Offres claims representative à New York, New YorkCréer des alertes d'emploi

The Senior Manager of Data Science & Analytics supporting hematology is responsible for developing data-driven insights to inform commercial strategy, brand planning, and operational effectiveness. This role requires hands-on data analysis and close collaboration with cross-functional teams to ensure data is leveraged to support business-critical decisions for Adcetris and Elrexfio. The Senior Manager will manage various data assets, including claims, sales, and specialty pharmacy data, and will work across oncology commercial analytics and commercial teams to integrate insights into the franchise’s strategic direction. This position will report to the Senior Director of Data Science & Analytics within Pfizer’s Oncology Commercial Analytics team. Key Responsibilities: Data Analysis and Insights Generation • Advanced Analytics: Develop and implement advanced analytics models, using techniques such as machine learning, predictive modeling, and statistical analytics, to drive insights into customer behavior, market trends, and product performance., • Secondary Data Analysis: Leverage multiple external data sources (e.g., claims data, specialty pharmacy data, non-retail sales) to generate actionable insights that address strategic business questions. Data Management and Governance • Data Asset Management: Partner with Commercial Information Management and data governance teams to ensure the proper stewardship of data, including the integration of new data assets to enhance decision-making., • Data Quality and Consistency: Ensure the quality, accuracy, and timeliness of data used for analysis by collaborating with IT, Marketing, and other cross-functional teams to maintain clean and reliable datasets., • Data Sourcing: Collaborate with the Director of Oncology Data Enablement to identify and assess relevant commercial data sources (e.g., Komodo Health, IQVIA, Symphony) that can be integrated into analytics projects to improve insights and decision-making capabilities. Targeting and Segmentation • Customer Segmentation: Apply advanced data science techniques to develop customer segmentation strategies that optimize targeting and resource allocation for marketing and sales teams., • Engagement Optimization: Analyze customer behavior and market data to develop insights that enhance engagement strategies and drive commercial success. Brand Performance and Market Insights • National-Level Reporting: Develop and maintain national-level brand performance reports, providing detailed insights into market trends, competitive dynamics, and product performance., • Launch Support: Provide analytical support during product launches, including competitive intelligence, market analysis, and performance tracking to ensure successful market entry., • Operational and Market Effectiveness: Analyze data to inform operational effectiveness and market performance, providing insights that optimize marketing strategies and sales operations., • Reporting and Dashboards: Create and manage executive-level reports and dashboards, ensuring that key performance indicators (KPIs), market trends, and insights are effectively communicated to decision-makers. Cross-Functional Collaboration & Stakeholder Engagement • Cross-Functional Partnership: Work closely with other teams (e.g., Marketing, Market Research Insights, Forecasting, Finance) to integrate data insights into broader strategic initiatives and support decision-making., • Stakeholder Communication: Present complex analytical insights to senior leadership, translating data into clear and actionable recommendations that support business-critical decisions. Innovation and Continuous Improvement • Process Improvement: Continuously identify opportunities to improve data analytics methodologies, processes, and tools to enhance the efficiency and accuracy of insights., • Emerging Trends: Stay current with industry trends and emerging data science techniques, incorporating innovative approaches into data analysis to drive better business outcomes. Vendor and Resource Management • Vendor Collaboration: Manage relationships with external vendors and data providers, ensuring timely delivery of high-quality data and insights that meet the franchise’s needs., • Budget and Resource Allocation: Collaborate with Data Science & Analytics leadership to manage budgets and allocate resources effectively to support franchise data science and analytics efforts. Basic Qualifications: • Education: Bachelor’s degree in data science, analytics, mathematics, biological or physical sciences, statistics, business, or a related field., • Experience: Minimum of 6+ years of experience in data science, analytics, or commercial operations, with at least 5+ years in the pharmaceutical or biopharmaceutical industry. Post-graduate education can substitute for a portion of the work experience requirement., • Technical Skills: Proficiency in data analysis tools such as Python, R, SQL, and data visualization platforms (e.g., Tableau, Power BI)., • Cross-Functional Experience: Experience working with cross-functional teams, including marketing, sales, and IT, to integrate data insights into commercial strategies. Preferred Qualifications: • Oncology Expertise: Experience working in oncology, with a deep understanding of market dynamics, customer behavior, and competitive trends in the oncology space., • Technical Skills: Experience with machine learning and predictive modeling techniques is highly desirable., • Advanced Degree: MBA or advanced degree in a related field is preferred. Skills and Competencies: • Analytical Mindset: Strong analytical and problem-solving skills, with the ability to develop data-driven solutions to complex business challenges., • Strategic Thinking: Ability to think critically and strategically, translating complex data into actionable forecasts that drive business decisions., • Communication: Excellent verbal and written communication skills, with the ability to present complex data insights to commercial leaders and cross-functional teams in a clear and actionable manner, • Project Management: Proven ability to manage multiple projects simultaneously, prioritize competing demands, and meet deadlines in a fast-paced environment. Candidate demonstrates a breadth of diverse leadership experiences and capabilities including: the ability to influence and collaborate with peers, develop and coach others, oversee and guide the work of other colleagues to achieve meaningful outcomes and create business impact. Work Location Assignment: Hybrid Other Job Details: Last day to apply: November 21, 2025 The annual base salary for this position ranges from $120,800.00 to $201,400.00. In addition, this position is eligible for participation in Pfizer’s Global Performance Plan with a bonus target of 17.5% of the base salary and eligibility to participate in our share based long term incentive program. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life’s moments. Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site – U.S. Benefits | (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to Tampa, FL or any location outside of the United States. Relocation assistance may be available based on business needs and/or eligibility. Sunshine Act Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health care provider’s name, address and the type of payments or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government. If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative. EEO & Employment Eligibility Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States. Pfizer endeavors to make ___ accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process and/or interviewing, please email ___. This is to be used solely for accommodation requests with respect to the accessibility of our website, online application process and/or interviewing. Requests for any other reason will not be returned. Marketing and Market Research

Project Manager CMA is seeking Project Managers to serve as a client’s representative overseeing various construction projects from conception through completion in New York City and the surrounding boroughs. Compensation will be commensurable with the applicant’s experience. Responsibilities: • Provide the administration and coordination of activities for the design and construction of complex and highly visible construction and modernization projects and their clients, • Make decisions on phasing and scheduling of projects. Prepare and/or ensure preparation of schedules for planning, design and construction. Monitor schedules and take appropriate actions to ensure that project is completed on schedule and within approved cost limitations, • Provide ongoing interface with contractors, construction managers/superintendents, architects and engineers; routinely interact with client senior managers by giving status updates and conducting walk-throughs, • Participate in the development and issuance of project procedures and policies; review and make recommendations on client wide procedures and policies, • Work with architect/engineer of record regarding change orders, interpretation of contract documents, shop drawing submittals/approvals and other technical matters as required to ensure a structurally sound, code compliant and aesthetic facility, • Review contractors claims or disputed work and advise senior management as to appropriate action. Compile contract and project documentation necessary for adjudicating or denying such claims, • Work with the estimating and project team to buyout the Construction Trades., • Review and comment on scopes and bid proposals, • Bachelor’s Degree in Construction Management, Engineering, or Architecture, • 5 years of full-time experience as a technical specialist in one or more construction and design related fields, • Minimum 5 years’ experience managing all phases of construction work Job Type: Full-time Salary: $100,000.00 - $200,000.00 per year Benefits: • 401(k), • Dental insurance, • Project management: 5 years (Preferred)

