Trabajos claims representative en Miami, FloridaCrear alertas

Job DescriptionDescription: Assist in the day-to-day management of the Valet Operations of a location under the direction of the Manager adhering to the company policies and procedures, fostering good client relations and promoting a professional image. Essential Duties and Responsibilities including but not limited to: • Assist with the management and development of a team of employees to accomplish goals and initiatives, • Assist with managing, planning, scheduling, training and directing the activities of the frontline staff, • Make sure front-line employees are delivering the company’s standards of service with each parker transaction and doing it safely, • Report any known accidents, observed or suspected violations of Company policy, safety hazards or any unusual occurrence to Management., • Ensure compliance with loss prevention, claims reporting, quality assurance and company’s policies and procedures. Non-Essential Duties and Responsibilities • Implementation and completion of other projects, programs and initiatives that may be assigned by management Minimum Job Qualifications • High School degree required., • One year related experience., • Ability to read and comprehend verbal instructions and written correspondence., • Ability to communicate effectively both verbally and through written correspondence., • Ability to provide customer resolution in a professional and friendly manner., • Have and maintain a valid driver’s license., • Ability to safely drive a standard or automatic transmission vehicle., • Ability to maintain a professional and friendly demeanor when working with other employees and the parking customer. Qualifications Desired • Have thorough knowledge of the major streets, local landmarks and highway entrances in the geographical area around the facility., • Ability to resolve customer issues, as applicable., • Excellent customer service skills, • Ability to work a flexible schedule, to possibly include nights/weekends/holidays as required, • Maintain a safe driving record free of violations or accidents., • Ability to maintain a professional and friendly demeanor when working with other employees and the parking customer. 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 employee is regularly exposed to fumes and airborne particles. The noise level in this work environment can range from minimal to moderate. Requirements:

The Customer Service Specialist works with and reports to the Claims and Customer Service Manager, Miami. The position is located at 75 Valencia Avenue Coral Gables, FL 33134. The person in this position is the first to interact with our customers by answering incoming calls from the customer service and claims call queues. The Customer Service Specialist takes on a wide variety of tasks, all of which involve supporting the company's operations and products. They will be interacting with customers and building and maintaining relationships while providing exceptional customer service. In this role you have the ability, and are strongly encouraged to, advance levels within the department. Each level achieved results in increased pay. Knowledge Checks and minimum qualifications are required for advancement. Job Duties And Responsibilities To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Answer incoming calls., • Identify and document the needs of the customer utilizing all tools available., • Always demonstrate excellent phone etiquette and use written skills to obtain clear and concise documentation of the customer's inquiry., • Meet or exceed all performance metrics., • Be knowledgeable and have a clear understanding of the business processes within MWG including departments, insurance carriers, brokers/agents, and group contacts., • Route calls to appropriate resources., • Utilize MWG Administrators Policy Administration Systems to verify eligibility and review members accounts based on the policy assigned., • Recognize and resolved customer issues by following standard operating procedures and explaining the process to the customer., • Identify and escalate issues to supervisors., • Follow up customer calls where necessary and complete the daily assigned voicemails., • Perform other duties as assigned by the Department Manager. Working Environment Requirements • Must be able to perform in a very high paced environment and be flexible to multi-task or handle, • Ability to work independently with excellent time management, • Strong written and verbal communication, interpersonal, and relationship building, • Ability to handle stressful situations, • Ability to maintain confidentiality and privacy in every aspect of the, • Knowledge of customer service practices and principles., • Excellent problem-solving skills along with keen attention to details., • Strong written/verbal communication, interpersonal and relationship building skills., • Excellent data entry and typing skills, • Ability to maintain confidentiality and privacy in every aspect of the job., • Always exhibit excellent phone etiquette and professionalism., • Knowledge of all products and services., • Understand and adhere to each department's policies and procedures within the TPA. Experience & Education Requirements • High School Diploma required; Associates or bachelor's degree is preferred., • Must have previous customer service experience; previous Call Center experience is a plus., • Must have excellent computer skills with experience in Microsoft Tools., • Must be able to work well under pressure with multiple priorities and meet deadlines while maintaining a strong attention to detail. Job Essential Requirements The following are job functions that an employee must be capable of performing with or without reasonable accommodation. • Must be able to read, write, and speak English and Spanish., • Must be able to work as scheduled., • Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position as stated above can be fully met., • Must be able to bend, stretch, reach, and sit or stand at a desk during 85 % of the working day., • Must be able to remain stationary at workstation for extended times and/or walk throughout the area., • Will require significant viewing and usage of computers and computer screens.

Job Description Provide a professional and competent image in order to provide Residents with friendly and outgoing customer service. As a key employee liaison between all guests of the community and the Residents. Receiving must be familiar with using computer software to perform various tasks, must demonstrate organizational skills, excellent interpersonal skills and strong communication. Duties and Essential Functions Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Receives incoming packages and enters information on packing slip into resident software., • Sorts, counts, packages, labels, insures, unpacks, and/or logs inventory which is shipped or received., • Inspects shipments for damages or defects; records discrepancies or damages and notifies supervisor and/or purchasing personnel., • Delivers packages to Front Desk at times, and obtains authorized signatures for accepted items., • Traces lost shipments and/or customer claims of lost shipments; initiates proof of delivery documents., • May maintain department database, prepare routine reports, and file shipping/receiving records., • Follows established company policies, procedures, and objectives, continuous quality improvement objectives, and safety., • Receives and logs contractors into the system and contractor log whom will perform work or deliver items to the units., • Provide contractor badge along with photo to identify the individual while working inside the building., • Maintains communication with Front Desk when a contractor has arrived and advise which unit they will need access for., • Communicate with Management Office each time a contractor arrives with building materials or furniture deliveries to ensure they have provided the required elevator deposit., • Performs miscellaneous job-related duties as assigned. Work Environment This position will be mostly indoors. Noise level will be moderate and position requires sitting most of the day. 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. The employee is occasionally required to sit, stand, reach, lift, bend, kneel, stoop, climb, push and pull items weighing 30 pounds or less. The position requires manual dexterity; auditory and visual skills; and the ability to follow written and oral instructions and procedures. Position Type/Expected Hours of Work This is a non-exempt (hourly) position. This schedule will be determine by the property and may change to accommodate the business needs of the property. Required Education and Experience Prior experience in a related position. • Six months to one year in related experience and/or training., • Bi-lingual a plus; English and Spanish, • Ability to detect auditory and/or visual emergency alarms. Noise level in the work environment is usually low to moderate., • Proficient use of MS Office, • Must be able to lift, carry, push, and pull at least 30 lbs. Other Duties Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

All locations Hartford, United States; Atlanta, United States; Austin, United States; Boise, United States; Charlotte, United States; Chicago, United States; Dallas, United States; Herndon, United States; Houston, United States; United States; Miami Gardens, United States; Miami, United States; Mt. Pleasant, United States; New York, United States; Philadelphia, United States; Princeton, United States; Cyber Claims Service Representative - Remote Opportunity Move beyond claim processing-step into complex coverage decision-making in cyber insurance. Looking to move beyond transactional claims handling? This is an opportunity to work at the forefront of cyber insurance, where no two claims are the same-and your analytical thinking truly matters. At HSB, you'll handle complex cyber claims across both personal and commercial lines, navigating multi-coverage scenarios, interpreting policy language, and making thoughtful, well-supported coverage decisions. Founded in 1866, The Hartford Steam Boiler Inspection and Insurance Company (HSB) has been a pioneer in industrial safety and loss prevention for over 150 years. Our organization is driven by a passion for technical excellence, innovation, and a commitment to making a lasting difference. What Makes This Role Different • Not a processing role - You'll analyze, interpret, and make decisions on complex claims, • High complexity exposure - Claims may involve multiple coverages, competing policy language, and multimillion-dollar exposure, • Variety and challenge - From data breaches to system damage to social engineering, you'll never see the same claim twice, • True critical thinking - Fact patterns can lead to different outcomes depending on policy interpretation What You'll Do • Analyze complex cyber claims involving multiple coverage triggers (e.g., system damage, data compromise, cyber extortion), • Interpret and apply policy language and contract language to determine accurate coverage decisions, • Investigate claims, assess facts, and evaluate causation and loss scenarios, • Draft detailed, well-supported coverage letters explaining decisions clearly and professionally, • Communicate with insureds and stakeholders in difficult, high-stakes situations with empathy and clarity, • Manage a portfolio of claims while balancing quality, accuracy, and timeliness, • Deliver a consistent, professional customer experience while upholding claims standards Qualifications: • A High School diploma is required. College degree is preferred., • 1+ year experience in customer facing, financial, or service oriented position., • 2+ years experience in the Property/Casualty insurance industry and/or as a Claims Adjuster is a plus., • Adjuster licenses as required by state. This is the position for you if you have: • Analytical mindset - able to interpret nuanced policy language and apply it to unique fact patterns, • Critical thinking - comfortable making decisions where outcomes are not always clear-cut, • Strong writing skills - able to draft clear, structured, and professional coverage letters, • Communication & empathy - able to navigate sensitive conversations with insureds, • Intellectual curiosity - enjoys solving complex problems and learning continuously Join Us If you're ready to take the next step in your claims career-where your thinking, analysis, and judgment have real impact-this is your opportunity. We are proud to offer our employees, their domestic partners, and their children, a wide range of insurance benefits: • Two options for your health insurance plan (PPO or High Deductible)., • Prescription drug coverage (included in your health insurance plan)., • Vision and dental insurance plans., • Additional insurance coverages provided at no cost to you, such as basic life insurance equal to 1x annual salary and AD&D coverage that is equal to 1x annual salary., • Short and Long Term Disability coverage., • Supplemental Life and AD&D plans that you can purchase for yourself and dependents (includes Spouse/domestic partner and children)., • Voluntary Benefit plans that supplement your health and life insurance plans (Accident, Critical Illness and Hospital Indemnity). In addition to the above insurance offerings, our employees also enjoy: • A robust 401k plan with up to a 5% employer match, • A retirement savings plan that is 100% company funded., • Paid time off that begins with 24 days each year, with more days added when you celebrate milestone service anniversaries., • Eligibility to receive a yearly bonus as a Munich Re employee., • A variety of health and wellness programs provided at no cost., • Paid time off for eligible family care needs., • Tuition assistance and educational achievement bonuses., • A corporate matching gifts program that further enhances your charitable donation., • Paid time off to volunteer in your community. At The Hartford Steam Boiler, a subsidiary of Munich Re, we see Diversity and Inclusion as a solution to the challenges and opportunities all around us. Our goal is to foster an inclusive culture and build a workforce that reflects the customers we serve and the communities in which we live and work. We strive to provide a workplace where all of our colleagues feel respected, valued and empowered to achieve their very best every day. We recruit and develop talent with a focus on providing our customers the most innovative products and services. We are an equal opportunity employer. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. The work environment characteristics, and any physical and mental requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time with or without notice. _ Save job

