done. Can orchestrate multiple activities at once to accomplish a goal. Uses resources effectively and efficiently. Arranges information and files in a useful manner. Functional/Technical Skills - has the functional and technical knowledge and skills to do the job at a high level of accomplishment. Problem Solving: uses rigorous logic and methods to solve difficult problems with effective solutions. Probes all fruitful sources for answer. Can see hidden problems. Excellent at honest analysis. Looks beyond the obvious and doesn't stop at the first answers. Presentation Skills - effective in a variety of formal presentation settings, one-on-one, small and large groups, with peers, direct reports, and bosses. Is effective both inside and outside the organization, on both data based and controversial topics. Commands attention and can manage group process during the presentation. Can change tactics midstream when something isn't working. Work Environment: On-Site M-F at our Altamonte Springs, FL Support Center. Our Investment in You Everstory Partners is proud to provide our employees with a quality work environment and opportunity for both personal and professional growth. As part of our ongoing commitment, we offer a competitive benefits package for our Full-Time Employees including: Medical, Dental, Vision, Life, AD&D and STD Insurance Tuition Reimbursement Career Advancement and Training Funeral and Cemetery Benefits Employee Referral Bonus 401k with Company Match Everstory Partners is an Equal Opportunity Employer and is committed to employing a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, national origin, age, sex, religion, disability, sexual orientation, marital status, military or veteran status, gender identity or expression, or any other basis protected by local, state, or federal law. The pay range for this role is based on a wide range of factors that are considered in making compensation decisions regardless of race, gender, age, religion, or any other protected characteristic. They include skill set, experience and training, licensure and certification, and other business and organizational needs. This range estimate has been adjusted for the applicable geographic differential associated with the location at which the position may be filled. Compensation decisions are dependent on the circumstances of each hire. Salary Description $80,000 - $85,000 per year

Description Advance your career at Liberty Mutual - A Fortune 100 Company! Manages, investigates and resolves claims assigned and assists in providing service to policyholders. Responsibilities: Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability, damages, and settles claims within prescribed authority levels. Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party subrogation. Communicates with policyholders, witnesses, and claimants in order to gather information regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course of action. Responds to various written and telephone inquiries including status reports. Ensures adequacy of reserves. Accountable for security of financial processing of claims, as well as security information contained in claims files. Makes effective use of loss management techniques. Negotiates settlements with attorneys, claimants, and/or co-defendants. Arranges for expert inspections involving third party or potential fraud actions as needed. Updates files and provides comprehensive reports as required Qualifications Qualifications: Strong written and oral communications skills required. Good interpersonal, analytical, investigative, and negotiation skills required. Customer service experience preferred. Basic knowledge of legal liability, general insurance policy coverage and State Tort Law. Bachelor's degree is required. Ability to obtain proper licensing as required. We can recommend jobs specifically for you! Click here to get started.

Benefits: 401(k) matching Competitive salary Paid time off Training & development Job Title: Experienced Vehicle Wrap Specialist We are seeking an experienced Vehicle Wrap Specialist to join our team. The ideal candidate will have a strong background in vehicle wrap installation and possess exceptional attention to detail. As a Vehicle Wrap Specialist, you will be responsible for executing high-quality vehicle wrap installations, ensuring customer satisfaction, and contributing to the overall success of our business. Responsibilities: Perform vehicle wrap installations on a variety of vehicles, including cars, trucks, vans, and commercial vehicles. Prepare vehicles for installation by cleaning, prepping, and priming surfaces to ensure proper adhesion. Collaborate with clients and design teams to ensure accurate interpretation and execution of wrap designs. Utilize industry-standard tools and techniques to ensure precise and flawless wrap installations. Maintain a clean and organized work environment, including the proper handling and storage of materials and equipment. Conduct quality control inspections to ensure the highest standards of workmanship and customer satisfaction. Keep up-to-date with industry trends, techniques, and materials to continuously improve skills and stay ahead of the competition. Assist in the removal and reinstallation of wraps as needed. Communicate effectively with team members, clients, and management to ensure smooth project coordination and timely completion. Requirements: Proven experience as a Vehicle Wrap Specialist, with a portfolio showcasing successful wrap installations. Strong knowledge of vehicle wrap materials, tools, and techniques. Proficient in using industry-standard tools, such as heat guns, squeegees, and cutting tools. Excellent attention to detail and ability to work with precision. Ability to interpret and execute wrap designs accurately. Strong problem-solving skills and ability to troubleshoot installation challenges. Ability to work independently and as part of a team, managing multiple projects simultaneously. Excellent communication and interpersonal skills. Physical stamina and ability to work in various weather conditions and positions (standing, bending, reaching, etc.). Valid driver's license and clean driving record. Preferred Qualifications: Certification or training in vehicle wrap installation. Experience working with large-format printers and design software. Knowledge of vinyl graphics and signage production. We offer competitive compensation and benefits packages, a supportive work environment, and opportunities for professional growth and development. If you are a skilled Vehicle Wrap Specialist looking to join a dynamic team, we would love to hear from you. Please submit your resume, portfolio, and any relevant certifications for consideration. Additional Details: Great pay and benefits! Full time (40 hours per week). Pay based on experience. Health Insurance with company contribution. 401K participation with company contribution. Paid Time off. Holiday Pay. Hours are Monday through Friday from 8 a.m. - 4:30 p.m. Overtime is available. Any potential employee will be required to pass a drug test and background check prior to onboarding. Job Type: Full-time Compensation: $20.00 - $30.00 per hour We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. At FASTSIGNS, every day is unique and presents exciting opportunities, including new ways to use your talent and grow your skills. We have a large network of independently owned locations - both locally and internationally - who offer competitive pay and ongoing training opportunities. Are you ready to plan for your future? Discover your next career. Make your statement. Learn more by exploring the positions offered by FASTSIGNS centers. This franchise is independently owned and operated by a franchisee. Your application will go directly to the franchisee, and all hiring decisions will be made by the management of this franchisee. All inquiries about employment at this franchisee should be made directly to the franchise location, and not to FASTSIGNS Corporate.

