Verification specialist jobs near me

State of Location: At Ivy Rehab, we're "All About the People"! As a Workers Compensation (WC) Authorization and Verification Specialist, you will play a crucial role in our mission to help enable people to live their lives to the fullest. Join Ivy Rehab's dedicated team where you're not just an employee, but a valued teammate! Together, we provide world-class care in physical therapy, occupational therapy, speech therapy, and applied behavior analysis (ABA) services. Our culture promotes authenticity, inclusion, growth, community, and a passion for exceptional care for every patient. Job Description: The Workers Compensation (WC) Authorization and Verification Specialist will report to the WC Authorization and Verification Team Lead and will work in combination with front office teammates and any external authorization and verification vendors to ensure Ivy's authorization and verification processes and workflows are executed successfully, set goals and best practices are achieved, and the risk of lost revenue is minimized. In this role, you will be driving both internal and external customer satisfaction through a focus on faster and more efficient reimbursement. The ideal candidate will not only ensure a positive experience for patients, providers, and fellow teammates but will also be a key contributor in optimizing and standardizing authorization and verification workflows within Ivy. Please note: This position falls under the Workers' Compensation Department and is dedicated to supporting functions related to work-related injury claims, compliance, and case management. Your responsibilities will include: Submit authorization requests timely within EMR, following payer and state specific guidelines Specialize in Workers Compensation Financial Class and fluidity within different state and payer specifics Partner with Front Desk teammates and/or Workers Compensation Centralized Scheduling (WCCS) teammates within clinics to ensure appropriate and accurate documentation for authorization submission is completed and uploaded for submission Provide regular feedback to front desk and/or WCCS regarding areas of opportunity in authorization or verification timeline or process Address and respond to authorization or verification related queries from Ivy teammates and WC Payers Ensure all authorization and verification related denials are addressed timely and accurately, providing denial prevention feedback to WC Team Lead Accurately complete verifications for same day or walk-in patients by contacting the provided insurance via phone, fax, or online portal to obtain outpatient therapy benefits, eligibility, and authorization information Request, follow-up, and secure authorizations prior to and during treatment episode for Workers Compensation patients Assist with training and education for new A&V teammates as well as ongoing training and education for established team members Maintain a professional and collaborative relationship with all teammates and vendors to resolve issues, increase knowledge of insurance requirements, and create standardized workflows Run EMR or BI reports as needed to monitor maximum benefits, missing authorization, or other areas of focus as determined by the A&V Team Lead Attend and participate in Department and Organizational meetings to discuss departmental goals and progress Perform other duties as assigned by leadership staff To excel in this role, you should possess: 1 year+ of experience with Workers Compensation insurance in a healthcare environment required; experience with outpatient therapy preferred Demonstrates flexibility in responding to priorities and organizational change Demonstrates ability to work under pressure and follow through on assignments 2-3 years previous experience in pre-auth verification; experience with obtaining authorizations, referral coordination and patient services preferred Ability to multi-task, prioritize needs to meet required timelines. Customer service experience Effective written and verbal communication skills. Solution oriented mindset and ability to use critical thinking and analytical skills Ability to use standard office equipment to include copiers, fax machines, and other methods of electronic communications. Open availability Monday through Friday from 8am-5pm EST Ability to self-motivate and focus in a remote position Proficient in Microsoft applications Why choose Ivy? Best Employer: A prestigious honor to be recognized by Modern Healthcare, signifying excellence in our industry and providing an outstanding workplace culture. Exceeding Expectations: Deliver best-in-class care and witness exceptional patient outcomes. Incentives Galore: Eligibility for full benefits package beginning within your first month of employment. Generous PTO (Paid Time Off) plans and paid holidays. Empowering Values: Live by values that prioritize teamwork, growth, and serving others. Compensation ranges up to an hourly rate of $23.00 based on experience. #LI-remote #LI-ST1 We are an equal opportunity employer, committed to diversity and inclusion in all aspects of the recruiting and employment process. Actual salaries depend on a variety of factors, including experience, specialty, education, and organizational need. Any listed salary range or contractual rate does not include bonuses/incentive, differential pay, or other forms of compensation or benefits. ivyrehab.com

Job Description The Data Verification Specialist is responsible for all bill review clerical functions, including mail, prepping and scanning medical bills, data entry, data verification and assisting with various phone and email tasks to support the bill review department. This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Validate incoming data to the Bill Review system Identify and apply customer-specific rules and processes Requires continual and consistent communication with supervisor regarding status of Data Verification queues and workload Assist the bill review department with all clerical duties as assigned Additional duties as assigned KNOWLEDGE & SKILLS: Ability to work on several concurrent tasks and prioritize workload with minimal direction Ability to identify, analyze and solve problems Basic computer proficiency, including familiarity with Microsoft Office applications Strong interpersonal, time management, and organizational skills Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: High school diploma or equivalent Experience in a professional office environment preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $18.81 - $22.89 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Create Music Group is currently looking for self-described viral internet culture enthusiasts to join our Viral Department. Viral Content Claiming Specialist perform administrative tasks such as YouTube copyright claiming and asset onboarding, as well as scope out trending memes and social media videos on a daily basis. This position requires a regular workload of data entry/administration in order to carry out the most basic functions of our department but there are plenty of opportunities for more creative and ambitious pursuits if you are so inclined. This is a full time position which may be done remotely, however our office is located in Hollywood, California, and we are currently only looking for job candidates who are located in California. In the future, you may be encouraged to come into our office for meetings or company functions, so it is best if you are located in the Los Angeles/Southern California area. Through our Viral team, we collaborate with some of the most prominent viral talent from the TikTok and meme world including Supa Hot Fire (Deshawn Raw), Welven Da Great (Deez Nuts), Verbalase, KWEY B, Hoodnews, presidentofugly1, 10k Caash, dimetrees, Zackass, Supreme Patty, The Man with the Hardest Name in Africa, ViralSnare, Adin Ross, and more. YouTube monetization provides an alternative consulting and revenue-generating resource for our clients to grow their audience and earnings. We have helped our clients monetize and collected millions in previously unclaimed revenue for content creators, artists and labels. REQUIREMENTS: 1-3 years work experience Excellent communication skills, both written and verbal Internet culture and social media platforms, especially YouTube Conducting basic level research Organizing large amounts of data efficiently Proficiency with Mac OSX, Microsoft Office, and Google Apps PLUSES: Strong understanding of the online video market (YouTube, Instagram, TikTok) Bilingual - any language, although Spanish, Mandarin, and Russian is preferred RESPONSIBILITIES: We work directly with our clients and their team to help them break down the data and find potential opportunities to build their career. Daily responsibilities include but are not limited to the following. Watching YouTube videos for several hours daily Content claiming Uploading and defining intellectual assets Administrative metadata tasks Researching potential clients Staying on top of accounts for current client roster As this is a remote position, you are required to have your own computer and reliable internet connection. This position may require you to download a great deal of video files (files which may be deleted once onboarding tasks are completed) so please make sure that you have a computer that is up to the task. Laptops are preferable if you would like to come into our office to work (snacks, soft drinks, and Starbucks coffee are provided at our physical office). BENEFITS: Paid company holidays, paid time off, and health benefits (medical, dental, vision, and supplementary policies) are included. TO APPLY: Send us your resume and cover letter (in one file). After you apply, you will be redirected to take our Culture Index survey here. Otherwise, copy and paste the link to your web browser: ********************************************************* Info.php?cfilter=1&COMPANY_CODE=cYEX5Omste Applications without a cover letter and Culture Index survey will not be considered. OPTIONAL: Link relevant social media campaigns and/or writing samples from your portfolio.