Job Description Overview SP+, a Metropolis company, is an artificial intelligence company for the real world. We use computer vision to enable checkout-free parking experiences. So there’s no fumbling with tickets, machines, apps, or credit cards. You just “drive in and drive out.” We are the largest parking network in America, with over 23,000 employees powering mobility at over 4,000 locations across North America and Europe. Today, we are reinventing parking. Because it’s important, it's everywhere and impacts everyone. Tomorrow, we will power checkout-free experiences anywhere you go to make the everyday experiences of living, working, and playing remarkable - giving us back our most valuable asset, time. Responsibilities Position: Assistant Operations Manager Salary: $50,000.00 per year Basic Function – Assisting in the day-to-day management of the assigned location ensuring that parking operations are handled within contractual guidelines of the specific location, fostering good client relations and promoting a professional image and approach to the business. • Participate in programs to improve client and customer satisfaction., • Engage in the development of property level financial and operational goals., • Assist in the management of day-to-day activities of the assigned locations including: ensuring appropriate customer interaction, supervising the completion of all evening closing reports, processing bank deposits, scheduling staff, supervising frontline staff (e.g. cashiers, valet attendants, maintenance porters, etc.), preparing month-end reports, auditing daily cashier shift reports, monitoring and checking of time cards, hiring and training of frontline staff, reviewing of damage claims, disbursing petty cash and preparation of the annual budget., • Courteously assist Customers by answering any questions they may have., • Assist in the maintenance and repair of parking equipment and any general maintenance tasks as directed by the Facility Manager., • Report any known accidents, observed or suspected violations of Company policy, safety hazards or any unusual occurrence to the Facility Manager., • Assist with cleanup of debris, water, oil spills and etc., • Have a thorough knowledge of all areas of the garage, thorough knowledge of the major streets, landmarks and freeways in the area of the garage., • Assist Facility Manager with other duties as needed. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Education/Experience Required: High School Graduate. A minimum of six months of parking experience preferred. Availability to Work: Special shift requirements, if any, will vary depending on a location's hiring needs. If applicable, availability to work 2nd shift, 3rd shift and/or week-ends may be required. License Requirement: Must possess a valid state-issued driver’s license with current address and acceptable driving record. Oral Communication: Speaks clearly; Listens and gets clarification; Responds well to questions. Written Communication: Writes clearly and informatively; Able to read and interpret written information. Customer Service: Have a strong customer orientation and positive attitude. Able to responds to requests for service and assistance in a courteous and professional manner. Adaptability: Adapts to changes in the work environment; Able to deal with change, delays, or unexpected events. Judgment: Exhibits sound and accurate judgment. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand; walk; and use hands to handle cash and equipment. The employee is occasionally required to sit and climb or balance. The employee must occasionally lift and/or move up to 25 pounds. SP+ is an equal opportunity employer committed in policy and practice to recruit, hire, train, and promote, in all job classifications, without regard to race, color, ancestry, religion, sex, age, national origin, citizenship status, marital status, sexual orientation, veteran status, gender identity, disability or other classes protected by federal or state law. SP+ does not tolerate harassment or retaliation against any employee or applicant based on these characteristics or because the individual exercised their EEO rights. Right to Work Poster SP+, a Metropolis Company, may utilize an automated employment decision tool (AEDT) to assess or evaluate your candidacy for employment or promotion. AEDTs are used to assist in assessing a candidate’s application relative to the required job qualifications and responsibilities listed in the job posting. As part of this process, SP+ retains data relevant to your candidacy, including personal information, for a period that is reasonably necessary for the use of the tool. If you are hired for the position, your data may become part of your employee records. If you are an applicant to a New York City job posting and wish to request an alternative selection process accommodation or have questions about our data retention policy, please contact Recruit@spplus.com. We are here to assist you.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: I opened my agency in 2000 after working as a State Farm claims representative, bringing firsthand claims experience into agency leadership. I played football at Western Illinois, and that competitive mindset still shows up in how we operate today. Our team includes seven members, and weve built a high-energy, results-driven office that takes pride in being one of the top agencies in Dade. Im also active in the community as President of the Bay of Pigs Museum, reflecting our commitment to staying involved locally. For our team, we offer health benefits and licensing reimbursement, and our office culture is competitive, fast-paced, and people-focused. Were looking for outgoing, driven team members who thrive in a high-performing environment and want to be part of a team that strives to be the very best. ROLE DESCRIPTION: As Account Manager - State Farm Agent Team Member for Carlos Luis - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: • Develop and maintain customer relationships to drive retention and growth., • Conduct policy reviews and provide recommendations to customers., • Oversee the resolution of complex customer issues., • Use your knowledge of our insurance products to recommend, explain and sell policies to both cold and warm leads.QUALIFICATIONS:, • Experience in insurance sales or account management preferred., • Leadership and interpersonal skills., • Proven track record of meeting sales targets., • Willingness to engage in sales conversations., • Must be 440 Licensed.

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 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 Description A North Miami Beach firm, with high volume social media and telephone inquiries, is seeking an in-house sales professional to join our Lead Center team! Candidate must have a minimum experience of 2 years working in an OUTBOUND Call Center. Summary: Our Client Lead Representative provide our potential clients the ultimate telephone experience. It requires the right combination of telephone skills & empathy. The ideal candidate must have strong SALES EXPERIENCE and must be skilled in making OUTBOUND calls to potential clients who contacted the firm via social media (no COLD calls- these inquires come to us) with the goal of educating them on why we are uniquely qualified to resolve their property damage claims and with walking prospective clients through the sign-up process with the firm. Primary Duties and Responsibilities: Make Outbound Calls to potential clients that have contacted the Firm via social media Answer inbound calls and webchats from potential clients Walking prospective clients through the sign-up process with the firm. Ensure that every potential new client is properly documented in our case management system Provide Claim Specialist and Loss Consultants with all required information needed for initial on-site visit Completing ALL administrative duties related to new leads Knowledge, Skills and Abilities: Recognized as a talented Outbound & Inbound sales professional with proven sales results Extensive CALL CENTER experience Skilled in & CMS/CRM Must possess EXCEPTIONAL communication and customer service skills when speaking with new potential clients Must be persuasive, goal oriented & convey confidence on the phone. Shows empathy to clients and puts them at ease while efficiently managing the conversation Treats a call at 4:30 on Friday with the same care and compassion as one on Monday morning Ability to Meet and Exceed monthly goal Proficient in Microsoft Office and database entry Excellent organizational skills and the ability to multi-task, prioritize, and manage time effectively 60+ words per minute typing speed Multilingual is a plus Compensation & benefits: Competitive hourly pay + BIG incentives. The firm also provides a generous PTO package and provides medical insurance at 100% for the base plan. Working Hours: Minimum hours required is 9:00 am – 5:00 pm. If this sounds like a good fit for you please provide us with your current resume, including salary requirements & a paragraph describing why you feel you would be a good fit for this position. We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.

Job Description Job Title: Revenue Cycle Management (RCM) Supervisor Department: Revenue Cycle Management Reports To: Manager of Revenue Cycle Services Position Summary The RCM Supervisor is responsible for overseeing daily revenue cycle operations for a portfolio of independent physician practices served by the company. This role supervises billing, collections, payment posting, denial management, and accounts receivable teams to ensure clients achieve optimal reimbursement, reduced A/R days, and high clean-claim rates. The RCM Supervisor serves as a key liaison between clients, payers, providers, and internal teams, ensuring service excellence and compliance with industry regulations. Essential Duties and Responsibilities Team Leadership • Supervise and support a team of billing specialists, A/R representatives, payment posters, and denial management staff., • Monitor productivity, quality, and performance against established KPIs., • Conduct employee coaching, training, and performance evaluations., • Assist with recruiting, onboarding, and staff development initiatives., • Foster a culture of accountability, customer service, and continuous improvement.Revenue Cycle Operations, • Oversee end-to-end revenue cycle processes for assigned physician practice clients., • Ensure timely claim submission and resolution of claim edits and rejections., • Monitor insurance follow-up activities and collection efforts., • Review and manage aged accounts receivable and work queues., • Ensure accurate payment posting, adjustments, and reconciliation activities., • Oversee denial management and appeals processes to maximize reimbursement., • Escalate payer issues and identify reimbursement trends affecting client revenue.Client Relationship Management, • Serve as the primary operational contact for assigned client accounts., • Participates in regular client meetings to review financial performance and operational metrics., • Present reports on collections, A/R aging, denial trends, and revenue opportunities., • Address client concerns and develop action plans to improve performance., • Collaborate with providers and practice managers to resolve workflow and documentation issues impacting reimbursement.Performance Management & Reporting, • Monitor and analyze key performance indicators, including:, • Days in Accounts Receivable (A/R), • Net Collection Rate, • Gross Collection Rate, • First-Pass Resolution Rate, • Clean Claim Rate, • Denial Rate, • Aging Over 90 and 120 Days, • Charge Lag, • Payment Posting Turnaround Time, • Prepare and distribute operational and financial reports to management and clients., • Identify revenue leakage and recommend corrective actions.Compliance & Quality Assurance, • Ensure compliance with HIPAA, payer regulations, and billing guidelines., • Monitor adherence to Medicare, Medicaid, and commercial payer requirements., • Conduct quality audits of claims, payment posting, and collection activities., • Maintain documentation and process standards required for client contracts and audits.Process Improvement, • Identify workflow inefficiencies and implement best practices., • Collaborate with coding, credentialing, and implementation teams to improve revenue cycle outcomes., • Support system enhancements, software implementations, and automation initiatives., • Develop standard operating procedures (SOPs) and training materials.Qualifications Education • Associate's degree required; Bachelor's degree in Healthcare Administration, Business Administration, Finance, or related field preferred.Experience, • Minimum 5 years of medical billing and revenue cycle management experience., • Minimum 2 years of supervisory or team leadership experience., • Experience managing multi-specialty physician practice accounts preferred., • Experience working for a medical billing company, RCM vendor, or physician management organization strongly preferred.Knowledge & Skills, • Comprehensive knowledge of physician billing and revenue cycle operations., • Strong understanding of CPT, ICD-10, HCPCS, and payer reimbursement methodologies., • Experience with Medicare, Medicaid, commercial insurance, and managed care plans., • Proficiency with practice management systems and EHR platforms., • Advanced Excel and reporting skills., • Strong analytical, organizational, and client-facing communication abilities., • Ability to manage multiple client accounts simultaneously.Preferred Certifications, • Certified Revenue Cycle Representative (CRCR), • Certified Professional Biller (CPB), • Certified Professional Coder (CPC)Key Success Metrics, • Achieve or exceed client collection goals., • Maintain A/R days within target benchmarks., • Improve first-pass claim acceptance rates., • Reduce denial volumes and aged receivables., • Meet client service level agreements (SLAs)., • Maintain high client satisfaction and retention rates., • Achieve team productivity and quality standards.

