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THIS POSITION IS BASED IN MIAMI, FLORIDA. WE SEEK LOCAL CANDIDATES ABLE TO COMMUTE TO/FROM OUR OFFICE IN CORAL GABLES, FLORIDA. Ascendant Claims Services LLC, a trusted affiliate of Ascendant Commercial Insurance Inc., is seeking an experienced Litigation Claims Adjuster for our Bodily Injury Claims Division to join our dynamic third-party claims administration organization. At Ascendant, our core philosophy is simple: serve with integrity, professionalism, and excellence. We’re looking for the next generation of industry claims litigation professionals who want stability, growth, and a rewarding career. Location: Coral Gables, Florida Work Schedule: Following the 90-day probationary period, the adjuster will be eligible to participate in the Work-from-Home Program. The program offers a hybrid work schedule: three (3) days in the office and two (2) days remote. Join a Team Built on Excellence and Professionalism! If you’re searching for a company that offers: ✔ Competitive compensation ✔ Comprehensive benefits ✔ Upward mobility ✔ A culture rooted in values, integrity, and customer service. Primary responsibilities include, but are not limited to: • Effectively manage an inventory of litigated and non-litigated Bodily Injury claims by keeping abreast of any/all changes /documentation from initial evaluation to final disposition., • Consistently communicate with claimants, attorneys, insureds, medical professionals, or witnesses, to compile information regarding accidents and resulting claim information., • Unfailingly maintain claim reviews on a monthly basis consistent with the requirements of Claims' Best Practices., • Persistently return all phone calls/contact inquiries to maintain high levels of customer service. Qualifications: • Minimum of 5-7 years of Bodily Injury claims adjusting experience., • Must have a valid Florida All Lines Adjusters License – 520/620., • Full understanding of Bodily Injury claims investigations and claims processing., • Knowledge of the mechanics of Bodily Injury, medical terminology, and settlement negotiations., • Well-developed verbal and written communication skills., • Experienced in problem-solving and organizational skills., • Bilingual in English and Spanish preferred but not required. Benefits: • Health Insurance, • Dental /Vision, • Gap, • Short Term / Long Term Disability, • Cancer / Accident Insurance Plan, • Hospital Indemnity Insurance, • Life Insurance, • 401(k) Retirement

✅ Duration: Permanent/Salaried ✅Location: Miami, FL ✅ Schedule: Monday–Friday, 8:00 AM–5:00 PM We are seeking a detail-oriented professional with workers’ compensation experience to support our Safety and Risk Management team. ✔ Key responsibilities include assisting with the intake, setup, tracking, and processing of workers’ compensation claims in compliance with state and federal regulations: • Coordinating communication between injured employees, supervisors, HR, and safety leadership regarding work restrictions and return-to-work planning, • Supporting modified duty and return-to-work coordination, • Assisting with claim reviews, loss runs, and reporting/trend analysis, • Ensuring compliance with OSHA regulations and Florida workers’ compensation statutes, • Maintaining confidentiality and accurate data entry within tracking systems, • Collaborating with HR, Payroll, Operations, and Safety teams on incident documentation and workplace accommodations ✔ Required Qualifications: • CWCP, WCCP, or Florida Workers’ Compensation Adjuster License preferred OR 2–5 years of workers’ compensation claims experience with strong knowledge of Florida WC laws/processes, • Bilingual: English/Spanish, • Strong organizational, follow-up, and written/verbal communication skills, • High attention to detail with ability to maintain confidentiality, • Ability to manage multiple claims simultaneously, • Proficiency in Microsoft Office (Excel, Word, Outlook) ✔ Check out some of our benefits! • Competitive benefits package for full-time employees (30+ hours/week), • Comprehensive health, dental, and vision insurance, • Paid time off (PTO), • Paid holidays, • 403(b) retirement savings plan, • Employee discounts, • Access to an Employee Life Fund (ELF) program

Job Description We are seeking a Provider Services Advocate to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Provider Services Advocate plays a critical role in supporting healthcare providers by serving as a liaison between providers and the health care organization. This position ensures that providers receive timely assistance with inquiries, claims, and service issues, ultimately enhancing provider satisfaction and operational efficiency. The advocate will analyze provider concerns, coordinate with internal departments, and facilitate resolutions to complex problems. By maintaining strong relationships and clear communication channels, the role contributes to the seamless delivery of healthcare services. The ultimate goal is to foster a collaborative environment that supports providers in delivering high-quality patient care. Minimum Qualifications: • High school diploma or equivalent., • Two to three years experience in customer service., • Knowledge of automated systems (technical adeptness) required., • Associate’s or Bachelor’s degree in healthcare administration or related field preferred., • Experience working with Medicaid, Medicare, or commercial insurance providers., • Experience processing UB04 and CMS 1500 claims, • Familiarity with healthcare regulatory requirements and compliance standards., • Certification in healthcare customer service or provider relations., • Serve as the primary point of contact for healthcare providers seeking assistance with claims, billing, credentialing, and service-related inquiries., • Investigate and resolve provider issues by collaborating with internal teams such as claims processing, credentialing, and customer service., • Maintain accurate records of provider interactions, issues, and resolutions to ensure accountability and continuous improvement., • Communicate policy updates, procedural changes, and relevant information to providers to keep them informed and compliant., • Identify trends in provider concerns and recommend process improvements to enhance provider experience and operational workflows.

Job Description We are seeking a Manager for our Claims Administration Call Center to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Manager, Claims Administration Call Center is responsible for overseeing the daily operations of the call center to ensure efficient and effective handling of insurance claims inquiries and processing. The Manager, Claims Administration Call Center, is responsible for the guidance and direction of the staff within the Claims and Call Center Department. The Manager will provide leadership to enable the staff to meet departmental and company goals. Minimum Qualifications: • High School diploma/GED required, • Associate's or Bachelors degree, • Prior Supervisory experience preferred, • Control distribution of claims to examiners to meet processing / production goals., • Ensure timely and accurate claim processing; assist with claim processing, as necessary., • Prepare management reports relating to production and quality; provide feedback to staff. Review quality statistics / trends; coordinate efforts with the Quality Assurance Department to implement necessary steps for improvement., • Monitor written and telephone inquiries to ensure responses are sent accurately and timely. Monitor correspondence activity and daily forecasting methodologies to meet departmental and client specific goals and objectives., • Monitor production of agents with regards to daily written correspondence activity, quality of service, and consistency of information., • Support the department with strategic goals, implementation of new business and state/client audit reviews.

Job Description Overview We are seeking an experienced Eligibility Coordinator to join our team. The ideal candidate will have a strong background in insurance eligibility verification and authorization processes, specifically within the state of Florida. Familiarity with Miami’s healthcare landscape and patient populations is essential. Responsibilities • Verify patient eligibility, benefits, and coverage for wound care treatments with various insurance providers., • Communicate effectively with insurance companies, patients, and clinical staff to resolve coverage issues., • Maintain accurate records of insurance verifications, denials, and approvals in compliance with departmental protocols., • Stay up-to-date with insurance policies, regulations, and procedures, particularly those specific to Florida and Miami., • Provide support to patients and families regarding coverage questions and financial options., • High school diploma or equivalent, • Minimum of 1 years of experience in insurance eligibility verification, preferably in dermatology care or related healthcare fields., • Strong organizational and time-management skills., • Proficiency in electronic health record (EHR) systems and insurance verification tools., • Exceptional communication and interpersonal skills., • Bilingual in English and Spanish to serve Miami’s diverse patient population., • Familiarity with Medicare, Medicaid, and managed care plans in Florida., • Competitive salary based on experience., • Comprehensive benefits package, including health, dental, and vision insurance. Job Types: Full-time Pay: $18.00 - $20.00 per hour Expected hours: No less than 40 per week Schedule: • Monday to Friday People with a criminal record are encouraged to apply Work Location: In person This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s). Duties described are not to be interpreted as being all-inclusive or specific to any individual team member. No Third Party Agencies or Submissions Will Be Accepted. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR RVLtF7O3Q3

Job Description POSITION SUMMARY The Claims Examiner I is responsible for the accurate and timely adjudication of healthcare claims within a managed care environment, with a focus on Dual Eligible Special Needs Plans (DSNP) and Medicare lines of business. This role involves applying benefit plans, policies, and regulatory guidelines to ensure proper claim processing, including new claims, reprocessed claims, overturned disputes, and appeals. The Claims Examiner plays a critical role in maintaining compliance, ensuring payment accuracy, and supporting members and Provider satisfaction. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to: Key Responsibilities • Review, analyze, and process medical claims in accordance with Medicare and DSNP benefit structures, policies, and procedures., • Accurately adjudicate new day claims, ensuring proper application of benefits, coding edits, and pricing methodologies., • Reprocess claims resulting from overturned disputes and appeals, ensuring adjustments reflect updated determinations and regulatory requirements., • Evaluate and process claim disputes and reconsiderations, including those that result in overturn decisions requiring correction and re-adjudication., • Handle appeals-related claim adjustments, ensuring timely and accurate implementation of appeal outcomes., • Interpret provider contracts, fee schedules, and reimbursement methodologies to ensure correct payment., • Ensure compliance with CMS (Centers for Medicare & Medicaid Services), state regulations, and internal policies., • Identify and escalate complex claim issues, system errors, or potential compliance risks., • Maintain productivity and quality standards, meeting turnaround time requirements for all claim types., • Document claim processing activities clearly and accurately in system notes., • Collaborate with internal departments such as Provider Relations, Appeals & Grievances, and Configuration teams to resolve claim issues., • Participate in audits, quality reviews, and continuous improvement initiatives. QUALIFICATIONS AND EDUCATION Required Qualifications • High school diploma or equivalent; associate or bachelor’s degree preferred., • Minimum of 2–4 years of claims processing experience in a managed care or health insurance environment., • Strong knowledge of Medicare and DSNP claims processing guidelines, including benefit application and coordination of benefits (COB)., • Experience handling claims reprocessing, disputes, and appeals (including overturned cases)., • Familiarity with CPT, HCPCS, and ICD-10 coding., • Understanding of provider contracts and reimbursement methodologies., • Strong analytical and problem-solving skills with high attention to detail., • Ability to manage multiple priorities in a fast-paced environment., • Proficiency in claims processing systems and Microsoft Office applications. Preferred Qualifications • Knowledge of CMS regulations and audit requirements., • Prior experience working with dual-eligible populations., • Medicare, Part C claims processing experience. Core Competencies • Accuracy and attention to detail, • Regulatory compliance awareness, • Critical thinking and decision-making, • Time management and productivity, • Communication and collaboration WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • The noise level in the work environment is usually moderate., • Works in the field, • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances. This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period. The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. PERFORMANCE MEASUREMENTS • Duties accomplished at the end of the day/month., • Attendance/punctuality., • Compliance with Company regulations., • Safety and Security., • Quality of work. This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate. Employee Acknowledgement: I have read this job description and understand what is expected of me while I occupy this role

Job DescriptionSUMMARY The Accounts Payable Specialist is responsible for managing day-to-day accounts payable operations, ensuring accurate and timely processing of vendor invoices, payments, and reconciliations. This role plays a critical part in maintaining financial accuracy, supporting month-end close activities, and ensuring compliance with internal controls and company policies. This position also owns the management of company credit cards and employee expenses, ensuring proper receipt collection, coding accuracy, and policy compliance. This is a hybrid role based in Miami, FL, requiring a detail-oriented and highly organized individual who thrives in a fast-paced environment and can manage multiple priorities effectively. DUTIES & RESPONSIBILITIES • Process high-volume vendor invoices, ensuring accuracy, proper coding, and required approvals., • Manage full-cycle accounts payable, including invoice intake, validation, entry, and payment processing., • Prepare and execute weekly payment runs (ACH, wire, and check), including provider claims check runs., • Maintain and update vendor records, including onboarding new vendors and collecting W-9 and compliance documentation., • Reconcile vendor statements and resolve discrepancies in a timely manner., • Respond to vendor and internal inquiries regarding payment status and account details., • Prepare accounts payable accruals and support month-end close by reconciling AP balances., • Ensure proper documentation and organization of AP records to support audit readiness., • Support internal and external audits by providing required documentation and explanations., • Ensure compliance with internal controls, approval workflows, and company policies., • Collaborate with Accounting and Finance teams to ensure accurate expense classification and reporting., • Own and manage company credit card processes, ensuring all cards are current, properly coded, and supported by appropriate receipts., • Identify opportunities to improve AP processes, increase efficiency, and strengthen internal controls.REQUIREMENTS & QUALIFICATIONS, • 1–3 years of accounts payable or general accounting experience., • Working knowledge of basic accounting principles and GAAP., • Experience with accounting systems (e.g., NetSuite, Sage Intacct, or similar ERP systems preferred)., • Strong attention to detail with a high level of accuracy., • Ability to manage multiple priorities and meet deadlines in a fast-paced environment., • Strong organizational and problem-solving skills., • Effective written and verbal communication skills., • Proficiency in Microsoft Excel (basic formulas, reconciliations, and data organization). saftJyL6An

