Veteran appeals reviewer jobs near me - 77 jobs

Appeals Referee
Commonwealth of Pennsylvania 3.9
Remote veteran appeals reviewer job
Are you a fair-minded and fact-oriented professional with experience in the determination of unemployment compensation (UC) claims, the application of taxing or benefit-paying provisions of the UC Law, or the practice of labor law? The UC Board of Review is searching for qualified and dedicated candidates like you to join our Springfield Referee Office team in this Appeals Referee position. Apply now and advance your career by sharing your professional experience and judgement with a team that provides a consistent process for UC appeals cases while ensuring that the decisions made are consistent, fair, and just. DESCRIPTION OF WORK As an Appeals Referee, you will hear and decide first level appeals of UC service center determinations. This involves presiding over hearings and following rules of evidence, due process standards, and standard administrative practice to move the proceedings to conclusion; informing parties to appeals about policies, procedures, and rights; and ensuring each appellant's case is processed in a timely, consistent, and impartial manner. You will be expected to conduct hearings as scheduled, review case files to prepare for each hearing, and use digital recording equipment to record hearings and dictate decisions, as well as supervise clerical and legal assistant staff who assist with these duties. This includes training, advising, and overseeing the activities of these staff members; preparing performance reviews; and completing other supervisory duties. Our team will rely on you to issue clear and concise decisions reflecting your evaluation of evidence and to interpret policy and procedure from UC Law and regulations, precedent decisions in case law, and other instructions. You may also be expected to serve as a hearing officer for second level appeals and travel to other hearing locations to provide assistance or attend trainings and conferences. Take your career to the next level and help ensure due process for UC appeals with us! Interested in learning more? Additional details regarding this position can be found in the position description. Work Schedule and Additional Information: Full-time employment Work hours are 8:00 AM to 4:00 PM, Monday - Friday. Work hours are negotiable with a 30-minute lunch break. Telework: You may have the opportunity to work from home (telework) part-time, upon successful completion of the training period. In order to telework, you must have a securely configured high-speed internet connection and work from an approved location inside Pennsylvania. If you are unable to telework, you will have the option to report to the headquarters office in Springfield, PA. The ability to telework is subject to change at any time. Additional details may be provided during the interview. Salary: In some cases, the starting salary may be non-negotiable. You will receive further communication regarding this position via email. Check your email, including spam/junk folders, for these notices. REQUIRED EXPERIENCE, TRAINING & ELIGIBILITY QUALIFICATIONS Minimum Experience and Training Requirements: Graduation from an approved school of law and certification of admission to the bar of the Supreme Court of Pennsylvania and one year of experience in the practice of labor law; or Four years of experience in the determination of unemployment compensation claims, including adjustments, overpayments, and appeals supplemented by 6 college level credits in English composition or other related English courses; or Four years of professional experience which involves the application of taxing or benefit-paying provisions of the Unemployment Compensation Law in order to determine compliance, to improve Unemployment Compensation program operations, or to train others in the application of the law supplemented by 6 college level credits in English composition or other related English courses; or An equivalent combination of experience and training which includes 6 college level credits in English composition or other related English courses. Other Requirements: You must meet the PA residency requirement. For more information on ways to meet PA residency requirements, follow the link and click on Residency. You must be able to perform essential job functions. How to Apply: Resumes, cover letters, and similar documents will not be reviewed, and the information contained therein will not be considered for the purposes of determining your eligibility for the position. Information to support your eligibility for the position must be provided on the application (i.e., relevant, detailed experience/education). If you are claiming education in your answers to the supplemental application questions, you must attach a copy of your college transcripts for your claim to be accepted toward meeting the minimum requirements. Unofficial transcripts are acceptable. Your application must be submitted by the posting closing date . Late applications and other required materials will not be accepted. Failure to comply with the above application requirements may eliminate you from consideration for this position. Veterans: Pennsylvania law (51 Pa. C.S. *7103) provides employment preference for qualified veterans for appointment to many state and local government jobs. To learn more about employment preferences for veterans, go to ************************************************ and click on Veterans. Telecommunications Relay Service (TRS): 711 (hearing and speech disabilities or other individuals). If you are contacted for an interview and need accommodations due to a disability, please discuss your request for accommodations with the interviewer in advance of your interview date. The Commonwealth is an equal employment opportunity employer and is committed to a diverse workforce. The Commonwealth values inclusion as we seek to recruit, develop, and retain the most qualified people to serve the citizens of Pennsylvania. The Commonwealth does not discriminate on the basis of race, color, religious creed, ancestry, union membership, age, gender, sexual orientation, gender identity or expression, national origin, AIDS or HIV status, disability, or any other categories protected by applicable federal or state law. All diverse candidates are encouraged to apply. EXAMINATION INFORMATION Completing the application, including all supplemental questions, serves as your exam for this position. No additional exam is required at a test center (also referred to as a written exam). Your score is based on the detailed information you provide on your application and in response to the supplemental questions. Your score is valid for this specific posting only. You must provide complete and accurate information or: your score may be lower than deserved. you may be disqualified. You may only apply/test once for this posting. Your results will be provided via email.