Job Description Overview Tenavi Staffing is seeking a detail-oriented Coordination of Benefits Specialist I to support healthcare payer operations and ensure accurate member eligibility and claims coordination. This role plays a critical part in maintaining the integrity of Other Health Insurance (OHI) and Coordination of Benefits (COB) data across membership and claims systems. The ideal candidate brings strong experience working with Medicare eligibility, CMS files, claims research, and payer sequencing in a regulated healthcare environment. This position directly supports financial accuracy, claims processing efficiency, regulatory compliance, and member experience outcomes. Location: Doral, FL Employment Type: Full-Time Pay Rate: $19.00–$21.00/hour Industry: Healthcare Key Responsibilities • Research and validate other insurance coverage using CMS eligibility files, payer databases, and internal systems, • Maintain accurate COB and eligibility records to support correct claims adjudication and payer sequencing, • Analyze claims history to identify coordination issues, overpayments, and incorrect primary payer assignments, • Apply Medicare Secondary Payer (MSP) rules and CMS guidelines to determine accurate liability and coverage responsibility, • Reconcile eligibility, membership, and claims data across multiple systems to ensure data integrity, • Conduct outbound outreach to members, providers, employers, carriers, and government agencies to verify insurance coverage, • Update membership systems with verified COB findings and corrected coverage indicators, • Identify and resolve discrepancies tied to CMS enrollment data and eligibility records, • Support claims reprocessing, adjustments, and recovery efforts related to COB inaccuracies, • Document investigations, findings, outreach activity, and system updates in accordance with compliance and audit standards Required Qualifications • High School Diploma or GED required, • 3–5+ years of experience in healthcare claims, eligibility, Coordination of Benefits, or Medicare operations, • Strong understanding of Medicare Secondary Payer (MSP) rules and COB principles, • Experience working with CMS eligibility files, Medicare Advantage plans, or managed care organizations, • Ability to analyze claims data and determine correct payer responsibility, • Strong attention to detail with accurate documentation and data entry skills, • Experience navigating healthcare membership, claims, or eligibility systems, • Ability to manage multiple cases independently in a fast-paced environment Preferred Qualifications • Experience supporting Medicare Advantage or managed care health plans, • Knowledge of COB recovery and claims adjustment workflows, • Familiarity with CMS enrollment data and Medicare eligibility verification processes, • Experience working in regulated healthcare or payer environments, • Associate's or bachelor's degree in healthcare administration, Business, or related field preferred Tools & Systems • CMS eligibility and enrollment files, • Healthcare claims adjudication systems, • Membership and eligibility platforms, • Medicare Advantage systems, • COB and MSP workflows, • Microsoft Office Suite, including Excel, • Internal payer databases and external carrier verification tools What Success Looks Like • Accurate and timely resolution of COB investigations and eligibility discrepancies, • Improved claims adjudication accuracy and reduction in payer sequencing errors, • Consistent compliance with CMS, MSP, and HIPAA requirements, • Strong documentation quality and audit readiness across all investigations, • Effective collaboration with claims, eligibility, and recovery teams to resolve coordination issues 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. Why Join • Opportunity to support critical healthcare payer operations that directly impact claims accuracy and member outcomes, • Collaborative environment focused on operational excellence and compliance, • Exposure to Medicare Advantage, CMS processes, and complex payer coordination workflows, • Stable healthcare environment with opportunities to expand payer operations expertise Interested in Learning More? Apply directly or reach out to discuss the opportunity in more detail.

Job Description POSITION SUMMARY The Provider Reimbursement Administrator is responsible for configuring and maintaining provider reimbursement structures within the claims adjudication. This role ensures contracted providers are accurately loaded into the system and that reimbursement methodologies are correctly configured to support accurate and compliant claims payment. The Administrator translates provider contracts, medical policies, and reimbursement rules into system logic, ensuring alignment with CMS requirements, internal policies, and contractual agreements so that claims are adjudicated correctly and consistently. 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 • Load, configure, and maintain contracted provider data within claims adjudication and provider management systems., • Translate provider contract terms into system reimbursement logic to ensure accurate claims payment., • Ensure provider fee schedules, payment methodologies, and contract configurations are accurately implemented and maintained. Reimbursement Configuration & Policy Translation • Interpret provider contracts, reimbursement methodologies, and pricing arrangements (e.g., fee-for-service, capitation, DRG, percent-of-charge)., • Translate medical policies, reimbursement policies, and clinical editing rules into system configuration requirements., • Ensure alignment of system configuration with:, • Internal reimbursement policies, • CMS guidelines and requirements, • Analyze CPT/HCPCS code updates and determine reimbursement impact, coverage implications, and system configuration changes., • Maintain accurate fee schedules and ensure timely updates based on contractual or regulatory changes. Policy, Coding & System Maintenance • Review and implement updates related to medical policy, reimbursement policy, and clinical editing rules into claims systems., • Coordinate system updates for new or revised CPT/HCPCS codes, including pricing, coverage, and editing logic., • Identify and resolve system configuration issues that impact claims adjudication accuracy., • Conduct validation testing to ensure provider reimbursement logic functions correctly in production environments. Claims & System Analysis Support • Conduct pre- and post-adjudication reviews to validate correct application of reimbursement rules., • Research claims system issues and configuration errors that impact provider payment accuracy., • Support audit and analysis of claims adjudication outcomes to identify systemic configuration issues., • Assist in identifying root causes of reimbursement discrepancies and system-related payment errors. Provider & Internal Collaboration • Partner with Provider Contracting teams to implement new or revised reimbursement arrangements., • Collaborate with Claims Operations, IT, and Configuration teams to ensure accurate system setup and issue resolution., • Respond to system inquiries related to provider reimbursement, configuration logic, and payment outcomes., • Support appeals and Provider inquiries related to reimbursement methodology and coding logic. Communication & Training • Prepare provider communications related to reimbursement updates, fee schedule changes, and coding revisions., • Train internal staff (e.g., customer service, claims operations) on reimbursement system updates and impacts., • Provide subject matter expertise on provider reimbursement configuration and system logic. Compliance & Quality Assurance • Ensure all provider reimbursement configurations comply with CMS requirements, contractual obligations, and internal policies., • Support regulatory readiness by ensuring accurate documentation of reimbursement logic and system changes., • Participate in audits and regulatory reviews by providing system configuration details and supporting documentation. QUALIFICATIONS AND EDUCATION Minimum Qualifications • High School Diploma or GED required., • Minimum of 3–5 years of experience in healthcare claims, provider reimbursement, claims configuration, or related managed care operations., • Experience working with provider contracts, fee schedules, or reimbursement methodologies., • Understanding of CPT/HCPCS coding and healthcare reimbursement systems. Preferred Qualifications • Experience in managed care health plan or Medicare Advantage environment., • Knowledge of CMS reimbursement guidelines and regulatory requirements., • Experience with claims adjudication systems and provider configuration platforms., • Familiarity with medical policy development or clinical editing rules., • Experience working with provider contracting or pricing teams. Skills & Competencies • Strong analytical and systems thinking skills., • High attention to detail and accuracy in configuration work., • Ability to interpret complex reimbursement contracts and policies., • Strong understanding of claims adjudication and payment logic., • Excellent problem-solving and root cause analysis skills., • Strong communication and cross-functional collaboration abilities., • Ability to manage multiple configuration priorities in a production 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, • 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 Responsibilities: • Coordinate with the Commercial Manager and Engineering Leader to establish design strategies and advise clients, offering comprehensive HVACR systems solutions that are energy-efficient and aligned with the client’s investment budget., • Execute sales strategies to top executive levels, engaging with senior decision-makers to secure high-value projects and-term partnerships., • Meet assigned sales quotas to achieve the targets set for the current fiscal year., • Travel and visit clients to identify needs and potential markets, developing new sales strategies in coordination with management., • Advise clients on the purchase and design of HVACR systems or equipment., • Responsible for preparing and tracking quotations and/or budgets according to client specifications., • Follow-up on open opportunities and Quality pipeline in our CRM Salesforce., • Propose alternative solutions that add value and influence client preferences., • Maintain close relationships with clients, conduct periodic visits when opportunities arise, and record meetings and visits in Salesforce to identify business opportunities., • Update opportunities monthly in Salesforce and keep records of completed sales and/or service orders., • Negotiate project conditions with clients to secure deals while maximizing profit margins within company guidelines., • Identify, develop, and negotiate multidisciplinary projects that include HVACR systems, and other related engineering disciplines, ensuring integrated solutions that meet client needs and company standards., • Formalize contracts for each piece of equipment, project, and/or service sold., • Track purchase orders for sold equipment with the logistics department., • Monitor accounts and collections for sold equipment, projects, and/or services., • Manage client warranties in coordination with the Projects and/or Services department and communicate decisions regarding claims when required., • Comply with all company procedures and policies., • Work collaboratively with other departments (Engineering, Projects, Services, Logistics, Shared Services) to ensure a smooth sales process., • Keep clients informed about new equipment and applications available in the market., • Conduct client training sessions when necessary., • Analyze competitor products and identify strengths and weaknesses compared to our offerings., • Perform other related and complementary tasks as assigned by the direct supervisor or the company. Education, Qualifications & Experience: Must have: • Professional in Mechanical, Electronic, Civil Electrical, Electromechanical, Metallurgical, Industrial Engineering or related fields., • English – Spanish Fluent Experience: • Minimum of five years of experience in selling industrial equipment and/or HVACR projects. Preferably, experience in sales processes in commercial and Industrial applications Technical Knowledge & Skills: • Knowledge and/or specialization in Commercial Management and/or Sales., • Knowledge of HVACR systems., • Knowledge of HVAC systems, pumping systems, etc., • Knowledge in calculation and design of air conditioning systems, mechanical ventilation, dust filtration, heating and/or refrigeration., • Knowledge in selection of electromechanical equipment. Physical Demands: The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; sit and use hands to finger, handle, or feel. The employee is occasionally required to reach with hands and arms. Disclaimer To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required; the work environment characteristics described here are representative of those encountered by an employee while performing the essential functions of the role. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. Other duties may be assigned. Qualified Applicants must be legally authorized for employment in the United States. Qualified applicants will not require employer sponsored work authorization now or in the future for employment in the United States. The Company provides equal employment opportunity to all employees and applicants regardless of a person’s race, color, religion (including religious dress or grooming practices), creed, national origin (including language use restrictions), citizenship, uniform service member or veteran status, ancestry, disability, physical or mental disability (including HIV/AIDS), medical condition (including cancer and genetic characteristics), genetic information, request for protected leave, marital status, sex, pregnancy, age (over 40), sexual orientation, gender, gender identity or expression, political affiliation, or any other characteristic protected by law. The Company will comply with all federal and state regulations and statutes pertaining to individuals with disabilities.