Job Description The Will Call/Counter Flex position “flexes” between material handler and counter sales responsibilities. Warehouse material handling functions may include (but are not limited to) receiving, order filling, stock replenishment, will call, and cycle counts. On the counter, this position provides prompt and courteous service to customers that includes sales, merchandising, order processing, pricing, product research, and promotional activities. Showroom stocking, organization, and cleaning are required on an as-needed basis. People Leadership Summary: This position has no supervisory responsibilities. Essential Job Functions: • Services customers’ needs at Will Call counter and front sales counter by providing friendly, accurate, and prompt fulfillment of orders., • Receives product into the warehouse; inspects freight for damage, verifies quantity ordered, checks shipments against packing lists. Uses RF scanner to receive product., • Replenishes stock, including re-stocking of picking stock, filling bin boxes, facing cartons, storing pallets, and rotating product as needed., • Fills customer orders by picking products using RF scanner, ensuring accuracy by scanning barcodes, and packing products into cartons or pallets., • Handles customer warranty claims and credit returns in a timely fashion by completing all appropriate documentation and receiving product items back prior to processing of any claims or credits in accordance with standard operating procedures (SOP’s)., • Enters sales orders into Sales Order Entry System and processes credit card payments or receives cash payments all in accordance with SOP’s., • Answers incoming customer telephone calls and provides all aspects of customer service such as providing quotes, taking sales orders, researching products/services, and answering general information questions., • Maintains min/max flow of product in showroom and displays by stocking merchandise, facing shelves, organizing product, removing litter, dusting, and cleaning shelves., • Balances individual daily sales transactions to payments received according to company’s cash handling policy., • Identifies damaged inventory and bring this to the attention of store leadership for mark-down and quick sale., • Maintains a neat, clean, and professional personal appearance., • Attends training seminars on products and services in order to acquire more product knowledge., • Performs all other duties as assigned. Johnstone Supply believes that each employee’s contribution should not be limited by the assigned responsibilities. Therefore, it is our expectation that each employee will adhere to our company values and offer his/her services wherever and whenever necessary to ensure the success of our endeavors. Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: Required: • High school diploma or general education degree (GED), • 1+ years of related experience and/or training in a wholesale/retail environment; or equivalent combination of education and experience., • Experience with a picker, RF scanner, and inventory management systems., • Knowledge of HVAC wholesale industry, principles, and practices., • Previous experience with OSHA and safety regulations and procedures., • Certificates, Licenses, and Registrations. • Basic computer skills, including knowledge and skill in the use of inventory management systems and office software (e.g., email programs, Internet browsers)., • Ability to read, add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals., • Ability to work safely in all job tasks., • Skill in operation of power equipment, including forklift, pallet jack, and cherry picker., • Must be able to lift, push, pull, and maneuver large/heavy products or pieces of equipment while working within established safety guidelines., • Familiarity with warehouse or distribution center management systems and order picking processes., • Ability to follow instructions and procedures., • Ability to organize and prioritize work., • Ability to attend to details., • Ability to complete routine paperwork., • Ability to utilize necessary technology to complete tasks, such as RF equipment and ERP software., • Ability to work with others in a team-based environment., • Strong customer service skills; ability to demonstrate considerable tact and diplomacy in dealing with others and to maintain relationships., • Polished and professional demeanor in person, online, and via phone, • Problem-solving skills: listening to, interpreting, and meeting needs of others; diagnosing and rectifying problems., • Excellent verbal and written communication skills. While multilingual skills are valued, English proficiency (written and spoken) is a core requirement for this position due to the nature of the work, safety regulations, and to ensure accurate communication and comprehension. People Leadership Level: • Individual Contributor Non-Lead – Focus on producing own work, achieving quality standards, and meeting deadlines; no personnel authority; this category includes IC’s who are knowledge resources for their peers. Physical Demands & Work Environment: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Physical Demands: While performing the duties of this job, the employee is required to sit, stand, and walk on a concrete floor for much of the workday. The employee is regularly required to reach with hands and arms; climb or balance; stoop, kneel, crouch, or crawl. The employee is frequently required to lift and carry and/or move up to 50 pounds and required to lift more weight with mechanical assistance or the assistance of team members. For driving duties (if applicable), employee is required to sit for long periods of time and can experience bouncing and vibration. The individual is frequently required to talk or hear. Special vision requirements are near vision, distance vision, peripheral vision, and color vision. Work Environment: Time will be spent in an unconditioned warehouse environment, which may have hot and cold temperatures, dust, dirt, and noise, as well as in a company vehicle. Additional time may be spent outdoors, in trucks, and in the office and/or store. While outdoors, the employee is exposed to a variety of weather elements including sunshine, rain, heat, cold, and humid conditions. Occasionally, the employee is exposed to fumes, airborne particles, or toxic or caustic chemicals. The normal workday will be from 8 to 12 hours per day. However, the hours may be longer when specific projects are due. Some extended schedules will be necessary

Job Description DAX International Brokers, better known as DAX, is growing and so should you! As a leader supplier and distributor of Kitchen and Bath products in Florida, we are always interested in hearing from dedicated and passionate Warehouse Workers. We are now seeking candidates who are looking to make a change and work in a fast-growing company with multiple locations. Apply now to join our team! Responsibilities and Duties: • Operation of computers and basic programs: use of PC, Windows operating system, Outlook email, and basic-level Excel., • Use of SAP inventory system and Zebra-type scanners for product location in racks, receiving merchandise, and recording warehouse movements., • Execution of inventory control tasks, order preparation, and fulfillment of online sales orders., • Management of orders from platforms such as Amazon, Wayfair, Walmart, Shopify, Lowe’s, Cymax, among others: reviewing, preparing, labeling, and shipping products., • Coordination of shipments through carrier platforms such as UPS, FedEx, USPS, DHL, etc., including rate calculation, service selection, label generation, and delivery tracking., • Handling of claims for returns or damages, and management of merchandise return processes., • Packing and preparation of shipments and outgoing loads., • Operation of forklifts and other mobile equipment for the movement, organization, and placement of goods, including large or heavy items, in accordance with legal weight-handling limits., • Execution of general warehouse tasks associated with the warehouse associate role, with operational and logistical knowledge., • Disassembly of products for parts classification or component recovery., • Experience or basic knowledge in mechanical or electrical parts is valued, as it supports the identification, handling, and processing of technical products., • Requires fluency in both English and Spanish, spoken and written, for understanding labels, manuals, systems, and platforms., • Prepares orders (Pick/Pack) using warehouse technology to ensure accurate fulfillment., • Stores merchandise properly in bin locations and maintains inventory levels., • Forklift Operation: Operate and maneuver electric and gas-powered forklifts safely and efficiently (certification required)., • Material Handling Equipment: Operate pallet jacks (manual and electric), dollies, and other load-moving equipment., • Loading and Unloading: Receive and dispatch merchandise, ensuring accuracy and safety in handling., • Warehouse Maintenance: Keep the facility clean, organized, and compliant with safety regulations., • System Management: Utilize SAP for inventory tracking, warehouse transfers, and logistics operations., • Compliance & Safety: Follow all OSHA and company safety procedures, including proper use of personal protective equipment (PPE)., • Team Collaboration: Assist in inventory counts, product movement, and perform additional warehouse duties as assigned. Qualifications: • Minimum 1 year of experience in a warehouse or distribution center environment., • Forklift Certification (electric and gas-powered) is required., • Experience with SAP or similar inventory management systems is preferred., • Ability to operate pallet jacks (manual and electric), dollies, and other warehouse material handling equipment., • High School Diploma or GED equivalent., • Bilingual (English/Spanish) is a plus, but not required., • Ability to lift up to 51 lbs frequently, following proper lifting techniques., • Strong ability to follow oral and written instructions., • Willingness to work additional hours when necessary to meet operational needs.

Hey! At UNOde50, normality is left at the door. “Goodbye, boredom! Hello UNO world!” Here, being yourself is not only allowed, it's applauded! If you like to fly high and dream big, this is your project. Do you think you are our “ONE in a million” for the position of Temporary Wholesale Coordinator? Let’s see if you have what it takes to shine! Key Responsibilities • Serve as primary point of contact for USA & Canada wholesale accounts and local sales representative's teams, • Manage wholesale order entry, adjustments, cancellations, and special orders, • Process returns, damages, and RMA claims, • Coordinate reverse logistics with Operations and warehouse teams, • Provide shipment updates, ETAs, and proactive account follow-ups, • Resolve order discrepancies and escalate issues when needed, • Partner with Logistics and Accounts Receivable on order-related matters, • Support trade shows, samples, and sales incentive shipments Qualifications • 2+ years of customer service experience (B2B/wholesale preferred), order processing, logistics, or distribution, • Experience with SAP and B2B platforms preferred, • Proficient in Excel and Outlook, • English required; Spanish preferred, • Can be based in New York, NY or Miami, FL Skills • Strong organizational and planning abilities, • Detail-oriented and solution-driven, • Excellent written and verbal communication, • Customer-focused mindset, • Ability to multitask and work under pressure, • Proactive, adaptable, and team-oriented Unode50 is an equal opportunity employer. We value a culture of inclusion and diversity within our workforce, and are committed to maintaining a workplace free from prohibited employment conduct, including discrimination or harassment on the basis of race, color, national origin, sex, age, religion, disability, genetic information, sexual orientation, gender identity or expression, marital status, domestic partner status, civil partnership, status as a covered veteran, status in the Uniformed Service of the United States, citizenship, pregnancy (including unlawful discrimination on the basis of a legally protected pregnancy or maternity leave) and any other characteristic protected by law ("Protected Characteristics")

Job Description We are seeking a Configuration Analyst to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. About the Role: The Configuration Analyst in the Health Care Services industry plays a critical role in ensuring that healthcare software systems and applications are accurately configured to meet organizational needs and regulatory requirements. This position involves analyzing system configurations, identifying areas for improvement, and implementing changes that enhance operational efficiency and data integrity. The analyst collaborates closely with clinical, administrative, and IT teams to tailor configurations that support member care workflows and compliance standards. By maintaining detailed documentation and performing rigorous testing, the Configuration Analyst ensures that system updates and new implementations function seamlessly within the healthcare environment. Ultimately, this role contributes to the delivery of high-quality healthcare services by optimizing the technological infrastructure that supports clinical and administrative processes. Minimum Qualifications: • High School diploma or GED required, • Minimum two (2) years' experience as a medical Senior Claim Examiner, Call Center Advocate, Business Analyst or Trainer, • Associate's degree in health care or related fields, • Knowledge of UB04 / CMS1500 claims, ICD-10 /Revenue/ CPT / HCPCS diagnosis and procedure coding, claim adjudication processes, EDI and OCR claim submission, • Certification in Health IT or related fields (e.g., Certified Professional in Healthcare Information and Management Systems - CPHIMS)., • Knowledge of data analytics and reporting tools used in healthcare settings., • Familiarity with project management methodologies and tools., • Claims testing and processing including claim adjustments, as well as providing support and education to the staff as necessary., • The incumbent will troubleshoot and resolve provider records to support the claims operation., • Process claims in accordance with corporate policies and procedures and state regulations., • Review and analyze a variety of claim samples including auto-adjudicated claims to assure pricing per contractual agreement, negotiated rate or to Medicaid and Medicare rates., • Provide consistent feedback to Management in timely manner both individually and collectively.

Job Description Join the Origis Energy Team! Origis Energy is accelerating the transition to a carbon-free future by Reimagining ZeroSM. As one of America's leading renewable energy and decarbonization solution platforms, the company continues to expand and reimagine its contribution to the world's net-zero goals. Origis Energy puts customers first to deploy a wide range of sustainable solutions for grid power generation, performance optimization, and long-term operation of solar and energy storage plants across the U.S. Founded in 2008, Origis Energy is headquartered in Miami, FL. The Origis team, regarded as one of the leading developers in the U.S., is committed to living five core values in all interactions both with each other and external stakeholders: Solve for Tomorrow. A role with Origis Energy puts you at the forefront of the transition to clean energy. Are you ready to bring new ideas? Do you exist to find solutions? That's how we revolutionize energy and build a carbon-free future - through unmatched service and relentless innovation. Rise Together. To succeed here, you'll collaborate with others and work as one team, across various teams including solar and energy storage development, financing, engineering, procurement and construction (EPC) and operations, maintenance and asset management. Are you open to diverse perspectives and prepared to work seamlessly across disciplines to reach our collective goals? Perform at Peak. We're seeking team members who bring authentic energy and passion to every task. How can you use your natural strengths, genuine optimism and intelligence to make your greatest contributions to Origis? Inspire & Grow. The Origis team is comprised of knowledgeable, passionate solar and energy storage experts who bring deep expertise and solution-driven thinking to clients. A successful Origis team member encourages others and sets a high bar for growth. We have a culture of continuous improvement because each team member takes the role of both learner and mentor. Be Resilient. The spirit in which we tackle the energy challenges and objectives of our clients means we consistently stretch for the extra mile. We all take initiative and remain adaptable, overcoming obstacles by prioritizing respect. Position Description Origis Energy is looking for an experienced Insurance Risk Manager to manage the organization's overall insurance and corporate risk management programs for solar & BESS development, construction and operations. The Insurance Risk Manager acts as internal subject matter expert and will provide solutions to grow the business to include analyzing insurance needs by identifying risk exposures and analyzing and classifying risks to provide optimum coverage, costs and claim settlements. The ideal candidate will be someone with commercial risk and insurance experience, with a solid background and foundation in the fundamentals of commercial property & casualty insurance and construction insurance; with renewable energy industry experience being a huge plus. The Insurance Risk Manager reports to Chief Financial Officer and is a regular, full-time position, eligible for our generous employee benefits package, including employer paid health insurance, paid time off, a 401(k) plan with employer matching contributions, and other great benefits. Key Responsibilities • Aid in the development of a clear risk philosophy balancing the necessary coverage required to meet the company's needs with overall cost effectiveness and risk appetite., • Manage the reporting, processing and adjustment of claims to include tracking, negotiating and resolution at the project and corporate levels including, but not limited to, All-Risk Property and Business Interruption, General and Umbrella/Excess Liability, Workers' Compensation and Employer's Liability, Automobile Liability, Directors & Officers, Cyber, Crime, etc., • Work with internal teams and stakeholders to provide coherent, accurate risk management and insurance advice and guide in implementing recommendations while demonstrating an executive presence with clients., • Maintain and review for accuracy insurance documentation: annual binder and policy documents, endorsements, invoices, renewals, cover letters and insurance program audits., • Complete, coordinate, and conduct policy renewal submissions and applications, manage mid-term adjustments to project and corporate insurance programs, and may administer self-insured plans., • Development of insurance budgets at the corporate and project levels., • Manage insurance brokers, insurers and stakeholder relationships to optimize cost and coverage to include onboarding of insurance carriers, brokers and establish NDAs as needed, • Participate in due diligence on insurance and other risk management areas for M&A activity, • Work with legal and procurement on insurance elements in customer and vendor contracts; develop insurance provision playbook and training for legal department., • Point of contact on all insurance matters ensuring insurance requirement compliance with Lenders' Financing and Equity Agreement requirements., • Overall management of property, liability, and financial lines insurance programs, including surety., • Prepare and present reports including proposals and presentations to management and development teams., • BS and/or BA, MBA preferred, • Risk management designations from relevant industry educational institutions such as CPCU / ARM, • Experience and understanding of the U.S. renewables and energy markets preferred, • 4+ years of experience in progressive insurance / risk management roles (underwriting, risk management, brokerage, or related field), • In depth technical knowledge of insurance requirements in the renewable energy industry; preferably solar and battery storage, inclusive of project financing, is advantageous, • Highly motivated, detail-oriented, highly organized, • Exceptional written and verbal communication and presentation skills, • Customer Relationship Management, • Strategic thinker, • Creativity in problem solving, • Ability to prioritize and manage tight timelines and budgets, • Effective in managing multiple stakeholders and within cross functional team, • Strong negotiating and influencing skills, • Hands on experience pursuing insurance recoveries and resolving conflicts, • Hands on experience in educating the marketplace on new technologies and facilitating insurance support Location New York, NY; Austin, TX; or Miami, FL Travel Approximately 10% travel, but may vary depending on claim and project needs Job Level Manager (no direct reports) Origis Energy is an Equal Opportunity Employer (EOC). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. We are committed to fostering, cultivating and preserving a culture of diversity, equity and inclusion. We embrace and encourage our employees' differences as that is what makes our employees unique. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. More information is available here. California Applicants: Please review our California Privacy Policy and Notice at Collection. Request for Support or Accommodations: As part of our effort to provide equal opportunity to qualified disabled veterans and individuals with disabilities, we are happy to offer support and special accommodations in order for you to successfully reach us with your interest. Please reach out to us at if you would like to request help with your application.