$43k-61k yearly est. 2d ago

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IBR Clinical Appeals Reviewer - Remote
Unitedhealth Group 4.6
Remote veteran appeals reviewer job
Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start **Caring. Connecting. Growing together.** The **Itemized Bill Review (IBR) Clinical Appeals Reviewer ** will analyze and respond to client and/or hospital claim review appeal inquiries. Handles medical record review, analyzes data, and completes the response resolution for clients and the business unit. Must utilize expertise in auditing to review and provide response to appeals. We are seeking self-motivated, solution-oriented and skilled problem solver who provides clinical reviews with written documentation under tight deadlines. This position is full-time, Monday - Friday. Employees are required to work our normal business hours of 8:00am - 5:00pm. It may be necessary, given the business need, to work occasional overtime or weekends. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. **Primary Responsibilities:** + Analyze scope and resolution of IBR Appeals + Respond to Level one, two or higher appeals + Perform complex conceptual analyses + Identifies risk factors, comorbidities', and adverse events, to determine if overpayment or claim adjustment is needed + Reviews governmental regulations and payer protocols and / or medical policy to recommend appropriate actions + Researches and prepares written appeals + Exercises clinical and/or coding judgment and experience + Collaborates with existing auditors, quality and leadership team to seek to understand, and review medical records pertaining to impacted claims + Navigates through web-based portals and independently utilizes other online tools and resources including but not limited to word, adobe, excel + Serve as a key resource on complex and / or critical issues and help develop innovative solutions + Define and document / communicate business requirements You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. **Required Qualifications:** + Undergraduate nursing degree + Unrestricted RN (registered nurse) license + 2+ years of appeals experience (coding or auditing) + Experience with CPT-4 coding, NCCI edit resolution and appropriate modifier use + Advanced experience with regulations, compliance and composing professional appeal responses + Advanced experience with ICD10 CM coding and ICD 10 PCS coding + Willing or ability to work our normal business hours of 8:00am - 5:00pm + Proven ability to keep all company sensitive documents secure (if applicable) + Have a dedicated work area established that is separated from other living areas and provides information privacy + Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service **Preferred Qualifications:** + Clinical claim review experience + Managed care experience + Investigation and/or auditing experience + Advanced experience using Microsoft Excel with the ability to create/edit spreadsheets, use sort/filter function, and perform data entry + Knowledge of health insurance business, industry terminology, and regulatory guidelines *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $35.00 to $62.50 per hour based on full-time employment. We comply with all minimum wage laws as applicable. **Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. _At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._ _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._
$35k-51k yearly est. 8d ago
Bill Reviewer III
Intermed 4.2
Remote veteran appeals reviewer job
Full-time Description Employee will work under limited supervision, meets daily production quotas in processing and auditing medical bills in accordance with the appropriate workers' compensation fee schedule by performing the following duties. This position may be considered to work from home under the following criteria: Essential Duties and Responsibilities: Codes medical bills into the company system with speed and accuracy, maintaining company production standards related to quantity and quality of output. Performs preliminary screening for appropriateness and medical necessity of services rendered. Uses CPT and ICD9/ICD10 codes, fee schedules, and other resource materials to determine appropriate reimbursement of billed services, including applicable fee schedule and/or repricing rational. Flags any problem bills to the BR supervisor. Communicates with clients and/or providers to clarify information. Forwards to Bill Review supervisor any unidentifiable unlisted procedure numbers. Ability to price hospital and surgery bills to applicable fee schedules. Ability to process reconsideration requests as assigned. May specialize in state specific or client specific areas of responsibility. Assists with bill review reporting functions (internal and external reports) May specialize in state specific or client specific areas of responsibility May assist is answering provider calls. May travel to other offices to assist with training Requirements Competency: To perform the job successfully, an individual should demonstrate the following competencies: Design - Demonstrates attention to detail. Oral Communication- Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions. Team Work - Supports everyone's efforts to succeed. Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality; Applies feedback to improve performance; Monitors own work to ensure quality. Quantity - Meets productivity standards; Completes work in timely manner; Strives to increase productivity; Works quickly. Qualification Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: High school diploma or general education degree (GED), plus minimum of one year data entry/medical billing experience; additional two years bill review experience in a workers' comp environment. Strong knowledge of CPT and ICD9/ICD10 coding and workers compensation fee schedules. Must be familiar with workers' compensation regulations and have good comprehension of company software system process. Certificates and Licenses: Must have Medical Bill Reviewer Designation - 40 hour initial certification plus continuing education hours of 16 hours every 2 years. We're an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Pursuant to the Los Angeles and San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest or conviction records. Salary Description $25.00 - $30.00
$57k-71k yearly est. 60d+ ago
Medical Content Reviewer - Remote - Nationwide
Vituity
Remote veteran appeals reviewer job
Remote, Nationwide - Seeking Medical Content Reviewer Everybody Has A Role To Play In Accelerating Healthcare Innovation If you want to be part of changing healthcare to better serve patients, you are in the right place. With Inflect Health you will join a team of individuals dedicated to optimizing healthcare for all. Join the Inflect Health Team. At Inflect Health, Vituity's Innovation Hub, we identify, develop, and invest in leading-edge technologies and solutions that strengthen Vituity's history of healthcare transformation. When you join our team, you are part of a community that is committed to sharing the future of healthcare by prioritizing the human element in innovation - focusing on the provider and patient outcomes, not just the technology. The Opportunity * Craft expert responses, showcasing your deep knowledge of medical principles to enhance machine learning of healthcare data. * Analyze samples based on provided information, demonstrating your ability to apply your expertise effectively. * Evaluate samples in sequential descending priority in a multi-step project, which will be used as inputs for a model. Required Experience and Competencies * Resume and cover letter required upon applying. * Eligibility to work in the U.S. * Expertise and experience in healthcare. * Experience using G-Suite (e.g. Google Sheets, etc.). * English language proficiency. We are excited to share the base salary range for this position is $60.00, exclusive of fringe benefits or potential bonuses. This position is also eligible to participate in our annual corporate Success Sharing bonus program, which is based on the company's annual performance. If you are hired at Vituity, your final base salary compensation will be determined based on factors such as skills, education, and/or experience. We believe in the importance of pay equity and consider internal equity of our current team members as a part of any final offer. Please speak with a recruiter for more details. Innovation and transformation are required to navigate and improve the evolving landscape of healthcare, and we believe everyone can play a role in that. We strive to be a catalyst for that transformation through improvement in healthcare delivery and the development of health technologies. If you want to make a difference, Inflect Health is the place to do it. Inflect Health does not discriminate against any person on the basis of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information (including family medical history), veteran status, marital status, pregnancy or related condition, or any other basis protected by law. Inflect Health is committed to complying with all applicable national, state and local laws pertaining to nondiscrimination and equal opportunity. Applicants only. No agencies please.
$60 hourly 21d ago
Medical Reviewer/Safety Reviewer III
Actalent
Remote veteran appeals reviewer job
Job Description: Responsibilities as applicable: Take part in post-market safety surveillance activities for assigned medical devices and contribute to area projects and objectives. Identify issues and escalate them to the manager as necessary. Conduct medical safety assessments MSA for medical device complaints involving reported adverse events and occasionally technical events. This involves evaluating the seriousness of adverse events determining device relatedness and assessing whether a recurring malfunction could cause or contribute to serious injury or death. Maintain oversight of all incoming MSAs for timely completion to assist in on-time reporting Skills pharmaceutical, clinical research, regulatory Top Skills Details pharmaceutical,clinical research,regulatory Additional Skills & Qualifications Qualifications: BSN Degree or higher with active RN license Minimally 5-7 years of hands-on clinical experience Able to apply clinical knowledge to adverse event data collection and assessment. Competent in ability to present device safety event data orally and in writing. Adheres to policies and regulations. Must be Computer proficient Windows Word Excel. Experience Level Expert Level Job Type & Location This is a Contract position based out of North Chicago, IL. Pay and Benefits The pay range for this position is $40.00 - $50.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to close on Jan 16, 2026. About Actalent Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
$40-50 hourly 3d ago
CDI/Risk Adjustment Chart Reviewer
New Age Software Services Corporation 4.4
Remote veteran appeals reviewer job
CDI/ Risk Adjustment Chart Reviewer DURATION:6 Month+ with strong potential to convert to hire US citizens and Green Card Holders and those authorized to work in the US are encouraged to apply. We are unable to sponsor (or transfer) H1B candidates at this time. If you need sponsorship now or in the future (OPT, STEM,) our client is not able to provide sponsorship. SUMMARY A growing risk adjustment company looking for motivated candidates with a clinical and coding background to join our team of senior coders/nurses. As a Retrospective Risk Adjustment Reviewer, you would be responsible for reviewing medical records, evaluating and assessing provider documentation, and submitting supported ICD-10 diagnosis codes according to specified guidelines. Chart review performed remotely via Electronic Health Record (EHR). RESPONSIBILITIES: Outpatient CDI -Clinical Documentation Integrity-chart reviewer •ICD-10 Coding of Outpatient and Inpatient diagnoses. • Evaluating and assessing provider documentation. • Applying client-specific guidelines in the coding of diagnoses. REQUIRED KNOWLEDGE AND SKILLS: • In-depth knowledge of medical terminology, ICD-10 coding, and Risk adjustment. • Medical chart review experience. Preferably Epic or Athena • Basic concepts of human anatomy, physiology, and pathology. • Ability to work with accuracy and attention to detail. • Excellent understanding of clinical documentation requirements and coding guidelines. PREFERRED QUALIFICATIONS: At least three of the following criteria: • Minimum 6-7 years of experience in risk adjustment or medical chart review Clinical Documentation Integrity Practitioner (CDIP) • Clinical Background, i.e.. RN, NP, PA, MD. •Certified Professional Coder (CPC). • Certified Risk Coder (CRC). • ICD-10 coding background. EDUCATION: Associate degree (or equivalent combination of formal education and experience) required. Bachelor's Degree preferred.