CONSTRUCTION MANAGER Overview: Overview: The Construction Manager plays a pivotal role in overseeing day-to-day construction activities, ensuring compliance with released-for-construction documents, and coordinating all work impacting existing AirTrain operations. This role demands a hands-on leader who can balance technical expertise, particularly in electrical systems, with stakeholder coordination to ensure safety, quality, and on-time delivery. The Construction Manager will be full-time, on-site at the project site from NTP (Construction) until First Passenger Service, and part-time thereafter until Final Acceptance and closeout. Qualifications: • Education: Bachelor’s degree in engineering, architecture, construction management, or related field (Electrical Engineering strongly preferred)., • Experience:, • Minimum 15 years of construction management experience., • At least one major transit, rail, or airport design-build project with a capital value ≥ $100M., • Strong electrical experience: medium voltage power distribution systems, gas insulated switchgear (GIS), and PSE&G interface., • Licenses/Certifications: Professional engineering or architectural license, or relevant construction certification, preferred., • Other: Familiarity with PANYNJ projects and ability to pass background/badging requirements at EWR Airport. Responsibilities: • Manage scope, schedule, budget, safety, and quality of major rail/transit projects., • Coordinate engineering and inspection services; maintain strong client and subcontractor relationships., • Oversee all work impacting AirTrain operations, ensuring direct coordination with the Existing AirTrain Operator., • Lead constructability reviews, change order negotiations, and independent cost estimates., • Review schedules, proposals, invoices, requisitions, and purchase orders., • Manage contractor access/protection requests and ensure compliance with safety regulations., • Act as the owner’s representative in project meetings, presentations, and stakeholder coordination., • Provide oversight on electrical systems integration (MV distribution, GIS, utility interface)., • Lead project teams, ensuring smooth execution and resolution of claims and disputes. Minimum Requirements: • 15+ years relevant CM experience., • Proven record on large, complex, lump-sum projects., • Strong background in electrical power systems for transit/rail., • Excellent communication and negotiation skills., • Ability to work independently and proactively manage field conditions., • Must be able to commute to EWR Airport. If you meet these requirements and are ready for a challenging and rewarding role, we invite you to apply. Be part of a dynamic team shaping the future of transportation and construction. Our benefits include: Medical, Dental, and Vision Insurance Comprehensive health coverage to ensure employees and their families receive quality healthcare protection. 401(k) Retirement Plan Competitive retirement savings program with up to 4% company matching, helping employees build long-term financial stability. Flexible Work Schedule Empowering employees with the ability to balance work and personal life through adaptable working hours and potential remote work options. Additional Insurance Benefits Life insurance to provide financial protection for employees' loved ones Pet insurance to support employees' furry family members Paid Time Off Flexible time off to promote work-life balance and employee wellness

Northwell Health - JobID: 22599255 [Medical Records Clerk] As a Patient Account Representative at Northwell Health, you'll: Manage and maintain patient accounts; Review and verify insurance information; Process and submit insurance claims; Follow up on unpaid claims; Resolve billing discrepancies; P

In this fast-paced role, the PIP Representatives adjusts first party personal injury claims according to state compliance requirements and guidelines. Maintains an effective follow-up system on pending files, prioritize and handle multiple tasks simultaneously, adjust to fluctuating workload, advise

We need Medicare Part B- Billing Representative with Pharmacy experience in our Ridgefield Park, NJ location. Experience in New York Pharmacy billing claims. Please apply here and we will be glad to reach out to you to schedule an interview for the Billing position with “SpecialtyRx.

Job role: "Claims Representative".

Marsh McLennan Agency's Midwest Region is a full-service brokerage providing business insurance, employee benefits, private client insurance, and retirement services to businesses and individuals across the country. As our Claims Service Representative on the Claims team, you'll play a vital role in

If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you!. Auto-Owners Insurance is an equal opportunity employer. A career at Auto-Owners is challenging and rewarding.

About Wakefern Wakefern Food Corp. is the largest retailer-owned cooperative in the United States and supports its co-operative members' retail operations, trading under the ShopRite, Price Rite Marketplace, The Fresh Grocer, Dearborn Market, Gourmet Garage, Fairway Market, and Di Bruno Bros. Employing an innovative approach to wholesale business services, Wakefern focuses on helping the independent retailer compete in a big business world. Providing the tools entrepreneurs need to stay a step ahead of the competition, Wakefern’s co-operative members benefit from the company’s extensive portfolio of services, including innovative technology, private label development, and best-in-class procurement practices. About You Summary This position provides legal advice, recommendations, oversight and guidance with respect to all legal issues and areas of law that impact the organization, with an emphasis in litigation, dispute resolution and employment law. This position regularly handles a wide array of litigation matters and other disputes and provides counselling and legal advice in connection with all facets of employment law and regulatory matters impacting the Company. This role also involves reviewing agreements from all divisions and drafting or reviewing legal documents like policies, guidelines, and presentations. This role, under the direction of the Assistant General Counsel, will provide counsel to business partners and management within the Company, and will act as a liaison and consult with outside legal counsel, as necessary. This position may also advise one or more of Company’s subsidiaries on legal issues and risks impacting the subsidiary, specifically in connection with Company’s long term business goals and legal strategy. The person in this position, relying on a combination of legal expertise and knowledge of the business, provides legal advice and recommendations for action to executives and management, to advance the Company’s interests and reduce legal risk to acceptable levels. These recommendations include complex matters having a significant impact on the organization’s activities and operations. Essential Functions Under the direction of the Assistant General Counsel, advise senior management on emerging legal issues and provide legal advice, recommendations, oversight and guidance with respect to legal issues and areas of law that impact the organization, which include, but are not limited to, the following: • Commercial Litigation and Dispute Resolution, • Employment and Labor Law, • ERISA and Benefits Law, • Regulatory Matters, • Commercial Law, • Prepares, drafts, and negotiates various standard and non-standard contracts for the organization to ensure compliance with business requirements and organizational policy. Manage employment and all other commercial litigation, including responding to attorney demand letters, effectively negotiating resolution of claims, and making recommendations to senior management on corrective action. Collaborate with, supervise and manage outside counsel to ensure receipt of high-quality, on-budget, cost-effective, timely, practical and business-oriented legal advice on all matters involving outside counsel, which include hiring and, if applicable, RFPs, performance management and strategic oversight. You will be required to develop and monitor budgets and oversee outside counsel on all matters. Develop a thorough understanding of and familiarity with the company's business, its people, products, markets, facilities, customers, and competitors to identify trends and formulate strategies and processes accordingly. Qualifications • Minimum 7 years’ experience with top tier law firm and/or in-house legal department, • JD Degree from an ABA accredited law school and licensed to practice in New Jersey, • Ability to thrive in a fast-paced environment, utilizing exceptional organizational skills to consistently prioritize, coordinate and satisfy numerous competing demands and successfully achieve deadline driven results that effectively achieve business objectives, • Strong business acumen, problem solving skills and legal judgment, • Proven ability to be open to change and agile in a dynamic environment, • Willingness to learn and understand the Company’s various business operations to build productive relationships with internal clients, • Excellent communication (verbal and written), drafting and negotiating skills Working Conditions & Physical Demands The physical demands described here are representative of those that must be met by an Associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Associate will be required to work on-site during Company’s regular business hours for a minimum of four (4) days per week and must adhere to Company’s Hybrid Work Policy., • Associate will be occasionally required to lift and/or move up to 10 pounds., • Associate may occasionally be required to travel to other Company locations., • While performing the duties of this job, Associate will be frequently required to sit, walk and talk and hear. Core Competencies • Communicate Effectively: Communicates thoughts and ideas in a well-organized manner, encouraging two-way communication., • Build Relationships: Creates cross-functional partnerships through the development and maintenance of constructive and cooperative relationships., • Stay Competitive: Demonstrates a mindset of continuous improvement while exhibiting passion and enthusiasm for their work., • Embrace Change: Looks for new ways of working by supporting advancements in processes and technology., • Develop You: Identifies and capitalizes on opportunities for personal and professional career growth., • Drive for Results: Supports divisional and strategic objectives through achievement of work goals. Compensation and Benefits The salary range for this position is $170,000 to $205,000. Placement in the range depends on several factors, including experience, skills, education, geography, and budget considerations. Wakefern is proud to offer a comprehensive benefits package designed to support the health, well-being, and professional development of our Associates. Benefits include medical, dental, and vision coverage, life and disability insurance, a 401(k) retirement plan with company match & annual company contribution, paid time off, holidays, and parental leave. Associates also enjoy access to wellness and family support programs, fitness reimbursement, educational and training opportunities through our corporate university, and a collaborative, team-oriented work environment. Many of these benefits are fully or partially funded by the company, with some subject to eligibility requirements.