Job DescriptionAbout Us We are a dynamic enterprise group of managed care and health insurance service companies which have become industry leaders in their diverse specialties. Headquartered in Dallas, Texas, the group has 10 offices around the world, including the United States, Canada, Panama, Ecuador, Colombia, and Dubai, and employs over 700 employees of various nationalities. Position Summary The Claims Adjudicator is responsible for reviewing, analyzing, and processing health insurance claims in accordance with established guidelines, contractual benefits and terms, and regulatory requirements. The claims adjudicator ensures that all claims are handled accurately, efficiently, and within specified timeframes, contributing to the overall effectiveness of the claims processing team. This role requires a detailed-oriented professional with a strong ability to follow instructions and a proactive approach to identifying and resolving discrepancies. ESSENTIAL FUNCTIONS • Ensure all claims are processed in strict accordance with established guidelines and instructions., • Review and adjudicate claims in accordance with policy benefits., • Send claims for coverage analysis to the medical department in specific cases., • Regularly generate and analyze claims processing reports to identify discrepancies and ensure data accuracy., • Properly code procedures and diagnostics (CPT and ICD 10 coding), • Verify banking information., • Validate prescription medicines to the corresponding patient diagnosis., • Verify expenses with the renewal date for coverage., • Calculate expenses and deductible per policy year., • Verify waiting periods., • Verify pre-existing conditions and exclusions; deductible increases, • Verify dates of service., • Verify currency conversions., • Verify general benefits of the policy according to the contracted plan. MINIMUM QUALIFICATIONS • Minimum 2 years’ experience., • Bilingual (Spanish or Portugues)., • Experience in quality customer service., • General knowledge and proper management of Microsoft Office, • Proactively identify discrepancies in claims; monitor claims patterns to identify opportunities for improvement., • Ability to work under pressure., • Ability to manage interpersonal relationships., • Effective oral and written communication skills., • Strong ability to follow detailed procedures and instructions with precision to ensure accurate and compliant claims adjudication. WORKING CONDITIONS The following job-related working conditions are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. Work Environment The role primarily operates in an in-door, climate-controlled office setting working in close proximity to others. Noise level in the work environment is low to moderate. Light level provides adequate brightness for reading, computer work, and other tasks without causing glare or strain. Physical Demands The job primarily involves sedentary work with prolonged periods sitting at a desk. While performing the duties of this job, employees may occasionally be expected to: • exert up to 10 pounds of force and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects., • operate standard office equipment such as copiers, computers, telephones, printers, etc. Travel Requirements Minimal to no travel required NOTE This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise. The Company complies with employment regulations as they apply to the location of service.

Job Description POSITION SUMMARY The Coordination of Benefits Specialist I is responsible for researching, investigating, and maintaining accurate Other Health Insurance (OHI) and Coordination of Benefits (COB) information for members. This role ensures accurate identification of primary, secondary, and tertiary coverage by leveraging data from the Centers for Medicare & Medicaid Services (CMS) eligibility files, internal systems, and external carrier sources. The eCOB Specialist I ensures accurate COB data integrity at the time of claims processing and is responsible for updating membership records to support correct claims adjudication, financial accuracy, and compliance with CMS requirements and Medicare Secondary Payer (MSP) rules. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to: Key Responsibilities • Research and investigate potential other insurance coverage for all members and employer groups using CMS eligibility files, internal systems, and external data sources., • Maintain accurate Coordination of Benefits (COB) records to ensure correct payer sequencing during claims processing., • Identify, validate, and update Medicare and other insurance coverage indicators in membership systems, including CMS-derived enrollment data., • Review CMS file discrepancies and ensure accurate reflection of primary and secondary coverage in health plan systems. COB & Eligibility Management • Perform end-to-end Coordination of Benefits (COB) activities, including identification, verification, and maintenance of other insurance coverage., • Reconcile membership, claims, and eligibility data to ensure consistency across systems., • Analyze claim history to identify coordination issues, overpayments, or incorrect primary payer assignments., • Apply Medicare Secondary Payer (MSP) rules and other applicable coordination guidelines to determine correct liability. Investigation & Outreach • Utilize internal and external resources to identify other coverage, including proprietary tools, CMS files, and payer databases., • Conduct outbound research activities, including phone calls and written correspondence to:, • Other insurance carriers, • Members and dependents, • Employers and groups, • Providers, • Attorneys or third-party representatives, • CMS and Medicaid agencies, • Assist members with understanding Medicare eligibility and enrollment requirements when applicable., • Provide guidance and appropriate documentation to support member enrollment in Medicare or other coverage when entitlement is identified. System Updates & Data Integrity • Update membership and eligibility systems with verified COB findings., • Ensure accurate coding and configuration of primary and secondary coverage indicators in CMS-aligned records., • Maintain data integrity across all system platforms to support claims adjudication accuracy., • Identify and correct system discrepancies related to COB, eligibility, and CMS enrollment data. Claims Coordination Support • Review impacted claims to ensure proper coordination based on verified COB information., • Identify claims that require reprocessing, adjustment, or recovery due to incorrect primary payer assignment., • Support claims operations by providing accurate COB data to ensure proper adjudication outcomes., • Collaborate with claims and recovery teams on coordination-related adjustments and resolutions. Compliance & Regulatory Requirements • Ensure all COB and eligibility activities comply with CMS Medicare regulations and Medicare Secondary Payer (MSP) requirements., • Maintain confidentiality and security of protected health information (PHI) in accordance with HIPAA and organizational policies., • Document all investigation activities, findings, and system updates in accordance with audit and compliance standards. Documentation & Reporting • Maintain detailed documentation of COB investigations, including sources reviewed, outreach performed, and final determinations., • Track and report trends related to COB discrepancies, CMS file inconsistencies, and eligibility errors., • Support audit requests and regulatory reviews by providing clear and accurate records of COB activity. QUALIFICATIONS AND EDUCATION Minimum Qualifications • High School Diploma or GED required., • Minimum of 3–5 years of experience in healthcare claims, eligibility, COB, or Medicare coordination functions., • Experience working with CMS eligibility files, Medicare Advantage, or Medicare Secondary Payer (MSP) rules preferred., • Strong understanding of insurance coordination principles and healthcare claims processing., • Equivalent combination of education and experience may be considered. Preferred Qualifications • Experience with CMS enrollment data and Medicare eligibility processes., • Familiarity with COB recovery processes and claims adjustment workflows., • Knowledge of managed care operations and multi-payer coordination., • Experience using claims or membership systems in a health plan environment. Skills & Competencies • Strong investigative and analytical skills, • High attention to detail and data accuracy, • Ability to interpret complex coordination rules and regulatory guidance, • Strong communication skills for members and carrier outreach, • Ability to manage multiple research cases independently, • Proficiency in documentation and system data entry, • Strong problem-solving and decision-making abilities WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • The noise level in the work environment is usually moderate., • Works in the field, • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances. This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period. The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. PERFORMANCE MEASUREMENTS • Duties accomplished at the end of the day/month., • Attendance/punctuality., • Compliance with Company regulations., • Safety and Security., • Quality of work. This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate. Employee Acknowledgement: I have read this job description and understand what is expected of me while I occupy this role.

Job Description POSITION PURPOSE: Administer and manage the facility’s risk management and compliance programs. Position also serves in capacity of privacy officer. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: Bachelor Degree in a Health related field preferred. Five (5) years of experience as a supervisor. Five (5) years experience in risk management, healthcare compliance practices, contract negotiations and contracts. Knowledge of federal, state laws, regulations and accreditation standards. Licensure / Certification: CPR Certification from the American Heart Association. Licensure as a Healthcare Risk Manager in the State of Florida. Skills / Ability: Excellent interpersonal communication and problem-solving skills. Demonstrates proficiency in verbal and written skills. Proven skills with regulatory compliance, risk control, safety and security compliance. Sensitivity to working with diverse group of employees and patients. Knowledge of and expertise in HIPAA, Security Regulations, internal controls and resolving patient complaints and privacy breaches. POSITION RESPONSIBILITIES (THIS IS A EXEMPT POSITION) The incumbent serves at the pleasure of the Chief Operating Officer. Serves as the CHI Risk Manager and Compliance Officer. Develops, implements, oversee and manage the organization’s risk management program in a manner that fulfills the mission and strategic goals of the organization while complying with state and federal laws and accreditation standards. Develops and implements systems, policies and procedures for the identification, collection and analysis of risk and compliance related information. Educates and trains the leadership, staff and business associates as to the risk management program, compliance program and their respective responsibilities in carrying out the risk management program. Leads, facilitates and advises departments in designing risk management and compliance programs within their own departments. Collects, evaluates and maintains data concerning patient injuries, claims, worker’s compensation and risk-related data. Investigates and analyzes root causes, patterns or trends could result in compensatory or sentinel events. Helps to identify and implement corrective action where appropriate. Serves as the organization’s liaison to the organization’s insurance carrier. Assists in processing summonses and claims against the facility by working legal counsel to coordinate the investigation, processing and defense of claims against the organization. Actively participates in or facilitates committees related to risk management, safety, compliance, continuing education, in-service training, quality improvement and others as necessary. Provides HIPAA training, Red Flag training (and other training as necessary) to employees. Participate as a member of Corporate Staff. Review monthly eligibility reports for each center. Assessing compliance with policies, plans, procedures and regulations. Ensures that decisions are in accordance with CHI Policies. Coordinate and ensures proper risk and compliance related training and provides support to staff. Ensures meeting requirements for FTCA coverage. Provides accurate and timely documentation in patient charts within the same day of intervention when applicable. Scheduling of depositions and pre-depositions Bill attorneys and track payments for depositions and pre-depositions. Receive, log, review and file incident reports. Follow up on incident reports as necessary. Development and management of an agency risk management report (quarterly updated). Development and management of an agency compliance report (quarterly updated). Obtain statements from providers and others as needed. Reviews all contracts and agreements for risk and compliance purposes and provides recommendations as necessary. Renew all insurance contracts for CHI sites. Evaluating the reliability and integrity of management data by reviewing general controls and computer security procedures over data processing. Determining the extent to which established objectives and goals for operations or programs are being accomplished. Review, update and maintain CHI employees who are eligible to drive company vehicles. Serves as Privacy Officer and assumes all the duties and responsibilities ordinarily delegated to a privacy contact person. Provides CHI patients and others with information about CHI privacy practices and responds to privacy related inquiries. Documents the receipt of all written requests and complaints concerning CHI privacy practices or its use and disclosure of protected health information, and coordinates the timely process of all request and complaints. Adheres to Confidentiality Policies and Procedures / HIPAA Regulations. Reports to work on time and ready to work with minimal absenteeism. Provides incident reports to CEO and COO within 24 hours following notice of incident. Performs other duties as assigned.

Job DescriptionCOMPANY OVERVIEW: Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for an Auto Property Damage Adjuster to join our team. Family-owned, UAIC, is one of the largest privately held property and casualty insurance companies in the United States. The key to our growth and success is a commitment to providing quality service to our agents and customers, by providing disciplined underwriting, and strategic claims handling. Our ongoing efforts to invest substantial resources in personnel and technology are the foundation of our promise of assuring maximum efficiency and specialized operations in the industry. We are proud that our independent agents and customers have recognized our dedication by making UAIC the market leader in every state where we conduct business. SCOPE: The Auto Property Damage Adjuster will be responsible for evaluating and processing insurance claims. This position involves reviewing coverage, assessing damage, determining liability, and negotiating settlements with policyholders or third parties. This position offers a remote work arrangement, allowing the ideal candidate to work from their preferred location within Southeast region. DUTIES: • Conduct thorough investigations for low complexity insurance claims., • Collect relevant information, such as photographs, statements, police reports, and any other documentation necessary for assessment., • Review the extent of damage to vehicles or other insured items., • Utilize industry-standard tools and software to estimate repair costs and replacement values, as needed., • Review insurance policies to verify coverage, limitations, and exclusions., • Ensure that claims fall within the scope of the policy and comply with legal and regulatory requirements., • Analyze circumstances surrounding accidents or incidents to establish liability., • Complete appropriate documentation of all interactions, investigations, and assessments., • Communicate findings and decisions to policyholders, claimants, and other stakeholders in a professional and empathetic manner., • Negotiate fair and reasonable settlements with claimants or their representatives., • Ensure compliance with company policies, industry regulations, and legal requirements during the settlement process., • Provide excellent customer service by addressing inquiries, concerns, and providing regular updates to policyholders and claimants., • Work closely with other departments, such as underwriting and legal to ensure accurate and timely claims processing., • Stay updated on industry regulations and compliance standards. PERFORMANCE EXPECTATIONS:, • Meet established targets for productivity, cycle time, quality, compliance, customer satisfaction, and timely claim resolution.EDUCATION:, • Bachelor’s degree in a relevant field (such as business, finance, or a related discipline) preferred. Four years of prior experience in insurance or customer service accepted in lieu of degree., • Must hold a Florida 6-20 All Lines Adjuster License, • A dual license in Texas is highly preferred, • Bilingual preferred (English/Spanish).SKILLS & EXPERIENCE:, • Knowledge of property and casualty insurance policies, regulations, and procedures is a plus., • Proficient in Word, Excel, Windows-based applications, and internet usage., • Strong analytical and problem-solving skills., • Excellent communication and negotiation abilities., • Attention to detail and organizational skills., • 401(k) Retirement Savings Plan with employer match., • Comprehensive Medical, Prescription Drug, Vision, and Dental Insurance, • Paid Time Off, Holidays, and Leave programs., • Flexible spending accounts, • Basic Life Insurance and Voluntary Life/ADD UAIC participates in the E-Verify program to confirm the employment eligibility of all newly hired employees. For more information about E-Verify, please visit . UAIC is an Equal Opportunity Employer and is committed to the principle of equal employment opportunity for all employees. All employment decisions at UAIC are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Powered by JazzHR Urc64VcKI0

Job Description POSITION SUMMARY The Claims Examiner II is responsible for the accurate and timely adjudication of complex healthcare claims within a managed care environment, with a focus on Dual Eligible Special Needs Plans (DSNP) and Medicare lines of business. This role involves advanced application of benefit plans, policies, and regulatory guidelines to ensure proper claim processing, including new claims, reprocessed claims, overturned disputes, and appeals. The Claims Examiner II serves as a subject matter resource to team members, supports quality and compliance initiatives, and plays a key role in ensuring payment accuracy and enhancing member and provider satisfaction. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to: Key Responsibilities • Review, analyze, and process complex medical claims in accordance with Medicare and DSNP benefit structures, policies, and procedures., • Process Institutional and Professional Claims, ensuring accurate application of benefits, coding, and reimbursement methodologies., • Accurately adjudicate new day claims, ensuring proper application of benefits, coding edits, and pricing methodologies., • Handle higher-complexity claims, including those requiring detailed research, manual pricing, or exception handling., • Evaluate and process claim disputes and reconsiderations, including those that result in overturn decisions requiring correction and re-adjudication., • Handle appeals-related claim adjustments, ensuring timely and accurate implementation of appeal outcomes., • Interpret provider contracts, fee schedules, and reimbursement methodologies to ensure correct payment., • Ensure compliance with CMS (Centers for Medicare & Medicaid Services), state regulations, and internal policies., • Identify, investigate, and resolve complex claim issues, system errors, and potential compliance risks; escalate as needed., • Serve as a resource for Claims Examiner I staff by providing guidance, answering questions, and assisting with issue resolution., • Participate in audits, quality reviews, and contribute to corrective action plans as needed., • Maintain higher productivity and quality standards, consistently meeting or exceeding turnaround time requirements., • Document claim processing activities clearly and accurately in system notes., • Collaborate with internal departments such as Provider Relations, Appeals & Grievances, and Configuration teams to resolve claim issues and improve processes. QUALIFICATIONS AND EDUCATION Required Qualifications • High school diploma or equivalent; associate or bachelor’s degree preferred., • Minimum of 4–6 years of claims processing experience in a managed care or health insurance environment., • Strong knowledge of Medicare and DSNP claims processing guidelines, including benefit application and coordination of benefits (COB)., • Experience handling claims reprocessing, disputes, and appeals (including overturned cases)., • Familiarity with CPT, HCPCS, and ICD-10 coding., • Understanding of provider contracts and reimbursement methodologies., • Strong analytical and problem-solving skills with high attention to detail., • Ability to manage multiple priorities in a fast-paced environment., • Proficiency in claims processing systems and Microsoft Office applications. Preferred Qualifications • Knowledge of CMS regulations and audit requirements., • Prior experience working with dual-eligible populations., • Medicare, Part C claims processing experience. Core Competencies • Accuracy and attention to detail, • Regulatory compliance awareness, • Critical thinking and decision-making, • Time management and productivity, • Communication and collaboration WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • The noise level in the work environment is usually moderate., • Works in the field, • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances. This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period. The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. PERFORMANCE MEASUREMENTS • Duties accomplished at the end of the day/month., • Attendance/punctuality., • Compliance with Company regulations., • Safety and Security., • Quality of work. This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate. Employee Acknowledgement: I have read this job description and understand what is expected of me while I occupy this role.