DETAILS Complex Claims Specialist - Property & Casualty Department: Property and Casualty Claims Reports To: Claims Supervisor FLSA Status: Exempt Job Grade: 14 Career Ladder: Next step in progression could include Claims Supervisor ATHENS ADMINISTRATORS Since our founding in 1976, Athens Administrators has been a recognized leader in third-party claims administration services. However, more important than what we do is how we do it. Athens employees provide service that translates into real and lasting benefits-every single day! With offices throughout the United States, Athens Administrators offers Workers' Compensation, Property & Casualty, Managed Care and Program Business solutions. Athens is proud to be a third-generation family-owned company and is dedicated to its core values of honesty and integrity, a commitment to service and results, and a caring family culture. We are so proud that our employees have consistently voted Athens as a Best Place to Work! POSITION SUMMARY Athens Administrators has an immediate need for a full-time Complex Claims Specialist to support our Property & Casualty department. Employees who live less than 26 miles from the Concord, CA, Orange, CA, San Antonio, TX, or Lake Mary, FL offices are required to work once a week in the office. The remaining days can be worked remotely if technical requirements are met, and the employee resides in a state Athens operates in (includes CA, CT, FL, GA, ID, IL, MA, NY, NC, NJ, OH, OK, OR, PA, SC, TN, TX, VA, and WV). This position does allow for work from home if technical requirements are met. Athens offices are open for business Monday-Friday from 7:30 a.m. to 5:30 p.m. local time. The schedule for this position is Monday-Friday at 37.5 hours a week. The Complex Claim Specialist is responsible for the review, investigation, analysis, and processing of complex claims within assigned authority limits and consistent with policy and legal requirements. These claims are typically high exposure and often entail litigation and complex coverage. The goal of the position is to ensure the delivery of quality service to customers while protecting their interests. Athens Program Insurance Services is the centerpiece of P&C claims administration in the specialty programs marketplace. We are totally unique in that we focus only on commercial business specialization across multiple coverage lines. PRIMARY RESPONSIBILITIES Our new hire should have the skills, ability, and judgment to perform the following essential job duties and responsibilities with or without reasonable accommodation. Additional duties may be assigned: Advanced knowledge in the following areas: 1) Complex Auto or General Liability claims handling concepts, practices and techniques, to include but not limited to complex coverage issues, and product line knowledge, 2) advanced, functional knowledge of law and insurance regulations in various jurisdictions, 3) demonstrated advanced verbal and written communications skills, 4) demonstrated advanced analytical, decision making and negotiation skills. Analyze, investigate, and evaluate losses to determine appropriate layers of coverage, settlement value and disposition strategy, including claim merits or denial of liability Within prescribed settlement authority for line of business, establish appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Make recommendations to set reserves at appropriate level for claims outside of authority level Prepare comprehensive reports as required. Identify and communicate specific claim trends and account and/or policy issues to clients and senior level management Manage the litigation process through the retention of selected counsel. Adhere to the line of business litigation guidelines to include budget, bill review and payment Document and manage claims (i.e.: statements, diaries, write reports) from inception to closure Ensure appropriateness of all coverage memorandums and payments Coordinate and work with dedicated vendor services such as law professionals, industry experts, county officials and client executives to manage professional claims and communications Facilitate interactions between insured entities, claimants, client contacts, and attorneys in resolution of severe and complex claims Lead and conduct comprehensive claim reviews and case analysis discussions with various committees or district level authorities Provide superior customer service to all layers of authorities within the county Meet with clients, attend hearings, and assist senior management with planning, forecasting and new business opportunities that may arise in the servicing of the account. May assist management in hiring other account dedicated examiners Provide guidance and serve as a technical expert to less experienced examiners May conduct meetings or training sessions to help develop less experienced examiners Attend all required meetings and educational seminars for professional development Conduct on-sight or frequent claim reviews in Ventura County with the client representatives, as required. Maintain required licenses ESSENTIAL POSITION REQUIREMENTS The requirements listed below are representative of the knowledge, skill, and/or ability required. While it does not encompass all job requirements, it is meant to give you a solid understanding of expectations. High School Diploma or equivalent (GED) required for all positions AA/AS or BA/BS preferred but not required Possesses a license from your domiciled (state you live in or designated home state) state and a minimum of one license in any of the following states: NY, TX, or FL preferred Additional State Adjuster License(s), may be required within 180 days Maintain licenses and continuing education requirements in all states Relies on extensive experience and judgement to plan and accomplish goals with a minimum of 8-10 years complex/major claims experience, including proficiency in investigation and resolution of severe to major casualty and general liability claims Experience with relevant insurance laws, codes, and procedures Experience with property and casualty insurance policies, insurance tort laws, codes, and procedures Understanding Auto and General Liability exposure and unique coverage endorsements Understanding of medical, legal terminology and liability concepts Proficiency in investigation and resolution of severe to major level casualty claims Time Management and project management skills Strong negotiation and litigation management skills Well-developed verbal and written communication skills with strong attention to detail Excellent organizational skills and ability to multi-task Ability to type quickly, accurately and for prolonged periods Proficient in Microsoft Office Suite Ability to learn additional computer programs Reasoning ability, including problem-solving and analytical skills, i.e., proven ability to research and analyze facts, identify issues, and make appropriate recommendations and solutions for resolution Ability to be trustworthy, dependable, and team-oriented for fellow employees and the organization Seeks to include innovative strategies and methods to provide a high level of commitment to service and results Ability to be demonstrate care and concern for fellow team members and clients in a professional and friendly manner Acts with integrity in difficult or challenging situations and is a trustworthy, dependable contributor Athens' operations involve handling confidential, proprietary, and highly sensitive information, such as health records, client financials, and other personal data. Therefore, maintaining honesty and integrity is essential for all roles within the company. Must be able to reliably commute to meetings and events as required by this position APPLY WITH US We look forward to learning about YOU! If you believe in our core values of honesty and integrity, a commitment to service and results, and a caring family culture, we invite you to apply with us. Please submit your resume and application directly through our website at *********************************************** Feel free to include a cover letter if you'd like to share any other details. All applications received are reviewed by our in-house Corporate Recruitment team. The Company will consider qualified applicants with arrest or conviction records in accordance with the Los Angeles Fair Chance Ordinance for Employers and the California Fair Chance Act. Applicants can learn more about the Los Angeles County Fair Chance Act, including their rights, by clicking on the following link: ************************************************************************************************** This description portrays in general terms the type and levels of work performed and is not intended to be all-inclusive or represent specific duties of any one incumbent. The knowledge, skills, and abilities may be acquired through a combination of formal schooling, self-education, prior experience, or on-the-job training. Athens Administrators is an Equal Opportunity/ Affirmative Action employer. We provide equal employment opportunities to all qualified employees and applicants for employment without regard to race, religion, sex, age, marital status, national origin, sexual orientation, citizenship status, veteran status, disability, or any other legally protected status. We prohibit discrimination in decisions concerning recruitment, hiring, compensation, benefits, training, termination, promotions, or any other condition of employment or career development. THANK YOU! We look forward to reviewing your information. We understand that applying for jobs may not be the most enjoyable task, so we genuinely appreciate the time you've dedicated. Don't forget to check out our website at ******************* as well as our LinkedIn, Glassdoor, and Facebook pages! Athens Administrators is dedicated to fair and equitable compensation for our employees that is both competitive and reflective of the market. The estimated rate of pay can vary depending on skills, knowledge, abilities, location, labor market trends, experience, education including applicable licenses & certifications, etc. Our ranges may be modified at any time. In addition, eligible employees may be considered annually for discretionary salary adjustments and/or incentive payments. We offer a variety of benefit plans including Medical, Vision, Dental, Life and AD&D, Long Term Care, Critical Care, Accidental, Hospital Indemnity, HSA & FSA options, 401k (and Roth), Company-Paid STD & LTD and more! Further information about our comprehensive benefits package may be found on our website at https://*******************/careers/why-work-here