Field Claims Representative/Virtual. Field Claims Representative/Virtual New York/Ft. Conduct and manage on-site insurance property claim inventory assignments pursuant to SOS field inventory processes.

Claims Representative you will manage complex Workers' Compensation claims for the state of Minnesota following SFM's mission to do the right thing! Using your experience handling workers' compensation claims, you will conduct investigations and manage claims in accordance with state workers' compen

As an First Notice Of Loss (FNOL) Representative I, we expect you to provide quality inbound communication services while recording First Notice Of Loss (FNOL) claims. This program is specifically for FNOL team members and offers high-performers an opportunity to earn more per month, in addition to

Claims Adjuster Bodily Injury - Union City, NJ Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily Injury Physical Injury Litigation _. CONSIDERED EXPERIENCE INCLUDES: Insurance Claims Adjuster Claims Representative Insurance Bodily Injury Claims Auto Bodily In

Auto Claims Representative | Pip | Remote. To analyze and process low to mid-level auto and transportation claims. Processes auto property damage regarding PIP and lower level injury claims; assesses damage, makes payments, and ensures claim files are properly documented and correctly coded based on

This position is responsible for the accurate and timely response to Behavioral Health claim inquiries received from external entities and internal MetroPlusHealth departments. P&P's, job aids & desk level procedures, reconsideration/appeals procedures, state mandates, CMS/Medicare/Medicaid/OMH guid

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job DescriptionGlobe seeks an entry-level insurance representative to join its team. Responsibilities: • Reach out to the provided leads and cultivate relationships with potential customers, • Schedule meetings with these individuals via Zoom, • Sell various types of insurance policies to new and existing clients, • Provide attentive customer service and any necessary administrative support in response to members' needs, • Explain policy details, coverage, and benefits to clients, • Process policy renewals, updates, • Ensure that all documentation is accurate and complete, and perform any necessary updates on schedule, • Assist customers with claims processes and inquiries, • Comprehensive paid training program, • Company stock options, • Weekly pay with a competitive commission structure and monthly bonuses averaging $65,000 to $68,500, • Health insurance, retirement plans, and other employee benefits, • Ongoing training and professional development opportunities, • Opportunities for career advancement within the company, • High school diploma or equivalent, • Ability to obtain required insurance licenses within the specified timeframe, • Excellent communication and customer service skills, • Strong attention to detail and organizational skills, • Ability to work independently and as part of a team, • Ability to work remotely

Job DescriptionThe Garden State State Division of Globe seeks an entry-level insurance representative to join its team. Responsibilities: • Reach out to the provided leads and cultivate relationships with potential customers, • Schedule meetings with these individuals via Zoom, • Sell various types of insurance policies to new and existing clients, • Provide attentive customer service and any necessary administrative support in response to members' needs, • Explain policy details, coverage, and benefits to clients, • Process policy renewals, updates, • Ensure that all documentation is accurate and complete, and perform any necessary updates on schedule, • Assist customers with claims processes and inquiries, • Comprehensive paid training program, • Company stock options, • Commission-based pay and weekly bonuses averaging $65,000 to $68,500 annually, • Health insurance, retirement plans, and other employee benefits, • Ongoing training and professional development opportunities, • Opportunities for career advancement within the company, • High school diploma or equivalent, • Ability to obtain required insurance licenses within the specified timeframe, • Excellent communication and customer service skills, • Strong attention to detail and organizational skills, • Ability to work independently and as part of a team, • Ability to work remotely

Job Description As a Customer Care Representative, you will interact directly with patients, assisting them with their medical equipment needs, processing orders, verifying insurance, and providing general administrative support. You will play an essential role in ensuring patients receive the right equipment on time while maintaining excellent customer service and a high level of professionalism. Wage: Competitive and negotiable, based on experience Key Responsibilities: * Patient Interaction & Front Desk Support: Greet and assist patients in a friendly, professional manner, both in person and over the phone. Address patient inquiries regarding product availability, insurance coverage, and order status. * Patient Registration & Information Collection: Collect and verify required patient information, including insurance details, medical history, and prescription information to ensure compliance with all Medicare/Medicaid requirements. * Medicare/Medicaid Verification & Authorization: Verify patient insurance coverage and eligibility through Medicare/Medicaid portals. Assist with obtaining prior authorizations as needed to ensure patient coverage for durable medical equipment. * Order Processing & Coordination: Assist patients in selecting appropriate medical equipment, process orders, and coordinate delivery schedules. Ensure all required paperwork is completed accurately and promptly. * Insurance & Billing Support: Work closely with the billing department to ensure accurate submission of claims, following up on any rejected or unpaid claims. Ensure all billing information aligns with Medicare/Medicaid regulations. * Patient Education: Provide clear instructions to patients on the proper use and care of their medical equipment. Address any concerns regarding warranties, returns, or troubleshooting of equipment. * Problem Resolution: Proactively address any patient concerns or issues regarding products, billing, insurance, or service delivery, and escalate matters to the appropriate department if necessary. * Documentation & Record Keeping: Maintain accurate, up-to-date patient records, ensuring all information is in compliance with HIPAA and other regulatory requirements. Document all interactions and updates in the patient management system. * Collaboration with Internal Teams: Collaborate with sales, billing, and delivery teams to ensure smooth communication and fulfillment of patient needs. Qualifications: * Experience: • Experience working with Medicare/Medicaid policies, billing procedures, and insurance verification is strongly preferred. Education: • High School diploma or equivalent; Associate's or Bachelor’s degree in healthcare administration or a related field is a plus. Knowledge & Skills: • Knowledge of Medicare/Medicaid billing and coverage policies, specifically related to Durable Medical Equipment (DME)., • Familiarity with DME products, healthcare regulations, and compliance standards., • Ability to manage patient inquiries efficiently and with a high level of empathy and professionalism., • Proficient in using office software (Microsoft Office Suite) and Electronic Health Records (EHR) systems., • Strong verbal and written communication skills, with the ability to clearly explain complex healthcare processes to patients. Customer Service Focus: • A patient-centered approach with a strong ability to handle sensitive situations with compassion and professionalism., • Excellent organizational and multitasking skills with a keen eye for detail. Problem-Solving Abilities: • Capable of resolving patient issues and concerns quickly and effectively while maintaining a positive experience.