Job DescriptionRemote Pharmacy Technician Job Opportunity with Great Pay and benefits! Job Description This full-time Pharmacy Filling Technician role focuses on accurately receiving, transcribing, and entering resident prescriptions in a fast-paced long-term-care pharmacy setting. You will play a key role in dispensing, filling, packaging, and preparing medications for shipment while delivering excellent customer service and ensuring high standards of accuracy and safety. Responsibilities • Receive resident prescriptions and verify completeness and accuracy of the information provided., • Transcribe and enter prescription data into the pharmacy’s operating and order entry systems with a high level of accuracy., • Dispense medications according to established procedures and regulatory requirements., • Fill, package, and label medications for residents in a long-term-care setting., • Prepare medications and orders for shipment, ensuring correct packaging and documentation., • Perform data entry tasks related to prescription processing, order fulfillment, and resident records., • Support prescription intake by reviewing, organizing, and prioritizing incoming orders., • Use pharmacy computer systems and related technology to manage workflow and track orders., • Collaborate with pharmacy staff to maintain an efficient, organized, and safe work area., • Provide courteous and professional customer service to internal and external stakeholders., • Follow all pharmacy policies, procedures, and applicable regulations to protect patient safety., • Review denied prior authorization cases for Medicare and Medicaid members, with a primary focus on Medicare appeals., • Make 30–60 outbound calls per shift to members and other relevant parties to obtain missing or clarifying information., • Communicate clearly and empathetically with Medicare and elderly members who may be frustrated about medication denials., • Gather and document clinical and administrative details related to medications, including injectable therapies administered in a doctor’s office., • Accurately enter and update case information in the appropriate systems and databases., • Prepare complete and organized case files and forward them to pharmacists for final determination on whether to uphold or overturn denials., • Follow established appeals procedures, guidelines, and timelines to ensure efficient and compliant case handling., • Active pharmacy technician license., • Minimum 2 years of Experience working in a pharmacy or managed care environment., • Knowledge of pharmacy operations, medication terminology, and prior authorization processes., • Familiarity with appeals, managed care, claims, and denial workflows. INTERESTED IN THIS ROLE? SEE BELOW TO BE IMMEDIATELY CONSIDERED: • I am scheduling phone interviews as early as today. All candidates will be considered immediately within 24 hours of applying directly to Fathima This is a Contract to Hire position based out of Miami, FL. Pay and Benefits The pay range for this position is $18.00 - $22.00/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 • Hiring diverse talent, • Maintaining an inclusive environment through persistent self-reflection, • Building a culture of care, engagement, and recognition with clear outcomes Our Bangalore, Hyderabad, Pune, and Chennai delivery centers are hubs of engineering expertise, with core capabilities in mechanical and electrical engineering, systems and software, and manufacturing engineering. Our teams deliver work across multiple industries including transportation, consumer and industrial products, and life sciences. We serve more than 4,500 clients, including many Fortune 500 brands. Learn more about how we can work together at actalentservices.com.

Job Description The Claims Examiner III is a senior-level claims professional responsible for the accurate and timely adjudication of complex professional and institutional claims in accordance with regulatory requirements, contractual agreements, and internal policies. This role supports departmental workflow oversight, assists leadership with productivity and quality monitoring, and serves as a subject matter resource to team members to ensure operational excellence and compliance with CMS and organizational standards. Key Responsibilities: • Review, analyze, and adjudicate professional and institutional claims, including high-dollar and complex cases., • Process Member Reimbursement claims in accordance with plan benefits and regulatory guidelines., • Ensure claims are processed accurately, timely, and in compliance with CMS regulations, state guidelines, and internal policies., • Assist the Claims Manager and/or Assistant Director in monitoring daily, weekly, and monthly workflow to meet production and quality targets., • Generate and analyze reports to track productivity, aging inventory, and pending items., • Provide guidance and clarification to team members regarding claims processing rules, contract interpretation, and system functionality., • Support the implementation and enforcement of departmental policies and procedures., • Collaborate with leadership to ensure production, accuracy, and turnaround time metrics are consistently met., • Communicate departmental goals, workflow strategies, and performance improvement initiatives to staff., • Promote a positive work environment that supports staff engagement, accountability, and teamwork., • Maximize system capabilities by ensuring proper utilization of claims processing tools and platforms., • Identify process improvement opportunities and escalate system or configuration issues as needed., • Perform additional duties as assigned.Qualifications:, • High School Diploma or GED, • Minimum of 3+ years of experience as a Medical Claims Examiner., • Experience processing Medicare Advantage and/or managed care claims preferred., • Strong experience with contract interpretation and benefit application., • Working knowledge of CMS guidelines, Medicare regulations, and healthcare claims processing standards., • Strong analytical and problem-solving skills. Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein. Powered by JazzHR 3hOLMnYaLt

Job Description Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment. GENERAL JOB DESCRIPTION Under the direction of the Business Office Director, the Forensic Account Biller and Collector is responsible for the timely and accuracy submission of hospital and/or physician medical claims for forensic accounts. Ensuring timely reimbursement of claims, and consistent cash flow. Responsible for investigating instances of incomplete claims, appropriately corrects them prior to resubmitting. DUTIES AND RESPONSIBILITIES • Responsible for the electronic transmissions of hospital and/or physician claims through the clearinghouse., • Responsible for verifying all appropriate documentation is obtained following CMS guidelines., • Ensures all claims are submitted with a goal of zero errors., • Follow proper medical and insurance claim processes., • Review and analyze remittance advice and claims to resolve billing issues., • Contact vendors to follow up on outstanding claims., • Maintain up-to-date knowledge of medical billing and collection regulations and guidelines. QUALIFICATIONS FOR THE JOB Education: High School diploma of equivalent (additional certifications or education in medical billing/coding preferred) Experience: 1-3+ years of experience in medical billing and collections preferred. Other: • Proficiency in medical terminology, coding systems and medical billing procedures., • Strong attention to detail., • Excellent communication skills., • Knowledge of administrative and clerical procedures and systems such as word processing, outlook and excel.

Job DescriptionSalary: The Role We are hiring a Founding Software Engineer to own and evolve our full technical stack. You will report directly to the CEO and have significant influence over architecture decisions, tooling, and product direction. This is a high-autonomy role for someone who wants to build something meaningful from the early stages and grow into a leadership position as the team scales. What You'll Do • Build and maintain our full-stack application across frontend, backend, APIs, and infrastructure, • Design and implement integrations with Shopify and other e-commerce platforms, • Own our AWS infrastructure: deployment pipelines, serverless functions, databases, event-driven architectures, • Develop data models and workflows that support insurance product delivery, claims processing, and merchant analytics, • Collaborate directly with the CEO to translate business priorities into technical execution, • Implement A/B testing frameworks, analytics instrumentation, and conversion optimization tooling, • Establish engineering best practices: CI/CD, code review, testing, documentation, and monitoring, • Make architectural choices that allow the platform to scale from dozens of merchants to thousands What We're Looking For • 2 to 6 years of professional software engineering experience, • Strong full-stack proficiency: you can build a clean frontend and a reliable backend, • Solid experience with AWS services (Lambda, DynamoDB, EventBridge, S3, API Gateway, or similar), • Proficiency in JavaScript/TypeScript and at least one modern frontend framework (React preferred), • Experience with Node.js and building RESTful or event-driven APIs, • Comfort working with relational and/or NoSQL databases (PostgreSQL, DynamoDB, Supabase, etc.), • Self-starter mentality: you thrive with ambiguity, take ownership, and ship without waiting for a spec, • Strong communication skills and comfort working directly with non-technical stakeholders Preferred Qualifications • Experience with Shopify app development, Shopify APIs, or the Shopify ecosystem, • Familiarity with e-commerce platforms, checkout flows, or post-purchase experiences, • Background in insurtech, fintech, or regulated industries, • Experience with infrastructure-as-code (Terraform, CDK, or CloudFormation), • Prior experience at an early-stage startup or as a founding/first engineer, • Familiarity with Supabase and webhook-driven architectures What We Offer • Competitive salary commensurate with experience, • Direct access to leadership and outsized impact on product and company direction, • Health benefits and PTO Work Authorization Applicants must be authorized to work in the U.S. This position is not eligible for visa sponsorship.

Job Description POSITION PURPOSE: Assistance in cash collections, data analysis, procurement processing, grant preparation and payroll preparation. POSITION REQUIREMENTS / QUALIFICATIONS: Education/Experience: B.A. Degree with a major in Accounting or Finance. Three (3) or more years of experience working in general accounting and/or CPA firm preferred. Professional certification or an advanced degree is a plus (Certified Internal Auditors). Licensure / Certification: CPA Certification, desired. CPR Certification from the American Heart Association. Skills / Ability: Ability to make arithmetic computation rapidly and accurately. Ability to apply bookkeeping principles to the maintenance of routine fiscal accounting records. Ability to work as a team and independently. Ability to demonstrate effective oral and written communication skills. Ability to show way to improve the efficiency and effectiveness of administrative processes. Must have an understanding of computers, calculators and 10 key adding machines. Must be proficient in Microsoft Office. POSITION RESPONSIBILITIES (THIS IS AN EXEMPT POSITION)  Prepare cash deposits, maintain change bank, process checks through remote deposit capture.  Prepare Daily Cash Reconciliation Report and review for completeness and accuracy and include justification for any discrepancies.  Assist in the processing of Purchase Orders and requisitions.  Conduct independent and objective reviews of cash handling operations.  Evaluating the soundness and adequacy of the internal cash control structure.  Analysis and creation of Key Performance Indicators for operational efficiency.  Preparation of payroll supporting documentation.  Provide trend analysis for claims data, operational data.  Knowledge of OMB Circular A-133, A-122.  Run Practice Analytics, Credible and Pharmacy Reconciliation Reports on a daily basis.  Verify daily, that all cash, checks and credit card collections listed on PFSS Audit Sheet agree with the Intergy, Credible and Rx30 analysis reports.  Preparation of grant budgets and invoicing.  Daily Reconciliation & Reporting of PFSS Cash Collections and Deposits.  Daily Reconciliation & Reporting of PFSS Credit Card Charges and Deposits.  Provide RCM with corresponding deposit back up documentation for daily HMO, Insurance, Capitation, etc. funds that were deposited to the bank.  Reconcile received pharmacy payments into the Net Rx pharmacy subsystem.  Provide analytical reporting on claims data from Intergy, Credible, RX-30.  Reports to work on time and is ready to work with minimal absenteeism.  Adheres to Confidentiality Policies and Procedures / HIPAA Regulations.  General Ledger Analysis and review.  Preparation of supplemental and primary documentation for grant billings.  Financial liaison between CHI and its grant funders.  Assistance in preparation of state, local, and federal budgets  Timely invoicing of grant AR to CHI’s funders.  Participation in grant discussions with program managers.  General Ledger Analysis and review.  Monitoring and updating the financial performance of grants.  Performs other duties as assigned. WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

Job Description Jiffy is a technology-driven leader in the promotional product blank apparel space, empowering crafters and small businesses through digital infrastructure, automation, and services. As we expand our platform to support the creator economy, we are seeking a Product Quality Engineer specializing in digital printing to drive excellence across our custom apparel catalog and distributed printer network. This role is pivotal in ensuring the highest standards of color accuracy, durability, and technical quality for our direct-to-film printing operations. You will collaborate with Operations, Supplier Management, and Product teams, acting as the subject matter expert for color management and print quality. Your work will directly impact customer satisfaction and operational efficiency, helping Jiffy maintain its reputation for speed and reliability. Key responsibilities include: • Own and manage Jiffy’s end-to-end product quality program for direct-to-film printing and custom apparel catalog., • Define, document, and enforce color management and technical standards across the printer network, including spectrophotometric measurement, ICC profiling, RIP software configuration, and G7 calibration initiatives., • Establish hue-level standards and reference materials; serve as internal SME on CMYK processing, soft proofing, gamut mapping, and device-link profiles., • Set and maintain product quality specifications and measurable acceptance criteria for color accuracy, durability, substrates, file preparation, and press-ready requirements., • Provide technical guidance to Operations, Supplier Management, and Product teams; set quality gates for new product launches., • Manage quality performance across a distributed fleet of third-party print shops by tracking claims, complaints, and defects; conduct remote and on-site audits; maintain a quality health scorecard; drive corrective actions., • Set admission standards and evaluation framework for onboarding new printers; conduct hands-on evaluations and document baselines., • Bachelor’s degree in Graphic Arts, Color Science, Print Technology, Engineering, or a related field, • 5+ years of hands-on experience in print quality engineering, color management, or prepress, • Hands-on expertise with ICC profiling workflows and spectrophotometric measurement for print color management, • Significant hands-on experience with professional RIP software with deep expertise in at least one (e.g., Onyx, NeoStampa, Print Factory), • Expert knowledge of color space management for production printing (sRGB, Adobe RGB, CMYK, device-link profiles, gamut mapping, soft proofing), • Experience managing quality programs across a large distributed network of print partners, including audits, defect/claims tracking, and corrective actions, • Experience defining and maintaining formal product specifications and measurable quality acceptance criteria for printed products, • Experience explaining print/color management technical concepts to both shop-floor operators and executive stakeholders, • Already authorized to work in the United States, • Ability to travel approximately 40% for work, • Able to work hybrid with a minimum of 3 days per week in-office in Irvine, CaliforniaPreferred Qualifications:, • Experience with a color quality monitoring platform (e.g., ChromaChecker), • Hands-on experience with direct-to-film (DTF) printing or closely related processes such as UV DTF, sublimation, or screen printing Benefits Total compensation may include base salary, performance-based commission, equity, and benefits. Final offers are tailored to each candidate and take into consideration their background and years of experience. • Comprehensive Benefits: Full medical, dental, and vision coverage, with a portion of premiums paid by Jiffy., • Retirement Planning: 401(k), • Wellness Support: Annual wellness benefits to help you stay healthy and balanced., • Tools for Success: Choice of MacBook or PC laptop, plus equipment for your home office setup., • Perks & Extras: Annual credit of $200 to use on our website plus more team merch drops than you will know what to do with!, • Professional Development: Annual stipend to support your learning and career growth. EEO Jiffy is proud to be an equal opportunity employer. We do not discriminate in hiring or any employment decision based on race, color, religion, national origin, age, sex (including pregnancy, childbirth, or related medical conditions), marital status, ancestry, physical or mental disability, genetic information, veteran status, gender identity or expression, sexual orientation, or other applicable legally protected characteristics. Jiffy considers qualified applicants with criminal histories, consistent with applicable federal, state and local law.