Remote Telecommute Work From Home Job Description: We are looking for remote, telecommuting candidates from all types of work backgrounds and skill levels to join us. This is a flexible, work from home position with highly competitive pay working as a research participant for various companies. Work-info: Due to increased demand we are now accepting a limited number of individuals to take part in our nationwide online or in person market research studies. Work-Pay info: $50 - $350 (Per 30min. to 2hr. Sessions) $150 - $3,000 (Multiple Session Studies) Work-Benefits: **Applicants will have the flexibility to choose particular studies which can be either online, in person or over the telephone. Flexibility to take part in discussions online or in-person.. No minimum hours or commitment. You can do this part-time or full-time You get to review and use new products or services before they are launched to the public. Take part and enjoy free samples from our sponsors and partners in exchange for your honest - feedback of their products. No commute needed if you choose to only work from home Participants are wanted to help with research for a variety of topics including but not limited to: · Food & Beverages · Entertainment · Social Media · Financial · Retirement · Gender · Housing · Health Issues · Consumer Products · Shopping · Internet Usage · Vehicles · Employment * Participants will have the flexibility to choose any studies based on their ability to participate either online, in person or over the telephone. Work Responsibilities: Show up at least 10 minutes prior to discussion start time. Participate by following any and all written and oral instructions. Fully complete written survey provided for each panel or study. MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to the meeting date. Work Qualifications: Willing and wanting to participate in one or several of the topics listed above Be able to read, understand and follow oral and/or written instructions Have working and reliable internet access Must be self-motivated and 100% willing & able to complete tasks assigned to you. Must have either a phone, computer or tablet with either a working camera or webcam Work Education Requirements: - Will vary by study but all education backgrounds are acceptable This is a perfect position for those looking for either temporary, part-time or full-time remote work at home. Whether your current position or job skill is a data entry clerk, administrative assistant, receptionist, warehouse or factory worker, driver, medical assistant, nurse or health care worker, call center or customer service representative or anyone who is looking for a part-time, remote, work from home job, this is an excellent position to supplement your income with great flexibility and zero prior experience needed.

The Verification Specialist II, Criminal Operations supports the day-to-day processing of criminal background screening tasks at Americhek. Responsibilities include assisting with social security traces, criminal record searches, motor vehicle reports, and providing occasional support across other verification channels as needed. This role works under the guidance of the operations team and interacts with vendors to help ensure accurate and timely completion of assigned tasks. Responsibilities Social Security Traces: Process social security traces promptly and assign to vendors as directed. Add counties per client instructions and ensure basic accuracy of submitted data. Criminal Verifications: Input required counties, districts, and jurisdictions from social security traces or client requests into the system. Confirm that all names and regions are included based on provided guidelines. Turnaround Monitoring: Complete assigned verifications with attention to detail and within expected timeframes. Flag any delays to the appropriate team lead. Vendor Follow-Up: Assist with following up on vendor delays, particularly for searches pending beyond 72 hours. Communicate updates to the internal team as needed. Issue Escalation: Report any inconsistencies, incomplete results, or discrepancies to the operations team or supervisor for review and resolution. Cross-Functional Support: Provide occasional support with incoming phone calls or other verification areas during peak volume or team coverage needs. Requirements Associate or bachelor's degree preferred; high school diploma or equivalent required. 1-2 years of experience in criminal background screening including but not limited to: data entry, administrative operations, or customer service (preferably B2B) Experience handling confidential information and following industry regulations such as the FCRA Strong verbal and written communication skills with the ability to handle escalations professionally Proven attention to detail, critical thinking, and problem-solving ability Ability to type at least 45 WPM accurately and use Microsoft Excel, Word, and other office tools Comfortable using standard office equipment (e.g., computer, scanner, multi-line phone). Highly organized, self-motivated, and able to manage time effectively in a fast-paced, remote work environment Collaborate with team members and maintain a positive, solutions-oriented attitude. Benefits Generous Paid Time Off (PTO) Medical Coverage 401(k) Retirement Plan Dental Coverage Vision Coverage Telemedicine / Virtual Visits Basic Life and AD&D Insurance Short-Term Disability Insurance Long-Term Disability Insurance Employee Assistance Program (EAP) UnitedHealthcare Wellness Resources and Rewards

**About the Role** As a remote Rate Verification Specialist at Morley, you'll be at the heart of ensuring our automotive warranty reimbursements are fair and accurate. Your expertise will be vital in reviewing past retail-parts markups and labor-rate changes to maintain precision in our work. This role is perfect for leveraging your background in automotive, business or accounting, especially if you're looking to work from home. **_What You'll Do_** + Examine and interpret invoices and numerical data submitted by dealers to confirm accurate reimbursement rates + Ensure all applications meet the required standards and verify job cards according to the type of service repair + Identify qualifying repairs and compute the average markup percentages for parts and effective labor rates + Check that labor rates remain consistent with established benchmarks + Advise clients on recommended adjustments to markups or labor rates + Organize and coordinate work assignments while maintaining an efficient file system + Follow a dependable and regular work schedule + Offer timely and accurate solutions through inbound and outbound conversations (including use of the client's application, emails and other communications as needed) while keeping a positive and upbeat attitude **_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 a.m. - 5 p.m. Eastern time; closed on some holidays | TA will respond to after-hours questions the next business day). **Skills for Success** **_Required Skills_** + Keen attention to detail, especially with numerical and financial calculations + Computer proficiency (navigating online resources, using Microsoft Office) + Excellent interpersonal skills; capable of working well both within a team and independently + Professional demeanor and spoken / written communication skills + Acute listening skills with attention to detail + Strong organizational and time management skills; able to meet deadlines + Positive self-starter with a solid work ethic **_Eligibility Requirements_** + High school diploma or equivalent + Two or more years of professional work history in automotive, business or accounting + Demonstrated analytical, data entry and process-oriented skills + Demonstrated ability to successfully perform in a fast-paced work environment + Able to work the following hours of operation: + Monday - Friday + 8 a.m. - 5 p.m. Eastern time + Must be able to stick to the schedule reliably **_Nice to Have_** + Associate degree + Background in dealership service administration, service management, warranty administration or parts management **_Remote Work Requirements_** + Michigan resident + High-speed internet access at home that you are able to connect to via Ethernet or landline + Secluded and distraction-free work environment **_The Remote Experience_** Wondering what it's like to work for Morley from home? Check out this video (********************** to get a glimpse of a remote associate's typical day and how their home office setup helps them stay focused. (direct link to video: ********************** **Why Join Our Morley Family** The value of your employment is more than your paycheck. It's the combination of competitive pay, health benefits and other benefits Morley provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision insurance + Paid time off + Associate wellness program (earn a reward for getting your annual wellness checkup) + Programs to quit tobacco use and manage chronic conditions (e.g., diabetes, asthma) **_Financial Benefits_** + 401(k) with match + Flexible spending account + Life insurance + Short- and long-term disability insurance (company paid) **_Benefits to Make Your Life Easier_** + Teladoc: 24/7 online access to doctors + 24/7 nurse help desk + Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will) services **_About Morley_** Our mission is to deliver extraordinary experiences. We do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible possible) - for our Morley Family members and for the world-leading companies that partner with us. We are an Equal Opportunity Employer and promote an inclusive, caring and respectful work environment. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status. As part of this commitment, we provide reasonable accommodations for those with disabilities. If you need reasonable accommodation to participate in the application or interview process, please contact ******************************* . Thank you for your interest in Morley. **_Notices_** + Morley utilizes E-Verify during onboarding for all hires. Click here to learn more about E-Verify: **************************** and your right to work: ******************************** + Click here to view Morley's CCPA Notice for applicants in California: ******************************* + Click here to view Morley's privacy policy: ************************************************