Job DescriptionOVERVIEW: The Resident Relocation Coordinator is a key member of the Relocation team. The Resident Relocation Coordinator is responsible for overseeing the daily relocation tasks required at multiple sites while working closely with residents to prepare and assist them with all required relocation activities. The position involves regular communication with clients, managing third-party vendors, including cleaners, moving and pest control companies, and data collection and tracking. A positive attitude and a solutions-based approach are expected when providing relocation services to clients and residents. The Resident Relocation Coordinator represents HOU at company events and helps move our mission and reputation forward. Must be able to work Tuesday-Saturday. RESPONSIBILITIES ●Conduct site setup activities, including the arrangement of office, relocation files organization, identification of vendors, and off-site relocation units. ●Participate in surveying residents to understand their relocation needs and relocation preferences. ●As part of the assessment process, take an inventory of tenant belongings and furniture, taking note of large furniture, infestation, clutter, and hoarding issues. ●Participate in and facilitate resident and community meetings and drop-in sessions to discuss the relocation process and resident relocation rights and benefits. ●Prepare and distribute appropriate notices to affected households regarding the relocation program and ensure proof of resident receipt for notices are received and on file as required. ●Provide relocation counseling and assistance in compliance with applicable Federal, State, or local regulations. ●Implement relocation policies as outlined in the approved relocation plan. ●Serve as a liaison between HOU, property management, clients, and residents. ●Provide weekly and monthly reports to clients, the project manager, and the development team. ●Regularly update and maintain relocation files, database, lottery list, and relocation tracking reports. ●Create an agenda for weekly relocation meetings, take minutes of each meeting, and distribute them to the team within 48 hours of the meeting. ●Conduct pre-inspection of units to ensure they meet decent, safe, and sanitary requirements before offering them as a comparable relocation unit. ●Notify residents of the move-in date and provide ongoing contact and support to ensure they are prepared to move. ●Check-in with residents at least 30 days before moving and follow up weekly three weeks before the moving date. Conduct final check-in 72, 48, and 24 hours before the moving date. ●If needed, provide packing supplies, tips, demonstrations, and assistance. ●Assist with utility disconnection and reconnection and completion of the change of address forms (if applicable) for households needing assistance. ●Schedule, coordinate and supervise moves and other move-related tasks, including pest inspection and unit turnover as needed. ●Work closely with construction, property management, development, and moving contractors to ensure residents vacate their units per the relocation schedule, surrender keys to the property management, and units are properly secured. ●Implement procedures for minimizing resident property damage, including inventorying furniture and taking photos or video, and serve as the initial point of contact regarding resident claims of damage or loss. In the event of property damage or missing belongings, serve as a liaison between the resident and moving company to facilitate timely resolution of the claim. ●Interface with residents' families, friends, or social services providers to ensure seamless delivery of services and address relocation challenges. ●Serve as an HOU representative to local, state, federal, housing agencies, and community groups. ●Participate in weekly supervision and scheduled site meetings with the Project Manager/Assistant Project Manager. ●Ensure relocation files contain required documentation and the data-tracking system is updated regularly. ●Complete all tasks identified in the site work plan and perform other duties as assigned. QUALIFICATIONS ●Bachelor's Degree is preferred. ●Experience in relocation services, social services, customer service, or other similar fields preferred. ●Provide verbal interpretation and written translations if the resident population requires communication in specific languages. ●Must have excellent customer service, interpersonal, verbal, and written communication skills. ●Able to work with diverse populations and communicate effectively with numerous stakeholder groups, including staff, clients, and residents. ●Must be able to multitask and prioritize responsibilities and work under strict time constraints on various projects. ●Ability to lift up to 20 lbs, work in adverse weather conditions, and stand for extended periods of time. ●Must be able to walk up to 4 miles per day and ascend up to four flights of stairs at a time. ●Self-directed and able to work independently. ●Have a propensity to learn and take on more tasks or responsibilities. ●Knowledge of Microsoft Office and Google Suite as well as database applications. ●Be a creative problem-solver. ●Excellent organizational skills. ●Must be able to pass a pre-employment criminal background screen. The ideal Resident Relocation Coordinator will possess the following additional skills: -A high degree of empathy. -Organized and detail-oriented with the ability to prioritize multiple requests. -Flexibility and adaptability as challenging situations arise. -Ability to maintain a calm atmosphere under pressure and stressful situations. -Willingness to learn and receive feedback. -Diversity and cultural competency are highly valued. HOU offers a competitive salary and a comprehensive benefits package, including health, health reimbursement account (HRA), FSA, life, vision, dental, disability insurance, professional development support, paid time off and sick leave, and a 401K retirement plan. EEO Statement: We are an equal opportunity employer and equal opportunity housing provider. We do not discriminate on the basis of race, color, religion, sex, disability, familial status, or national origin. • Must be able to pass employment criminal background screening

Job DescriptionDescription: Join our respected medical practice as our Billing & Collections Representative, where your exceptional attention to detail and revenue cycle expertise will ensure our financial health while providing patients with clear financial guidance. We're seeking an experienced professional who can masterfully navigate insurance claims, patient accounts, and collection processes while maintaining the highest standards of accuracy and compliance. If you thrive in a collaborative healthcare environment and take pride in resolving complex billing challenges with both efficiency and empathy, we offer competitive compensation, professional growth, and the satisfaction of being an essential member of our patient-centered team. Charge Entry • Reprocesses all paper and electronic claims for assigned carriers when required — verifies completeness of insurance claim information before sending, • Reviews edit reports from clearinghouse daily and resolves issues so claims can be processed, • Using data from the monthly aged accounts receivable report, calls payors or looks up claims status online to inquire about unpaid insurance claims that are 45 days old; records response or activity in the computer system "notes", • Makes necessary arrangements for medical records requests, completion of additional paperwork, etc., if payors request this information prior to payment of claims, • Responds to written and telephone inquiries from patients and insurance companies; manages relationships with personnel from assigned carriers, • Meets with Billing Manager regularly to discuss and solve reimbursement and insurance follow up problems, • Calls carriers to appeal payments that do not match contractual agreement; notifies Billing Manager of payors for which this is a consistent problem; works with Billing Manager and physicians to obtain appeal language for denials and/or unacceptable payment, • Processes requests for insurance refunds, and submits to Billing Manager for approval, • Establishes payment plans within approved guidelines—obtains approval from the Billing Manager when necessary, • Resubmits insurance claims on behalf of patients, if necessary, • Recommends to Billing Manager those accounts needing to go to an outside collection agency and sends out collection letters, • Prints and mails itemized statements to those patients who request them, or transmits claims to outside mailing house for processing, • Processes requests for patient refunds, and submits to Billing Manager for approval, • Posts adjustments, withholds, as part of this process, and transfers deductibles and coinsurance to patient responsibility; batches them according to protocol, • Alerts Billing Manager when payments do not match contractual amounts; looks for underpayments and silent PPOs, • Submits balanced payment batches to the Billing Manager daily, • Ensure all medical information for patient is accurate, updating when necessary, • Check patient eligibility and benefit verification; update account if discrepancies, • Ensures that all faxes are cleared off the machine (or routed in the system) and distributed throughout the day, • Sorts incoming reports and directs to appropriate person if not addressed properly, • Maintains detailed knowledge of practice management and other computer software as it relates to job functions, • Maintains and respect the confidentiality of patient information in accordance with company policy & procedure, and HIPAA & compliance guidelines, • Attends regular staff meetings and continuing education sessions as requested, • Presents professional image in manner, appearance, motivation and work habits, • Regular attendance is required, • Academic/Technical Qualifications, • Minimum of 18 months experience in a physician group practice billing department, • Familiar with CPT and ICD-10-CM coding for orthopedic, podiatry & pain management surgery procedures, • Good analytical skills and an affinity for detail, • Knowledge of HIPPA & OSHA guidelines, • Working knowledge of medical practice management systems and electronic medical records, • Excellent verbal, written, and interpersonal skills, • Ability to work well with physicians, employees, patients, and others, • A committed and result-driven attitude to work as a high ethical and professional standard, • Unquestionable commitment to confidentiality, quality customer service and professionalism OrthoNJ, LLC is required by New Jersey law to include the salary range for this role. The hourly hiring range for this role is $18-$29. The range for this role is typically determined by several factors, including the geography in which the selected candidate will be working, and alignment with qualifications and experience. Certain roles may also be eligible for additional compensation (bonus, etc) and/or benefits. In addition, full-time employees are eligible for standard benefits package including paid time off, medical, dental, vison and retirement plan.