Job Description This position is fully onsite in our Doral office. POSITION SUMMARY The Medicare Data Analyst position is responsible for data manipulation, report creation, and scorecard development to assist the Medicare Advantage HMO plans meet CMS compliance requirements for PBM oversight, HEDIS reporting, claims processing, CMS reporting and benefit set up and testing. ESSENTIAL DUTIES & RESPONSIBILITIES • Maintains and analyzes monthly Part D Reports: o Provider Reports • PMPM Reports., • Stars Medication Adherence Reports and Safety Measure reporting., • MTM Provider Reports. • Maintains Compliance Scorecard., • Maintains and analyzes CDAG Reports for timeliness., • Audits monthly EOB letters for accuracy., • Participate in desktop audits conducted by CMS such as Part D IPM (Improper Payment Measure) audit., • Fraud, Waste and Abuse (FWA) Reporting., • Analyzes and maintains PDE reporting through Acumen., • Analyzes and maintains member FIR status as notified by PBM., • Maintains all Part D documents including Formulary, Pharmacy Directory and PA Criteria are current on the Solis website., • Monitor and Validate HEDIS data to and from Software Vendor., • Develop and maintain Provider Scorecards (HEDIS and Part D.), • Support HEDIS team developing population target lists for intervention development., • Ability to research claims processing concerns and escalate any concerns., • Assists with implementing standard policies and procedures., • Assures that corporate compliance is communicated, implemented, and monitored on an ongoing basis., • Participates in systems testing, develops procedures/controls, and provides recommendations for the ongoing improvement of the updated process., • Participates in group or committee discussions., • Assist in CMS and HMO data audits conducted by CMS and internal audit teams., • Assist in CMS and HMO data audits conducted by CMS and internal audit teams, • Performs other related duties as assigned by management. QUALIFICATIONS & EDUCATION • Bachelor’s degree in information technology or a related field is preferred., • A relevant combination of education and experience may be considered in lieu of degree. Continuous learning, as defined by the Company’s learning philosophy, is required., • Two (2) to four (4) years’ experience as a Data Analyst with HEDIS or Pharmacy Data management., • Experience with Microsoft Office applications including Excel, Word, Access, and Outlook. Must have data analysis and problem resolution skills. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: • Knowledge of HMO pharmacy claim processing and Medicare guidance related to Part D products., • HEDIS Data Management and Measure related Knowledge., • Ability to review pharmacy claims and determine if the claim paid appropriately based on the benefit., • Ability to understand questions from external areas and articulate timely and accurate responses., • Knowledge of pharmacy processes and the ability to assist pharmacies with claims processing., • Ability and willingness to learn and take on more responsibilities based on activities with the team., • Experience with PBM systems and tools., • Analytical, organizational, planning and problem-solving skills., • Understanding and knowledge of the business, products, programs, corporate organizational structure (including functional responsibilities), and basic research principles/methodologies., • Excellent written and verbal communication skills., • Ability to lead and contribute to process improvement projects., • Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations., • Administer and adhere to corporate and departmental policies, practices and procedures. WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform the essential functions: • The noise level in the work environment is usually moderate., • Fast-paced office environment., • Highly regulated environment., • Time frames to handle issues are in accordance with CMS time frames. This work requires the following physical activities: climbing, bending, stooping, kneeling, twisting, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lift, and moves intermittently during working hours. Monday - Friday

Job Description Job Title: Claims Examiner Department: Claims Reports to: Claims Supervisor Date: Job Summary Are you looking for a career where you can apply your experience and passion for providing world class service to help our customers find solutions to their questions, if the answer is yes, then you found the perfect fit! SureGo Administrative Services is looking for someone who is self-motivated, enthusiastic, thoughtful, and patient. Our Claims Examiners must have strong problem-solving skills, coupled with the natural ability to provide empathy for the customer – always taking the time to patiently listen and understand their questions to help find a viable solution, while providing them with a memorable customer experience. This is a permanent work from home position that includes a virtual five week paid training program, which will successfully prepare you for handling incoming calls from our customers. At this time, we are accepting applications from individuals who reside in the United States only. Key Responsibilities • Diligently review reports to ensure that no errors have been made in the appraisal process., • Determine whether payouts are reasonable., • Approve, reject or refer a claim to a specialist., • Meet with claimants and settle disputes., • Ensure compliance with regulatory standards, company policy and guidelines., • Provide assistance to claims adjusters to manage the volume of cases., • Claims Examiners are responsible for timely processing and/or adjudicating medical claims according to the insurance policy provisions, • Read and interpret insurance policy language and adjudicate claims accordingly, • Respond to written communications from policy holders as needed with professionalism and knowledge based guidance, • Must have 1+ year of experience processing medical claims, • Familiarity with medical records, health charts, aftercare summaries and related medical documentation necessary and related to the processing of medical claims, • Current knowledge of medical coding sets HCPCS, CPT, ICD 10[GS1], • Understanding of Medical terminology required, • Excellent verbal, written, and interpersonal communication skills, • Ability to prioritize and manage multiple tasks at once, • Ability to work independently with minimum guidance, • Strong data entry skills and attention to detail, • Minimum of High School Diploma or equivalent Working Conditions • Remote position., • Private, secure, solo, distraction free workspace where you can work independently and take incoming calls during your shift., • Computer equipment will be provided and shipped to you prior to your start date., • Internet Connectivity Requirement/Remote Positions: For 100% remote positions, we require that: (you have high speed broadband cable internet service with minimum upload/download speeds of 3Mbps/30Mbps). Benefits • Monday-Friday, work from home schedule. Flex schedule with start times between 6AM-10AM, • 12 paid Holidays each year after 90 days, • Medical Insurance Benefits and PTO accrual after 90 days, • 401K investment options Be part of a team committed to a culture of Respect, Ownership, Innovation and Integrity We offer exceptional professional growth opportunities; a casual, friendly work environment; and competitive wage and benefits SureGo Administrative Services LLC is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to characteristics such as race, color, national origin, religion, gender, age, marital status, veteran status, citizenship status, sexual orientation, gender identity, or any other status protected by law. [GS1]I know that ICD-9 is old-school and different from ICD-10, but I think maybe that knowledge might still be helpful and applicable in the role. Maybe worth listing? Like a "minimum of ICD-9"?

Job Description About WPP Production We are WPP Production - the unified global production company that brings together all of WPP's content producers, studios and craft experts into one connected organisation. We combine world-class human craft with next generation technology to originate, design, and deliver multi-channel content systems at scale. Built for borderless collaboration and powered by deep craft expertise, we are the production engine designed for today's always on, AI driven marketing world. About WPP WPP is the trusted growth partner for the world's leading brands. We unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company – powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. For more information, visit WPP.com. A Hybrid working model We believe the best work happens when we're together, fostering creativity, collaboration, and connection. That's why we've adopted a hybrid approach, with teams in the office around four days a week. If you require accommodations or flexibility, please discuss this with the hiring team during the interview process. What does a Business Affairs Manager do at WPP Production? The Business Affairs Manager works as the "right-hand" to the broadcast/interactive/print producers. They are responsible for handling the business details of producing television and radio commercials, and interactive ads. The Business Affairs Manager is also responsible for assisting producers in the bidding process for television commercials and prepare all bid packages. They will formulate and issue TV, radio & interactive production estimates, work with client cost consultants, maintain production files, and issue all production contracts and production insurance. They will also provide production support to producers for broadcast, print, digital. As well as talent usage rights expertise and coordination for music, talent, stock footage, etc. The Business Affairs Manager will issue purchase orders to suppliers, approve vendor invoices, and work with all suppliers in the broadcast production process. Reporting lines and key stakeholders: This role reports to the Head of Business Affairs. You will work closely with client, finance and production teams. Responsibilities: • Review creative materials and advise Agency teams on talent, flag potential copyright issues and advise on next steps, • Work with Agency legal counsel on issues including updating releases, contract templates, risk assessment and indemnifications, • Review AICP, AICE, animation and music bids with Producer, • Work with cost consultants for adherence to appropriate Client budgeting and contractual guidelines, • Create and issue appropriate award documents, insurance, licensing and talent agreements and vendor purchase orders, • Flag possible legal, clearance, talent, and/or logistical issues; suggest solutions, • Handle full-up TV/content production, test, re-edit and radio jobs, • Review bids with Producers, • Oversee vendor set up/payment process in partnership with finance, • Work with Client's Production Consultants, • Advise Agency teams and Clients on union rules, regulations and best practices, • ‪‪Issue talent contracts, session reports, • ‪‪Evaluate and manage union claims, • ‪‪Create and negotiate music vendor agreements, • ‪‪Issue talent agreements and foreign talent contracts, • Estimate talent sessions, • Prepare production estimates, • Issue purchase orders, contracts, insurance declarations, and releases, • Handles celebrity and music license negotiations or works with third-parties when required, • 5-8+ years Business Affairs - Agency or Production Company experience., • Working knowledge of SAG-AFTRA and AFM contracts, • Experience with US and foreign productions, • Ability to communicate clearly and effectively with all levels of Agency and Client personnel #LI-KN1 #LI-HYBRID Why work here: At WPP Production, you'll help shape the future of content production at a truly global scale. We bring together world-class talent, cutting-edge studios, and advanced technology to solve some of the most complex creative and production challenges in the industry. You'll work in a collaborative, borderless environment where craft excellence is valued, innovation is encouraged, and AI and next-generation tools are used to amplify not replace human creativity. With access to diverse projects, global career opportunities, and the backing of WPP's unmatched network, this is a place where you can grow your skills, make real impact, and create work that performs for every audience, across every channel, at every moment. Inclusion and Impact WPP is an equal opportunity employer and considers applicants for all positions without discrimination or regard to particular characteristics. We are committed to fostering a culture of respect in which everyone feels they belong and has the same opportunities to progress in their careers. Data We rely on legitimate interest as a legal basis for processing personal information under the GDPR for purposes of recruitment and applications for employment. When you click the "Submit Application" button at the bottom of this page, this will send all the information you have added to WPP Production. Before you do this, we think it's a good idea to read through our Privacy statement. This explains what we do with your personal data when you apply for a role with us, and, how you can update the information you have provided us with or how to remove it. Please contact if you need the job advert or form in another format.

Job DescriptionSUMMARYThis position is intended to provide billing and claims management support to Alivi Specialty Networks and Business Process Outsourcing (BPO) Services. The Medical Claims Examiner will ensure all claims received comply with all health plan, regulatory, contractual, compliance, and Alivi billing guidelines and processes.DUTIES & RESPONSIBILITIES • Responsible for accurate and timely adjudication of professional and institutional claims according to state and federal regulations., • Demonstrates knowledge of insurance regulations and policies, payment policies/guidelines and the ability to communicate and work with payers to get claims resolved and paid accurately., • Demonstrate skills in problem solving, benefit plan, and provider contract Interpretation., • Analyzes, processes, researches, adjusts, and adjudicates claims with the use of accurate procedure/revenue and ICD-10 Codes, under the correct provider contract and member benefits., • Responds to provider disputes in a timely and accurate manner., • Research provider disputes to ensure appropriate claims dispute resolutions., • Works Directly with Clinical Review Board and Network Operations Team to resolve complex issues or disputes., • Adjudicates claims that have been overturned by the Clinical Review Board or Network Operations Team., • Generates written correspondence to members, providers, and regulatory agencies., • Responds and assists other departments with complex issues for resolution or affirmation of previously processed claims and existing guidelines., • Determines and processes overpayments (provider refunds) and reimbursement requests according to specific state and/or federal guidelines or as agreed to in provider contract., • Determines and processes underpayments (internal errors) and provider reimbursement requests, which may involve the use of spreadsheet research and correspondence., • Maintains the department’s claim edit rules and processing claims according to client specific verification of eligibility, interpretation of program benefits and provider contracts to include manual pricing., • Identifies trends in claims flows and suggests process improvements., • Assist in preparation with Claims Audits., • This position description identifies the responsibilities and tasks typically associated with the performance of the position.REQUIREMENTS, • High School diploma or equivalent., • 3 years’ work experience in claims operations environment in the healthcare insurance processing Medicare., • Hands-on working experience processing medical claims in insurance industry., • Knowledge of Medicare Fee Schedule and alternative payment methods (global, cap, flat fees)., • Self-starter, ability to work independently and in a team environment., • Strategic, analytical, process oriented and must have critical thinking skills., • Excellent written and verbal communication skills., • Ability to manage multiple priorities., • Excellent problem-solving skills, good follow-up abilities and willingness to be flexible and adaptable to changing priorities., • Works well under pressure., • Proficient with Excel, PowerPoint, Word & Outlook., • Knowledge of medical terminology and comprehension in the usage of CPT Codes, ICD-10 Codes and Revenue Codes., • Knowledge of Correct Coding (CCI) Edits., • Experience in gathering all necessary documentation in preparation of Delegation Audits., • Detailed knowledge of electronic billing processes universal billing forms., • Knowledge of CMS/ACHA Regulations is desirable. gPUL8y6XMR

Job Description About PayCargo: Millions of shipments of goods and materials move around the world daily by land, sea, or air. PayCargo is the world’s leading online payment solution that is revolutionizing the shipping and cargo world. With a fast and efficient way to reduce costs associated with payment processing, we help improve the speed and profitability of our customers’ businesses. About the role: The Director of Fraud is responsible for overseeing the investigation, prevention, and resolution of payment fraud cases. This role is crucial in safeguarding the organization’s financial integrity and customer trust through effective fraud management strategies and compliance practices. Duties and Responsibilities: Fraud Investigation and Resolution: • Oversee the investigation of suspected credit card fraud cases reported by customers or detected through monitoring systems., • Review transaction data, cardholder information, and other evidence to determine the validity of fraud claims., • Make decisions on whether to file chargebacks or reject claims based on investigation findings., • Analyze fraud trends and data to identify vulnerabilities and implement strategies to prevent future incidents., • Collaborate with payment networks (Visa, Mastercard, American Express etc.), merchants, and cybersecurity experts to enhance fraud detection and prevention measures., • Develop and update policies, procedures, and training programs to maintain compliance with regulations and best practices in fraud mitigation., • Coordinate with fraud analysts, investigators, and support staff responsible for day-to-day fraud operations., • Provide guidance, training, and mentorship to team members on fraud investigation techniques and procedures., • Set KPI’s for fraud management and reduction, monitor metrics, and ensure adherence to service level agreements (SLAs) for fraud case resolution., • Prepare regular reports on fraud losses, case volumes, recovery rates, and other key performance indicators for executive management., • Ensure compliance with relevant regulations, such as the Fair Credit Billing Act and Regulation E, governing fraud investigations and consumer protection., • Stay updated on emerging fraud trends, schemes, and tactics employed by perpetrators., • Expertise in fraud detection tools and technologies applied to online marketplaces., • Cargo, freight, and logistics scams knowledge a plus., • Proficiency in data analysis and risk assessment., • Ability to handle sensitive information with discretion and integrity., • Strong organizational and project management skills., • Bachelor’s degree in Finance, Business, IT, or a related field; advanced degree preferred., • Minimum of 7-10 years of experience in credit card fraud prevention, risk management, or PCI compliance., • Strong knowledge of PCI-DSS requirements and fraud prevention methodologies., • Proven experience in managing and leading teams., • Excellent analytical, problem-solving, and decision-making skills., • Strong communication and interpersonal skills. PayCargo has been awarded a Top Workplace by the Sun Sentinel of South Florida for the last three years. Our culture and purpose drive our people to be highly engaged, working in unity towards the success of PayCargo. Our compensation package includes a highly competitive salary and bonus plan. We care about your well-being and personal life. We offer a vacation policy, sick policy, personal time off policy, a generous 401K match, and more. Your success at PayCargo is determined by the impact that you are making, and how well you collaborate with the various teams you interact with. Everyone at PayCargo is empowered to take ownership to learn, self-improve, and master their skills in an environment focused on efficiency, collaboration, and purpose. We are proud to be an equal-opportunity employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, marital status, disability, gender, gender identity or expression, or veteran status.