$53k-72k yearly est. 60d+ ago
Content Reviewer (Spanish)
Tech Firefly 4.0
Remote veteran appeals reviewer job
The Content Reviewer is responsible for supporting content management, data integrity, and quality assurance processes across various projects. This role involves organizing and classifying digital assets, reviewing data for accuracy, evaluating content quality for applications, and performing quality assurance checks to ensure high operational standards. MUST BE FLUENT IN SPANISH Pay: $60,000-$80,000 salary depending on location 100% Remote in the United States Long Term Contract Opportunity Key Responsibilities Review and discover new content as assigned by the Project Manager. Utilize internal management tools to classify and assign content into a product-specific content repository and database. Record and maintain all relevant information in structured spreadsheets. Review and analyze lists of data provided by the Project Manager for a variety of project purposes. Identify inconsistencies or anomalies in data and flag or resolve them as appropriate. Review videos or other data related to the application to assess content quality and identify data issues. Apply fixes within internal tools or spreadsheets, or report unresolved issues for escalation. Ensure alignment with internal content standards and data accuracy expectations. Conduct quality checks on each type of completed work across all team members to ensure compliance and consistency. Use agreed-upon quality forms and scoring methodologies to evaluate accuracy and completeness. Maintain records of QA results and communicate findings to relevant stakeholders. Requirements Bachelor's degree or equivalent experience in Content Management, Data Operations, Media Studies, or a related field. Fluent in Spanish Strong attention to detail and data accuracy. Experience working with content management systems, databases, or spreadsheets. Familiarity with video platforms preferred. Excellent organizational and analytical skills. Ability to work independently and collaboratively with cross-functional teams. Benefits Paid Time Off Paid Holidays Subsidized Medical, Dental and Vision Insurance 401k Employee Assistance Programs
$60k-80k yearly Auto-Apply 60d+ ago
Remote Content Reviewer
Generalwebers
Remote veteran appeals reviewer job
The Remote Content Reviewer is responsible for evaluating, editing, and ensuring the quality, accuracy, and appropriateness of digital content across various platforms. This role involves reviewing text, images, and multimedia materials to confirm compliance with company guidelines, legal standards, and brand voice. The Content Reviewer will play a key role in maintaining a high standard of content integrity and user experience. Key Responsibilities: Review and evaluate user-generated or company-produced content for accuracy, relevance, and adherence to established guidelines. Edit and provide feedback on content to ensure clarity, correctness, and consistency with brand standards. Identify and escalate inappropriate, offensive, or non-compliant content as necessary. Collaborate with content creators, editors, and moderators to address quality issues and develop best practices. Maintain accurate records of reviewed content, flagged items, and actions taken. Stay up to date with changes in company policies, industry regulations, and content moderation practices. Participate in regular training and calibration sessions to ensure consistency in content evaluation. Ensure all content reviews maintain strict confidentiality and comply with data privacy standards. Provide suggestions for process improvements to enhance workflow efficiency and content quality. Qualifications: Bachelor's degree in English, Communications, Media Studies, or a related field, or equivalent work experience. Minimum of 2 years of experience in content review, editing, moderation, or a related digital role. Exceptional attention to detail and ability to follow complex guidelines precisely. Excellent written and verbal communication skills. Strong analytical, organizational, and time management skills. Proficiency with content management systems and digital collaboration tools. Ability to work independently and efficiently in a remote environment. U.S. residency is required; applications from outside the United States will not be considered. Compensation and Benefits: Annual Salary Range: $48,000 - $62,000, depending on experience, education, and location within the U.S. Benefits Package: Comprehensive health, dental, and vision insurance 401(k) retirement plan with employer match Paid time off (vacation, holidays, sick leave) Professional development and training support Flexible remote work arrangements Employee wellness and assistance programs
$48k-62k yearly 23d ago
Distribution Reviewer
Nova 401 4.1
Remote veteran appeals reviewer job
Are you looking for a position where you can utilize your experience processing retirement plan distributions and loans? Do you excel at attention to detail and catching oversights? Do you want the flexibility and convenience of working from home? Nova 401(k) Associates is looking to fill a fully remote Distribution Reviewer position. The ideal candidate for this position has at least five years of experience processing distributions and loans for qualified retirement plans, with at least two years working in a remote working environment. In this position, you will provide work quality review for retirement plan loan and distribution requests. Nova 401(k) Associates is a vibrant and growing national third party, non-producing administration ﬁrm. We have a nationally recognized sales team allowing us to grow continuously and provide advancement opportunities for our professionals. Job Responsibilities: Review distribution and loan packages, including vesting verifications Work on more complicated distributions such as QDROs, death benefits, disability benefits, and Roth conversions as needed Assist with reviewing minimum required distributions and/or ADP/ACP refunds as needed Consider cyber security issues throughout review process Exemplify thorough understanding and interpretation of plan documents regarding distributions and loans Update account managers, management, and plan sponsors as necessary on requests and progress Pursue and attain NIPA's Distribution Administrator and Loan Administrator Certificates within one month of hire Perform other related duties as required Qualifications: Five or more years of experience processing retirement plan loans and distributions Strong knowledge of ERISA and Internal Revenue Code and Regulations specific to distributions Ability to establish priorities, work independently, and proceed with objectives without supervision Superior organizational and coordination skills Flexibility, adaptability, and ability to multi-task Coachable and committed to professional development Knowledge of Corbel Documents & Pension Pro is a plus Bachelor's degree preferred Compensation and Benefits: Base Pay: $55,000 - $70,000 Salaried, non-exempt Medical, dental, disability, and life insurance 401(k) plan with Employer Match Work Location/Hours: Work from Home Must work from USA and be authorized to work for any US employer We will supply all necessary computer equipment 40 hour work week Must work each day, Monday through Friday Must work a regular schedule during normal business hours We get it. We listen. We communicate. Click Here to review our Privacy Policy