We are united in our mission to make a positive impact on healthcare. Join Us! South Florida Business Journal, Best Places to Work 2024 Inc. 5000 Fastest-Growing Private Companies in America 2024 2024 Black Book Awards, ranked #1 EHR in 11 Specialties 2024 Spring Digital Health Awards, “Web-based Digital Health” category for EMA Health Records (Gold) 2024 Stevie American Business Award (Silver), New Product and Service: Health Technology Solution (Klara) Who we are: We Are Modernizing Medicine (WAMM)! We're a team of bright, passionate, and positive problem-solvers on a mission to place doctors and patients at the center of care through an intelligent, specialty-specific cloud platform. Our vision is a world where the software we build increases medical practice success and improves patient outcomes. Founded in 2010 by Daniel Cane and Dr. Michael Sherling, we have grown to over 3400 combined direct and contingent team members serving eleven specialties, and we are just getting started! ModMed's global headquarters is based in Boca Raton, FL, with a growing office in Hyderabad, India, and a robust remote workforce across the US, Chile, and Germany. ModMed is hiring a driven Patient Claim Specialist who will play a pivotal role in shaping a positive patient experience within our passionate, high-performing Revenue Cycle Management team. As a critical team member, you will support patients receiving care from ModMed BOOST service providers and doctors, ensuring their account needs are met excellently. This direct interaction with our customers' patients makes you an integral part of ModMed's business. It opens the door to an exhilarating career path for individuals driven by a passion for healthcare and exceptional customer service within a fast-paced Healthcare IT company that is genuinely Modernizing Medicine! Your Role: Serve as primary contact for all inbound and outbound patient calls regarding patient balance inquiries, claims processing, insurance updates, and payment collections Initiate outbound calls to patients of RCM clients to understand and address any account/payment issues, such as demographic and insurance updates Input and update patient account information and document calls into the Practice Management system Special Projects: Other duties as required to support and enhance our customer/patient-facing activities Skills & Requirements: High School Diploma or GED required Availability to work 9:30-5:30pm PST or 11:30am to 8:30 pm EST Minimum of 1-2 years of previous healthcare administration or related experience required Basic understanding of medical billing claims submission process and working with insurance carriers required (e.g., Medicare, private HMOs, PPOs) Manage/ field 60+ inbound calls per day Bilingual a plus (Spanish & English) Proficient knowledge of business software applications such as Excel, Word, and PowerPoint Strong communication and interpersonal skills with an emphasis on the ability to work effectively over the telephone Ability and openness to learn new things Ability to work effectively within a team in order to create a positive environment Ability to remain calm in a demanding call center environment Professional demeanor required Ability to effectively manage time and competing priorities #LI-SM2 ModMed Benefits Highlight: At ModMed, we believe it's important to offer a competitive benefits package designed to meet the diverse needs of our growing workforce. Eligible Modernizers can enroll in a wide range of benefits: India Meals & Snacks: Enjoy complimentary office lunches & dinners on select days and healthy snacks delivered to your desk, Insurance Coverage: Comprehensive health, accidental, and life insurance plans, including coverage for family members, all at no cost to employees, Allowances: Annual wellness allowance to support your well-being and productivity, Earned, casual, and sick leaves to maintain a healthy work-life balance, Bereavement leave for difficult times and extended medical leave options, Paid parental leaves, including maternity, paternity, adoption, surrogacy, and abortion leave, Celebration leave to make your special day even more memorable, and company-paid holidays to recharge and unwind. United States Comprehensive medical, dental, and vision benefits, including a company Health Savings Account contribution, 401(k): ModMed provides a matching contribution each payday of 50% of your contribution deferred on up to 6% of your compensation. After one year of employment with ModMed, 100% of any matching contribution you receive is yours to keep. Generous Paid Time Off and Paid Parental Leave programs, Company paid Life and Disability benefits, Flexible Spending Account, and Employee Assistance Programs, Company-sponsored Business Resource & Special Interest Groups that provide engaged and supportive communities within ModMed, Professional development opportunities, including tuition reimbursement programs and unlimited access to LinkedIn Learning, Global presence and in-person collaboration opportunities; dog-friendly HQ (US), Hybrid office-based roles and remote availability for some roles, Weekly catered breakfast and lunch, treadmill workstations, Zen, and wellness rooms within our BRIC headquarters. PHISHING SCAM WARNING: ModMed is among several companies recently made aware of a phishing scam involving imposters posing as hiring managers recruiting via email, text and social media. The imposters are creating misleading email accounts, conducting remote "interviews," and making fake job offers in order to collect personal and financial information from unsuspecting individuals. Please be aware that no job offers will be made from ModMed without a formal interview process, and valid communications from our hiring team will come from our employees with a ModMed email address (*************************). Please check senders' email addresses carefully. Additionally, ModMed will not ask you to purchase equipment or supplies as part of your onboarding process. If you are receiving communications as described above, please report them to the FTC website.

Illinois Casualty Company is seeking an experienced Property Claims Specialist to join our team! As a small but growing insurance carrier, ICC provides unlimited opportunity for employees who demonstrate the interest and ability to contribute to their team and grow professionally. Work Location: Field, about 25% travel required with ability to work from home the remainder of the time. Company vehicle provided. Salary Range: $83,850 to $95,000 annually Essential Functions * Handling large property claims from start to finish, typically ranging from $75,000 to upwards of $1,000,000 in loss * Building accurate, reliable claim files through prompt and thorough investigation and documentation * Inspecting damaged property, writing repair estimates, and obtaining repair price agreement with contractors and policyholders * Determining coverage, damages, and recovery potential based on facts developed in the investigation of assigned claims * Establishing appropriate and timely reserves, updating as needed until conclusion of each claim * Provide exemplary customer service and build positive relationships with independent agents Qualifications * Minimum of five years' field commercial property claims experience including complex and severe claims * Strong working knowledge of construction practices * Computer and data entry skills with intermediate level proficiency in word processing, spreadsheets, presentations, and automated claims systems; experience with Xactimate or Symbility desired * Sound knowledge of insurance policies, coverage, theories, and practices as well as court decisions or case law impacting property claims * Must be a licensed driver and maintain a valid driver's license in the state of residence with the ability to travel extensively when required Best In Class Benefits * Comprehensive health and pharmaceutical plan with company-funded HRA and telemedicine * A la carte Dental, Vision, Critical Illness, and Accident insurance coverages * Lifestyle Account * Traditional and Roth 401k plans with company match * Modified workweek and generous PTO policy * Paid parental leave