Job Description Job Summary We are seeking a motivated and detail-oriented Medical Billing and Coding Specialist to join our Revenue Cycle Management (RCM) team. This position is ideal for candidates looking to start or grow their career in medical billing and coding. The specialist will assist with coding, claim submission, and payment processing while learning the full revenue cycle in a supportive environment. Key Responsibilities • Assist with assigning accurate ICD-10, CPT, and HCPCS codes for medical services, • Submit insurance claims to commercial payers, Medicare, and Medicaid, • Review claims for accuracy and completeness before submission, • Assist with resolving claim rejections and denials under supervision, • Post payments and adjustments accurately, • Verify patient insurance information and eligibility, • Maintain accurate billing records and documentation, • Follow HIPAA and compliance guidelines at all times, • High school diploma or equivalent, • Completion of (or enrollment in) a medical billing and coding program preferred, • Basic understanding of medical terminology and coding concepts, • Strong attention to detail and willingness to learn, • Basic computer skills and ability to learn billing software, • Certification such as CPC-A, CCA, or equivalent, • Internship, externship, or coursework in medical billing and coding, • 401(k) retirement plan, • Health insurance, • Dental and vision insurance, • Paid Time Off (PTO), • Paid holidays, • Supportive, team-oriented workplace, • Structured training and learning opportunities, • Stable healthcare organization with long-term career paths

Job Description SUMMARY: In-person Full Time Billing Specialist performs diagnosis and procedural coding to individual patient health information for data retrieval, analysis, and claims processing. DUTIES AND RESPONSIBILITIES: • Reviews the patient ‘s medical record for accurate and complete documentation prior to coding., • Works closely with the physician coordinator regarding discrepancies found in patient’s record prior to claim submission, • Codes for assigned physicians, locations, and/or departments from review of medical record documentation., • Applies knowledge of current coding and billing requirements to assure claims are submitted correctly, • Brings identified concerns and trends to the manager/team lead for resolution., • Reviews coding and billing worklists and resolves claim rejections., • Enters patient demographic information and verifies patient insurance coverage QUALIFICATIONS: • Working knowledge of CPT and ICD10 coding, • Medical coding certification (AAPC or AHIMA) preferred or currently in progress, • Minimum 2 years’ experience in medical billing and coding, • Excellent attention to detail and follow up, • Knowledgeable of payer rules and requirements for both coding and eligibility checking, • High school diploma or general education degree, • Computer skills required: Efficient data entry skills for both speed and accuracy JOB TYPE / WORK SCHEDULE: • This is a full-time In-person position,, • Standard office hours, Monday – Friday

Job Description The role… At Soho House, the Front Office Assistant Manager supports the Front Office Manager and ensures optimal experience is had by all members, guests and staff that interact with the front office, member services and reception desk. As Assistant Front Office Manager, you will be responsible for supervising front desk agents, mitigating guest and member risk by introducing solutions and processing payments. A successful Front Office Assistant Manager will manage staff schedule, inventory and bookkeeping. In conjunction with the Front Office Manager the FOAM ensures seamless, positive and efficient experience for all members and guests. Organized, engaging, professional that can quickly make decisions in a high-volume and demanding environment! Main Duties • Partner with Front Office Manager to develop, create and refine efficiency in the member and guest check in process and welcome experience, • Contribute to yearly departmental goals, related to payroll, expenses, staffing levels and guest service, • Responsible for monitoring and supporting daily operations, greet hotel guests and members upon arrival, • Supervise, direct, coordinate, influence and persuade staff in order to maintain service standards set forth by Soho House & Co., • Participate in identifying talent gaps, interviewing and hiring staff as well as host staff meetings and training opportunities to develop and grow staff skills as well as provide counseling and discipline when applicable, • Ensure all new hires are provided a proper New Hire Training process with all new employees, • Communicate daily events, guest lists, VIP's, room (hotel) occupancy and sales budget, • Maintain quick correspondence in courteous, professional and rapid manner in order to resolve all guest and staff inquiries, • Collaborate with controller and Purchasing Manager to ensure all perishable and nonperishable items are ordered available to distribution and inventory is maintained, • Minimum of 3+ years' experience working and 1+ year of FO Supervisory experience, • Detail oriented, ability to multitask and work in a fast-paced environment, • Computer skills, Excel, MS Word, MRM, Salesforce and Opera preferred, • Customer services oriented and excellent verbal and written communication skills, • Bilingual language skills a plus, • Hospitality Degree preferred, • Must be able to seize, grasp, turn and hold objects with hands., • Must be able to make periodical fast paced movements are required to go from one part of the property to others., • Must be able to move, pull, push, carry or lift at least 30 pounds., • Must be able to occasionally kneel, bend, crouch and climb is required., • Must be able to perform physical activities such as lifting, cleaning, and stooping. Soho House offers competitive compensation packages that feature global benefits and perks. Whether you're seeking entry-level employment or a new opportunity to expand your profession, we offer training to develop the technical and managerial skills necessary to enhance your career. • Health Care + 401K: Full time employees are eligible for full benefits; Medical, Dental & Vision as well as Retirement fund with a 2% match, • Paid Time Off: Full- Time Employees have sick day's + vacation days, • Career Development: Soho House can progress your career domestically or internationally as well as managerially or technically, • Soho Impact: Empowering the Soho House Community to make positive change, through mentoring, apprenticeship, local outreach and sustainability, • Learning & Development: An extensive range of internally and externally run courses are available for all employees., • Cookhouse & House Tonic: Celebrating our passion for food and drink. Check out our monthly calendars and get involved in trips, training's and events. Available to all., • Team Events: From fitness sessions to cinema screenings and art classes, each month we hold a series of fun events which you can sign up to., • Team Meal: Whilst on duty in our Houses & Restaurants you will be provided with a substantial meal free of charge.

Job Description POSITION SUMMARY The Recovery Audit Analyst I is responsible for tracking and processing claim overpayments. This role supports the financial integrity of the organization by ensuring accurate application of claim offsets, posting of provider refunds, and reconciliation of recovered funds. The analyst manages voluntary and involuntary recovery activities, monitors demand letters, and collaborates with internal finance teams and external recovery vendors to ensure timely and accurate recovery of overpaid claim dollars in accordance with contractual, regulatory, and CMS requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to: Key Responsibilities • Apply claim offsets and adjustments related to identified overpayments across multiple lines of business., • Post provider refund checks and electronic payments to corresponding claims accurately and timely., • Process voluntary refunds received from providers, ensuring proper allocation and reconciliation to impacted claims., • Review, track, and manage recovery demand letters issued to providers regarding identified overpayments., • Responds to provider overpayment disputes. Recovery & Financial Reconciliation • Identify, validate, and document overpayment recoveries in accordance with internal policies and contractual requirements., • Reconcile recovered amounts against claims system data to ensure accuracy in financial reporting., • Monitor outstanding recoveries and follow up on unpaid or partially paid recovery requests., • Ensure proper classification of recovered, canceled, and outstanding overpayment amounts. Vendor & External Coordination • Work collaboratively with external recovery vendors to support identification and recovery of overpaid claims., • Review vendor-generated recovery findings for accuracy and compliance with health plan policies., • Track recovery outcomes and ensure vendor performance aligns with contractual expectations., • Communicate effectively with vendors to resolve discrepancies or missing documentation. Finance & Reporting • Prepare and submit reports to Finance detailing:, • Identified overpayments, • Cancelled recovery cases, • Successfully recovered funds, • Outstanding recovery balances, • Support monthly, quarterly, and annual financial reconciliation activities., • Assist in audit preparation by providing detailed recovery documentation and supporting evidence. Claims System & Data Management • Accurately update claims systems to reflect recovery activity, including offsets, refunds, and adjustments., • Maintain detailed records of recovery actions, correspondence, and financial transactions., • Ensure consistency between claims, recovery systems, and financial reporting tools., • Research claims history to validate recovery accuracy and resolve discrepancies. Compliance & Regulatory Requirements • Ensure all recovery activities comply with CMS guidelines, contractual obligations, and internal policies., • Maintain adherence to HIPAA and information security standards when handling member and provider data., • Support audit readiness by maintaining accurate and complete recovery documentation., • Escalate potential compliance or financial risks to appropriate leadership. Communication & Collaboration • Collaborate with Claims Operations, Finance, Provider Relations, and Compliance teams to resolve recovery issues., • Communicate professionally with providers regarding refund requests and recovery determinations when required., • Support internal stakeholders with recovery-related inquiries and reporting needs., • Participate in cross-functional initiatives to improve recovery processes and reduce overpayment occurrence. QUALIFICATIONS AND EDUCATION Minimum Qualifications • High School Diploma or GED required., • Minimum of 2–4 years of experience in healthcare claims, recovery, billing, finance, or managed care operations., • Experience with claims processing systems and financial reconciliation activities., • Experience in a managed care or Medicare Advantage environment., • Familiarity with recovery audit processes, overpayment identification, or payment integrity operations., • Knowledge of provider refund processing and claims offset methodologies., • Strong analytical and reconciliation skills, • High attention to detail and financial accuracy, • Ability to manage multiple recovery cases simultaneously, • Strong documentation and reporting skills, • Effective communication and collaboration abilities, • Problem-solving skills with a focus on root cause identification, • Ability to work independently in a production-driven environment WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • The noise level in the work environment is usually moderate., • Works in the field PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. PERFORMANCE MEASUREMENTS • Duties accomplished at the end of the day/month., • Attendance/punctuality., • Compliance with Company regulations., • Safety and Security. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate. Employee Acknowledgement: I have read this job description and understand what is expected of me while I occupy this role.

Job Description We are seeking a Pharmacy Benefits Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations. The Pharmacy Benefits Coordinator plays an essential role in managing and optimizing pharmacy benefit programs. This position is responsible for coordinating with prescribers and targeted beneficiaries to ensure appropriate payment determination, evidence-based drug selection, and resolve medication-related problems. By maintaining accurate records and facilitating communication among stakeholders, the role helps improve member outcomes and control pharmacy-related expenses. Minimum Qualifications: • State of Florida Registered Pharmacy Technician License (RPT)., • Experience in managed care pharmacy., • Bachelor’s degree in Health Administration, Pharmacy, Business, or a related field., • Knowledge of Medicare and Medicaid pharmacy benefit structures., • Demonstrate commitment to Our Mission and model ILS Experience Standards of Excellence., • Identify and resolve basic pharmacy claim rejections (e.g., incorrect billing codes, missing prior authorizations, coordination of benefits issues) with guidance from the pharmacist and respond to inquiries related to formulary status, benefit coverage, and pharmacy processes, ensuring clinical questions are escalated appropriately., • Spot discrepancies in claims, documentation, or performance metrics and escalate concerns promptly., • Assist members and providers with benefit‑related questions and support pharmacists and physicians by providing formulary information, benefit details, and documentation needed for coverage determinations while ensuring all clinical inquiries are routed to a pharmacist., • Maintain accurate documentation in accordance with CMS Part D, Florida Medicaid, and internal health plan requirements., • Support compliance activities, including policy updates, letter reviews, formulary updates, coverage changes, and audit preparation., • Assist in preparing structured reports for CMS submissions, Medicaid reporting, quality initiatives, and internal reviews., • Maintain organized files, data sources, and supporting documentation for audits and presentations., • Collaborate with case management, utilization management, quality improvement, and other teams to support integrated care for members., • Participate in workflow improvements and process enhancement initiatives., • Conduct outreach to pharmacies, members and providers for DUR campaigns, MTM follow‑ups, adherence initiatives, and other quality programs., • Perform all other duties as assigned.

Job Description JOB TITLE: Medical Claim Adjuster DEPARTMENT: Patient Accounts SUPERVISOR: Business Office Director Larkin Health System is an integrated healthcare delivery system accredited by the Joint Commission with locations in South Miami, Hialeah and Hollywood, Florida. Our network of acute care hospitals provide a complete continuum of healthcare services, including a full range of inpatient and outpatient services, and home health agencies in Miami-Dade and Broward County. We are heavily invested in training the next generation of health professionals, which is the core of our mission: to provide access to compassionate care of the highest quality in an educational environment. GENERAL JOB DESCRIPTION Under the direction of the Business Office Director, the Medical Claim Adjuster is responsible for reviewing and adjusting accounts in accordance with claims processing guidelines. DUTIES AND RESPONSIBILITIES • Perform adjustments using technical and claims processing expertise., • Identify discrepancies in payments, adjust accounts based on expected amount., • Review and interpret contract language using provider contracts to confirm whether a claim is overpaid or underpaid., • Review denials and ensures posting reflects the appropriate denial reason code., • Review and handle relevant correspondences assigned to the team that may result in adjustments to accounts., • Preforms related duties as required. QUALIFICATIONS FOR THE JOB Education: High School diploma of equivalent (additional certifications or education in medical billing/coding preferred) Experience: • 1-2+ year’s claims processing experience. Other: • Strong understanding of medical terminology, CPT codes, ICD-10 codes, and insurance billing guidelines., • Excellent numerical and analytical skills, with a keen eye to detail., • Ability to interpret insurance EOBs and payment information accurately., • Strong problem-solving skills, with the ability to reconcile discrepancies and resolve payment-related issues effectively.