Job Description Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, 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. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Company DescriptionBuilding Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19ABuilding Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. \r\n\r\nFor 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. \r\n\r\nPlease take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A

Job Description ACCOUNTS RECEIVABLE REPRESENTATIVE (Ophthalmology/Healthcare) Full Time / Onsite (Garden City, NY) WHO WE’RE LOOKING FOR Spectrum Vision Partners (“SVP”) and OCLI Vision (“OCLI”) work together to provide world class eye care to our patients to improve lives. SVP, the management services team, supports OCLI vision, one of the largest multi-specialty ophthalmology networks in the U.S. Our unique model and collaborative culture differentiate us in the marketplace and in our service to our patients. We build our culture one hire at a time, and we focus on building great teams and keeping our employees happy. We promote from within and offer fantastic benefits and PTO! THE OPPORTUNITY AT HAND We’re looking for enthusiastic and detail-oriented people to join our team as Accounts Receivable Representatives. Our Accounts Receivable Representatives are responsible for accurately and efficiently following up on billed claims to insurance. As an Accounts Receivable Representative, you will use your strong communication and problem-solving skills to manage patient accounts and ensure timely billing and collections. Your attention to detail will be crucial in maintaining accurate records of patient billing and collections. You will collaborate with other departments to ensure efficient and effective billing and collections processes, as well as, adhere to all relevant regulations and policies related to patient billing and collections. Additionally, your experience with electronic medical records (EMR) systems and knowledge of relevant regulations and insurance policies will be beneficial in this role. OUR EXPECTATIONS OF YOU • Review and manage patient accounts to ensure timely billing and collections, • Partner with insurance companies to resolve any billing/insurance related issues or concerns, • Maintain accurate documentation of collections efforts, • Collaborate with other departments to ensure efficient and effective billing and collections processes, • Adhere to all relevant regulations and policies related to patient billing, insurance and collections WHAT YOU’LL NEED TO SUCCEED • You are an independent and critical thinker, • You have strong problem-solving skills and are extremely detail oriented, • You have strong communication skills – both verbal and written, • You work well independently and as part of a team, • You have a positive, can-do attitude and work well in collaborative environments, • You’re flexible – you roll with the punches and easily accept change, • You have 1-3 years of experience working in an Accounts Receivable position within a healthcare environment, • Ophthalmology and Ambulatory Surgery billing experienced preferred, • You possess a strong understanding of insurance reimbursement and what it takes to follow up on a claim, • You have experience with and are comfortable using Microsoft Excel and Word, • EMR Experience required, NextGen experience preferred WHO WE ARE Our globally recognized healthcare team is comprised of some of the top minds in ocular medicine. Our senior management team has a combined 200 years of eye industry experience collaborating with some of the most recognized practices in the nation. While our providers have the expertise to diagnose and treat complex ocular, oculoplastic, and retinal conditions, we’re also uniquely qualified to provide care for our patients from childhood though adulthood. We build relationships with our patients that last a lifetime With nearly 1,400 employees, we support over 50 clinic locations, five state-licensed ambulatory surgery centers, and over 110 surgeons, doctors, and other medical professionals. Our brands include OCLI Vision, Island Eye Surgi-center, New Vision Cataract Center, AIO, and others. At Spectrum Vision Partners we know that cultivating diversity and fostering an inclusive work environment is critical to our impact and success. We create an environment where no individual is advantaged or disadvantaged because of their background. We offer equal opportunity employment regardless of race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability status, age, marital status, or protected veteran status. With a commitment to maintaining a bias-free environment in which harassment is prohibited, we respect cultural diversity and comply with the laws of the places in which we operate. We expect our business partners, suppliers, clients, and all of our team members to uphold these commitments.

Job Description Job Title: Member Services Representative (Benefits Specialist) Department: Member Services The 32BJ Benefit Funds is growing, and we’re currently seeking mission-driven Benefit Specialists (Member Services Representatives) to join our team. We offer: • Competitive Salary coupled with a great work/life balance, • Prime Location - Flatiron District in Manhattan (NYC), • Comprehensive Health Package including medical, dental & vision coverage with no employee contribution to the premium for a family plan, • Pension Benefit that includes monthly employer contributions, • Retirement Benefit that includes 3% 401K employer contributions, • Professional Coverage/Reimbursement includes Tuition Reimbursement Program, • Paid Time Off including vacation, personal, and sick days, • Federal Paid Holidays – Up to 11 days off with pay, • And more... FLSA Status: Non-Exempt (Eligible for OT per business needs) Work Hours: 35 Total (Available shifts Monday-Friday 8:30am-6:00pm) About Us: Building Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A Position Summary: After extensive paid training and under the supervision of the Member Services Call Center or Welcome Center Supervisor and MSR 2/3 Team, works as a Benefits Specialist for the Member Services Call Center or Welcome Center to assist participants with information for all the benefits offered by the Fund. Essential Duties and Responsibilities: • Collecting and analyzing data/information to resolve a problem in real time, at high volume standards., • Provide customer service to participants to resolve eligibility or Fund benefit issues., • Displayed proficiency in all processing systems: eligibility process, Health benefits and system, COOL/V3/DYNAMICS system, CRM/WF and vendor systems, • Displayed proficiency in all Funds (Health, Pension, Legal, SRSP, Shortman)., • Handling of inquiries through vendors, Medical, Optical, Pharmacy, Dental and Employee Assistance., • Follow workflows to resolve participant questions., • Representatives analyze and interpret customer phone and written correspondence., • Ongoing management of own inventory of work accumulated through Participant interactions/inquiries. These inquiries will involve customer complaints or inquiries on eligibility, enrollment, benefits and claims, and Pension related issues., • Operating computers with multiple information screens to research and resolve customer inquiries on line., • Representatives ensure that all processing meets or exceeds MSR Quality measurement objective and performance standards, including, but not limited to, handling and documentation., • Ability to effectively communicate to Participants., • Perform any other relevant, related or pertinent work or duties as requested or assigned. Qualifications: To perform the job satisfactorily, 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. As well, the candidate must be free of any disciplinary actions. Technical Skills: • Strong computer skills., • Detailed knowledge of benefits as displayed in training and determined through subject matter exams utilizing OneView, vendor systems, COOL/V3/DYNAMICS and CRM processing system., • Ability to prioritize work and meet deadlines., • A demonstrated capability to manipulate and use multiple software programs and macros simultaneously including Excel, Microsoft Word, Windows and Outlook applications., • Strong analytical, problem solving and decision-making skills., • Excellent organizational and prioritizing skills., • Strong ability to multitask., • Various work schedules available. Interpersonal Skills: • Strong oral and written interpersonal skills., • Demonstrated customer service orientation., • Ability to effectively operate in fast-paced work environment., • Excellent listening skills., • Detail oriented with excellent organization and communication skills., • Experience working directly with customers. Education and/or Experience: High School diploma, some college preferred; Health Care, Employee Benefits and/or Customer Service experience are strongly preferred. Bilingual Language Skills: Fluent in multiple languages is a plus, but not required. Reasoning Ability: Above average. Certificates, Licenses, Registrations: None Company DescriptionBuilding Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. For 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. Please take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19ABuilding Services 32BJ Benefit Funds (“the Funds”) is the umbrella organization responsible for administering Health, Pension, Retirement Savings, Training, and Legal Services benefits to over 100,000 SEIU 32BJ members. Our mission is to make significant contributions to the lives of our members by providing high quality benefits and services. Through our commitment, we embody five core values: Flexibility, Initiative, Respect, Sustainability, and Teamwork (FIRST). By following our core values, employees are open to different and new ways of doing things, take active steps to improve the organization, create an environment of trust and respect, approach their work with the intent of a positive outcome, and work collaboratively with colleagues. \r\n\r\nFor 2023 and beyond, 32BJ Benefit Funds will continue to drive innovation, equity, and technology insights to further help the lives of our hard-working members and their families. We use cutting edge technology such as: M365, Dynamics 365 CRM, Dynamics 365 F&O, Azure, AWS, SQL, Snowflake, QlikView, and more. Through this technology investment, we have gathered and analyzed thousands of data insights to influence health insurance legislation and propose new health policy. Our efforts have galvanized many leaders and the consensus is there is plenty more work to be done. \r\n\r\nPlease take a moment to watch our video to learn more about our culture and contributions to our members: youtu.be/hYNdMGLn19A