Liberty Mutual has an immediate opening for a Complex Claims Specialist with Managed Care, Errors & Omissions (E&O) and Directors & Officers (D&O) Professional Liability claims experience. The Complex Claims Specialist, with minimal supervision, handles a book of specialty lines claims under E&O and D&O policies issued to health plans and other Managed Care Organizations throughout the entire claim's life cycle. In this role, you will be responsible for conducting investigations, evaluating coverage, setting adequate reserves, monitoring, documenting, and settling/closing claims in an expeditious and economical manner within prescribed authority limits for the line of business. *This position may have an in-office requirement and other travel needs depending on candidate location. If you reside within 50 miles of one of the following offices, you will be required to go to the office twice a month: Boston, MA; Hoffman Estates, IL; Indianapolis, IN; Lake Oswego, OR; Las Vegas, NV; Plano, TX; Suwanee, GA; Chandler, AZ; Westborough, MA; or Weatogue, CT. Please note this policy is subject to change. Responsibilities Analyzes, investigates and evaluates the loss to determine coverage and claim disposition. Utilizes proprietary claims management system to document claims and to diary future events or follow up. Issue detailed coverage position letters for all new claims within prescribed time frames. Within prescribed settlement authority, establishes appropriate reserves for both indemnity and expense and reviews on a regular basis to ensure adequacy. Makes recommendations to set reserves at appropriate level for claims outside of authority level. Prepares comprehensive reports as required. Identifies and communicates specific claim trends and account and/or policy issues to management and underwriting. Manages the litigation process through the retention of counsel. Adheres to the line of business litigation guidelines to include budget, bill review and payment. Pro-actively manages the case resolution process. Actively participates in mediations and arbitrations, as well as negotiation discussions within limit of settlement authority. Participates in the claims audit process. Provides claims marketing services by meeting with brokers and insureds. As required, maintains insurance adjuster licenses Qualifications Bachelors' and/or advanced degree 7 + years claims/legal experience, with at least 2 years within a technical specialty preferred (Managed Care, Errors & Omissions and Directors & Officers) Advanced knowledge of claims handling concepts, practices and techniques, to include but not limited to coverage issues, and product line knowledge Functional knowledge of law and insurance regulations in various jurisdictions Demonstrated advanced verbal and written communications skills Demonstrated advanced analytical, decision making and negotiation skills About Us Pay Philosophy: The typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this role reflects the competitive labor market value for all employees in these positions across the national market and provides an opportunity to progress as employees grow and develop within the role. Some roles at Liberty Mutual have a corresponding compensation plan which may include commission and/or bonus earnings at rates that vary based on multiple factors set forth in the compensation plan for the role. At Liberty Mutual, our goal is to create a workplace where everyone feels valued, supported, and can thrive. We build an environment that welcomes a wide range of perspectives and experiences, with inclusion embedded in every aspect of our culture and reflected in everyday interactions. This comes to life through comprehensive benefits, workplace flexibility, professional development opportunities, and a host of opportunities provided through our Employee Resource Groups. Each employee plays a role in creating our inclusive culture, which supports every individual to do their best work. Together, we cultivate a community where everyone can make a meaningful impact for our business, our customers, and the communities we serve. We value your hard work, integrity and commitment to make things better, and we put people first by offering you benefits that support your life and well-being. To learn more about our benefit offerings please visit: *********************** Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information or on any basis prohibited by federal, state or local law. Fair Chance Notices California Los Angeles Incorporated Los Angeles Unincorporated Philadelphia San Francisco We can recommend jobs specifically for you! Click here to get started.

At VyStar, we offer competitive pay, an excellent benefit package that includes a 401(k) Plan, an extensive paid technical and on-the-job training program, and tuition reimbursement--available to all full and part time employees. Part time positions start at a minimum of 30 hours per week. We encourage you to become a part of VyStar Credit Union's family of employees. Member Solutions Claims SpecialistACCOUNTABILITY STATEMENT The incumbent is responsible for the monitoring and daily administration of the duties associated with deceased processing on all consumer loan products, refunds, claims, payment posting, general ledger reconciliation associated with Guaranteed Asser Protection (GAP), extended warranties (IWS), CUNA life & disability, Indirect Dealer Products, Open Lending insured loans, Collateral Protection Insurance, Auto ID and any additional products that may be added in the future. This role provides support to all Consumer Lending Departments to attain individual, departmental, organizational goals and maintains a high level of engagement within VyStar's Consumer Lending Leadership team. ESSENTIAL FUNCTIONS Applies Debits and Credits to loan, deposit, and general ledger accounts in the core processing system. Responsible for the preparation of all member accounts and relationships for charge off, including deceased consumer loan and negative share accounts. This includes the closeout of deposit accounts and returned monies to members ineligible for offset as well as review for possible opportunities to avoid loss to the credit union. Responsible for following up with deceased members estates and coordinating with the Repossession team to obtain possession of any collateral with our lien on it. The Claims specialist has the authority to make arrangements with the estate if they would like to refinance or sell the collateral. Responsible for filing accurate Proof of Claims in response to Notice to Creditors filed with the court systems during probate cases. Coordinates with our Attorneys as needed for response to filings and settlement hearings. Charges off delinquent and non-performing credit products as directed by the Vice President of Member Solutions & Loss Mitigation (or their designated representative) in accordance with established timelines and internal policies/procedures. Responsible for ensuring the proper charge off of all FDR credit card accounts and maintains records of transactions for review of exceptions. At the direction of Member Solutions department management will remove and add global locks. Works collaboratively with the Deposit and Record Services department to ensure collections documentation is properly filed and retained as required by state/federal requirements. Codes member relationships in the core system to ensure that our collectors cease communication with members if VyStar is served with a cease and desist request or notified that a member has retained representation. Proper coding mitigates the risk of litigation stemming from a violation of the FCCPA. Responsible for the daily reconciliation of our VeriFone general ledger with the PSCU payments made in the department. Assists the negative share collectors by reviewing the negative share with funds report daily and conducting offsets where necessary to mitigate loss to the credit union. Responsible for all aspects of refund requests and claims processing for our ancillary products, including guaranteed asset protection, extended warranties, CUNA life & disability, Indirect Dealer Products, Open Lending insured loans, Collateral Protection Insurance, Auto ID and any additional products that may be added in the future Prompt communication and follow-up with vendors, members, insurance companies, dealerships, attorneys, and all other necessary parties concerning outstanding refunds, claims, and remittance. Processing month-end remittance for all ancillary products to ensure timely payment to our vendors. Monitor weekly general ledger schedules and research and/or resolve any outages in a timely manner. Ensures prompt and efficient processing of all checks and ACHs (product refunds, charge off payments, repossession sales, bankruptcy trustee payments, settlement payments) received daily. Answers any incoming calls regarding deceased processing, negative shares, charge offs and ancillary products. Assists in the general office duties such as ordering supplies and distributing mail. All employees and business units, as first line of defense, are expected to proactively help identify, assess, manage, and report risks within their domain of work. To enhance a healthy risk culture and support our growth for good pillar, employees will maintain vigilance in safeguarding our operations while ensuring compliance with regulatory mandates. The Risk team serves as the second line of defense by providing risk oversight and credible challenge whereas the Audit team serves as the third line of defense by providing risk assurance. Incumbent is expected to demonstrate each of the following VyStar Excellence behaviors in performing the duties and responsibilities of their job. Focus Focus your full attention by carefully listening to and observing your client or member. Connect Consistently be friendly and approachable. Demonstrate you care. Understand Listen empathetically and ask questions. (70%/30%) Counsel Recommend solutions based on your clients or member's needs and objectives. Advance Ensure that member's expectations were exceeded. KNOWLEDGE, SKILLS & ABILITIES: Ancillary product knowledge and vendor experience preferred. Strong proficiency in Word and Excel skills is required. Incumbent must be an organized self-starter with good problem solving, strong communication, and member services skills. Capability and willingness to work remotely as needed. EDUCATION An associate degree or higher is the minimum educational requirement. Experience may be substituted for education on a 2 to 1 ratio. Continuing education via local conferences and workshops is required for updates on federal regulations. DISCLAIMERS AND WORK ENVIRONMENT/PHYSICAL DEMANDS Nothing in this position description is an implied contract for employment. The position description is intended to be an accurate account of the essential functions. The functions are not all encompassing and are subject to change at any time by management. The work environment characteristics described are representative of those that 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. As required or requested, may exert up to 20 pounds of force occasionally and/or a negligible amount of force constantly to lift, carry, push, pull or otherwise move objects. VyStar Credit Union is not seeking outside assistance or accepting unsolicited resumes from staffing agencies or search firms for employment or contractor opportunities. Any resumes submitted by an outside vendor to any employee at VyStar via e-mail, internet, or directly to hiring managers without a valid written search agreement with the Talent Acquisition / HR department will be deemed the sole property of VyStar Credit Union. No placement fee will be paid if a candidate is hired as a result of the referral, or through other means. Thank you for your inquiry regarding our current job opening. Your resume will be carefully reviewed against the position requirements. Should your experience and skills match, you will be contacted by one of our Human Resources department staff members. Thank you again for your interest in this position! VyStar Credit Union Human Resources