Job Description About WPP Production We are WPP Production - the unified global production company that brings together all of WPP's content producers, studios and craft experts into one connected organisation. We combine world-class human craft with next generation technology to originate, design, and deliver multi-channel content systems at scale. Built for borderless collaboration and powered by deep craft expertise, we are the production engine designed for today's always on, AI driven marketing world. About WPP WPP is the trusted growth partner for the world's leading brands. We unite cutting-edge media intelligence and data solutions, world-class creativity, next-generation production, transformative enterprise solutions and expert strategic counsel in a single company – powered by exceptional talent and our agentic marketing platform, WPP Open, to help our clients navigate change, capture opportunity and deliver transformational growth. For more information, visit WPP.com. A Hybrid working model We believe the best work happens when we're together, fostering creativity, collaboration, and connection. That's why we've adopted a hybrid approach, with teams in the office around four days a week. If you require accommodations or flexibility, please discuss this with the hiring team during the interview process. What does a Talent Manager do at WPP Production? This role is responsible for talent estimates, contracts, payments, union compliance, and completion reporting for commercial and digital campaigns. The ideal candidate has strong knowledge of the SAG-AFTRA Commercials Contract experience handling residuals and session fees, and the ability to manage multiple projects in a fast-paced agency environment. The ideal candidate is proactive, solutions-oriented, and confident working with talent agents, performers, and internal stakeholders. They bring both precision and diplomacy to talent-related work and are comfortable balancing compliance, negotiation, and day-to-day production support. Reporting lines and key stakeholders: This role reports to the Head of Business Affairs. You will work closely with production, finance and external vendor teams. Requirements • Manage all aspects of talent payments for assigned clients and campaigns, • Prepare and reconcile talent estimates for session fees, residuals, holding fees and renewals, • Negotiate talent compensation and ensure timely execution of talent contracts, • Collaborate with producers, account teams, and Business Affairs Managers to support productions from pre-production through completion, • Maintain expert knowledge of SAG-AFTRA Commercials Contract and all waivers, as well as non-union talent workflows, • Administer talent residuals, renewals, reinstatements, and completion reports, • Track talent usage, expiration dates, holding fee cycles and reuse cycles, • Coordinate licensing of music, stock footage, and other third-party content as needed, • Process and review vendor invoices in partnership with accounting and finance teams, • Resolve talent-related issues, claims, and payment discrepancies, • Maintain accurate project files and documentation for all talent activity, • Communicate clearly and professionally with internal teams, talent agents, and performers, • 5+ years of experience in talent payments, business affairs, production coordination, or a related agency role, • Strong working knowledge of SAG-AFTRA Commercials Contract and related talent payment procedures, • Experience managing residuals, estimates, contracts, and completion reporting, • Experience with national and global commercial campaigns, • Knowledge of music and stock footage licensing, • Experience with invoice processing and budget tracking, • Familiar with advertising agency workflows and broadcast/digital asset trafficking, • Ability to interpret union and non-union talent requirements, • Excellent organizational skills and high attention to detail, • Strong written and verbal communication skills, • Ability to manage multiple deadlines and priorities in a fast-paced environment, • Proficiency in Microsoft Office and comfort working with financial or production systems #LI-KN1 #LI-HYBRID Why work here: At WPP Production, you'll help shape the future of content production at a truly global scale. We bring together world-class talent, cutting-edge studios, and advanced technology to solve some of the most complex creative and production challenges in the industry. You'll work in a collaborative, borderless environment where craft excellence is valued, innovation is encouraged, and AI and next-generation tools are used to amplify not replace human creativity. With access to diverse projects, global career opportunities, and the backing of WPP's unmatched network, this is a place where you can grow your skills, make real impact, and create work that performs for every audience, across every channel, at every moment. Inclusion and Impact WPP is an equal opportunity employer and considers applicants for all positions without discrimination or regard to particular characteristics. We are committed to fostering a culture of respect in which everyone feels they belong and has the same opportunities to progress in their careers. Data We rely on legitimate interest as a legal basis for processing personal information under the GDPR for purposes of recruitment and applications for employment. When you click the "Submit Application" button at the bottom of this page, this will send all the information you have added to WPP Production. Before you do this, we think it's a good idea to read through our Privacy statement. This explains what we do with your personal data when you apply for a role with us, and, how you can update the information you have provided us with or how to remove it. Please contact if you need the job advert or form in another format.

✅ Duration: Permanent/Salaried ✅Location: Miami, FL ✅ Schedule: Monday–Friday, 8:00 AM–5:00 PM We are seeking a detail-oriented professional with workers’ compensation experience to support our Safety and Risk Management team. ✔ Key responsibilities include assisting with the intake, setup, tracking, and processing of workers’ compensation claims in compliance with state and federal regulations: • Coordinating communication between injured employees, supervisors, HR, and safety leadership regarding work restrictions and return-to-work planning, • Supporting modified duty and return-to-work coordination, • Assisting with claim reviews, loss runs, and reporting/trend analysis, • Ensuring compliance with OSHA regulations and Florida workers’ compensation statutes, • Maintaining confidentiality and accurate data entry within tracking systems, • Collaborating with HR, Payroll, Operations, and Safety teams on incident documentation and workplace accommodations ✔ Required Qualifications: • CWCP, WCCP, or Florida Workers’ Compensation Adjuster License preferred OR 2–5 years of workers’ compensation claims experience with strong knowledge of Florida WC laws/processes, • Bilingual: English/Spanish, • Strong organizational, follow-up, and written/verbal communication skills, • High attention to detail with ability to maintain confidentiality, • Ability to manage multiple claims simultaneously, • Proficiency in Microsoft Office (Excel, Word, Outlook) ✔ Check out some of our benefits! • Competitive benefits package for full-time employees (30+ hours/week), • Comprehensive health, dental, and vision insurance, • Paid time off (PTO), • Paid holidays, • 403(b) retirement savings plan, • Employee discounts, • Access to an Employee Life Fund (ELF) program

Customer Service Representative The Customer Service Representative serves as the first point of contact for students, families, and university departments on questions tied to the Student Health Insurance Plan. Position also provides administrative support to the Sr. Manager, Business Operations and liaises with student health insurance carrier and insurance vendors in different administrative support roles. Position reports to the Sr. Manager, Business Operations. Primary Duties and Responsibilities: Administrative Duties • Provides customer service support to students, families, and university departments., • Responsible for escalating concerns/issues to administrative personnel., • Performs other clerical, administrative, and financial support responsibilities as assigned., • Answer incoming phone calls and direct them to the appropriate staff member when needed., • Responsible for updating Voice Mail greeting., • Assists with updating departmental forms, power point presentations and student survey data., • Assists with submitting communication and website update requests., • Updates departmental instructions as needed., • Assists with United Healthcare Student Insurance reconciliation., • Responsible for assigning all incoming emails to the appropriate person/department., • Responsible for linking all incoming communications to the student's Salesforce account for proper tracking and reconciliation., • Review/respond to incoming communications regarding student health insurance (including waivers, student fee inquiries, reinstatements, benefit questions, and dependent, dental, and vision enrollment)., • First point of contact for all insurance issues for students, including insurance enrollment, verification, claims and payment processing, and other customer service-related issues., • Serves as a liaison for all correspondence and inquiries pertaining to billing issues and refers student insurance issues to Student Account Services or UMIT when appropriate., • Responsible for working directly with student health insurance carrier on various tasks including student enrollment, error file, benefits questions, claims issues, and policy terminations., • First point of contact for students, parents, and other university departments regarding all insurance waiver questions and issues, policy benefits, and enrollment., • Works directly with Student Health Service administrative personnel to process all approved manual health insurance waivers and insurance reinstatements., • Responsible for working directly with Student Health Front Desk designated staff to update all insurance information in EPIC for IEP Embassy sponsored students., • Works directly with student health insurance carrier for all questions regarding dependent, medical students on LOA and Qualifying Life Event enrollment., • Works directly with student health insurance carrier and vendor to update student and administrative portal information as needed., • Assists with student health waiver reports as needed., • Assists with insurance brochure and pamphlet updates., • Adhere to FERPA and ensure that all student financial records are kept confidential., • High school diploma or equivalent; associate or bachelor's degree preferred., • General knowledge of office procedures and operations., • Ability to accurately prepare and maintain records, files, reports and correspondence., • Ability to communicate effectively in both oral and written form., • Ability to maintain effective interpersonal relationships., • Ability to process and handle confidential information with discretion., • Skill in completing assignments accurately and with attention to detail. With more than 20,000 faculty and staff, the University is committed to excellence and guided by a mission to positively impact the lives of students, patients, and communities locally and globally. We are dedicated to fostering a culture where every individual feels valued and empowered to contribute meaningfully. United by shared values, the University community works together to build an environment defined by purpose, collaboration, and service. The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law. Job Status: Full time Employee Type: Staff

The Staff Accountant will be responsible for processing, assisting and supervision of various central accounting and finance duties in the company's Finance Department, including but not limited to online banking processes, commissions, claims payments, bank reconciliations, journal entries, interco

The Claims Examiner is responsible for providing expertise and/or claims support in reviewing, researching, investigating, processing and adjusting claims and other duties as necessary.

Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for an Auto Property Damage Adjuster to join our team. The Auto Property Damage Adjuster will be responsible for evaluating and processing insurance claims. Must hold a Florida 6-20 All Lines A

Job DescriptionDescription: Description Legacy Parking is a rapidly growing parking asset management company that prides itself on operational excellence, high-touch service, and developing our people. We are looking for a dynamic and Facility/Location Manager to join our team in the Miami market. The Facility/Location Manager is responsible for the complete day-to-day operations of an assigned location(s). This role acts as the primary liaison with property management, security, tenants, visitors, and clients, while ensuring efficient operations, financial accountability, employee engagement, and superior customer service. Essential Duties and Responsibilities • Oversee daily operations to ensure compliance with company standards and client expectations., • Act as primary point of contact for property management, clients, and customers, resolving issues promptly and professionally., • Prepare and review daily, weekly, monthly, and annual financial and operational reports., • Monitor, review, and analyze market rate structures to remain competitive and profitable., • Ensure compliance with parking, security, and cash control procedures; participate in audits as needed., • Drive revenue growth, expense management, and customer satisfaction through operational excellence., • Recruit, train, lead, and develop a team of employees, including Assistant Managers and Team Leaders, fostering a high-performance culture., • Identify high-potential employees to support organizational growth and succession planning., • Oversee payroll processing, timekeeping accuracy, and collaborate with HR to ensure wage/hour compliance., • Handle employee relations issues with fairness and alignment to company policy., • Monitor facility maintenance and cleanliness, recommending improvements to enhance customer experience., • Investigate, monitor, and resolve damage claims; implement safety programs to reduce risks and prevent recurrence., • Work with General Manager to prepare budgets, financial forecasts, status reports, and personnel reviews., • Ensure accurate daily cash deposits, monitor audits, and safeguard against inefficiencies or theft., • Build and maintain strong client relationships to support business retention and growth., • Implement and manage OSHA compliance and other required safety standards., • Deliver on all client contractual requirements in partnership with Legacy Parking leadership., • Lead special projects, programs, and initiatives as assigned.Minimum Job Qualifications, • 2+ years of management experience in a service-related industry (parking industry experience preferred)., • Prior experience managing teams, staffing, scheduling, and financial/budget oversight., • Bachelor’s degree preferred., • Demonstrated ability to lead, anticipate challenges, and develop solutions., • Proven capacity to manage multiple projects and priorities with flexibility., • Strong written and verbal communication skills; formal presentation skills a plus., • Proficiency in Microsoft Office and related technologies. Physical Demands and Working Conditions The physical demands of this position and the work environment characteristics described below are representative of those that must be met by an employee to perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential job functions. Physical Demands: as part of performing the duties associated with this position, the employee will be required to stand, walk, sit, use hands-to-fingers, handle tools or controls, reach with hands or arms, talk and hear. Employee must occasionally lift and/or move objects up to 25lbs. Work Environment: While performing the duties of this position, the employee may be subjected to weather conditions prevalent at the time. The noise level in this work environment can range from minimal to moderate. Requirements:

Agency Service Rep I Our client, a healthcare company, is looking for an Agency Service Rep I for their Miami, FL/Hybrid location. Responsibilities: • Responsible for providing advanced customer service support to brokers selling company products via telephone or written communication., • Assists agents and brokers via telephone or written communication. Responds to inquiries involving commissions, legislation, product information and policies and procedures for Individual, Small Group, Dental and Life., • Will be expected to average a certain number of phone calls per representative per week, average pieces of correspondence to be processed per day., • Coordinates mailings and fulfillment requests., • Assists in broker road shows. Provides reports to brokers., • BA/BS Degree or Equivalent Experience, • Call center customer service (3+ years preferred), experience with dual monitors, experience with work at home procedures & privacy requirements per HIPAA PHI/PII guidelines. Experience with Medicare/Medicaid preferred., • Candidates should not be licensed sales agents as this poses a conflict of interest., • Experience w/ Microsoft Office required, including Outlook, Teams, Excel, and Word. Associate will need to be bilingual in English and Spanish, • Requires a high school diploma or a GED equivalent and a minimum of 1 year of related customer service experience; or any combination of education and experience which would provide an equivalent background., • Previous health insurance industry experience preferred. Advanced benefits, claims processing or membership knowledge preferred., • Health Benefits, • Referral Program

Job Description Join Florida One Insurance as a Full-Time Bilingual Customer Service Representative, where you can immerse yourself in a dynamic environment that values your skills and growth. In this onsite position, you'll have the unique opportunity to engage directly with customers, solving their insurance-related problems and ensuring a positive experience. Your bilingual abilities will enhance our customer service, allowing you to connect with a diverse client base. Experience a competitive salary range from $42,600 to $92,000 annually, reflecting your contributions and dedication to our mission. This role not only emphasizes customer-centricity but also fosters a culture of empathy and professionalism. Here, your hard work is noticed, and you can thrive alongside energetic colleagues. You will have benefits such as Medical, Dental, Vision, Life Insurance, Competitive Salary, and Paid Time Off. Take the exciting step to elevate your career in the insurance industry by applying today! Who are we? An Introduction With over a decade of industry experience, Florida One Insurance Agency is dedicated to providing personalized coverage tailored to your unique needs. We recognize that every driver is different. That's why our team of experienced and knowledgeable agents is here to help you navigate the complexities of auto insurance. We work closely with you to ensure you have the right protection-at the best possible price. At Florida One, we pride ourselves on delivering exceptional customer service. Whether you have questions or need support, we're always just a call or click away. Our Mission We are committed to empowering our clients with the knowledge and tools to make confident, informed insurance decisions. By building lasting relationships based on trust and transparency, we're with you every step of the way. Make a difference as a Bilingual Customer Service Representative As a Bilingual Customer Service Representative at Florida One Insurance, each day offers fresh challenges and rewarding interactions. You'll kick off your morning by checking emails and voicemails before diving into assisting clients-addressing inquiries about policies, processing changes, and managing claims in both English and Spanish. Whether you're fielding calls or welcoming walk-in customers, your role is pivotal in ensuring every client feels informed, supported, and valued. Collaboration with our agents is essential, as you work together to provide exceptional customer service. Whether helping a client understand their coverage or offering reassurance after an accident, you become the friendly voice they trust. This fast-paced environment demands excellent communication and empathy, making it a fulfilling opportunity for those who thrive on teamwork and compassion. What we're looking for in a Bilingual Customer Service Representative To excel as a Bilingual Customer Service Representative at Florida One Insurance, several key skills are essential. Strong communication abilities are paramount, enabling you to convey information clearly and effectively in both English and Spanish. Empathy and compassion are crucial, as you'll be addressing the concerns of clients who may be experiencing stressful situations. Problem-solving skills are also vital; you'll need to think critically and creatively to resolve issues while ensuring a high level of customer satisfaction. Additionally, strong interpersonal skills will help you build rapport with clients and foster productive collaboration with your team and agents. A customer-centric mindset is essential, as your primary goal is to ensure clients feel informed and valued throughout their insurance journey. Flexibility and adaptability in a fast-paced environment are necessary to keep up with the varied demands of the role. Make your move If you think this job aligns with your requirements, then submitting an application is simple. Good luck!