$55k-70k yearly Auto-Apply 7d ago
PEER REVIEWER - ORTHOPEDIC SPINE - REMOTE
Michigan Peer Review Organization 4.3
Remote veteran appeals reviewer job
iMPROve Health is seeking a Orthopedic Spine Physician to serve as an independent contractor (1099) performing independent external medical reviews remotely on an ad hoc basis. As a peer reviewer, you will apply your clinical expertise to evaluate cases, specific to your specialty, medical necessity and/or standard of care, supporting efforts to enhance the overall quality and integrity of health care and your profession. Please note, this is not an employed position and our contracted fee is based on credential and specialty type. BENEFITS: * Make a Difference: Use your clinical knowledge to improve the quality of care patients receive. * Professional Recognition: Join a network of highly respected experts in your specialty. * Competitive Compensation: Receive fair pay for your time and expertise. * Protect Standards of Care: Help uphold the integrity of your profession. * Work Remotely: Review cases from the convenience of your home or office. DUTIES AND RESPONSIBILITIES: * Conduct objective, evidence-based peer reviews of clinical cases. * Make final determinations regarding medical necessity and quality of care. * Ensure decisions are fair, unbiased, and aligned with current standards of practice. * Submit reviews in a timely and professional manner using the IT systems provided. QUALIFICATIONS: * Medical License: Must hold an unrestricted medical license in any U.S. state. * Board Certification:Required (if applicable), through a board recognized by: * The American Board of Medical Specialties (ABMS), * The American Osteopathic Association (AOA), or * Another nationally recognized board granting certification. * Clinical Experience: * Have at least five (5) years full-time equivalent experience providing direct clinical care to patients. * Have experience providing direct clinical care to patients within the past three (3) years. * Knowledgeable of the issue under review, or of the current, evidence-based clinical guidelines and novel treatments for the medical or behavioral health condition, disease, treatment, or procedure under review. * Have the clinical expertise to manage the medical or behavioral health condition or disease under review. * Must be actively engaged in direct or virtual patient care for at least 20 hours per week. Administrative work does not qualify. TECHNOLOGY REQUIREMENTS: * Reliable Wi-Fi access. * Proficiency with Microsoft Word. * Access to a computer compatible with iMPROve Health's IT systems. OTHER REQUIREMENTS: * Must complete the electronic credentialing application and receive organizational approval prior to performing a case review. * Must complete a conflict of interest attestation upon credentialing and prior to performing a case review. * Active hospital medical staff privileges may be required, as applicable. * Notify the organization in a timely manner of an adverse change in licensure or certification status, including board certification status. * Cannot have current employment or affiliation with any Veterans Affairs (VA) hospital, health care system, or medical center if applying to perform VA-related peer reviews. EOE/VET/Disability
$43k-63k yearly est. 12d ago
Enrollment Reporting Reviewer (onsite)
Keiser University
Remote veteran appeals reviewer job
Job Description The Enrollment Reporting Reviewer works under the Associate Vice Chancellor for Student Financial Services. The key contribution of the Enrollment Reporting Reviewer is to review, amend, and return accurate enrollment rosters to the NSLDS. Responsibilities: Reviewing student enrollment rosters provided by NSLDS monthly Tracking and revising all files in a timely manner Assisting with the reporting of Gainful Employment and Financial Value Transparency (GE/FVT) data Maintaining compliance with all federal regulations and university policies & procedures ESSENTIAL FUNCTIONS: The Enrollment Reporting Reviewer must be knowledgeable in Department of Education (ED) compliance regulations and follow the NSLDS Enrollment Reporting Guide and other ED regulations. The Reviewer must use various software tools to carry out the review and analysis of the following: Rosters forwarded to the institution each month by the NSLDS The institutional student information system (SIS) to match the rosters received Internal systems to review, amend and return files to the NSLDS Error Reports provided by the NSLDS stemming from submitted rosters Reviewer will work with Registrar, Deans and others to resolve Enrollment data conflicts Reviewer imports/exports files via the EdConnect System Reviewer will work online, as needed, in NSLDS and COD and other systems as needed to validate accuracy of data Reviewer will work Gainful Employment & Financial Value Transparency reporting Knowledge, Skills, and Experience: The Enrollment Reporting Reviewer role is primarily focused on the review of data related to federal enrollment reporting in higher education. The Enrollment Reporting Reviewer works closely with other Enrollment Reporting Reviewers to review multiple files for different schools and campuses throughout the organization. Below is an inclusive, but not exhaustive, list of various knowledge, skills, and other characteristics that are necessary for effective performance as the Enrollment Reporting Reviewer. Knowledge: Understanding of data mining and data interpretation Familiarity with database management systems to extract, transform & load data Understanding of file formats and best practices for uploading & downloading data Skills: Strong verbal and written communication for collaboration and reporting findings Strong problem-solving skills and the ability to interpret complex data sets Proficiency in data analysis, database management tools and file transfer protocols Managing time effectively while maintaining a high degree of data analysis accuracy Experience: 2 years of experience in data analysis including managing data files and troubleshooting transfer issues 2 years quality assurance to ensure data accuracy through detailed review and data validation 2 years working collaboratively across departments and teams Education, Experience, and Training: Associate's degree required Bachelor's degree preferred This is an onsite position located at the Office of the Chancellor in Fort Lauderdale, FL.
$38k-57k yearly est. 25d ago
Title Reviewer - Remote Work from Home!