Job Description Florida National University contributes to the education of a diverse student body within the community it serves. FNU employs and develops a faculty of scholars proficient in the art of teaching. We strive to prepare students for employment in their chosen careers through quality education and instruction. Position Overview: The Head Athletic Trainer is responsible for developing and administering a comprehensive sports medicine program for all of Florida National University’s intercollegiate sports. The Athletic Trainer will also perform professional and administrative services essential for the successful implementation and development of the program, and they will also perform sports specific trainings. Florida National University is a small NAIA institution that serves ~300-330 student-athletes annually across 11 sports programs and does NOT sponsor football. Key Responsibilities: • Communication Management: Respond promptly to daily communications via email and voicemail, addressing inquiries promptly and professionally., • Policy Adherence and Ethical Compliance: Ensure strict adherence to the University's mission, policies, procedures, ethical standards, Catalog, Staff Handbook, and compliance with data protection regulations and pertinent legal regulations in all aspects of admission activities; as well as the University Athletic Department’s vision, mission, values, and aims and objectives., • University Engagement: Participate in university events, committees, self-studies, new student orientation, and commencement exercises and ceremonies as needed., • Special Projects & Assigned Duties: Execute special projects assigned by the President, Director of Athletics, or another supervisor. Perform any other assigned duties as required., • Compliance Adherence: Ensure strict compliance with Title IX of the Education Amendments Act of 1972, as well as FNU Policies, Procedures, Rules and Regulations, the FNU Code of Ethics, Family Educational Rights and Privacy Act (FERPA), Florida Information Protection Act of 2014 (FIPA), the EU General Data Protection Regulation (GDPR), Health Insurance Portability and Accountability Act of 1996 (“HIPAA”), and all other applicable federal, state, and local laws, rules, and regulations. Specific Duties and Responsibilities: • The Head Athletic Trainer is responsible for developing the overall intercollegiate sports medicine program, including but not limited to team and student-athlete injury prevention, evaluations, management, treatment and rehabilitation, as well as educational programs, and counseling for student-athletes., • The Head Athletic Trainer is responsible for providing athletic training services, including attendance at scheduled team practices and travel to competitions as necessary. This includes, but is not limited to: taping, bracing, and padding of injuries; delivering therapeutic modalities; and performing necessary medical tasks (e.g. CPR, First Aid, AED, etc.)., • The Head Athletic Trainer is responsible for maintaining the athletic training room, athletic training inventory, and other required materials to supply and operate the training room., • The Head Athletic Trainer is responsible for keeping and maintaining all records and documentation of student-athletes, including athletic physicals, insurance, injury reports, etc., • The Head Athletic Trainer is responsible for coordinating and scheduling physical examinations, and medical referrals for student-athletes to determine their ability to practice and compete., • The Head Athletic Trainer is responsible for working with student-athletes and insurance companies relating to athletic injury related issues/expenses (e.g.: submitting insurance claims)., • The Head Athletic Trainer is responsible for the formation of the FNU Athletic Training staff, including hiring recommendations, training and supervision of Graduate Assistant Athletic Trainers, and/or Student Athletic Trainers. This requires the ability to delegate responsibility and manage those individuals in completing assigned tasks., • The Head Athletic Trainer will schedule and coordinate the coverage of all athletic competitions, and necessary team practices., • The Head Athletic Trainer will develop programs customized to meet individual needs relating to fitness, strength and conditioning, and nutrition., • The Head Athletic Trainer will develop the sports medicine program budget., • The Head Athletic Trainer will develop the athletic department Emergency Action Plan., • The Head Athletic Trainer is responsible for completing the necessary requirements / Continuing Education Units to maintain their athletic training licensure / ATC credentials., • The Head Athletic Trainer shall help oversee that the coaching staff is knowledgeable about basic First Aid, and all head coaches are certified in CPR / AED., • The Head Athletic Trainer will help evaluate and recommend new techniques and equipment that would enhance the benefit of the sports medical program., • The Head Athletic Trainer must adhere to all policies and procedures of the NAIA, the USCAA, applicable Conferences, City of Hialeah, local municipalities, insurance providers, hospitals, etc., • Act as a liaison to various areas within the Athletic Department. Education, Experience, and General Requirements: • Bachelor's degree required; Master's degree preferred., • Previous experience in Higher Education athletics is highly desirable., • Must be able to work evenings, weekends, and holidays. May require overnight stays., • Must be able to attend all athletic activities, contests, and travel with the team as required., • Ability to work with students and colleagues from diverse backgrounds., • Demonstrates critical thinking skills in problem solving and decision-making., • Demonstrates confidentiality regarding information pertaining to all students, faculty, and staff., • Maintains proper appearance and personal conduct both in person and on social media., • Ability to effectively counsel student-athletes and coaches regarding sports medicine., • Must ensure the maintenance of accurate medical records and reports., • Demonstrate a commitment to diversity, equity and inclusion., • Uses effective communication skills taking into consideration body language, filters, listening, paraphrasing, and questions with students of diverse ethnic and cultural backgrounds., • Excellent communication and computer skills required., • Demonstrates ability to work in a team environment and work compatibly and cooperatively with the coaching staff and all University personnel., • Project a positive image of Florida National University within the community of South Florida., • Assist with fundraising, marketing, and promotional activities when needed., • Develop and establish community involvement and participate in public relations activities. Job Type: Full time position. Office Working Conditions: General office working conditions. The noise level is at normal office capacity. Benefits: • Health Insurance, • Dental Insurance, • Vision Insurance, • Life Insurance, • Supplemental Benefits, • Paid Holidays, • Vacation, • Sick Time, • Bereavement Leave, • Jury Duty, • Military Leave, • Personal Leave, • Benefits Continuation (COBRA), • 401(k) Savings Plan, • Educational Assistance, • Family Medical Leave Act (FMLA) Physical Demands: The physical demands described here are representative of those that must be met by employees to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential function. While performing the duties of this job, the employee may be required to frequently and for extended periods of time, sit; stand; walk; use hands to handle and feel objects; reach with hands and arms; climb stairs. This position requires the ability to see, hear, and operate a computer keyboard and standard office equipment. This position requires the ability to work long hours, usually 40-50 hours a week, and to travel long distances via a variety of modes of transportation for several days. The employee must lift and/or move objects up to 10 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by the job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust to focus. The employee must travel to other campuses, as needed and/or required. Safety Hazard of the Job: Minimal Hazards. Note: The use of computers and university resources is limited to school business purposes. Installation of any software is prohibited. This job description for the Head Athletic Trainer position is intended to describe the general nature and level of work being performed by individuals assigned to this position. It is not intended to be construed as an exhaustive list of all tasks, duties, skills and/or responsibilities always required for this position. Tasks, duties, skills and/or responsibilities may vary from individual to individual, campus to campus, and over time depending upon various factors. These are general guidelines for this job position.

Job Description The Medical Collections Representative for a Specialist Clinic is responsible for managing outstanding patient and insurance balances related to specialty services. This role focuses on resolving unpaid or denied claims, educating patients on complex insurance benefits, and ensuring timely reimbursement while maintaining excellent patient relations in a specialty care setting. Follow up on unpaid, underpaid, and denied insurance claims for specialty procedures and services. Work with commercial insurance, Medicare, Medicaid, and specialty-specific payers. Initiate appeals for denied specialty claims and provide supporting documentation. Meet collection performance and quality metrics

Job Description General Description: The primary responsibilities will include the investigation, evaluation, negotiation, and resolution of assigned property claims having moderate to high complexity and value, working within delegated reserve and settlement authority. With high degree of independence, handles property claims with additional complexities related to unique coverage and/or exposure issues. Individual may be asked to participate and be deployed to a CAT site to assist our customers. Essential Duties and Responsibilities: Investigate, evaluate, negotiate, and resolve assigned property claims of moderate to high complexity. Determine the facts of the loss, coverage compensability and the degree of exposure by unit of coverage. Review, analyze, and apply policy conditions, provisions, exclusions and endorsements pertinent to a variety of losses. Establish timely and accurate property claim and expense reserves. Communicate clearly and professionally with the customer, or their representative, by telephone and/or write correspondence regarding all aspects of the claims process. Serve as a trainer. Participate in special routine projects assigned. Determine settlement amounts based on independent judgment, estimation of actual cash value and replacement value, contractor estimate validation, appraisals, application of applicable limits and deductibles. Negotiate and convey property claim settlements within authority limits to insureds. Control damage exposures through proper usage of cost containment tools. Maintain an effective diary system to ensure timely resolution and document claim file activities in accordance with established procedures and state regulations. Provide excellent customer service to meet the needs of the insured, agent and all other internal and external customers. Perform other duties as required. Supplementary Information: This job description has been prepared to indicate the general nature and level of the work that the employees perform within their classification. This description is not to be interpreted as an inventory of all the duties, tasks, responsibilities and qualifications required for the employees assigned to this job. Education and / or Experience: Bachelor’s Degree or equivalent business experience. Minimum of five (5) years of progressive experience in the adjusting of residential and commercial claims or a combination of experience and education. Strong verbal and written communications skills. Must be able to work in a collaborative atmosphere. Must be proficient with Microsoft Office, including Word, Excel and PowerPoint. Customer service orientation; empathy. Demonstrate ownership attitude and customer centric response to all assigned tasks. Solid analytical and decision making skills. Bilingual a plus. AIC a plus. Professional designation specific to claims a plus. Licenses and / or Certifications: Adjuster’s license(s) (where applicable) required or successfully acquired within 60 days of hiring.

Job DescriptionDescription: About Us Amada Senior Care is a trusted provider of compassionate, high-quality home care services for seniors and adults who wish to age safely and comfortably in their own homes. Amada Senior Care is America’s trusted resource for caregiving and long-term care insurance (LTCi) claims advocacy. We are dedicated to enhancing the quality of life for our clients through personalized care, respect, and integrity. As we continue to grow, we’re seeking a Business Development Representative who is passionate about serving the senior community and driven to build partnerships that make a difference. Position Summary The Business Development Representative is responsible for driving growth by developing strategic partnerships, increasing referrals, and promoting Amada Senior Care services within the community. This individual will build and maintain strong relationships with hospitals, senior living communities, physicians, case managers, and other referral sources. Key Responsibilities • Develop and execute a local marketing and outreach strategy to grow referral sources and client base., • Completing a 3-5 day sales cycle each week, • Build relationships with healthcare professionals, discharge planners, senior living facilities, and community organizations., • Conduct presentations and represent the company at networking events, health fairs, and community meetings., • Identify opportunities for partnerships and strategic alliances within the senior care ecosystem., • Document all activities in the CRM., • Track performance metrics and report on referral trends and growth opportunities., • Collaborate with the care team to ensure exceptional client satisfaction and continuity of care., • Maintain a deep understanding of competitors and market trends in home care services.Requirements:, • Qualifications, • Bachelor’s degree in Marketing, Business, Healthcare Administration, or related field preferred., • 1-3+ years of business development or sales experience, in home care, hospice, healthcare, staffing or senior living. Other industries may be considered., • Strong relationship-building and communication skills., • Proven track record of meeting or exceeding sales goals., • Ability to work independently, manage priorities, and thrive in a fast-paced environment., • Passion for improving the lives of seniors and their families., • Valid driver’s license and reliable transportation required.

Job Description POSITION SUMMARY The Compliance Specialist supports the organization’s Medicare Advantage program and SMAC contract by ensuring compliance with all applicable federal and state regulations, including CMS (Centers for Medicare & Medicaid Services) requirements. This position reports to the Director of Compliance and is responsible for monitoring regulatory updates, conducting compliance reviews, analyzing policies and procedures, supporting internal and external audits, and assisting in the development and implementation of corrective action plans. The Compliance Specialist collaborates with internal departments and external partners to promote adherence to contractual and regulatory obligations, minimize compliance risks, and support a culture of compliance across the organization. Position is onsite Monday-Friday. ESSENTIAL DUTIES AND RESPONSIBILITIES • Monitor CMS regulatory updates and communicate impacts internally, • Support internal and external audits, • Prepare compliance reports and committee materials, • Develop compliance training for internal teams, • Conduct compliance audits and monitoring activities across enrollment, claims, UM, and case management, • Identify trends, gaps, and risks through ongoing operational monitoring and escalate findings, • Support development of corrective action plans tied to audit findings QUALIFICATIONS AND EDUCATION • Bachelor’s or master’s degree in healthcare administration., • Minimum of 2–4 years of experience in healthcare compliance, preferably with Medicare Advantage or Medicaid programs, • Knowledge of CMS regulations, Medicare Advantage requirements, SMAC contracts, and compliance best practices., • Experience working with CTM (Complaint Tracking Module), HPMS (Health Plan Management System), and other compliance monitoring tools preferred., • Strong analytical, research, and problem-solving skills., • Excellent verbal and written communication skills, including ability to prepare reports and deliver presentations., • Detail-oriented with strong organizational and time-management skills., • Ability to collaborate effectively across multiple departments and manage multiple projects simultaneously. KNOWLEDGE AND SKILLS, • In-depth understanding of healthcare regulations and compliance standards related to Medicare Advantage and Medicaid programs., • Familiarity with CMS reporting requirements, including HPMS and CTM processes., • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)., • Ability to analyze complex regulatory information and translate it into actionable business guidance., • Strong interpersonal skills to build relationships with internal teams and external regulatory bodies., • Ability to maintain confidentiality and handle sensitive information with discretion., • Project management skills to support audits, policy development, and committee activities WORKING CONDITIONS The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • The noise level in the work environment is usually moderate., • Fast-paced office environment., • Highly regulated environment., • Interacts with patients, family members, staff, visitors, government agencies, etc, under a variety 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 accommodations 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 listen. 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.