ADP is hiring a Client Service - Product Support Specialist -- Tax. Are you ready to join a company offering career advancement opportunities throughout your career journey? Do you want to join a company with award-winning training and world-class service guidelines to help you achieve success, growth, and continued learning? Are you seeking an inclusive environment with a culture of collaboration and belonging? If so, this may be just the opportunity you've been searching for! In this role, you will provide consistent, high-quality tax service to ADP clients. In addition to tax deposits and filing, you will serve as ADP's front-line for solving clients' challenges, including issue resolution, answering questions, helping clients, and more. Depending on your specific team or role, you will be providing support using phone, email, or chat-based communication. To thrive in this role, you must be comfortable working in a metrics-driven environment as part of a structured day. Adaptability, empathy, self-motivation, and organization are must-haves in this job. You will need to balance your workload, handle back-to-back inquiries, and focus on what is important. In return, you can expect job satisfaction by being the one person who saves the day for our clients. Ready to #MakeYourMark? Apply now! To learn more about Client Service at ADP, visit https://jobs.adp.com/teams-roles/client-service/ What you'll do: Be the Tax Expert. You will assist clients with tax deposits and filing. You may also manage inquiries from state and federal agencies. Be a Trusted Advisor and Problem Solver. You will use a breadth of expertise to help ADP's clients solve problems by taking a broad perspective to resolve issues and provide solutions. Build Relationships. You will build relationships with clients using the phone, email, and/or chat, where you will strive to exceed client expectations in every interaction. You hold yourself to the highest ethical standards and live ADP's core value of Integrity is Everything. You will leverage your ADP product - services knowledge to provide solutions to issues and questions and help build client understanding around our products' value. You will turn client input into recommendations for ADP leadership on best practices and solutions training. Demonstrate Client Focus. You place a strong focus on client satisfaction. You will assist clients to troubleshoot and resolve payroll and tax issues in a timely and professional manner. TO SUCCEED IN THIS ROLE: You have at least two years of client service and/or call center experience OR a minimum of four years of Insurance/Financial Institution experience. Over the phone and in writing, your communication style is clear and easy for our clients to understand and act on. You will need to communicate clearly and quickly to summarize a problem and explain a solution. You must be proficient in using Microsoft Office tools, including Outlook, Word, and Excel, as well as have excellent analytical and time management skills. A college degree is great but not required. What's more important is having the skills to do the job. If you don't have a college degree, other acceptable experience could include: Experience noted above OR Military Experience. We recognize and appreciate the unique talents and experiences Veterans bring to the table. We value the discipline, commitment, and problem-solving abilities you have developed and are excited to provide an environment where you can continue to make a meaningful impact. BONUS POINTS FOR THESE: At least three years of Payroll Tax experience is preferred.