Aldridge Pite LLP 3.8
Remote veteran appeals reviewer job
Aldridge Pite, LLP is a multi-state law firm that focuses heavily on the utilization of technology to create work flow synergies with its clients and business partners. Aldridge Pite is a full-service provider of legal services to depository and non-depository financial institutions including banks, credit unions, mortgage servicing concerns, institutional investors, private firms, and other commercial clients. Aldridge Pite is dedicated to providing best-in-class representation across all of its Practice Areas through its unwavering subscription to three fundamental tenets: Partnership, Integrity, and Innovation. Purpose Review title reports on properties referred for foreclosure and identify any defects that may exist in the chain of title to determine whether title is clear to proceed with foreclosure or if title curative work may be needed. In addition to reviewing Georgia titles, this position will also have exposure to titles from Alabama and Tennessee properties. Specific Duties, Activities and Responsibilities Analyze and summarize title abstracts and recorded documents which affect condition of title to property (e.g., security deeds, conveyancing deeds, liens, UCCs etc.) Examine any probate documents in the chain of title Review to confirm that the legal description is valid. Experience with reading long legal descriptions and familiarity with survey terms required. May need to use Deed Plotter to check descriptions for closure Be familiar with Georgia Title Standards and identify title issues/defects (Alabama and Tennessee a plus) Compare descriptions in the chain of title to determine if vesting deed is correct and if the security deed encumbers the correct property Determine conditions required to obtain clear title through a foreclosure Examine security deeds, liens, orders, easements, plats, tax maps and surveys to verify legal description, ownership, restrictions, or conformity to requirements Review and confirm assignment chain is complete Review tax searches Verify that the information in the title search and accompanying documentation is accurate and complete Analyze encumbrances to title, familiarity with title statutes and standards, and prepare report outlining exceptions and actions required to clear title Prepare documentation of review and correspondence to transmit same with requirements to clear title to Vendor and Clients Initiate and follow-up on title issue resolution with Vendors, Attorneys and Clients to resolve title issues. Work closely with the Title Curative department Completes title related steps assigned to the firm within the client systems Assist with other duties and special projects as needed Job Requirements Bachelor's Degree Four to Six years of experience with residential real estate title and title insurance. Commercial experience a plus. Background with information technology a plus Ability to manage and prioritize large caseload Knowledge of Georgia title law and procedures Knowledge of Alabama and Tennessee title law and procedures a plus Knowledge of typical electronic default services platforms preferred (e.g. LPS, Tempo, Vendorscape) Working knowledge of general title policy underwriting standards In addition to remote work for most positions, we offer a comprehensive benefit program including: Company Paid Life and Disability Insurance plans Medical, Dental and Vision Plans with Prescription coverage 401K Retirement Savings Plan Flexible scheduling (within reason, depending on position) Generous PTO plan for all full-time employees Full equipment station at no cost for remote employees, including dual monitors Employee Assistance Plan, offering free 24/7 counseling and consulting services to support emotional health and wellbeing Wellness programs and employee discounts Learning and development training opportunities for both personal and professional growth And so much more! Aldridge Pite, LLP is fully committed to Equal Employment Opportunity and to attracting, retaining, developing and promoting the most qualified employees without regard to race, gender, color, religion, sexual orientation, national origin, age, physical or mental disability, citizenship status, veteran status, or any other characteristic prohibited by federal, state or local law. We are dedicated to providing a work environment free from discrimination and harassment, and where employees are treated with respect and dignity.
$65k-82k yearly est. Auto-Apply 60d+ ago
Elsevier Clinical Content Reviewer, Specialty Specific (Part-Time, Fixed Term Contract)
Osmosis 3.8
Remote veteran appeals reviewer job
Job Title: Clinical Content Reviewer - PT Fixed Term Contract About Elsevier A global leader in information and analytics, we help researchers and healthcare professionals advance science and improve health outcomes for the benefit of society. Building on our publishing heritage, we combine quality information and vast data sets with analytics to support visionary science and research, health education and interactive learning, as well as exceptional healthcare and clinical practice. At Elsevier, your work contributes to the world's grand challenges and a more sustainable future. We harness innovative technologies to support science and healthcare to partner for a better world. About our Team Elsevier Health is a division of Elsevier that is committed to supporting clinicians, health leaders, educators and students to overcome the challenges they face every day. We support healthcare professionals throughout their career journey from education through to clinical practice. We believe that by providing evidence-based information, we can help empower clinicians to provide the best healthcare possible. About the Role In this role, you will work closely with Elsevier Health data and content teams to ensure accuracy of content. You will play a critical role in reviewing content that will support clinicians at the point of care and providing as-needed feedback throughout the content and product development cycle. We are only hiring MDs/DOs from the following specialties: Family Medicine, Radiology, Pathology, Anesthesiology, OB/GYN, and General Surgery Responsibilities * Collaborate with our multidisciplinary team to create and curate content focused on emerging medical technologies * Create, rate, and rank queries based on their relevance, safety, and efficacy, helping healthcare professionals make informed decisions. * Review and assess the potential impact of various technologies on medical practice, patient care, and clinical outcomes. * Stay abreast of the latest advancements in the field of healthcare technology to ensure the content remains current and up-to-date. * Provide expert insights and perspectives on the integration of emerging technologies in clinical settings. Requirements This is a part-time, fixed term PRN role. * Terminal medical degree (MD or DO), specializing in one of the following: Family Medicine, Radiology, Pathology, Anesthesiology, OB/GYN, and General Surgery * At least 2 years of post-residency clinical experience * Active and unencumbered US-based license * Direct point of care experience within the US * Demonstrated interest and engagement with emerging technologies * Be comfortable working autonomously in a fully remote environment, must have proficiency in Microsoft Office (Outlook, Teams, and Excel) Compensation and Benefits: * Pay: This role will pay between $70-$80 USD / hour depending on the type of projects. * Perks: Gain access to Elsevier Health products, join a community of talented clinicians, and have an impact on the next generation of health solutions Work in a way that works for you We promote a healthy work/life balance across the organization. With an average length of service of 9 years, we are confident that we offer an appealing working prospect for our people. With numerous wellbeing initiatives, shared parental leave, study assistance and sabbaticals, we will help you meet your immediate responsibilities and your long-term goals. Working flexible hours - flexing the times when you work in the day to help you fit everything in and work when you are the most productive Working with us We are an equal opportunity employer with a commitment to help you succeed. Here, you will find an inclusive, agile, collaborative, innovative and fun environment, where everyone has a part to play. Regardless of the team you join, we promote a diverse environment with co-workers who are passionate about what they do, and how they do it. Why join us? * Purposeful Work When you work with us, your work matters. You are part of an organization that nurtures your curiosity to stimulate innovation for the communities that we serve. * Growing Every Day Like the communities we serve, you are on a constant path of discovery to shape your career and personal development. * Colleagues Who Care You will be part of the Elsevier family. We will support your well-being and provide the flexibility you need to thrive at work and home.