Job DescriptionDescriptionAt Pacific Seafood, we do more than just provide the world with the healthiest proteins on the planet. We are a family-owned, excellence-driven organization committed to being the brand of choice in the marketplace and the employer of choice in the community. We believe in servant leadership, investing in our team members’ personal and professional growth, and rewarding performance. We live by the core values of our Diamond Philosophy: Teamwork, Productivity, Quality, and Excellence—which means consistently doing your best and always striving to do better. Summary: The Human Resources – Office Manager Manager at Pacific Seafood is a key role supporting efforts to the organization's overall success by ensuring compliance, attracting, and retaining talent, managing performance, fostering employee engagement, maintaining positive employee relations, analyzing data, and ensuring compliance with leave policies. This position also manages the administrative, organizational, and support function of the office to ensure efficient operations. Key Responsibilities • Human Resources Management:, • Conduct new hire onboarding and orientation process; maintain personnel files and I-9 records., • Facilitate pre-employment drug screenings and submits new team member background checks., • Update HRIS system with team member change requests and processes paperwork., • Gives input on the job status of team members (hiring, termination, promotions, and assignments)., • Process termination of team members, • Maintain time and attendance controls for payroll; prepares hourly payroll data for processing., • Manage work comp injury claims (if there is not an EHS Specialist onsite), • Office Management:, • Answer telephone inquiries; take and relay messages and greet visitors., • Reconcile and track credit card transactions, budget, and general ledger., • Maintain tracking of office equipment and supplies, ensuring cost efficiency, • Manage invoicing; collect checks and make deposits as needed., • Process and sort mail., • General clerical tasks, filing, and data entry., • Accounting duties as assigned by management, such as: (Confirm that proper daily financial transactions are recorded in the general. Reconcile AP to Purchase Orders. Perform full-cycle AP processing. Maintain accounting records; assist in reconciling GL accounts; assist with quarterly reporting, weekly vessel settlements, process fish tickets daily.), • Employee Relations Management:, • Perform team member service support functions by answering team member requests and questions., • Oversee team member recognition and team building events, plan office events and parties., • Help identify performance management strategies at your location including, internal training and development opportunities, driving the annual performance review process, and supporting team member corrective actions, performance improvement plans, and development action plans., • Be a leader in managing employee relations matters. Conduct investigations, present findings, and assist with determining the appropriate corrective action and resolution.Additional responsibilities may be assigned as deemed necessary to support the overall goals and objectives of the position. What you bring to Pacific SeafoodEducation and Experience • Required, • Associate degree from an accredited college or university in related field or equivalent combination of education and experience., • Minimum of two years related Human Resources experience., • Preferred, • Bachelor's degree from four-year college or university., • Previous HR experience in a manufacturing, processing, or distribution environment., • Bilingual written, verbal, and reading skills in English and Spanish languages.Physical Requirements The physical demands described here are representative of those that must be met by a team member to successfully perform the essential functions of this job. While performing the duties of this job, the team member: • Sedentary work, walking and standing are required only occasionally., • Reaching. Extending hand(s) and arm(s) in any direction., • Fingering. Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand as in handling., • Talking. Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly., • Hearing. Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound., • Close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading., • Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers., • Occasionally lift and/or move up to 25 pounds. Working Conditions The working environment characteristics described here are representative of those a team member encounters while performing the essential functions of this job. While performing the duties of this job, the team member is exposed to: • Office, as well as warehouse environment., • Moderate noise level in the work environment., • Plant exposure to wet, cold, and/or humid temperatures., • Standard office equipment and heavy machinery. BenefitsTotal compensation: At Pacific Seafood your base wage is only a portion of your overall compensation package. We invest in our Team Members through a comprehensive and attractive total rewards package, including but not limited to: • Health insurance benefits options, including medical, prescription, vision, dental, basic group life and short term disability., • Flexible spending accounts for health flex and dependent care expenses, • 401(k) Retirement Plan options with generous annual company profit sharing match, • Paid time off for all regular FT team members, to include sick days, holiday pay, vacation, and personal time, • Employee Assistance Program- Confidential professional counseling, financial, and legal assistance provided at no charge to Team Members and immediate family members, • Product purchase programPacific Seafood is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

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 Job Description: We are looking for a skilled Customer Service Representative with experience in answering phones (expect high volume calls) and assisting customers, preferably within the bodily injury or insurance industry. This role requires strong communication skills, attention to detail, and the ability to handle sensitive information with professionalism and empathy. The ideal candidate will be comfortable working in a fast-paced environment while ensuring every customer interaction is positive and efficient. Key Responsibilities: • Answer incoming calls in a timely and professional manner., • Assist clients with inquiries regarding bodily injury claims, providing clear and accurate information., • Provide exceptional customer service, addressing concerns, and following up on claims., • Accurately document customer interactions and update records in the system., • Collaborate with other departments to ensure seamless handling of claims and customer needs., • Maintain confidentiality and comply with all privacy regulations. Requirements: • Proven experience in customer service, preferably in the bodily injury or insurance industry., • Excellent communication skills, both verbal and written., • Strong phone etiquette and the ability to handle high call volumes., • Compassionate, empathetic, and able to work with clients during difficult times., • Ability to stay organized and manage multiple tasks efficiently., • Proficiency in Microsoft Office and familiarity with customer service software (preferably Panther Practice)., • High school diploma or equivalent; additional certifications or training in customer service is a plus. Preferred Qualifications: • Experience in bodily injury claims, insurance, or personal injury law., • Knowledge of insurance terminology and claims processes., • Bilingual in English and Spanish is a plus. Company DescriptionAt Shirazi & D’Escoubet we specialize in providing top-notch service to individuals involved in bodily injury claims. We pride ourselves on delivering exceptional customer care with a compassionate and professional approach.At Shirazi & D’Escoubet we specialize in providing top-notch service to individuals involved in bodily injury claims. We pride ourselves on delivering exceptional customer care with a compassionate and professional approach.

Date Posted: 2026-05-22 Country: United States of America Location: US-AZ-TUCSON-848 ~ 1151 E Hermans Rd ~ BLDG 848 Position Role Type: Onsite U.S. Citizen, U.S. Person, or Immigration Status Requirements: Active and transferable U.S. government issued security clearance is required prior to start date. U.S. citizenship is required, as only U.S. citizens are eligible for a security clearance Security Clearance Type: Secret - Current Security Clearance Status: Active and existing security clearance required on day 1 At RTX, the world's largest aerospace and defense company, 185,000 great minds are united by purpose and inspired to make a difference solving the world’s most complex problems. With our three market leading businesses, world-class operations and investments in research and development, we offer capabilities and opportunity no one else can. Together, we push the boundaries of known science and find new ways to connect and protect our world. Raytheon brings the strength of more than 100 years of experience and renowned engineering expertise to meet the needs of today’s mission and stay ahead of tomorrow’s threat. We deliver solutions that help our nation and allies defend freedoms and deter aggression, creating a safer, more secure world. Join us and help shape the future of aerospace and defense. Life Cycle Engineering is seeking a Systems Sustainment Engineer. In this role, you will utilize your existing technical expertise to work independently and efficiently, executing your responsibilities to meet customer objectives. This position will be on-site based out of Tucson, Arizona. What You Will Do: • Synchronize depot functions – to include receiving/induction, spares provisioning, repairs, (end-item and subassembly), plant clearance, sales, and shipping, • Provide sustainment engineering support for developmental and legacy programs to achieve long-term product sustainment strategies and planning, • Act as a liaison with all engineering disciplines, such as Systems, Electrical, Mechanical, Test, Materials and Processes, and Structural design functions, • Assist with supportability analyses and provide inventory recommendations, including but not limited to spares recommendations, excess scrap, and parts and materials substitutions as necessary, • Collaborate across factory and logistics teams to resolve shipping backlogs, • Coordinate with Depot Coordinator and Operations to facilitate factory hardware repair work, • Engagement in peer reviews, program reviews, design reviews, failure review boards, investigation teams, warranty claims and working groups, • Travel up to 10%. Qualifications You Must Have: • Typically requires: A University Degree or equivalent experience and minimum 2 years of prior relevant experience, or An Advanced Degree in a related field, • Experience with depot functions and /or logistics., • Experience with PRISM., • Active and transferrable final U.S. government issued security clearance is required prior to start date with the ability to obtain program access after start. US citizenship is required, as only U.S. citizens are eligible for a security clearance. Qualifications We Prefer: • Understanding of depot hardware handling and transportation requirements., • Familiarity with factory operations, procedures and depot flow activities., • Strong analytical and problem-solving skills., • Knowledge of ILS processes, including sustainment and supportability principles and concepts. What We Offer: Our values drive our actions, behaviors, and performance with a vision for a safer, more connected world. At RTX we value: Safety, Trust, Respect, Accountability, Collaboration, and Innovation. Relocation Eligible – Yes Learn More & Apply Now! Please consider the following role type definition as you apply for this role. Onsite: Employees who are working in Onsite roles will work primarily onsite. This includes all production and maintenance employees, as they are essential to the development of our products. This position requires a security clearance. DCSA Consolidated Adjudication Services (DCSACAS), an agency of the Department of Defense, handles and adjudicates the security clearance process. More information about Security Clearances can be found on the US Department of State government website here: https://www.state.gov/m/ds/clearances/c10978.htm As part of our commitment to maintaining a secure hiring process, candidates may be asked to attend select steps of the interview process in-person at one of our office locations, regardless of whether the role is designated as on-site, hybrid or remote. The salary range for this role is 68,900 USD - 131,100 USD. The salary range provided is a good faith estimate representative of all experience levels. RTX considers several factors when extending an offer, including but not limited to, the role, function and associated responsibilities, a candidate’s work experience, location, education/training, and key skills. Hired applicants may be eligible for benefits, including but not limited to, medical, dental, vision, life insurance, short-term disability, long-term disability, 401(k) match, flexible spending accounts, flexible work schedules, employee assistance program, Employee Scholar Program, parental leave, paid time off, and holidays. Specific benefits are dependent upon the specific business unit as well as whether or not the position is covered by a collective-bargaining agreement. Hired applicants may be eligible for annual short-term and/or long-term incentive compensation programs depending on the level of the position and whether or not it is covered by a collective-bargaining agreement. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company’s performance. This role is a U.S.-based role. If the successful candidate resides in a U.S. territory, the appropriate pay structure and benefits will apply. RTX anticipates the application window closing approximately 40 days from the date the notice was posted. However, factors such as candidate flow and business necessity may require RTX to shorten or extend the application window. RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act. Privacy Policy and Terms: Click on this link to read the Policy and Terms