Job Description Liability Claims Adjuster III - Must have Medical Malpractice Claims Experience Remote Worker – New York Description Summary: This is a dynamic claims and account management position. In accordance with applicable statutes and in keeping with company rules, regulations, client guidelines and established performance objectives, this role is responsible for effectively managing to conclusion an assigned inventory of medical professional and general liability claim files that may include cases of extreme complexity or with unique or unusual issues. This position is multifaceted and includes the following primary areas of focus: Culture – Every member of the Intercare team is responsible for nurturing and promoting a healthy culture. Our culture is the most important element of our success. Intercare’s culture is defined by our Core Values: • INTEGRITY: Reinforces our commitment to transparency, • COLLABORATION: Strengthens our passion for customer service, • ACCOUNTABILITY: Supports our actions, • RESPECT: Inspires us to do the right thing, • EXCELLENCE: Drives our outcomes Claims Management – This teammate will be directly responsible for claim and account management. Expectations regarding claim and account management are best described by our mission: Mission: To be the leading third-party administrator offering professional and technological resources through proactive and aggressive claims, risk and managed care solutions in support of our clients’ objectives. Innovative processes and state-of-the-art technology support our people. Exceptional individuals provide the human element needed to deliver excellent service and drive excellent outcomes. Quality – The leader works closely with every member of the Intercare team to carry out our vision to promote growth: Vision: To be recognized as the most trusted and innovative partner in providing Claims and Managed Care solutions that are tailored to the specific needs of our clients. Essential Duties and Responsibilities: • Maintain a culture of positivity, respect, supportiveness, collaboration, patience, accountability and excellence., • Assist with team building ideas and events., • Lead by example and through service., • Develop and maintain strong and collaborative client relationships., • Establish prompt contact on all new losses within 24 hours of receipt of the claim, including the insured, claimant, or claimant representative, to document relevant facts surrounding the incident and obtain information relevant to analysis of liability and damages., • Thoroughly and accurately evaluate coverage on a timely basis, document coverage analysis, identify coverage issues and draft appropriate coverage letters., • Thoroughly and accurately investigate all claims and document ongoing case facts and relevant information necessary for establishing liability and damages. Perform and document ongoing analysis and evaluation and what is being done to move the case toward closure., • Litigation management – Direct, manage and control the litigation process for nationwide programs., • Assure that all assigned claims are maintained on an active 30–45-day diary and have an up-to-date plan of action outlining activities and actions anticipated for ultimately resolving the claim., • Obtain consultant and/or expert reviews for early evaluation., • Aggressively pursue contribution on multiple defendant cases or where provided by employment or independent contractor agreements and apportionment when there is shared liability., • Assure that the claim file is handled in accordance with applicable statutes, in-force service contracts and company guidelines., • Establish, monitor and adjust claim reserves in strict accordance with assigned authority levels and client claim-handling instructions., • Exhibit and maintain a courteous and helpful attitude and project a professional image on behalf of the company and client., • Respond to telephone messages and inquiries within 24 hours of receipt and to written inquiries within one week of receipt., • Travel for mediations, trials, client meetings and/or industry-related conferences., • Requires a working knowledge of medical terminology and various jurisdictional issues., • Handle other duties and tasks as deemed appropriate by the Supervisor or Manager. Competency: To perform the job successfully, an individual should demonstrate the following: • An open mind, eagerness to learn, positive attitude and healthy curiosity., • Strong communication skills, including being open and respectful of everyone, regardless of their position or role., • Flexibility and the ability to adapt to change quickly, including switching efficiently between program needs and personalities multiple times throughout the day., • Problem solving, change and conflict management, including developing workable implementation plans and recommendations, communicating changes effectively, building commitment, overcoming resistance and supporting those affected., • Leadership by example and service, including instilling confidence in yourself and others, inspiring and motivating others to perform well ethically, positively influencing others, inspiring respect and trust, accepting and growing from feedback, providing vision and inspiration, recognizing others appropriately, displaying passion and optimism, and mobilizing others to fulfill the vision., • Exceptional customer service, always going above and beyond, searching for ways to expand services, soliciting client feedback, promptly responding to requests and ensuring compliance with client contracts and service instructions., • Strong business acumen, being well spoken, poised, presenting with balanced confidence and humility, taking initiative, sparking innovation, understanding business implications, displaying profitability orientation, knowing the market and aligning work with strategic goals., • Discipline in all aspects of the position with a focus on accuracy, thoroughness and continuous improvement., • Project management skills, including developing plans, coordinating projects, staying on task, communicating changes and completing projects on time and within budget. Qualification Requirements: To perform this job successfully, an individual must, at a minimum, be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: JD and/or RN preferred. Bachelor’s degree from a four-year college or university; at least seven years of related experience and/or training; or an equivalent combination of education and experience. Requires a high degree of claims handling expertise, including at least five years managing medical professional liability cases, many with complex litigation or high potential value. Language Skills: Ability to read, analyze and interpret insurance policies, statutes, legal opinions, business periodicals, professional journals, technical procedures and governmental regulations. Ability to write complex coverage letters, reports, business correspondence, procedure manuals and correspondence to clients, colleagues and industry peers. Ability to effectively present information verbally and in writing and respond to questions from groups of managers, clients, customers and the general public. Fluent spoken and written English is required. Math Skills: Ability to add, subtract, multiply and divide in all units of measure using whole numbers, common fractions and decimals. Ability to compute rate, ratio and percent and to draw and interpret bar graphs. Reasoning Ability: Requires strong problem-solving and analytical skills. Ability to apply common-sense understanding to carry out instructions in written, oral or diagram form, and to deal with problems involving several concrete variables in standardized situations. Computer Skills: Proficiency in Word, Excel, Outlook, PowerPoint, RMIS software, RingCentral, Zoom, TEAMS, WebEx, GoToMeeting and other tele-video conferencing software and apps. Certificates and Licenses: JD and/or RN licensure preferred. Appropriate jurisdictional adjuster license required. Physical Demands: The physical demands described here are representative of those that must be met to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. • Regularly required to sit., • Frequently required to use hands to finger, handle, feel, type, collate, file or lift., • Required to stand and walk., • Some lifting may exceed 10 pounds, such as luggage, collateral materials or claim files., • Required to travel by vehicle, airplane, subway and train., • Required to spend nights in hotels for out-of-town travel. Work Environment: The work environment characteristics described here are representative of those encountered while performing essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform these functions. The noise level in the work environment is usually moderate. Powered by JazzHR Y6K6AKL0wK