Job DescriptionDescription: Doral, FL Full-Time WHAT WE DO Tropical Foods is an International Food Distribution Company with clientele in 50 countries. 100% of our business is export and we specialize in chilled dairy products. Our services include product registration, foreign documentation and in-house product labeling. Order Processing • Data Input: generate customer proformas, obtain estimate approval from customer, submit vendor purchase orders and customer invoicing for assigned accounts, • Create export documentation as required by each market/customer, • Daily collaboration with RSM Teammate regarding any pending orders, order approval delays, order frequency concerns or any other observation by ICS that is considered pertinent account intel, • Provide Back-Up for other Customer Service Reps that are out, • Help maintain Customized Order Guides (created by RSM) for all accounts that don’t utilize their own PO system, • Provide “best-effort” sales support (time permitting) with attention to RSM travel, • USDA (For required customers) with Additional Page required for lot codes and expiration dates if needed, • Certificate of Analysis: Include Lot Codes & Manufacture Dates as needed, • Certificate of Free Sale, • Certificate of Origin (Chamber of Commerce), • Pallet Fumigation Documents, • SENASA (Import Permit Number), • NAFTA Certificate (Prepared Annually), • SLI (if needed), • Delivery & Shipping instructions, • Packing List, • Warehouse Slip for consolidations, • Coordinate any Labeling Requirements with proper departments., • Proof of Delivery (POD) confirmation via email or fax of customer estimates/orders to delivery destination / Freight Forwarder. Cross Docks & 3rd Party Labeling Facilities/Freight Forwarder require email or fax notice of Labeling completion and expected border crossing date., • Daily communication with consolidation department for all orders that include multiple vendors of “Less Than Minimum” order volumes that require consolidation, • Add orders to excel spreadsheet of each consolidated brand, • Add TFC PO# in all proformas/packing lists, • Assist in obtaining consolidation orders from the Inside Sales team for all orders that include multiple vendors of less than minimum order volumes Routine (weekly/bi-weekly) correspondence via telephone with assigned accounts to inquire about: • forthcoming orders/lead times, • consolidation dates and cut offs, • delivery delays/issues, • sail Information (logistics), • shortages, • CRM: update CRM with all pertinent Customer Service Activity relating to account, • Maintain digital and hard copy files of all documents supplied to clientele in shared folder Ability to multitask and work in fast-paced environments Bilingual (English/Spanish/Other Languages) Required

Founded in 1989, United Automobile Insurance Company is an innovative and established organization looking for Casualty Bodily Injury Adjuster(s) to join our team. As a Casualty Bodily Injury Adjuster, you will be responsible for investigating and processing insurance claims related to bodily injury

Job Description POSITION SUMMARY The Grievance and Appeals Representative is responsible for the intake, review, investigation, and resolution of member grievances in a managed care environment. This role ensures all grievances are handled in compliance with regulatory standards established by the Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA), as well as internal policies and procedures. The Grievance and Appeals Representative works cross-functionally to ensure timely, accurate, and member-focused resolution of complaints while maintaining regulatory compliance and quality standards. ESSENTIAL DUTIES AND RESPONSIBILITIES To perform this job, an individual must perform each essential function satisfactorily, with or without reasonable accommodation, including, but not limited to: Key Responsibilities: • Facilitates the end-to-end handling of member grievances, including documentation, investigation, resolution, and closure within established regulatory timelines., • Conducts comprehensive research and investigation of member complaints by reviewing claims, authorizations, medical records, call logs, and correspondence., • Coordinates with internal departments (e.g., Claims, Utilization Management, Provider Relations, Customer Service) and external stakeholders to gather information and ensure accurate resolution., • Interprets and applies CMS and NCQA guidelines, as well as state and federal regulations, to determine appropriate grievance outcomes., • Ensures all grievance cases are processed within required turnaround times and meet quality and compliance standards., • Prepares clear, concise, and compliant written responses to members and/or authorized representatives, explaining the resolution and rationale., • Identifies and escalates potential quality of care issues, access concerns, or systemic trends to appropriate departments., • Maintains accurate and detailed documentation of all grievance activities in accordance with audit and regulatory requirements., • Assists in tracking, trending, and reporting grievance data to identify root causes and support quality improvement initiatives., • Participates in audits, regulatory reviews, and quality assurance activities related to grievance processing., • Communicate with members and providers via written and verbal channels to obtain additional information or provide updates as needed., • Meets departmental productivity, quality, and performance standards. QUALIFICATIONS AND EDUCATION Required Qualifications • Minimum of 2 years of experience in managed care, healthcare operations, grievances & appeals, or a related function; or equivalent combination of education and experience., • Working knowledge of CMS and NCQA regulations related to grievances and appeals., • Experience investigating and resolving member complaints, appeals, or disputes in a healthcare setting., • Familiarity with claims processing, benefits interpretation, and healthcare delivery systems., • Strong analytical, problem-solving, and investigative skills., • Excellent written and verbal communication skills, with the ability to compose professional, compliant correspondence. Preferred Qualifications • Experience in a managed care organization supporting Medicare, Medicaid, Marketplace, or other government-sponsored programs., • Knowledge of grievance classification, quality of care investigations, and regulatory reporting requirements., • Experience working with healthcare providers, medical records, and clinical documentation., • Background in customer service, call center operations, or healthcare compliance. Skills & Competencies • Regulatory Compliance (CMS/NCQA), • Critical Thinking & Investigation, • Attention to Detail, • Written Communication & Documentation, • Customer Focus & Advocacy, • Time Management & Productivity, • Collaboration & Cross-Functional Coordination WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. • The noise level in the work environment is usually moderate., • Works in the field., • Interacts with patients, family members, staff, visitors, government agencies, etc., under a variety of conditions and circumstances. This work requires the following physical activities: climbing, bending, stooping, kneeling, reaching, sitting, standing, walking, lifting, finger dexterity, grasping, repetitive motions, talking, hearing and visual acuity. The work is performed indoors. Sits, stands, bends, lifts, and moves intermittently during working hours. May be sitting for a prolonged period. The work schedule is approximate, and hours/days may change based on company needs. All full-time employees are required to complete forty (40) hours per week as scheduled, including weekends and holidays as needed. May require some OT during varying seasons of the year. PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. The employee must be able to frequently lift up to 10 pounds and occasionally lift and/or move up to 25 pounds. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand and walk. The employee is occasionally required to use hands to finger, handle, or feel; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. Specific vision abilities required for this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. PERFORMANCE MEASUREMENTS • Duties accomplished at the end of the day/month., • Attendance/punctuality., • Compliance with Company regulations., • Safety and Security., • Quality of work. This Job Description may be modified at any time at the discretion of the employer as business operations may deem necessary. This does not constitute an employment agreement and may not include all duties. The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified. The incumbent must be able to work in a fast-paced environment with a demonstrated ability to juggle and prioritize multiple competing tasks and demands and to seek supervisory assistance as appropriate. Employee Acknowledgement: I have read this job description and understand what is expected of me while I occupy this role.

Job Description Office Location: Miami or Stuart, FL This is a temporary employment opportunity. JOB SUMMARY: The Wire Services Payment Specialist is responsible for ensuring all aspects wire activities are processed timely, accurately, efficiently, and in accordance with applicable regulations with an eye toward identifying fraud. These activities include the processing of incoming and outgoing wires, including OFAC verification, Wire Returns, Drawdown Processing, Wire Transfer agreements, Wire research, Account Maintenance, Reg-E, checking for suspicious information and activity, Customer Callbacks, and the review of the Signature Authority limits. The Wire Services Payment Specialist will stay current with departmental training, adhering to all banking regulations and internal controls pertaining to Wire processing, including knowledge and understanding of compliance and legal requirements. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Supports and performs duties assigned by the Wire Transfer Operations Team Lead and / or the Wire Transfer Operations Manager., • Processes and verifies incoming and outgoing wire transfers received through Treasury Online, recorded telephone line, or from the branches via WITS, Wells Fargo, or Fedline Advantage., • Review and input outgoing wire transfers including returns and drawdowns requested on behalf of Seacoast customers., • Performs Seacoast Customer account maintenance which includes, but is not limited to, transaction review/monitoring and documentation review. This is completed in a timely and accurate manner in accordance with Bank policies, procedures, and regulatory requirements., • Perform callback verification to confirm transaction details and authenticity of transaction., • Performs various security related functions, such as verifications and callback confirmations, to validate the authenticity of outgoing wire transfers., • Provides support for all electronic wire products which may include resetting passwords, processing enrollments, and offering assistance to staff and customers with these products., • Works directly with clients and internal service partners to ensure proper documentation is being completed for accurate transfer of funds., • Reconciles the transaction fraud monitoring queue and any OFAC related inquiries and performs the proper due diligence in mitigating fraud., • Investigates and researches suspicious or fraudulent claims in accordance with the Bank’s policy and procedures., • Responsible for risk and fraud mitigation in relation to electronic services. Analyzes suspicious activity and enforces actions to mitigate risk., • Performs customer service functions, including interacting with customers, and answering questions., • High school diploma or equivalent required, • 1-3 years of the following preferred:, • Retail banking or operational support experience in the banking industry., • Proficiency with Microsoft Office applications., • Wire Transfer Processing knowledge #LI-PF1

Job DescriptionParalegalEmployment Type: Full-Time, Entry LevelDepartment: Legal As a CGS Paralegal, you will work under the direction of a Supervisory Paralegal or Project Supervisor. You will provide litigation and administrative support to a group of United States Attorneys. CGS brings motivated, highly skilled, and creative people together to solve the government’s most dynamic problems with cutting-edge technology. To carry out our mission, we are seeking candidates who are excited to contribute to government innovation, appreciate collaboration, and can anticipate the needs of others. Here at CGS, we offer an environment in which our employees feel supported, and we encourage professional growth through various learning opportunities. Skills and attributes for success:- Collects court ordered restitutions and fines of criminal and civil defendants.- Drafts legal documents, and files legal documents using the Electronic Court Filing system (ECF),- Prepares garnishments, liens, and other legal process documents for collection.- Sends demand letters, files liens, run credit reports, prepares and submits subpoenas.- Manages and tracks collection activity in an internal database.- Communicates with and coordinates collection activity with AUSAs in the Monetary Penalties Unit (MPU).- Completes fact research in public information databases and other research databases to gather information and identify assets.- Prepares legal documents using templates, such as motions, memoranda, subpoenas, correspondence, discovery documents and other similar documents and forms.- Prepares all recurring legal documents in conformance with rules governing their style and format.- Performs routine document center support functions, such as photocopying, delivering items, assembling notebooks, including pulling file copies of documents, tabbing binders, numbering, binding, labeling, re[1]filing documents and shelving, packing boxes and preparing them for shipment, bate stamping, retrieving case materials, completing log sheet, answer phones, logging messages, and faxing information.- Provides trial preparation assistance to AUSAs by independently compiling trial notebooks, preparing jury instructions, drafting witness, and exhibit lists.- Opening new case files, closing case files, organizing case files, and record material for disposition or storage.- Maintains calendar of active cases and assigned AUSAs by scheduling appointments, interviews, conferences, providing reminders of commitments and court appearances.- Assist AUSAs in producing discovery to defense council.- Maintains, manages, and organizes case material utilizing software, including databases, spreadsheets, and word processing applications.- Sorts incoming mail and prepares outgoing mail including packaging boxes for shipment.- Filing pleadings using the Electronic Court Filing system (ECF).- Produces a variety of written documents using templates ad materials utilizing a range of office software applications.- Completes all aspects of travel in accordance with Federal Travel Regulations (FTR) and Department of Justice (DOJ) policies, including traveling arrangements, submitting authorizations, completing vouchers, and submitting local mileage claims.- Sorts incoming mail and prepares outgoing mail including packaging boxes for shipment. Qualifications:- Requires paralegal certificate, JD, or currently attending an ABA-accredited law school, having completed at least one year of study.- One year of legal training or legal experience or at least two years of college education may be substituted for the paralegal certificate.- Additionally, at least one year of litigation paralegal experience or project experience (as related to the task order) is required; trial experience very helpful.- Automated litigation support experience valued. Must have basic legal knowledge, including knowledge of standard legal citation to cite check legal motions and memorandum and must have sufficient experience with legal research tools such as LEXIS and Westlaw to perform basic legal research.- Requires excellent written and oral communication skills, thorough knowledge and hands-on familiarity with a variety of computer applications, including word processing, databases (such as document review and file management systems), spreadsheets, imaging, and hardware systems.- Role also requires basic familiarity with ESI tools and knowledge of eDiscovery procedures and resources.- Ability to consistently deliver highest quality work under extreme pressure will be very important. Our commitment:Contact Government Services (CGS) strives to simplify and enhance government bureaucracy through the optimization of human, technical, and financial resources. We combine cutting-edge technology with world-class personnel to deliver customized solutions that fit our client’s specific needs. We are committed to solving the most challenging and dynamic problems. For the past seven years, we’ve been growing our government contracting portfolio, and along the way, we’ve created valuable partnerships by demonstrating a commitment to honesty, professionalism, and quality work. Here at CGS we value honesty through hard work and self-awareness, professionalism in all we do, and to deliver the best quality to our consumers mending those relations for years to come. We care about our employees. Therefore, we offer a comprehensive benefits package.- Health, Dental, and Vision- Life Insurance- 401k- Flexible Spending Account (Health, Dependent Care, and Commuter)- Paid Time Off and Observance of State/Federal Holidays Contact Government Services, LLC is an Equal Opportunity Employer. Applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Join our team and become part of meaningful government innovation! Explore additional job opportunities with CGS on our Job Board: For more information about CGS please visit: or contact:Email: #CJ We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.