Job Description POSITION SUMMARY The Network Data Specialist is responsible for the accurate and timely loading, maintenance, and validation of provider data. This role ensures that both participating and non-participating providers are correctly configured in claims and provider systems to support accurate claims adjudication, network management, and regulatory compliance. The Specialist partners closely with Provider Relations, Credentialing, and Claims teams to ensure provider data integrity and support monthly provider roster management and system synchronization across multiple platforms. ESSENTIAL DUTIES & RESPONSIBILITIES Key Responsibilities • Load contracted (participating) providers into provider and claims systems in accordance with executed provider agreements and configuration requirements., • Load and maintain non-participating provider records to ensure accurate claims processing and pricing., • Maintain accurate, complete, and up-to-date provider data across all claims and provider databases. Provider Data Management • Ensure integrity of critical provider information including:, • Provider demographics, • Tax ID and billing information, • Specialty and taxonomy codes, • Network participation status, • Contract effective dates and terms, • Validate provider data accuracy prior to system loading and ongoing updates., • Apply business rules and system requirements to ensure proper configuration across all downstream applications. System Maintenance & Data Synchronization • Synchronize provider data across multiple claims, provider, and configuration systems., • Ensure consistency of provider information across enterprise platforms., • Identify and resolve data discrepancies between systems and source documentation., • Support updates to provider files based on contracting, credentialing, or network changes. Provider Relations & Credentialing Collaboration • Partner with Provider Relations to support onboarding, updates, and maintenance of contracted providers., • Work closely with Credentialing teams to ensure only appropriately credentialed providers are loaded and active in systems., • Validate credentialing status and ensure alignment with network participation requirements prior to system activation., • Support resolution of provider data issues identified by internal stakeholders or external providers. Non-Participating Provider Configuration • Load and maintain non-par provider records to ensure accurate claims routing and pricing logic., • Ensure non-participating provider data supports correct claims adjudication and out-of-network processing rules., • Maintain accurate classification of provider participation status across systems. Provider Rosters & Reporting • Manage monthly provider roster updates, including additions, terminations, and changes., • Reconcile provider rosters received from external sources against internal systems., • Validate and distribute provider roster files to appropriate internal stakeholders., • Support reporting needs related to provider network composition and data accuracy. Quality Assurance & Compliance • Validate provider data against contractual requirements, network standards, and system specifications., • Ensure compliance with internal policies and regulatory requirements related to provider data management., • Maintain audit-ready documentation of provider data changes and updates., • Support internal and external audits by providing accurate provider data records. SUPERVISORY RESPONSIBILITY • No. QUALIFICATIONS & EDUCATION To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. Minimum Qualifications • High School Diploma or GED required., • Minimum of 3 years of experience in healthcare provider data management, claims systems, credentialing support, or managed care operations., • Experience working with provider databases, claims systems, or network configuration tools., • Equivalent combination of education and experience may be considered. Preferred Qualifications • Experience in managed care health plan or health insurance environment., • Familiarity with provider credentialing and contracting processes., • Understanding of provider taxonomy, NPI, and healthcare provider identifiers., • Experience managing provider rosters or large-scale data files., • Knowledge of claims adjudication systems and network configuration rules. Skills & Competencies • Strong attention to detail and data accuracy, • Ability to manage large volumes of provider data efficiently, • Strong analytical and problem-solving skills, • Understanding of healthcare provider data structures and systems, • Ability to collaborate effectively with cross-functional teams, • Strong organizational and time management skills, • Ability to work independently in a production-driven environment Additional Notes The Network Data Specialist plays a critical role in ensuring the accuracy and integrity of provider data across the health plan’s systems. This position directly impacts claims accuracy, provider payment integrity, and network operations by ensuring providers are correctly loaded, maintained, and aligned with contractual and credentialing requirements. WORK 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., • 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, lifts, and moves intermittently during working hours. 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, • Compliance with Department Call Metrics/ Company Regulations, • Attendance/Punctuality, • Safety and Security, • Accuracy Rate This Job Description may be modified at any time at the discretion of the employer as business operation may seem 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. Solis Health Plans provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Description Company Description Palmetto is a leading clean tech company on a mission to accelerate the transition to a clean energy future. With a belief that consumers can have it all, we are an uncompromising energy company that makes coming clean a no brainer. Our award-winning technology platform empowers homeowners, businesses, and entrepreneurs to adopt renewable energy through simple, scalable, and innovative solutions. Operating at the intersection of B2B and D2C, we offer software, financial products, and services that drive real environmental impact—without compromising value. We deliver end-to-end solutions for whole home electrification that put clean energy within reach for all. Our employees are our most valuable resource. We foster a promote-from-within culture that prioritizes talent development, career growth, and purpose-driven work. Palmetto offers a comprehensive benefits package—including unlimited PTO, medical, dental, and vision coverage, paid parental leave, retirement plans, and more—so you can have it all both personally and professionally. Palmetto prioritizes people, planet, and profit—backed by a culture that values collaboration, impact, and balance. Join us in building a brighter, cleaner world. Location This role will be based in Miami, FL. Reporting This role will reporting into the Team Lead of Service Operations. Summary of Role Palmetto believes that happy customers are not just those installed quickest, but those whose systems provide the value they expect. The Solar Field Service technician role is focused on upholding this promise to our customer, and will work with the Services team to ensure that system performance issues are resolved swiftly and professionally. The Solar Field Service Technician is a utility player who can support Service, Installation, Job Closeout, Permitting/Inspection, etc. They are the go-to person to help with ongoing Services needs throughout the 25+ year lifespan of a customer's solar system, helping to build strong lifetime customer relationships. Strategic & Tactical • Provide onsite troubleshooting and repair of solar systems., • Document visit and complete job close out report., • Schedule site visits directly with the customer when required., • Work with local field teams and central scheduling to optimize resolution times., • Provide feedback to field team leadership, driving continuous improvement of Palmetto's installation quality and execution., • Assist with close out of pre-energization issues, ensuring customer projects are expertly executed and ready to generate power from Day 1 of permission to operate., • Provide feedback to Palmetto's Customer Experience team, working together to ensure Palmetto's resolution of system issues provide not just satisfaction, but an experience they will brag about to their friends and family., • Complete other tasks as needed, including but not limited to physical site surveys, inspections, and document collection., • Be the key Palmetto field representative to deliver great quality, experience and performance of all Service and Installation work., • Effectively communicate with homeowners on arrival times and confirmations on an as-needed basis. Tactical Responsibilities • Maintain SLAs for service work site visits, • Perform O&M work and monitoring support, • Perform site surveys/site visits, • Perform partner and internal field training, • Perform safety and quality site audits and JCO reviews and manage/site inspections, • Perform field installations including PV, storage, MPU or structural upgrade, • Perform damage and claims investigations Qualifications • Electrical License (only required in MA, a plus elsewhere), • 3+ years of installing, repairing, and troubleshooting residential solar & storage systems., • General knowledge of residential home maintenance and repair, ability to go the extra mile in remediating customer issues beyond the scope of solar system maintenance., • General construction/framing experience is a plus., • Must be willing and able to climb ladders, stairs, work on rooftops and able to work on your feet for long periods of time, • Ability to work in extreme environments (example: hot sun, cold, rain, crawl spaces, etc.), • Electrical experience is a plus., • 1 year of working at heights including on rooftops, climbing ladders and stairs, and performing repetitive duties such as lifting, bending and standing for long periods of time., • Ability to lift 50 pounds of weight frequently throughout the assigned workday., • Ability to safely handle and maintain basic hand and power tools used for installation., • Excellent communication skills and a professional demeanor., • Attention to detail, • Regular, reliable and predictable attendance, • Ability to work well with others in a collaborative team environment, • Must have a valid state driver's license, • Must have a clean driving record Employment is contingent upon the successful completion of a background check. Equal Employment Opportunity Palmetto embraces diversity and is an Equal Employment Opportunity employer. Employment is decided on the basis of qualifications, merit, and business need. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or any other status protected under federal, state, or local law. For more about our Privacy Policy, visit: https://palmetto.com/privacy-policy

Job DescriptionThe Insurance Customer Service Representative at Insurance Marketing Center is responsible for maintaining solid customer relationships by handling customer inquiries and concerns with speed and professionalism through daily interaction with customers, insurance carriers, and fellow employees while conducting specific service and marketing activities. Benefits/Perks • Competitive Pay, • Benefits, • Professional Development, • Job Stability in a growing industry Responsibilities, • Provide service to existing clients related to updating policies, providing quotes, taking payments, answering questions, and providing documentation., • Answer customer calls and correspondence regarding new or existing insurance policies and service all claims which include regular and after-hour claims., • Work with new clients or support a producer in an effort to understand their needs, gather necessary data, research policy options, present options, finalize and bind new coverage, cancel old policies, and negotiate with carriers when necessary., • Set appointments and/or client calls or support a producer to review existing policies, review liability limits and exposures, explore other coverage needs, evaluate replacement costs, round out accounts, and bind renewals., • Confer with customers to provide detailed information about products and services, quote new business, process renewals and/or cancel accounts, take payments, and provide requested documentation., • Resolve product or service issues by clarifying the customer's concern, determining the cause of the issue, selecting and explaining the best solution to solve the issue, expediting correction or adjustment, and following up to ensure resolution., • Review audits or policies; verify accuracy and facilitate corrections, as needed, between client and carrier., • Maintain records of customer interactions and transactions, recording details of inquiries, comments, and actions taken in the agency management system., • Collaborate with team members, mentor staff, provide expertise and answer questions, and participate in formal and informal meetings as needed. Qualifications, • 440 or 220 license or be working towards completion of license required. Comparable work experience in the insurance field preferred., • Demonstrate strong knowledge of insurance products and usages, rating procedures, underwriting procedures, coverages, and industry operations to effectively manage, maintain, and write assigned clients and prospects., • Demonstrate strong customer focus and an excellent phone manner; display strong written and verbal communication skills as well as excellent math and reading skills to perform calculations., • Possess a sense of urgency, attention to detail, organization, multi-tasking, and follow-up skills, and the ability to handle difficult situations with customers and solve complex problems without direct supervision., • Have excellent time management skills with a personal accountability mindset as well as technology and computer proficiency, including agency management systems, rating tools, and carrier website navigation.

Job Description The Customer Service Specialist works with and reports to the Claims and Customer Service Manager, Miami. The position is located at 75 Valencia Avenue Coral Gables, FL 33134. The person in this position is the first to interact with our customers by answering incoming calls from the customer service and claims call queues. The Customer Service Specialist takes on a wide variety of tasks, all of which involve supporting the company's operations and products. They will be interacting with customers and building and maintaining relationships while providing exceptional customer service. In this role you have the ability, and are strongly encouraged to, advance levels within the department. Each level achieved results in increased pay. Knowledge Checks and minimum qualifications are required for advancement. JOB DUTIES AND RESPONSIBILITIES:To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Answer incoming calls., • Identify and document the needs of the customer utilizing all tools available., • Always demonstrate excellent phone etiquette and use written skills to obtain clear and concise documentation of the customer's inquiry., • Meet or exceed all performance metrics., • Be knowledgeable and have a clear understanding of the business processes within MWG including departments, insurance carriers, brokers/agents, and group contacts., • Route calls to appropriate resources., • Utilize MWG Administrators Policy Administration Systems to verify eligibility and review members accounts based on the policy assigned., • Recognize and resolved customer issues by following standard operating procedures and explaining the process to the customer., • Identify and escalate issues to supervisors., • Follow up customer calls where necessary and complete the daily assigned voicemails., • Perform other duties as assigned by the Department Manager.WORKING ENVIRONMENT REQUIREMENTS:, • Must be able to perform in a very high paced environment and be flexible to multi-task or handle, • Ability to work independently with excellent time management, • Strong written and verbal communication, interpersonal, and relationship building, • Ability to handle stressful situations, • Ability to maintain confidentiality and privacy in every aspect of the, • Knowledge of customer service practices and principles., • Excellent problem-solving skills along with keen attention to details., • Strong written/verbal communication, interpersonal and relationship building skills., • Excellent data entry and typing skills, • Ability to maintain confidentiality and privacy in every aspect of the job., • Always exhibit excellent phone etiquette and professionalism., • Knowledge of all products and services., • Understand and adhere to each department's policies and procedures within the TPA.EXPERIENCE & EDUCATION REQUIREMENTS:, • High School Diploma required; Associates or bachelor's degree is preferred., • Must have previous customer service experience; previous Call Center experience is a plus., • Must have excellent computer skills with experience in Microsoft Tools., • Must be able to work well under pressure with multiple priorities and meet deadlines while maintaining a strong attention to detail. JOB ESSENTIAL REQUIREMENTS: The following are job functions that an employee must be capable of performing with or without reasonable accommodation. • Must be able to read, write, and speak English and Spanish., • Must be able to work as scheduled., • Must possess sight and hearing senses or use prosthetics that will enable these senses to function adequately so that the requirements of the position as stated above can be fully met., • Must be able to bend, stretch, reach, and sit or stand at a desk during 85 % of the working day., • Must be able to remain stationary at workstation for extended times and/or walk throughout the area., • Will require significant viewing and usage of computers and computer screens.