NEXT's mission is to help entrepreneurs thrive. We're doing that by building the only technology-led, full-stack provider of small business insurance in the industry, taking on the entire value chain and transforming the customer experience. Simply put, wherever you find small businesses, you'll find NEXT. Since 2016, we've helped hundreds of thousands of small business customers across the United States get fast, customized and affordable coverage. We're backed by industry leaders in insurance and tech, and we still have room to grow - that's where you come in. As a Claims Specialist, you will be deemed a subject matter expert in the Claims department. Your extensive experience in commercial claims will allow you to handle high-severity and high-complexity claims. You will also lead department roundtables and have the opportunity to serve as a valuable peer resource to other team members! What You'll Do: Extensive policy document and legal contract interpretation Ability to analyze and identify coverage and related coverage issues Leverage a working knowledge of insurance contracts, Unfair Claims Settlement Practices, insurance codes, civil codes, vehicle codes, arbitration rules and regulations, tort law, claims best practices handling and management as part of your ongoing adjudication of claims Manage, investigate, and resolve claims within prescribed authority levels Recommend ultimate resolution on assigned cases in excess of authority to claims management Rely on a deep background of litigation handling experience in both General Liability and Casualty files to resolve claims Consistently drive litigation, attend mediations, trials, and other alternative dispute resolution avenues Communicate with policyholders, witnesses, and claimants in order to gather information regarding claims, refer tasks to auxiliary resources as necessary, and advise as to the proper course of action Preemptively communicate and respond to various written (email, SMS, fax, mail) and telephone inquiries, including status reports Present file materials for authority and roundtables Work with nurses, doctors, and attorneys on file reviews Comply with all statutory and regulatory requirements of all applicable jurisdiction Meet detailed quality assurance standards and meet set goals for performance Set and revise case reserves in accordance with the reserving policy Identify potentially suspicious claims and refer to SIU; identify opportunities for third-party subrogation Be accountable for the security of the financial processing of claims, as well as security information contained in claims files Work with, and provide claim-specific guidance to, independent field adjusters Partner closely with internal teams and advise leadership of key claim activities and exposures What We Need: BS/BA Degree required Advanced studies or insurance designation preferred At least 10+ years of directly related experience with Commercial General Liability and Litigation Strong written and oral communication skills required, as well as strong interpersonal, analytical, investigative, and negotiation skills In-depth knowledge of multi-jurisdictional claims handling issues Willingness to utilize and adapt to evolving technologies within the Claims operations Must be a self-starter and able to work independently Candidates must have, or be able to promptly obtain, a Texas Independent Adjuster License Effective communication, presentation, negotiation, and persuasion skills Ability to collaborate with cross-functional teams to achieve business results Proven success in delivering strong results in a rapidly changing claims environment Someone who achieves a standard of excellence with work processes and outcomes, honoring company policies and regulatory compliance Team orientation that emphasizes building strong working relationships and contributing to a positive work environment High degree of comfort with navigating sometimes ambiguous environments and a willingness to dive in and assist coworkers with workloads or contribute to organizational needs/projects when needed Receptivity to feedback and a willingness to learn, embracing continuous improvement, and having an openness to learning new and evolving proprietary and off-the-shelf software systems Some travel capability, likely up to 10% of capability Note on Fraudulent Recruiting We have become aware that there may be fraudulent recruiting attempts being made by people posing as representatives of Next Insurance. These scams may involve fake job postings, unsolicited emails, or messages claiming to be from our recruiters or hiring managers. Please note, we do not ask for sensitive information via chat, text, or social media, and any email communications will come from the *************************. Additionally, Next Insurance will never ask for payment, fees, or purchases to be made by a job applicant. All applicants are encouraged to apply directly to our open jobs via the careers page on our website. Interviews are generally conducted via Zoom video conference unless the candidate requests other accommodations. If you believe that you have been the target of an interview/offer scam by someone posing as a representative of Next Insurance, please do not provide any personal or financial information. You can find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission's website (********************************************* or you can contact your local law enforcement agency. The range displayed on this job posting reflects the minimum and maximum target for new hire salaries for the position across all US locations. Within the range, individual pay is determined by work location and additional factors, including, without limitation, job-related skills, experience, and relevant education or training. NEXT employees are eligible for our benefits package, consisting of our partially subsidized medical plan, fully subsidized vision/dental options, life insurance, disability insurance, 401(k), flexible paid time off, parental leave and more. US annual base salary range for this full-time position:$100,000-$130,000 USD Don't meet every single requirement? Studies have shown that some underrepresented people are less likely to apply to jobs unless they meet every single qualification. At NEXT, we are dedicated to building a diverse, inclusive and respectful workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles. One of our core values is 'Play as a Team'; this means making sure everyone has an equal chance to participate and make a difference. We win by playing together. Next Insurance is an equal opportunity employer and prioritizes building a diverse and inclusive workplace. We provide equal employment opportunities to all employees and applicants of any type and do not discriminate based on race, color, religion, national origin, gender, age, sexual orientation, physical or mental disability, genetic information or characteristic, gender identity and expression, veteran status, or other non-job-related characteristics or other prohibited grounds specified in applicable federal, state, and local laws. Next's policy is to comply with all applicable laws related to nondiscrimination and equal opportunity and will not tolerate discrimination or harassment based on any of these characteristics. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