At Kelly Services, we work with the best. Our clients include 99 of the Fortune 100TM companies, and more than 70,000 hiring managers rely on Kelly annually to access the best talent to drive their business forward. If you only make one career connection today, connect with Kelly. Job Description Kelly Services is currently seeking several Claims Specialist for our client's Lake Mary, FL location. In addition to working with the world's most recognized and trusted name in staffing, Kelly employees can expect: Competitive pay Paid holidays Year-end bonus program Recognition and incentive programs Access to continuing education via the Kelly Learning Center Pay $15 - $16 per hour Schedule: Monday through Friday - 9:00am - 6:00pm Duration: 4 months possible extension (Possible temp - perm) Anticipated start date: 10/31/2016 to 03/31/2017 SUMMARY Responsible for various reimbursement functions, including but not limited to accurate and timely claim submission, claim status, collection activity, appeals, payment posting, and/or refunds, until accounts receivable issues are properly resolved. MAJOR JOB DUTIES AND RESPONSIBILITIES Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team. EDUCATION/EXPERIENCE High School Diploma or GED Required 1-3 years of Call Center and Reimbursement experience required Knowledge of completed benefits verifications, submitted test claims, completed or reviewed prior authorizations required Strong data entry and 10-key skills Proficient in MS Word and Excel Additional Information Why Kelly? As a Kelly Services candidate you will have access to numerous perks, including: Exposure to a variety of career opportunities as a result of our expansive network of client companies Career guides, information and tools to help you successfully position yourself throughout every stage of your career Access to more than 3,000 online training courses through our Kelly Learning Center Group-rate insurance options available immediately upon hire* Weekly pay and service bonus plans

As a Samsung Home Theater Expert, you'll work in one of our retail stores to demonstrate and sell home theater products with emphasis on the Samsung brand. First, we'll give you all the training you need to be an expert. Once you're trained, you'll explain complex technology in simple terms to help customers understand and see each product's unique value. You'll also work closely with other sales associates as you share your knowledge about Samsung products to ensure the team is ready to assist customers with the brand. What you'll do * Maintain a high level of product knowledge about new Samsung technology * Debrief with vendor partners and market teams about performance, promotions and sales best practices. * Ensure the department remains organized and ready to serve customers * Support sales strategies to achieve operating results, growth objectives and overall financial performance goals. Basic qualifications * Must be at least 18 years old * 1 year of experience in sales, customer service or related fields * Ability to work successfully as part of a team * Ability to work a flexible schedule inclusive of holidays, nights and weekends Preferred qualifications * Prior experience serving as a specialist in premium, luxury, or complex technology solutions * 1 year of experience working with consumer electronics What's in it for you We're committed to helping our people thrive at work and at home. We offer generous benefits that address your total well-being and provide support as you need it, especially key moments in your life. Our benefits include: * Competitive pay * Generous employee discount * Financial savings and retirement resources * Support for your physical and mental well-being About us As part of the Best Buy team, you'll help us fulfill our purpose to enrich lives through technology. We bring that to life every day by humanizing and personalizing tech solutions for every stage of life - in our stores, online and in customers' homes. Our culture is built on deeply supporting and valuing our amazing employees who make it all possible. We're committed to being a great place to work, where you can unlock unique career possibilities. Above all, we aim to provide a place where you can bring your full, authentic self to work now and into the future. Tomorrow works here. Best Buy is an equal opportunity employer. Application deadline: Minimum of 5 days from the posting date. You can find that date above the job title at the top of the page.Auto Req. ID1011741BR Location Number 000509 Altamonte Springs FL Store Address 597 W State Road 436$15 - $17.88 /hr Pay Range $15 - $17.88 /hr

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards Qualifications QUALIFICATIONS: 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 will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. 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 will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. 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 will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional Information All your information will be kept confidential according to EEO guidelines.

Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Pay $16.00/hr. Contract 5 Month Timings Mon - Fri between 9.00AM - 6.00PM The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team. ESSENTIAL FUNCTIONS: The 6-10 major responsibility areas of the job. Weight: (%) (Total = 100%) 1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 % 2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 % 3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 % 4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 % 5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 % 6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 % 7. Variety of other miscellaneous duties as assigned 5 % SCOPE OF JOB Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc. Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph). Qualifications Formal Education and/or Training: High school diploma or equivalent required, some college or technical training preferred Years of Experience: Two years' experience in P.B.M. environment is helpful but not required. Computer or Other Skills: Strong data entry, 10-key skills, general PC skills and MS Office experience Knowledge and Abilities: • Strong data entry and 10-key skills • Retail pharmacy, customer service experience helpful but not required • PC and MS Office literate • Strong attention to detail • Excellent retention and judgment ability • Proficient written and oral communication skills • Ability to work in fast-paced, production environment • Reliable, self-motivated with excellent attendance • Team player who has the ability to stay on task with little supervision Additional Information Thanks & Regards, Ranadheer Murari | Recruitment Executive | Mindlance, Inc. | W : ************ ***************************