$49k-68k yearly est. Auto-Apply 60d+ ago
Residential Reviewer
Mountainseed Appraisal Management LLC 4.3
Remote veteran appeals reviewer job
HOW YOU'LL MAKE A DIFFERENCE: This Residential Reviewer fills a remote role (work from home) in MountainSeed's Appraisal Review Department. The Residential Reviewer will be performing Standard 3 and 4 appraisal reviews for residential properties. The appraisal reviews are conducted on MountainSeed's review form. The scope of work consists of a desk review and does not include an opinion of value and there is no confirmation of data. All communications, including uploading and downloading of reports, occurs via email or our web portal. There is no printing, mailing, hard copies, etc. IN THIS ROLE, YOU'LL GET TO: Perform detailed technical and compliance reviews on residential real estate appraisals, USPAP Standard 3 & 4 Ensure that valuations are reasonably supported, credible and compliant with federal and state regulations, USPAP, FIRREA, bank policies and guidelines, and industry standards Ensuring all communication is conducted by ValuTrac system Communicate with appraisers for any report corrections and/or revisions Evaluate appraiser quality of work and provide feedback for maintenance of the Bank's appraisal panel Respond to inquiries from production staff, underwriters, and members of management regarding review decisions to resolve issues Apply for and maintain multiple state licenses to serve our clients Be able to commute for MountainSeed special projects Provide support to all areas of real estate lending as needed; demonstrate superior customer service to appraisers and employees Attend ongoing training for Commercial Real Estate Appraisal and Appraisal Reviews Attend Weekly team meetings THIS OPPORTUNITY IS FOR YOU IF YOU HAVE/ARE: Minimum - Certified residential appraiser credential in at least one state Additional state licenses a plus At least five (5) years of real-estate appraisal review experience working with or for regulated financial institutions Bachelor's degree in accounting, finance, economics or related field Familiarity with Residential Real Estate Appraisal terminology and the appropriate application of appraisal valuation techniques, appraisal methodology and understanding of appraisal theory. Knowledge of residential mortgage operations. Attention to detail for the identification of Errors and Omissions. Manage difficult problems involving multiple facets and variables in non-standardized situations. Successfully prioritize work assignments of varying complexities, track progress of said assignments, demonstrate strong organizational skills and complete work within established deadlines. Software proficiency in Microsoft Office Suite and Outlook. Establish and maintain effective and professional working relationships. Effective written and verbal communication skills. Maintain confidentiality. WHAT WE OFFER: 3 weeks of PTO, 13 company paid holidays, paid parental leave, and a flexible work environment. Medical, Dental, Vision, Life, Disability, and 401K plans begin the first of the month after 30 days of employment. OUR PURPOSE is to provide opportunities that help people thrive using their God-given abilities. OUR CORE VALUES: Be a Self-Starter. Continuously seek ways to improve yourself and the business, take responsibility, and act with urgency to solve problems. Be a Team Player. Prioritize team success over individual achievements, support your colleagues, and contribute to creating high-performing teams. Be a Patriot. Focus on the greater good of the organization, be honest about what's working, and passionately work towards making the company better. Do it Right. Uphold high standards and integrity, even when no one is watching, and always aim to do the right thing. Be Humble. Lead by serving others, value diverse perspectives, and remain open to new ideas and feedback. WHAT WE DO: As the largest commercial real estate services marketplace in the nation, MountainSeed MarketPlace offers a comprehensive range of appraisal management, review services, and more. MountainSeed Analytics platform provides real-time, accurate real estate data insights, helping clients make informed decisions in markets across the U.S. MountainSeed's Capital Markets Solutions including Loan Sale Advisory and Sale Leaseback Programs assist in enhancing an institution's financial health. MountainSeed is proud to be an Equal Opportunity Employer and provides equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, pregnancy, sexual orientation, or any other characteristic protected by law.
$38k-51k yearly est. Auto-Apply 60d+ ago
Dental Medical Reviewer (DDS/DMD) - PRN (Remote U.S. within Alaska Time Zone Hours)
Acentra Health
Remote veteran appeals reviewer job
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Job Summary and Responsibilities Acentra health is looking for a Dental Medical Reviewer (DDS/DMD) - PRN (Remote U.S. within Alaska Time Zone Hours) Job Summary: * The Dental Medical Reviewer Doctor of Dental Surgery (DDS) OR Doctor of Medicine in Dentistry (DMD) - PRN will oversee Utilization Management (UM) activities to include peer review, utilization review, fair hearings and appeals, and other clinical consultations related to the applicable contract and will support the Dental UM contract. Responsibilities: * Responsible for the clinical oversight of the Dental Utilization Management program. * Collaborate with the State Medical Director or Program Director on case consultations as needed. * Must be available a minimum of four (4) hours per week. * Participate in the client's quarterly and ad-hoc contract meetings. * Review safety, sentinel, and Quality of Care events and provide detailed feedback and recommendations as per organization and policy. * Complete all secondary-level Dental Utilization Management reviews. * Develop and complete an annual review of clinical medical necessity criteria. * Participate in appeal hearings as needed. * Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules. The above list of responsibilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time. PLEASE NOTE: * This role is contingent upon being awarded a contract. Start dates and final offers are contingent upon the contract award and final contract start dates. * * Work Hours: Must be available for a minimum of four (4) hours per week during Alaska Time Zone business hours. * Qualifications Required Qualifications/Experience: * Must be available to work business hours as defined by contract within the Alaska Time Zone. * AND must be available for a minimum of four (4) hours per week. * Doctor of Dental Surgery (DDS) OR Doctor of Medicine in Dentistry (DMD) degree from an accredited dental school. * D.D.S. or D.M.D. state license in good standing (licensed in the state practicing from at a minimum). * 5+ years of experience in Utilization Management (UM), Service Authorization (SA), or other clinical review processes for Medicaid or another large healthcare payer. Preferred Qualifications/Experience: * Residency within Alaska, Pacific, OR Mountain Time Zone. * 10+ years of clinical practice. * 5+ years of experience as a physician executive with significant accomplishments in developing managed care strategies, integrating delivery systems, improving quality and utilization management programs, and coaching medical staff on healthcare business and practice issues. * 2+ years of experience as a Medical Director in a managed care company. #LI-SD1 Why us? We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes. We do this through our people. You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career. Thank You! We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search! ~ The Acentra Health Talent Acquisition Team Visit us at Acentra Health EEO AA M/F/Vet/Disability Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law. Compensation The pay for this position is listed below. "Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level." Pay Range USD $76.92 - USD $105.00 /Hr.
$39k-59k yearly est. 21d ago
Scientific Project Reviewers
Carbon Direct
Remote veteran appeals reviewer job
Join us on the journey to get to net zero At Carbon Direct, we dedicate our scientific, software, and business expertise to empower organizations around the world to take climate action. Our Mission Enable organizations to reduce, remove, and utilize their emissions with carbon science We are a purpose-driven carbon management firm dedicated to helping organizations around the world reach their climate goals. We make carbon science accessible and actionable with our end-to-end platform. Global citizens with global impact Whether a scientist, developer, or carbon markets expert, we are united by our mission to take climate action now. We are experts in our fields and we act with confidence. Located across 4 countries and in states all across the U.S., we offer both remote-friendly work options and dynamic, in-person experiences with offices located in Seattle, WA, Oakland, CA, and NYC. Diverse backgrounds bring diverse perspectives We recognize that teams with diverse backgrounds and different experiences are powerful. Bringing together a variety of perspectives only enhances how we can effectively address the climate crisis. Together, we are creating an environment where everyone is celebrated and anyone can succeed. About Carbon Direct Carbon Direct is a science-first organization that combines technology with deep expertise in climate science, data, and policy to deliver actionable climate strategies, and high-quality carbon dioxide removal to decarbonize the global economy. We have built a reputation as a trusted arbiter of high-quality strategy for carbon reduction, removal, and utilization throughout value chains, working with leading organizations. Our team of over 40 scientists includes thought leaders who actively contribute to the science of climate mitigation with novel assessment methodologies and public resources to facilitate action. With Carbon Direct, clients can set and equitably deliver on their climate commitments, streamline compliance, and manage risk through transparency and scientific credibility. Carbon Direct has applied its expertise to the completion of: Over 600 engineered, hybrid, and nature-based carbon credit project assessments, deep diligences for multi-year off-take agreements, and project co-design engagements. Over 150 unique emerging technology diligence reviews. Deep technical diligence de-risking engagements in improved forest management, reforestation, BECCS, and DAC, with commercial strategy support in collaboration with carbon credit developers to ensure that their products are best-in-class. Overview of the Opportunity Carbon Direct receives many client requests to diligence carbon projects. We are looking to bring on additional contractors to assist with project reviews. These cover a wide range of carbon dioxide removal and reduction technologies and would be appropriate for advanced graduate students (Masters or PhD level) in climate science fields (e.g., forestry, engineering, chemistry, environmental science, ecology) who are interested in gaining work experience. A review is generally a short report that follows a set template and examines the project proposal in the context of six quality criteria. Work is conducted with the oversight of a Carbon Direct senior scientist and subject to rigorous QA/QC. We operate a deliverable-based payment schedule based on the anticipated length and complexity of each assigned review. Equal Opportunity Employer Carbon Direct is an equal opportunity employer and does not discriminate on the basis of race, color, gender, religion, age, sexual orientation, national or ethnic origin, disability, marital status, veteran status, or any other occupationally irrelevant criteria. We adhere rigorously to our equal employment opportunity policies in connection with all employment decisions, including hiring, compensation and promotion.