The Claims Specialist is responsible for managing the end-to-end claims process for diagnostic laboratory services, ensuring timely and accurate submission, follow-up, and resolution of insurance claims. This role is critical to maximizing reimbursement, reducing denials, and supporting the financial health of the laboratory. Job Responsibilities Claims Submission: Prepare, review, and submit claims for diagnostic lab services to commercial and government payers, ensuring compliance with payer guidelines and laboratory policies. Denial Management: Analyze denied claims, identify root causes, and initiate corrective actions including appeals and resubmissions. Follow-Up: Proactively follow up on outstanding claims, monitor aging reports, and communicate with payers to resolve issues and expedite payment. Documentation: Maintain accurate records of claim status, correspondence, and payer responses in the billing system. Collaboration: Work closely with prior authorization, billing, and reimbursement teams to resolve complex claims and support cross-functional RCM initiatives. Compliance: Stay current with payer requirements, coding updates (CPT, ICD-10), and regulatory changes affecting laboratory claims. Reporting: Generate and analyze claims performance reports to identify trends, opportunities for process improvement, and support management decision-making. Education, Experience, and Skills Associate's or Bachelor's degree in healthcare administration, business, or related field (preferred). 2+ years of experience in medical claims processing, preferably in a diagnostic laboratory or healthcare setting. Strong knowledge of insurance billing, payer requirements, and denial management. Familiarity with laboratory coding (CPT, ICD-10), EOBs, and remittance advice. Proficiency with billing software and Microsoft Office Suite. Excellent attention to detail, organizational, and communication skills. Ability to work independently and collaboratively in a fast-paced environment. Physical Demands This is a sedentary role requiring prolonged periods of sitting while working at a computer. Physical demands include: Sitting for extended periods (up to 8 hours per day) Repetitive use of hands and fingers for typing and mouse operation Visual acuity for reading computer screens and documents Ability to communicate effectively via phone and video calls Occasional lifting of up to 10 pounds (office supplies, equipment) Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Work Environment This is a fully remote position. The employee will work from a home office or other suitable remote location with reliable high-speed internet access. Work is performed in a climate-controlled environment using standard office equipment including computer, phone, and video conferencing tools. Your standard work schedule and hours will be established in collaboration with your leader and may be adjusted to align with evolving business needs. Pay Transparency, Budgeted Range$34-$37 USD ~ Science - Minded, Patient - Focused. At GeneDx, we create, follow, and are informed by cutting-edge science. With over 20 years of expertise in diagnosing rare disorders and diseases, and pioneering work in the identification of new disease-causing genes, our commitment to genetic disease detection, discovery, and diagnosis is based on sound science and is focused on enhancing patient care. Experts in what matters most. With hundreds of genetic counselors, MD/PhD scientists, and clinical and molecular genomics specialists on staff, we are the industry's genetic testing experts and proud of it. We share the same goal as healthcare providers, patients, and families: to provide clear, accurate, and meaningful answers we all can trust. SEQUENCING HAS THE POWER TO SOLVE DIAGNOSTIC CHALLENGES. From sequencing to reporting and beyond, our technical and clinical experts are providing guidance every step of the way: TECHNICAL EXPERTISE High-quality testing : Our laboratory is CLIA certified and CAP accredited and most of our tests are also New York State approved. Advanced detection : By interrogating genes for complex variants, we can identify the underlying causes of conditions that may otherwise be missed. CLINICAL EXPERTISE Thorough analysis : We classify variants according to our custom adaptation of the most recent guidelines. We then leverage our rich internal database for additional interpretation evidence. Customized care : Our experts review all test results and write reports in a clear, concise, and personalized way. We also include information for research studies in specific clinical situations. Impactful discovery : Our researchers continue working to find answers even after testing is complete. Through both internal research efforts and global collaborations, we have identified and published hundreds of new disease-gene relationships and developed novel tools for genomic data analysis. These efforts ultimately deliver more diagnostic findings to individuals. Learn more About Us here. Our Culture At GeneDx, we are dedicated to cultivating an environment where creativity and innovation thrive. We believe in the power of community and collaboration, where diverse perspectives are embraced, and every voice contributes to our shared success. Our team is a vibrant mix of professionals who challenge and support each other in equal measure, fostering growth both personally and professionally. When you join us, you're not just taking on a job-you're joining a movement. A movement that champions curiosity, embraces change, and believes in making an impact, one patient at a time. Cultural principles we live by: Be bold in our vision & brave in our execution. Communicate directly, with empathy. Do what we say we're going to do. Be adaptable to change. Operate with a bias for action. Benefits include: Paid Time Off (PTO) Health, Dental, Vision and Life insurance 401k Retirement Savings Plan Employee Discounts Voluntary benefits GeneDx is an Equal Opportunity Employer. All privacy policy information can be found here.

External candidates: In order for your application to be correctly processed please sign-in before you apply Internal candidates: Please go to Workday and click "Find Jobs" link under Career Thank you for considering opportunities with us! Job Title Glass Claim Specialist (Remote) Requisition Number R7514 Glass Claim Specialist (Remote) (Open) Location Oklahoma - Home Teleworkers Additional Locations Alabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, California - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker {+ 20 more} Job Information We, here at CSAA IG are one of the top personal lines property and casualty insurance groups in the U.S. Our employees proudly live our core beliefs and fulfill our enduring purpose to help members prevent, prepare for and recover from life's uncertainties, and we're proud of the culture we create together. As we commit to progress over perfection, we recognize that every day is an opportunity to be innovative and adaptable. We hire good people for a brighter tomorrow. We are actively hiring for a Glass Claims Specialist! Your Role: A Glass Claims Specialist is responsible for regularly communicating with Safelite Solutions, our third-party billing partner as well as policy holders and claimants to address claims coverage questions and handle glass-only claim matters. This involves writing glass estimates in CCC when needed, as well as addressing any customer concerns. Your work: Speaking with our 3rd party billing partner Safelite Solutions regarding claims coverage questions and other glass only claim matters Ability to communicate the same material frequently, in a manner in which our customers understand. Customer service, decision making, analytical, problem-solving, negotiation and organizational skills. Communicating auto policy stipulations regarding the use of Original Equipment Manufacturer (OEM) parts. Basic math and computer skills, and the ability to calculate regional sales tax, labor rates etc. for the purpose of settlements. Basic to intermediate oral and written communication skills and the ability to draft claim correspondence Ability to function in a team and call center environment, working closely with team members to create a cohesive environment. Ability to deescalate calls and problem solve in stressful situations. Required Experience, Education and Skills BA/BS degree or equivalent combination of education and experience May require Adjuster's license (state-specific) Some claims or insurance experience Ability to communicate effectively over the telephone using active listening skills Customer service, decision making, analytical, problem-solving, negotiation and organizational skills Basic math and computer skills Intermediate oral and written communication skills Ability to function in a team and call center environment Good command of the English language Ability to type 30 wpm What would make us excited about you? 2-3 years customer service experience and some claims or insurance experience. Bilingual a plus Actively shapes our company culture (e.g., participating in employee resource groups, volunteering, etc.) Lives into cultural norms (e.g., willing to have cameras when it matters: helping onboard new team members, building relationships, etc.) Travels as needed for role, including divisional / team meetings and other in-person meetings Fulfills business needs, which may include investing extra time, helping other teams, etc CSAA IG Careers At CSAA IG, we're proudly devoted to protecting our customers, our employees, our communities, and the world at large. We are on a climate journey to continue to do better for our people, our business, and our planet. Taking bold action and leading by example. We are citizens for a changing world, and we continually change to meet it. Join us if you… BELIEVE in a mission focused on building a community of service, rooted in inclusion and belonging. COMMIT to being there for our customers and employees. CREATE a sense of purpose that serves the greater good through innovation. Recognition: We offer a total compensation package, performance bonus, 401(k) with a company match, and so much more! Read more about what we offer and what it is like to be a part of our dynamic team at ***************************************************** Submit your application to be considered. We communicate via email, so check your inbox and/or your spam folder to ensure you don't miss important updates from us. If a reasonable accommodation is needed to participate in the job application or interview process, please contact **************************. As part of our values, we are committed to supporting inclusion and diversity at CSAA IG. We actively celebrate colleagues' different abilities, sexual orientation, ethnicity, and gender. Everyone is welcome and supported in their development at all stages in their journey with us. We are always recruiting, retaining, and promoting a diverse mix of colleagues who are representative of the U.S. workforce. The diversity of our team fosters a broad range of ideas and enables us to design and deliver a wide array of products to meet customers' evolving needs. CSAA Insurance Group is an equal opportunity employer. If you apply and are selected to continue in the recruiting process, we will schedule a preliminary call with you to discuss the role and will disclose during that call the available salary/hourly rate range based on your location. Factors used to determine the actual salary offered may include location, experience, or education. Must have authorization to work indefinitely in the US Please note we are hiring for this role remote anywhere in the United States with the following exceptions: Hawaii and Alaska. #LI-ML1 .