Job DescriptionBenefits: • 401(k) matching, • Dental insurance, • Health insurance ROLE DESCRIPTION: As Sales Representative for Richard G. King Insurance Agency Inc., you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: • Manage customer accounts and update information in the database., • Develop leads, schedule appointments, identify customer needs with appropriate products and services., • Establish customer relationships and follow up with customers, as needed., • Assist customers with policy changes and inquiries., • Process insurance claims and follow up with customers on claim status., • Coordinate with underwriters to ensure timely policy issuance., • Educate customers about insurance optionsQUALIFICATIONS:, • Strong organizational skills and attention to detail., • Sales experience preferred, • Excellent customer service and communication skills., • Self-motivated, • Detail oriented, • Previous experience in insurance or a related field preferred., • Bilingual - Spanish & English Required, • 2-20 Property and Casualty license, • Life and Health license (must be able to obtain)

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: I opened my agency in 2000 after working as a State Farm claims representative, bringing firsthand claims experience into agency leadership. I played football at Western Illinois, and that competitive mindset still shows up in how we operate today. Our team includes seven members, and weve built a high-energy, results-driven office that takes pride in being one of the top agencies in Dade. Im also active in the community as President of the Bay of Pigs Museum, reflecting our commitment to staying involved locally. For our team, we offer health benefits and licensing reimbursement, and our office culture is competitive, fast-paced, and people-focused. Were looking for outgoing, driven team members who thrive in a high-performing environment and want to be part of a team that strives to be the very best. ROLE DESCRIPTION: As Account Representative - State Farm Agent Team Member for Carlos Luis - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: • Provide information about insurance products and services., • Assist customers with policy applications and renewals., • Handle customer inquiries and provide timely responses., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Experience in customer service or sales preferred., • Must have 440 License.

Job DescriptionBenefits: • Bonus based on performance, • Company parties, • Competitive salary, • Free food & snacks, • Opportunity for advancement, • Paid time off, • Training & development ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with James Boruff - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job Description Onsite | Full-Time | Consistent Schedule Make a Difference—Every Day If you enjoy helping people, solving problems, and being part of a supportive team, this role is for you. As a Member Services Representative, you’ll help members understand their healthcare benefits, access care, and feel confident knowing someone is there to support them. What You’ll Do • Answer inbound calls and emails from members, caregivers, and providers, • Help with questions about benefits, eligibility, claims, and enrollment, • Resolve most questions on the first contact; work with internal teams when needed, • Make outbound calls to welcome new members and complete enrollment verification, • Assist members with scheduling appointments and accessing care, • Document interactions clearly and accurately Qualifications: • Fluent in English and Spanish (required), • High school diploma, GED, or equivalent work experience preferred, • Customer service experience (healthcare or call center experience is a plus, not required), • Comfortable using computers, email, and basic office software, • Strong communication skills and a positive, patient approach, • Ability to stay organized and handle multiple tasks, • Fluent in English and Spanish (required)This Role Is Great If You:, • Enjoy helping people and making a real impact, • Like a steady, structured workday with variety, • Want a stable, full-time, onsite position, • Are interested in growing your career in healthcareWhat We Offer, • Competitive pay, • Medical, dental, and vision benefits, • Paid time off and holidays, • Supportive team environment, • Training and growth opportunities 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 83u2QpMkv0

Job DescriptionBenefits: • License reimbursement, • 401(k), • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: Our agency opened in 2000 and is a small, close-knit team of three who truly look out for one another. Ive been with State Farm for over 30 years, starting my career with the company before becoming an agent. That long-term experience has shaped the way I run the office and support both our customers and our team. I attended Florida Atlantic University and enjoy spending my free time fishing, golfing, and being with family. Keeping that balance between work and life is important to me, and its something I encourage for everyone on the team. We offer 8-10 sick days, 10 days of PTO, a 401(k) after one year, a monthly health stipend, and reimbursement for licensing costs. We believe in taking care of our team so they can focus on doing great work without unnecessary stress. Our culture is simple and supportivewe operate like a small family and take care of each other. Were looking for someone who values teamwork, reliability, and a positive attitude. If youre looking for a close-knit environment where people support one another and enjoy coming to work each day, this could be a great fit for you. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Ricardo Arbesu - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • Simple IRA, • Hourly Plus Commission, • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Gus Cisneros - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you an ideal fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the ideal customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist clients with policy changes and updates., • Process insurance claims and follow up with clients., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Strong communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred., • Bilingual Spanish preferred.

Job DescriptionBenefits: • Simple IRA, • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development Remote Role: Candidates must be Bilingual Spanish and currently licensed ABOUT OUR AGENCY: Our agency opened in 2006 and has grown into a thriving team of 19 across multiple offices. Before becoming a State Farm agent, I worked with State Farm in communications and public affairs, which helped shape my leadership style and commitment to serving both our customers and our community. Im a graduate of Florida A&M University, where I earned my degree magna cum laude, and Im proud that my family represents five generations at FAMU. Im a Million Dollar Round Table qualifier and a proud member of Delta Sigma Theta Sorority, Inc. A fun fact about me: I once won The Price Is Right! Im also honored to be the first and only African American woman to operate three State Farm offices. Giving back to the community is a big part of who we are. Im actively involved as a Platinum member of Delta Sigma Theta Sorority, Inc., a member of the Hallandale Chamber of Commerce, part of The Links, Inc. (MiamiBiscayne Bay Chapter), and serve on the Board of the Florida A&M Foundation. For our team, we offer life insurance, PTO, health benefits, a Simple IRA retirement plan, and strong opportunities for professional and personal development. Team members also enjoy team-building events, participation in the Aspirant Program, and additional PTO and compensation opportunities when office goals are achieved. Our office culture is close-knit and family-oriented, built on integrity, support, and a shared commitment to helping others. Were looking for someone who is charismatic, team-oriented, and values-drivensomeone who believes, as we do, that people dont care how much you know until they know how much you care. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Lakitsia Gaines - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Property/Casualty insurance license (must have currently)., • Bilingual Spanish required. This is a remote position.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: I opened my agency in 2000 after working as a State Farm claims representative, bringing firsthand claims experience into agency leadership. I played football at Western Illinois, and that competitive mindset still shows up in how we operate today. Our team includes seven members, and weve built a high-energy, results-driven office that takes pride in being one of the top agencies in Dade. Im also active in the community as President of the Bay of Pigs Museum, reflecting our commitment to staying involved locally. For our team, we offer health benefits and licensing reimbursement, and our office culture is competitive, fast-paced, and people-focused. Were looking for outgoing, driven team members who thrive in a high-performing environment and want to be part of a team that strives to be the very best. Location Address: Miami, FL 33155 At Carlos Luis - State Farm Agent, were here to help people protect what matters most. We take pride in serving our community with integrity, care, and real support. Whether were helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference. If you're looking to grow your career, help others, and be part of a team that strives to do good every day, youll fit right in with us. Responsibilities: • Communicate with customers to understand their needs and provide available product information., • Assist in developing relationships with new and existing customers across multiple product lines., • Support daily office operations, including documentation, scheduling, and follow-up activities., • Participate in marketing efforts to promote awareness within the community., • Maintain accurate records and ensure a consistent customer experience., • Collaborate with team members to achieve office objectives.Qualifications:, • Effective written and verbal communication skills., • Strong organizational abilities with attention to detail., • Comfortable working in a fast-paced environment., • Prior experience in customer service, business support, or insurance preferred., • Must possess or be able to obtain necessary state insurance licenses.

Job DescriptionBenefits: • Competitive salary, • Opportunity for advancement, • Paid time off ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with RODRIGO PLANTER - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionSalary: $20.00 - $21.00 Open the Door to Your Future with Clopay Corporation & CornellCookson At Clopay Corporation, we are more than just North Americas largest residential and commercial garage door manufacturerwe are a powerhouse of innovation, safety, and design. Through our premier brands, we lead the industry in providing groundbreaking high-performance closure solutions for both the places people call home and the spaces where the world does business. Headquartered in Mason, Ohio, and operating state-of-the-art manufacturing facilities in Troy, Ohio, Mountaintop, Pennsylvania, and Goodyear, Arizona, we are a proud American-owned company and a wholly-owned subsidiary of Griffon Corporation. Our reach extends across 55+ distribution centers and thousands of retail locations in the U.S. and Canada ensuring that we deliver the right door for every opening from homes to businesses and beyond. By joining our team, you become part of a legacy that blends the residential elegance of Clopay, known as "Americas Favorite Garage Doors," with the industrial strength and 180-year heritage of our rolling brands, Cornell and Cookson. Together, we secure everything from family garages to the world's most iconic stadiums and skyscrapers. We currently have an opening for a Customer Service Representative in our Doral location. Responsibilities include: In this position, the successful candidate will perform the following job responsibilities: • Communicate with customers in person at the Distribution Center and by telephone in entering orders under automation system controls., • Assist in pricing of quotes and orders under automation system controls., • Balance daily invoice edit., • Audit open order reports weekly., • Follow up on customers' claims for credit., • Manage all system invoicing on COD and open-term accounts., • Manage bookkeeping procedures required for setting up and maintaining current open terms and C.O.D. accounts, including requisitions for new customer codes., • Assist with furnish and install programs whenever necessary, and process furnish and install invoicing and installer payables., • Distribute all incoming and outgoing mail., • Handle all incoming telephone calls: field telephone calls for product, as well as calls concerning bookkeeping or accounting matters., • Various administrative duties Job Requirements: • A high school degree is required, along with a minimum of 3-5 years of customer service experience, preferably in a manufacturing environment., • Basic computer skills are required with a familiarity of Microsoft Office Products., • Previous clerical or office experience is beneficial. Why Choose a Career With Us? We don't just manufacture doors; we engineer the "front door" of the American dream and the security of global commerce. At Clopay, we believe our strength lies in our people. From our design engineers to our manufacturing associates and delivery drivers, every member of the team plays a vital role in our success. Our team members thrive because we prioritize: • Unrivaled Scale: Work for a market leader with a massive manufacturing footprint and a reputation for excellence that spans nearly two centuries., • A Culture of "Whats Next": We invest heavily in automation, sustainable materials, and smart-home integration to stay ahead of the curve., • Commitment to People: As a Griffon Corporation company, we provide the stability of a large organization with the tight-knit, collaborative feel of a specialized craft team., • A Legacy of Expertise: Join our "Pioneer Club"a group of over 440 employees who have been with us for 20 years or more. We offer the stability of a market leader and a place where you can truly grow a lifelong career., • Commitment to Innovation: We arent just keeping up with industry trends; were setting them. Whether its our exclusive WINDCODE technology or our award-winning designs, we provide the tools for you to do your best work., • Community Focused: Our success is linked to the well-being of our neighbors and communities. Through our partnership with Habitat for Humanity, Clopay employees help provide homes and security to families in the communities where we live and work. Equal Employment Opportunity