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job Description Insurance Customer Service Representative (CSR) Bay Agency Insurance is looking for a motivated and detail-oriented Insurance Customer Service Representative (CSR) to join our growing team! As a CSR, you'll be the first point of contact for our clients, providing top-notch service and helping them navigate their insurance needs. If you have a passion for helping people and excellent communication skills, we want to hear from you. This is a Hybrid work from position where you will be required to be in the office 2 days per week. What You'll Do: • Provide exceptional customer service by answering client inquiries via phone, email, and in-person., • Assist clients with policy questions, billing issues, claims status, and policy changes., • Educate clients on their existing coverage and identify opportunities to cross-sell or up-sell additional products., • Process policy endorsements, renewals, and new business applications accurately., • Maintain meticulous client records in our agency management system in AMS 360, • Collaborate with agents and insurance carriers to resolve complex issues and ensure client satisfaction., • Prior experience in a customer service or insurance role is a plus., • A Property & Casualty (P&C) license is required, • Excellent communication skills, both written and verbal., • Strong problem-solving abilities and attention to detail., • Proficiency with Microsoft Office Suite and the ability to learn new software systems quickly., • A positive attitude and the ability to work in a fast-paced environment. We believe in a supportive and collaborative work environment where your contributions are valued. We offer competitive pay, opportunities for professional development, and a chance to build a meaningful career in a stable industry. Join our team and help us provide the best insurance solutions to our community! Company DescriptionBay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.Bay Agency Insurance Group is an independent agency located in Rumson, New Jersey. Through the years, Bay Agency's knowledgeable agents and service representatives have offered unsurpassed personal service to each and every one of it's clients.

Job DescriptionGlobe seeks an entry-level insurance representative to join its team. Responsibilities: • Reach out to the provided leads and cultivate relationships with potential customers, • Schedule meetings with these individuals via Zoom, • Sell various types of insurance policies to new and existing clients, • Provide attentive customer service and any necessary administrative support in response to members' needs, • Explain policy details, coverage, and benefits to clients, • Process policy renewals, updates, • Ensure that all documentation is accurate and complete, and perform any necessary updates on schedule, • Assist customers with claims processes and inquiries, • Comprehensive paid training program, • Company stock options, • Weekly pay with a competitive commission structure and monthly bonuses averaging $65,000 to $68,500, • Health insurance, retirement plans, and other employee benefits, • Ongoing training and professional development opportunities, • Opportunities for career advancement within the company, • High school diploma or equivalent, • Ability to obtain required insurance licenses within the specified timeframe, • Excellent communication and customer service skills, • Strong attention to detail and organizational skills, • Ability to work independently and as part of a team, • Ability to work remotely

Job Description Workers' Compensation Claims Specialist JOB DESCRIPTION • Review of industry workers compensation claims and determine compensability, • File all required workers compensation forms timely, • Oversee medical management and investigations of claims, • Calculate payroll and compensation payment based on set guidelines, • Serve as liaison and interface with Comp nurse and claimant as part of the review process, • Assign cases for investigations and review progress, • Prepare workers compensation claim for long-term disability, • Ability to evaluate the degree of disability and scheduled loss value, • Maintains professional relationship with all appropriate parties involved with the claim., • Refers cases as appropriate to management., • Actively executes appropriate claims activities to ensure consistent delivery of quality claims service., • Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution, • Analyzes and processes workers’ compensation claims by investigating and gathering information to determine the exposure on the claim, • Communicate with company representative regarding claims management., • A four-year college degree preferred., • A minimum of 3 years of experience as workers’ compensation examiner required, • Extensive knowledge of NYS Disability and Worker’s Compensation laws, • Excellent interpersonal, organizational, and communication skills, • Working knowledge of Microsoft Word & Excel, • Must be able to work independently and collectively, • Familiarity with claim reserve, • Must possess the ability to make sound judgment

Job DescriptionJOB DESCRIPTION • Review of industry workers compensation claims and determine compensability, • File all required workers compensation forms timely, • Oversee medical management and investigations of claims, • Calculate payroll and compensation payment based on set guidelines, • Serve as liaison and interface with Comp nurse and claimant as part of the review process, • Assign cases for investigations and review progress, • Prepare workers compensation claim for long-term disability, • Ability to evaluate the degree of disability and scheduled loss value, • Maintains professional relationship with all appropriate parties involved with the claim., • Refers cases as appropriate to management., • Actively executes appropriate claims activities to ensure consistent delivery of quality claims service., • Develops and manages claims through well-developed action plans; continues to work the action plan to bring the claim to an appropriate and timely resolution, • Analyzes and processes workers' compensation claims by investigating and gathering information to determine the exposure on the claim, • Communicate with company representative regarding claims management., • A four-year college degree preferred., • A minimum of 3 years of experience as workers' compensation examiner required, • Extensive knowledge of NYS Disability and Worker's Compensation laws, • Excellent interpersonal, organizational, and communication skills, • Working knowledge of Microsoft Word & Excel, • Must be able to work independently and collectively, • Familiarity with claim reserve, • Must possess the ability to make sound judgment

Job Description About the Role: The Pre-Certification and Authorization Rep is responsible for performing all insurance precertification and authorization requirements for patients scheduled for services in an Orthopedic practice. This includes validating demographic information and insurance eligibility coverage to ensure financial clearance and that services are cleared to be performed prior to the date of service. • Verify patient’s insurance benefits for all in-office procedures, treatments, including HA injections, MRI, EMG’s, and Surgical procedures, • Notifies insurance companies of services being rendered, and obtains any necessary authorizations, ensuring notification and verification is complete for each order., • Obtains and verifies any necessary additional demographic and/or billing information., • Actively obtains authorization for referrals same day as ordered by physicians., • Coordinate with provider’s offices and medical staff to ensure all necessary documentation is obtained for purposes of pursuing a successful authorization approval., • Accurately records all actions, interactions, and authorizations surrounding the insurance process for each patient into the Electronic Medical Record (EMR) system, • Researching and appealing denied authorization, including setting up Peer to peer calls and Appeals, • Provides quality customer service to all patients promptly and have professional communication., • Additional experience in WC/No Fault claims., • Work as a team member within the patient services department and all other departments., • Must be able to recognize and respond appropriately to urgent/emergent situations., • Establish and maintain effective working relationships., • Effectively cope with typical job stress., • Document work processes as required, • Education, Certification, Computer and Training Requirements, • High school graduate/GED required, • 1–2-year experience required, • Ability to communicate in English, both Orally and in writing required, • Accurate computer data entry skills required, • Knowledge of CPT and ICD-10 coding, • Knowledge of medical office and terminology preferred, • Experience with standard office equipment (Phone, fax, copy machine, scanner, email/voice mail) preferred, • Experience with standard office technology in a Window based environment preferred., • Review and process pre-authorization requests for medical services and procedures., • Communicate with healthcare providers to obtain necessary documentation and information., • Interact with insurance companies to verify coverage and obtain approvals., • Maintain accurate records of all pre-authorization requests and their outcomes. The required skills for this role include strong communication abilities, which are essential for effectively liaising with healthcare providers and insurance representatives. Attention to detail is crucial, as the representative must accurately gather and document information to ensure successful pre-authorization. Organizational skills are also important, as the representative will manage multiple requests simultaneously and must prioritize tasks efficiently. Preferred skills, such as familiarity with EHR systems, enhance the representative's ability to access and input patient information quickly. Overall, a combination of these skills enables the Pre Authorization Representative to streamline the pre-authorization process and improve patient care outcomes.