$39k-59k yearly est. Auto-Apply 60d+ ago
Senior Loss Control Reviewer
EXL Talent Acquisition Team
Remote veteran appeals reviewer job
Why Apply? 15 days paid vacation, plus 10 paid holidays per year Competitive pay and benefits, including paid sick leave Work from home Career advancement opportunities Tuition Reimbursement Program Excellent culture and team Company provided laptop and monitors Pay Details: Pay: Competitive Hourly Pay Based on Experience EXL is looking for motivated and self-directed individuals to conduct quality reviews, provide coaching and guidance to survey field staff, and provide feedback/findings to the Quality Director to improve the total quality for customers in a manner that is consistent with company policies, procedures, and standards. All interested candidates are encouraged to submit their qualifications. Come join the EXL Survey and Risk Control team! For more information on benefits and what we offer please visit us at ************************************************** The Location This is a remote position based out of your home office, requiring no travel. Knowledge, Skills, and Abilities Needed Strong analytical skills and an attention to detail. Working knowledge of NFPA 13 to determine automatic sprinkler system requirements. Ability to manage time and perform responsibilities with little/no supervision. Good interpersonal skills, ability to communicate effectively with co-workers and clients. Ability to utilize resources available to complete assigned projects successfully. Knowledge in use of computers. Familiarity with overall organization. Must exhibit initiative and be willing and able to pick up new tasks quickly. Ability to apply principles of logical or scientific thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas, scientific equations, graphs etc.) in its simple phases. Ability to deal with a variety of abstract and concrete variables. Must have extensive knowledge and skills using personal computers and MS-based office software packages including Word, Excel, PowerPoint, Outlook and Access. Excellent written and oral communication skills. Ability to work/communicate with all levels of internal and external contacts. Excellent organizational and problem-solving skills Responsibilities The Loss Control Quality Reviewer (Multi Line Coverage Specialist) is a critical position responsible for delivering quality technical reports to our insurance carrier client base. In addition to quality review, you will oversee the completion of Loss Analysis, Opinion of Risk Evaluations, Recommendations for Improvement, Loss Estimates (PML/NLE) and technical accuracy determination. The Multi-Line Coverage reports can be any combination of Property, General Liability, Auto, Workers Compensation and Products Liability. You will work from home with computer and home office equipment provided. Conduct quality reviews of field survey reports to assure technical and professional company quality standards are met prior to the work being released for transmittal to the customer. Ability to conduct quality reviews on all lines of business, with a strength in Property and the ability to evaluate automatic sprinkler protection adequacy. Provide detailed reviews of Farm Loss Control Reports, including building valuations. Provide prompt, clear, succinct guidance to field staff for correction of any work not attaining acceptance of company quality standards. Provide technical coaching and assistance to survey field staff. Accountable for the quality of all survey work released by the branch to its customers. Advise the Quality Director of findings, training needs, product improvements or other actions that will improve the product of the surveys completed for our customers. Prepare accurate professional documentation of survey review, and communicate clearly and professionally with field staff, team members and clients. When requested, actively and professionally participate in providing technical and other guidance to field staff, assist with preparation and delivery of various training, and effectively coach staff. May be requested to assist with the more complicated and challenging field surveys should additional time be available after completion of the primary task of survey review and feedback.
$39k-59k yearly est. Auto-Apply 14d ago
Senior Tax Reviewer
Tax Goddess Business Services
Remote veteran appeals reviewer job
About the Company Tax Goddess (*********************** Our firm is recognized as the top 1% of Tax Strategists in the USA. With 19+ years of experience, We're not your average number crunchers we're a progressive, 100% digital CPA firm. So, if you can handle cloud computing and rock basic tech skills, you're in for a wild ride! Job Summary: As a Senior Tax Reviewer at TaxGoddess.com, you will play a critical role in ensuring the accuracy and compliance of tax returns prepared by our team. You will be responsible for reviewing complex tax filings, providing strategic tax planning advice, and mentoring junior staff. This remote position offers the flexibility to work from anywhere in the world while making a significant impact on the success of US-based businesses. Key Responsibilities: Tax Return Review: Review complex federal and state tax returns for businesses, including S-corporations, C-corporations, partnerships, and sole proprietorships, ensuring accuracy, compliance, and adherence to current tax laws. Identify and address potential tax issues, providing clear and actionable feedback to preparers. Ensure all tax filings are completed accurately and submitted on time. Strategic Tax Planning: Provide high-level tax planning and advisory services to clients, helping them minimize tax liabilities and optimize their financial strategies. Stay up-to-date with the latest tax laws and regulations to ensure clients are informed and compliant with any changes that may impact their business. Mentorship and Leadership: Mentor and support junior tax preparers, providing guidance on complex tax issues and reviewing their work to ensure quality and accuracy. Lead by example, fostering a collaborative and positive team environment in a fully remote setting. Client Communication: Communicate directly with clients to discuss their tax situations, provide recommendations, and answer any questions they may have. Maintain strong client relationships through regular communication and by delivering high-quality service. Continuous Improvement: Identify opportunities for process improvements within the tax review function to enhance efficiency and accuracy. Participate in training sessions and professional development to stay ahead of industry trends and advancements. Required Skills and Qualifications: Experience: A minimum of 10 years of experience in tax preparation with a strong focus on the US market. Certifications: CPA certification (or equivalent) is highly preferred. Extensive knowledge of US federal and state tax laws, regulations, and filing requirements. Strong analytical skills and attention to detail. Excellent communication skills, both written and verbal, with the ability to explain complex tax concepts to clients and team members. Proven ability to manage multiple projects and deadlines in a remote work environment. Proficiency in tax software and technology (e.g., QuickBooks, ProSeries, Lacerte, UltraTax, etc.). Experience with tax planning and providing strategic tax advice to businesses. Strong leadership skills and the ability to mentor and develop junior team members. Preferred Skills: Experience with international tax issues, especially in relation to US expatriates or businesses with global operations. Advanced knowledge of tax software, including automation and integration with other financial systems. Familiarity with cloud-based accounting and tax platforms. Mandatory System Requirements: Internet Speed: At least 10mbps CPU: Core i5 (8th generation minimum) or i7 (8th generation minimum) RAM: Minimum of 16GB Storage: Minimum 256GB SSD or 500GB HDD Operating System: Genuine Windows (Preferably Pro). Audio: A good quality headset preferably equipped with noise cancellation Video: A laptop/PC with webcam or a good-quality webcam Headset with noise cancellation Private Home-office Location To ensure the security of our firm, we can only consider candidates who have a Windows operating machine. Having Windows Pro would be a significant advantage. If you are a Mac user and wish to apply, please note that you will need to acquire a Windows operating machine once you are accepted to perform the job with us. Noteworthy Perks Awaiting You: Permanent Work from home. Paid training and a collaborative environment. Work-life balance with fun activities & events. Performance-based incentives and Staff Referral Bonus Program. Access to Taxation Expertise. Working Hours: Mandatory overlap (8:00 am to 12:00 noon Arizona time), with flexible remaining hours. At least 40 hours per week of guaranteed work. How to Apply: Must be willing to follow our hiring process: Fill up the jot form, Send your proposal along with your updated resume. Answer the Critical thinking through videoask along with a technical assessment Technical Interview with the Head of Department and the hiring team Behavioral interview with HR Hiring decision and job offer with HR department head Satisfactory Background and credit check No CHATGPT Responses to all assessments. Make your mark. Apply today! Tax Goddess provides equal contractor opportunities to applicants and staff without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, national origin, protected veteran status, disability status, or any other legally protected basis, in accordance with applicable law. Working Place: Scottsdale, Arizona, United States
$46k-66k yearly est. 60d+ ago
New York Real Estate Curriculum Reviewer - NYC (Contract)
Study.com 3.9
Remote veteran appeals reviewer job
New York Real Estate Curriculum Reviewer (Contract) Study.com is looking for Real Estate experts to evaluate and update Study.com's Real Estate content to ensure it meets current academic standards and industry requirements. Our ideal expert is knowledgeable in their field, detail-oriented, and capable of analyzing content organization. This is an online, remote contract role. Work will be paid hourly. Project Description Your role would include the following responsibilities: Research and Analysis: • Conduct comprehensive research on state-specific real estate licensing requirements • Stay updated on changes in real estate laws, regulations, and exam content outlines in the target states Course Auditing: • Review and audit existing courses for brokers and salespersons to ensure content accuracy and compliance with state requirements • Identify gaps or outdated information in course materials and recommend updates Question Bank Management: • Audit the existing practice question bank to ensure alignment with current state exam questions and formats • Review and evaluate new practice questions for relevance, accuracy, and compliance with state-specific regulations • Revise and update practice questions as needed to maintain the highest quality standards Required Skills: Active real estate license in good standing Minimum of five years of experience in the real estate industry Demonstrated expertise in state-specific real estate licensing requirements, particularly in NY Proficiency in using educational technology tools and platforms Additional Preferred Skills: Familiarity with online training courses for licensing and continuing education What We Offer: Reliable Payments: You'll receive payments twice a month and automated invoicing for your work. Remote Work: This is a fully online contracted work-from-home opportunity. Flexibility: Basically, there are no requirements! Work when you want, where you want, as often as you want, with no minimums/maximums. Support: Our supportive staff is available answer your questions and help you get up and running. About Study.com The mission of Study.com is to make education accessible, and over the last two decades we've become the leading online education platform, delivering a personalized learning experience across a broad continuum of education for over 30 million students, instructors, and professionals every month. We help empower millions of learners to achieve their education and career goals. We focus on increasing access to education because we know information is the ultimate equalizer and that education is key to upward mobility. Feel free to share this opportunity with any friends you think would be interested, too.
$40k-60k yearly est. Auto-Apply 60d+ ago
Technical / Grammatical Reviewer - REMOTE
Sol Engineering Services LLC
Remote veteran appeals reviewer job
TECHNICAL / GRAMMATICAL EDITOR - REMOTE Vicksburg, MS SOL Engineering Services, LLC is an engineering and technical services provider, with over 20 years of engineering and consulting experience. Our viability comes, in part, from utilizing the diverse backgrounds of the firm's owners and the experiences of its team of approximately one hundred engineers, scientists, technical subject matter experts, and program and project managers. Our hands-on project implementation approach encompasses management, quality, and engineering principles to ensure effective management and delivery of all projects. SOL's reputation and keys to success are built on providing high quality, responsive engineering and related technical services while maintaining professional commitments and ensuring that full satisfaction is given to our clients throughout the United States. SOL Engineering Services, LLC is searching for a Technical / Grammatical Document Reviewer to review draft documents and analyze graphic and technical information, to provide specific feedback to the authors for their consideration with respect to technical or grammatical points. Requirements Must be a U.S. citizen, able to pass a background investigation (financial and criminal) and apply for and maintain up to a Secret clearance, as well as having a valid driver's license. Requires at least a BS/BA in English or similar, related field where the individual has demonstrated skills in reviewing written material and assuring sound grammatical structure, formatting, organization, technical content, punctuation, and structure. Requires strong Microsoft Office skills including advanced proficiency in Word for document creation/formatting (Track Changes, styles, layout) and solid skills in Excel for data (charts, functions), PowerPoint for presentations, Outlook for scheduling, and potentially Teams/OneNote for collaboration. Requires strong technical acumen related to engineering and/or scientific research. Technical documents may include but technical reports, papers, journal articles, military field manuals, abstracts, technical letters, special reports, and presentation briefings. Must be able to format, edit and proof written work products, and ensure all materials meet established standards of appearance, consistency, and content under tight schedules and strict deadlines. Work will be conducted in an office setting, and teleworking may be an option. No travel will be required. We offer a competitive salary, health benefits and paid vacation. Veterans and HUBZone residents are encouraged to apply. Equal Opportunity Employer
$44k-64k yearly est. Auto-Apply 60d+ ago

Learn more about veteran appeals reviewer jobs

Updated January 15, 2026

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Veteran appeals reviewer jobs near me - 77 jobs

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Scientific Project Reviewers

Senior Loss Control Reviewer

Senior Tax Reviewer

New York Real Estate Curriculum Reviewer - NYC (Contract)

Technical / Grammatical Reviewer - REMOTE

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