We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, and WY. If you are looking for steady work from home with consistent pay then this is the opportunity for you. To make sure this is a fit for you, please understand: You will be on the phone the entire shift. You will need to overcome simple objections and maintain a positive attitude. You will need to purchase a USB Headset (if you don't already have one). True W2 pay check and direct deposit company (not gimmick 1099 pay) No phone line needed No cellphone needed No driving required No people to meet No packaging materials No shipping No ebay accounts No phone experience needed (but a serious advantage) Company Culture This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them. This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations. This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now. Compensation $8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour. Scheduling The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time). Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established. You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided. (You are NOT required to purchase training materials or anything from them or us.) Again all you need is your own computer, high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds USB headset.

Primary Duties & Responsibilities At Globe Life we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Part-Time Insurance Verification Specialist? Globe Life is looking for a Part-Time Insurance Verification Specialist to join the team! In this role, you will verify life and health insurance applications directly with potential customers. This is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly affects whether the Company will decline or issue a policy. This is a remote / work-from-home position. What You Will Do: * Make outbound calls to potential customers to verify and document required information to finalize applications for underwriting assessment. * Use the Quality Assurance database and conduct appropriate assessments on what additional customer information or verification is needed. * Clearly explain the application process to potential customers. * Accurately complete additional paperwork as needed. * Maintain appropriate levels of communication with management regarding actions taken within the Quality Assurance database. * Transfer calls to the appropriate department as needed. * Successfully meet the minimum expectation for departmental key performance indicators (K.P.I's). * Be enlisted in special projects that encompass making numerous outbound calls, recording activities requested by/from customers, etc. What You Can Bring: * Minimum typing requirement of 35 wpm. * Bilingual English and Spanish preferred * Superior customer service skills required - friendly, efficient, good listener. * Proficient use of the computer, keyboard functions, and Microsoft Office. * Ability to multitask and work under pressure. * Knowledge of medical terminology and spelling is a plus. * Excellent organization and time management skills. * Must be detail-oriented. * Have a desire to learn and grow within the Company. Applicable To All Employees of Globe Life Family of Companies: * Reliable and predictable attendance of your assigned shift. * Ability to work full-time and/or part-time based on the position specifications. Location: McKinney, Texas

The world's largest organizations rely on Evident to help them protect their business and brand from third-party risk. Our game-changing technology - which enables the secure exchange of risk data like proof of insurance, identity, business registration, and other information - helps our customers verify that their partners have all of the required credentials to do business. In today's new remote-first, ever-changing regulatory environment, our secure, privacy-first enterprise platform, accessible via web portal or API, provides a highly scalable and configurable solution to manage communications, storage, decisioning, and ongoing monitoring of credentials. Evident is a VC-backed technology startup, headquartered in Atlanta, GA. Learn more at evidentid.com. Job Description Evident ID is hiring an Insurance Verification Specialist. We are seeking an Insurance Verification Specialist for our business insurance field. The role involves verifying information via phone calls to ensure accuracy and compliance with insurance policies. Working hours are from 9 am to 5 pm ET, and the position can be fully remote. The total working hours for this position are 32 hours per week, to be determined based on the specific working days. Offered salary is $15 per hour.Responsibilities Conducting phone calls to verify information provided by clients or other relevant parties, ensuring accuracy and compliance with insurance policies Establishing and nurturing long-term working relationships with insurance agencies, brokers, and other stakeholders to facilitate smooth information verification processes Performing data entry tasks accurately and efficiently to record verified information into databases or management systems Providing reports to managers regarding the progress of verification tasks, highlighting any discrepancies or issues encountered during the process Taking ownership of assigned verification projects while collaborating effectively with team members to ensure seamless workflow and achievement of team goals Maintaining a high level of professionalism during phone interactions to uphold the company's reputation and foster positive relationships with clients and partners The Insurance Verification Specialist will report to the Team Lead or Manager within the Business Insurance Department Requirements Minimum 3 year of experience in business insurance, insurance agent license preferred Familiarity with Certificates of Insurance (COI) At least 2 years of experience in phone verification or customer service roles, ensuring effective issue resolution Proficiency in English communication with a strong emphasis on clarity and professionalism Additional fluency in another language is desirable, enhancing customer interaction capabilities Knowledge of Zendesk is advantageous for efficient support management Adaptability to evolving industry standards and a proactive approach to continuous learning are expected for optimal performance Demonstrating reliability and consistency in attendance to ensure coverage during designated working hours and contribute to the team's overall efficiency. Why Evident? • Our team solves a crucial problem with huge business potential together, and we are able to see exactly how our contribution affects customers!• Recently named one of Atlanta's Coolest Companies & 50 on Fire by Atlanta Inno• Recently named one of the Top 10 Fastest Growing Companies in Atlanta & one of the Best Places to Work in Atlanta by Atlanta Business Chronicle

Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Life™ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT

Credit Solutions of Lexington, KY is seeking to hire a full-time Insurance Verification and Billing Follow Up Specialist. If you have experience in healthcare billing and finance and want a career where you can actually make a difference, apply today! Our employees enjoy a competitive wage plus benefits! Our benefits include paid time off, holiday pay, company-paid life insurance, a 401k plan, health benefits, vision, and dental benefits. Additionally, we offer flexible schedules and work from home opportunities. ABOUT CREDIT SOLUTIONS Founded in 2003, Credit Solutions provides tailored Extended Business Office (EBO) Solutions as well as a full range of Bad Debt Recovery and Account Resolution service throughout the United States. With a pledge of excellence, we strive to allocate the best resources, giving our talented staff of professionals the tools needed to achieve results for our clientele. At Credit Solutions, we believe our employees are our most valuable asset. In fact, we attribute our success as a company on our ability to recruit, hire, and maintain a positive and productive workforce. A happy employee is a productive employee and our benefits reflect how much we care. Additionally, we provide numerous employee appreciation activities and a referral bonus program. Join our dynamic team and find out why our employees voted us the "Best Call Centers to Work For" from 2018-2024! JOB SUMMARY The Insurance Verification Specialist is responsible for verifying patient insurance coverage and ensuring the accuracy of insurance information. This role requires attention to detail, strong communication skills, and the ability to interact effectively with insurance companies, patients, and healthcare providers. QUALIFICATIONS High school diploma or equivalent; associate's degree or relevant certification preferred. Minimum of 2 years of experience in medical insurance verification or a related field. Knowledge of insurance plans, policies, and procedures. Proficiency in using EHR systems and insurance verification software. Proficiency in Epic hospital and physician Billing system Proficiency in Zoom and other virtual meeting platforms Strong organizational and multitasking skills. Excellent verbal and written communication skills. Ability to work independently and as part of a team. Detail-oriented with a high level of accuracy. Do you have a desire to help others and make a difference in the community? Are you a team player? Do you have professional communication skills? Can you provide great customer service over the phone? Are you an empathetic active listener? Do you have a positive can-do attitude? If so, you may be perfect for this position! ARE YOU READY TO JOIN OUR TEAM? If you feel you would be right for this position, please fill out our initial 3-minute, mobile-friendly application. We look forward to meeting you!