Job DescriptionBenefits: • License Reimbursement, • 401(k), • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: Our agency opened in 1991 and is a well-established team of nine with a long history of success. I bring a diverse background including experience in government, the medical field, and insurance prior to opening the agency. Throughout my career, Ive consistently been a top performer, ranking in the top 10% of the company and earning many of State Farms top awards. I hold a Master of Science in Management from Florida International University and have been married for 36 years. I take pride in both my professional accomplishments and the strong relationships Ive built over time. We stay involved in the community by supporting organizations such as the Miami Rescue Mission and the Cuban Catholic Church. For our team, we offer paid parking, health benefits, a 401(k), an Aspirant program, ongoing training and professional development, team outings, travel incentives, and private office spaces for both sales and service roles. Our office culture is supportive, team-oriented, and focused on delivering exceptional customer service. Were looking for someone who is hungry, self-driven, and accountable - someone with strong integrity, good judgment, and a desire to grow as part of a high-performing team. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Ileana Cabrera-Rodriguez - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • Simple IRA, • License reimbursement, • Group Life Insurance Benefits, • Bonus based on performance, • Competitive salary, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Yamelys Santana - State Farm Agent, you will generate the kind of exceptional client experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you an ideal fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the ideal customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist clients with policy changes and updates., • Process insurance claims and follow up with clients., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Strong communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • License reimbursement, • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: I opened my agency in 2000 after working as a State Farm claims representative, bringing firsthand claims experience into agency leadership. I played football at Western Illinois, and that competitive mindset still shows up in how we operate today. Our team includes seven members, and weve built a high-energy, results-driven office that takes pride in being one of the top agencies in Dade. Im also active in the community as President of the Bay of Pigs Museum, reflecting our commitment to staying involved locally. For our team, we offer health benefits and licensing reimbursement, and our office culture is competitive, fast-paced, and people-focused. Were looking for outgoing, driven team members who thrive in a high-performing environment and want to be part of a team that strives to be the very best. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Carlos Luis - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • Bonus based on performance, • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: I have been an agent for four years, and prior to that, I spent nine and a half years at Enterprise Rent-A-Car, working my way from Management Trainee to Branch Manager at the Ft. Lauderdale Airport. I played Division I baseball at the College of Charleston in South Carolina, and last month I married my wife, Nathia. Outside of work, I stay active by supporting several softball and little league baseball teams in the community. Our agency is built on a friendly, laidback, and family-oriented culture where hard work is recognized and teamwork drives success. We currently have five team membersthree in sales and two in serviceand we strive to foster an environment that promotes positivity, growth, and achievement both professionally and personally. We are looking for motivated, positive, and hardworking individuals who want to grow while making a meaningful impact on themselves, our team, and the community we serve. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Jesse Mesa - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • Health stipend, • Licensing paid by agency, • Bonus based on performance, • Competitive salary, • Flexible schedule, • Opportunity for advancement, • Paid time off, • Signing bonus, • Training & development ABOUT OUR AGENCY: Our agency opened in 2024 and has quickly grown into a team of seven. Before becoming an agent, I spent time in corporate America, but I was always driven by the desire to help people make better financial decisions and truly make an impact in their lives. Ive had the opportunity to live and work in a variety of places, including Jamaica, Antigua, and Canada, and have met people from many different backgrounds. That experience has shaped how I connect with others - Im comfortable building relationships with people from all walks of life and value diversity in both our team and our customer base. For our team, we offer group life insurance, a heath stipend, a signing bonus when licensing is obtained before start date, and a strong emphasis on work-life balance. We will also cover all licensing costs up front. Our office culture is motivated, growth-focused, and results-driven. Were looking for someone who is coachable, tech-savvy, and a true go-gettersomeone who takes initiative, gets the job done, and is eager to grow as part of a fast-paced and supportive team. ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Dionne James - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions.QUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred., • Bilingual Spanish preferred.

Job DescriptionBenefits: • Bonus based on performance, • Dental insurance, • Health insurance, • Opportunity for advancement, • Training & development, • Vision insurance ROLE DESCRIPTION: Join Natalia Sanchez's State Farm Agency as a Customer Service Representative, delivering outstanding service that supports our agencys growth. Youll handle customer inquiries, collaborate with the team, and anticipate community needs with care and attention to detail. Were looking for empathetic, customer-focused team members who want to grow with us. Driven candidates with sales potential will find strong opportunities for advancement. RESPONSIBILITIES: • Answer customer inquiries and provide policy information., • Assist customers with policy changes and updates., • Process insurance claims and follow up with customers., • Maintain accurate records of customer interactions., • Leverage existing client relationships to generate new businessQUALIFICATIONS:, • Communication and interpersonal skills., • Detail-oriented and able to multitask., • Previous customer service experience preferred.

Job DescriptionBenefits: • License reimbursement, • Bonus based on performance, • Competitive salary, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development ABOUT OUR AGENCY: I opened my agency in 2000 after working as a State Farm claims representative, bringing firsthand claims experience into agency leadership. I played football at Western Illinois, and that competitive mindset still shows up in how we operate today. Our team includes seven members, and weve built a high-energy, results-driven office that takes pride in being one of the top agencies in Dade. Im also active in the community as President of the Bay of Pigs Museum, reflecting our commitment to staying involved locally. For our team, we offer health benefits and licensing reimbursement, and our office culture is competitive, fast-paced, and people-focused. Were looking for outgoing, driven team members who thrive in a high-performing environment and want to be part of a team that strives to be the very best. ROLE DESCRIPTION: As Account Associate - State Farm Agent Team Member for Carlos Luis - State Farm Agent, you are vital to our daily business operations and customers success. You grow our agency through meaningful customer relations and acting as a liaison between customer needs and agency departments. You improve the lives of our customers by proactively marketing relevant products and services. Grow your career as you better your community. As an attentive, sociable, and sales-minded professional, we are eager to have you on our team. RESPONSIBILITIES: • Manage customer accounts and update information in the database., • Assist customers with policy changes and inquiries., • Process insurance claims and follow up with customers on claim status., • Coordinate with underwriters to ensure timely policy issuance.QUALIFICATIONS:, • Strong organizational skills and attention to detail., • Excellent customer service and communication skills., • Previous experience in insurance or a related field preferred.

Job Description About Guy Harvey Guy Harvey is a world-renowned artist, scientist, angler, conservationist, explorer and author who has built a global lifestyle brand. It is a leading brand in the outdoor apparel industry, committed to equipping adventurers with high-quality, sustainable, and innovative gear. We are passionate about the outdoors, and our products are designed to enhance performance, durability, and style in any environment. Intradeco serves as the exclusive apparel and headwear Licensee and as we continue to expand our market presence, we are looking for a dynamic Sales Manager to join the team and help expand our distribution into the southeast with new and existing customers. About Intradeco Apparel Founded in 1982 and with deep roots in the textile industry since 1921, Intradeco has grown into a global vertical manufacturing company, supplying quality casual clothing and thermal underwear to major retailers in the United States, Mexico, and Canada. At Intradeco, we provide a holistic approach to apparel manufacturing, encompassing all stages from ideation phase to final product distribution. Our vertical integration, combined with our lean manufacturing capability, allows us to respond quickly to market demands, handle direct-to-store and replenishment programs, and offer unique flexibility to our customers. Our Team We are dedicated to our mission and passionate about collaboration, moving quickly, and breaking down barriers, leveraging technology, eliminating bureaucracy, and constantly striving to evolve. Our cultural foundation is built on trust, teamwork, quality, sustainability, and integrity. This is a full-time, on-site hybrid position in Miami HQ Office. Who we are looking for: We are seeking a Customer Service and Wholesale Dealer Service Representative who will play a vital role in supporting wholesale dealer accounts, delivering exceptional customer service, and assisting the sales and sourcing teams in driving operational excellence. This position serves as the primary liaison between customers and the specialty store channel sales team. The ideal candidate is customer focused, highly organized, detail-oriented, a problem solver, and capable of managing multiple priorities in a fast-paced wholesale apparel environment. Experience in retail, wholesale distribution, or customer service environments is highly preferred. What you will do: • Serve as the primary point of contact for wholesale specialty store accounts, independent sales representatives and internal sales leadership., • Provide prompt, professional, and solutions-oriented support regarding orders, inventory availability, pricing, shipping status, returns, and claims., • Run daily open order/allocation reports in SAP to ensure all orders are credit cleared and confirm fill rate and unit allocations., • Resolve customer concerns efficiently while maintaining a high level of customer satisfaction. Build long-term relationships with dealers through exceptional communication and follow-through., • Communicate updates regarding backorders, cancellations, substitutions, inventory changes and delivery timing., • Maintain accurate account information, order history, and communication records. Sales Support & Account Coordination: • Support the sales team with account management, order entry, product availability, and dealer follow-up., • Assist with pre-book orders, at-once inventory, and promotional initiatives- while ensuring accuracy and timely processing., • Collaborate with sales representatives to support account growth initiatives and dealer retention., • Provide sales reps with price sheet, product information and account documentation., • Help identify opportunities to improve dealer experience and support account growth initiatives., • Support onboarding of new wholesale accounts and vendor setup processes., • Support sales growth through operational excellence and proactive account support. Wholesale Contracts & Order Management: • Review/monitor daily open order report to ensure any late or at-risk deliveries are handled promptly., • Recommend replacement styles when items are cancelled, out of stock or unavailable upon order entry., • Manage orders from receipt through fulfillment, ensuring pricing, terms, ship dates, credit approvals, quantities and account details are correct., • Process seasonal batch contracts within the GTM required dates., • Partner with OP Team to resolve order discrepancies, inventory shortages, allocation issues and shipping questions., • B2B Customer/Data Maintenance accuracy. Operational Coordination & Cross-Functional Support: • Partner with sourcing and production teams to communicate dealer needs, timelines, and product requirements., • Assist with monitoring inventory availability, production status, and fulfillment schedules., • Coordinate cross-functionally with logistics, sourcing, production, finance, and sales teams to ensure operational alignment., • Help Identify process improvement opportunities to enhance customer satisfaction and operational efficiency., • Maintain accuracy and efficiency across contracts, orders and dealer support functions. Who you are: • Bachelor’s degree preferred or equivalent industry experience., • 2+ years of experience in customer service, wholesale apparel, sales support, dealer services, or account coordination., • Strong understanding of wholesale operations and customer relationship management, and working with specialty retail accounts., • Experience handling contracts, pricing documentation, or dealer agreements., • Proficiency in Microsoft Office Suite, particularly Excel and Outlook., • Experience with ERP and CRM (B2B) systems preferred., • Exceptional written and verbal communication skills and strong problem-solving abilities., • Core competencies: Customer first mentality, relationship builder, build trust and loyalty with dealers through responsiveness and professionalism, problem solving and conflict resolution, cross functional collaborator, attention to detail, excellent communication and follow through. What We Offer: • Competitive Pay – We believe in rewarding success and showing our employees just how much they’re valued in a variety of different ways, including compensation., • Health and Wellness – There’s nothing basic about our comprehensive health and wellness programs and offerings. While at work and t play, we aim to support a healthy lifestyle., • Time away from work – Sometimes we need time away to be with family, enjoy our hobbies, focus on our health or just simply recharge. We are committed to helping out employees create a work-life harmony!, • Growth and Development – We are constantly seeking to offer opportunities and support for personal and professional development., • Financial planning and wellbeing – No matter what financial goals our employees have set, we want to help them get there. We offer access to benefits, programs and education to help our employees to protect income, pay for expenses and invest in the future. Including a generous 401(k) match! Powered by JazzHR vhY5uV3uHU

Patient Support Medical Claims Processing ?Representative. Patient Support Medical Claims Processing Representative. Patient Support Call Center Representative.

Claims Representative I-Miami, FL. This job is with Florida Farm Bureau which is the Florida state office for Southern Farm Bureau Casualty Insurance Company and we currently have an opening for a Claims Representative in Miami, FL. This position is responsible for resolving damage and injury claims

In this critical role, your primary responsibility will be to provide compassionate, timely, and accurate assistance as customers report new auto claims, check the progress of ongoing claims, and seek updates throughout the process. Founded in 1989, United Automobile Insurance Company is an innovati