At Axium Healthcare Pharmacy, Inc., we believe in a better quality of life for patients and their healthcare partners when treating and managing the most complex conditions. We believe in relationships that make life easier, and where a helping hand and better clinical, economical, and overall health outcomes are always within reach, 24 x 7 x 365. Our mission is simple. We aim to partner with and guide our patients to their best possible outcomes. Our longstanding vision is to help our patients and healthcare providers reach and create a better path to treating and managing complex conditions, making their lives easier and giving them hope for a healthier future. Specialty pharmacy is not a new concept. In fact, Axium did not invent specialty pharmacy. But, we did invent a better way to do it. We do it through a combination of clinical expertise, nationwide reach and the delivery of committed, caring, unmatched service and support for everyone, every time with no excuses. And, we've been doing it for years. We invite you to ask us what we can do for you. Our answer to you will almost always be: “Yes, we do.” Established in 2000 and based in Lake Mary, Florida, Axium is a nationwide clinical specialty pharmacy that makes life easier for those managing chronic disease and complex therapies by offering a helping hand and a better path to therapy management. We are licensed and permitted to operate in all 50 states and Puerto Rico, and specialize in providing patients, physicians, nurses, health plans, and other health care providers and partners with injectable and oral brand-name products. Our focus is to “Improve outcomes one relationship at a time,” and we achieve this through an experienced patient care team of doctors of pharmacy, registered nurses, reimbursement specialists, and dedicated patient care coordinators; all of whom deliver the highest level of comprehensive care and clinical support with every prescription. Job Description The Reimbursement Collection Specialist I is responsible for collecting outstanding receivables from insurance companies, patients and physicians. ESSENTIAL DUTIES AND RESPONSIBILITIES: Include the following. Other duties may be assigned. Ensures timely follow-up on all assigned claims to secure timely payment Works with payers to determine reasons for denials, corrects and reprocesses claims for payment in a timely manner Reduces claims in the over 90-day categories Collects “Patient Responsibility” from the patient Accurately documents all transactions with carriers and patients regarding the financial status of claims and documents progressive collection efforts into the appropriate collection notes in all required computer systems Completes timely follow-up as required by department guidelines Demonstrates successful collection meetings by adhering to all collection guidelines and rules Mails, faxes or emails all appropriate collections correspondence Receives incoming calls related to the Billing/Collections Department Identifies uncollectible accounts and acquires approval for Bad-Debt Write/off Maintains relationships with insurance companies Generates and prepares patients statements and review them for accuracy prior to mailing Utilizes the Internet for Insurance claims status Assists with external audits Be willing to cross-train and fill-in in other areas within the department Works in an efficient and cohesive group environment Supports group and management efforts Completes daily, weekly and monthly tasks as required by department standards Qualifications QUALIFICATIONS: 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 will be made to enable individuals with disabilities to perform the essential functions. EDUCATION and/or EXPERIENCE: High School Diploma or equivalent Associates Degree from college preferred or Certificate from a technical school for billing. Two years related experience in a healthcare environment and/or training; or equivalent combination of education and experience. LANGUAGE SKILLS: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to our patients, intermediary, carriers and internal customers. MATHEMATICAL SKILLS: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rates, ratios, and percentages. REASONING ABILITY: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to assess and resolve problems involving a few concrete variables in standardized situations. COMPUTER and INTERNET SKILLS: Working knowledge of Outlook and Microsoft Word. The ability to create and populate simple Excel spreadsheets. Ability to navigate the web for the purpose of collections. 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 will be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and talk and hear. The employee is occasionally required to stand; walk; use hands to finger; handle or feel; and reach with hands and arms. Specific vision abilities required by this job include close vision, ability to adjust focus. The ability to perform heavy data entry or other computer function which requires extensive keyboard use. The ability to lift and move for short distances boxes or files with a weight not to exceed 25 pounds. 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 will be made to enable individuals with disabilities to perform the essential functions. Must be able to work in an environment of open-space cubicles where the noise level is usually quiet. OTHER SKILLS THAT APPLY: Diplomacy Professionalism Filing Organizing Planning Multi-tasking Additional Information All your information will be kept confidential according to EEO guidelines.