Job Description Manager, Payroll From our origins in New York in 2002, rag & bone was founded on a belief of uncompromising ideals: a commitment to doing things the right way, not the easy way. To making things that are as original as they are timeless. To being true to ourselves, even when that truth sets us apart from the mainstream. We still believe in the same principles we started with: the easy elegance of classic British tailoring, the authenticity of American workwear, and the originality of our home city, New York. As New Yorkers, community and authenticity have become synonymous with our brand. An inclusive environment at rag & bone upholds our original values by encouraging employee connection and empowering each individual to have a voice on policy, process, and collaboration for a more equitable future. Payroll Responsibilities: • Ability to autonomously perform the day-to-day payroll operations for 500+ employees spanning hourly, salaried, exempt, non-exempt on a weekly and bi-weekly basis accurately and on time., • Resolve all payroll discrepancies, process adjustments, and answer employee inquiries, • Responsible for the administration of garnishments, 401K loans, and other voluntary and involuntary deductions, • Lead year-end close procedures including the reconciliation of W-2s/W3 and year-end tax filings, • Identifies opportunities to automate current processes and implement effective controls to drive efficiency and streamline the payroll process, • Assist in analyzing people data and provide metrics on payroll, HR, time, and benefits using both Microsoft Excel and the ADP Workforce Now Analytics module, • Ensure compliance with federal, state, and local wage and hour laws and tax regulations., • Maintain payroll records and ensure data integrity within HRIS/payroll systems., • Implement system updates in order to remain complaint in payroll processes across the US and UK., • Serve as the point of contact for employee payroll inquires, resolving issues with professionalism and confidentiality., • Educate employees and manager on payroll policies and timelines., • Collaborate with Finance and Accounting on compensation changes, bonus payouts, and other payroll changes., • Respond to government audits, unemployment claims, and other noticeRequirements:, • ADP Workforce Now knowledge a must, • Strong functional payroll knowledge and a minimum of 3 years’ experience processing payroll on own, • Knowledge of current Federal, State, and Local labor laws, tax requirement and payroll regulations, • Experience with multi-state payroll including California, additional global payroll experience is a plus, • Ability to analyze and interpret payroll data, • Strong verbal and written communication skills and the ability to work collaboratively across teams and vendors, • Ability to handle numerous priorities in a dynamic and growing environment, • Advanced excel skills including the ability to run pivot tables, use VLOOKUPs, COUNTIF, SUMIF, • Experience processing payroll on ADP Workforce Now required, • Bachelor’s degree a plus Rules we live by | Rules you live by • Be a Good Human - Be original, be authentic. Stand for diversity, equitability & inclusivity., • Have No Fear - Innovate, solve problems, • Own Every Decision - Work together, get results, • Quality Matters – Not only with product but we see it in our people, • Make Shit Happen - Be disciplined, be competitiveBenefits, • Paid Time Off, • Clothing Allowance, • Generous Employee Discount, • Paid Parental Leave, • Membership to Calm and access to other wellness benefits, • Medical, dental, vision and ancillary benefits Powered by JazzHR W0VskN7hCP

Job DescriptionWho We Are CleanCapital is a leading independent power producer focused on distributed clean energy, including middle-market solar and energy storage. The company develops, builds, owns, operates, and invests in clean energy assets across the U.S. Leveraging over a decade of clean energy expertise and over $1.5 billion in investments, CleanCapital has built a diverse portfolio of operating assets and a growing project pipeline. By combining institutional capital with in-house expertise and regional development partnerships, CleanCapital delivers economically sound projects that drive more clean megawatts to the grid, solidifying energy dominance in the U.S. Location of Position If the candidate is based in the NYC metropolitan area, there is an in-office requirement of a minimum of 2 days per week. Candidates located outside of the NYC metropolitan area will be fully remote, except for work-related travel. What We Offer • Opportunity to join a top-notch, collaborative team of professionals, • Fantastic team environment and collaborative culture, • Professional development opportunities to grow into an industry leader, • 100% paid for single and family benefits plus 401k matching program Position Summary The Technical Asset Manager will monitor and manage assigned distributed generation projects across the CleanCapital portfolio to ensure optimal generation performance of the company’s solar photovoltaic (PV) and battery energy storage systems. Overall responsibilities will include project reporting, performance data analysis, preventive and corrective maintenance programming and oversight, preparation of capital and O&M budgets and collaborating with the internal financial group to support reporting requirements. The Technical Asset Manager will work closely with and manage a number of outsourced Solar O&M providers to achieve overall portfolio performance goals. Core Responsibilities • Ensure solar and battery portfolio is performing at or above forecasted production., • Maximize the total returns for each asset through the analysis of system efficiency and identifying opportunities for improved performance., • Review performance reports and project specific performance data; Investigate issues and initiate actions to improve performance., • Develop and manage project budgets, models, contracts, and stakeholder and customer relations., • Work closely with numerous departments including Accounting / Financial Planning & Analysis (FP&A), outside service providers, o takers (contract counterparty or customers) and partners., • Review and analyze issues with current portfolio ensuring regulatory, interconnection and Health, Safety, Security and Environment compliance; Ensure assets are operated and managed consistent with CleanCapital HSSE Policy., • Assist Accounting in preparing investor reports, budgets for investors and lenders and resolve any issues or questions., • Collaborate with FP&A and Accounting to ensure accuracy of billing to customers and resolve issues if needed., • Review, track and approve expenses incurred by assets and their agents, including external and internal charges., • Manage relationships with stakeholders in solar projects e.g., property owners., • Provide timely work products to support management and reporting of operating assets., • Contribute to the development of policies and procedures to ensure all procedural, legislative and contract requirements are fulfilled., • Participate in the development of an asset compliance calendar. Where specified, manage and monitor compliance in all contracts and activities., • Identify, assess, and support execution of Asset Optimization initiatives by preparing cost/benefit analysis for each optimization initiative, considering the terms of the contracts associated with the asset, asset performance, engineering cost estimates and implementation schedules from the various subject matter experts. Ensure to flesh out the true value of each identified initiative and package into a commercial value proposition for review and approval by senior management., • Job description may evolve over time., • Occasional travel expected.Education Requirements, • Bachelor’s Degree required. Degree in engineering or any other technical field - additional education in finance or accounting preferredTechnical Skills and Experience, • 3+ years of experience required in the following areas:, • Energy storage and solar Operations, • Technical understanding and experience with solar generation and energy storage; Experience working with computerized DAS/SCADA/Monitoring systems, interconnection agreements and data management., • Negotiating contracts relating to Operations and Maintenance and corrective maintenance costs, warranty claims, etc., • Distributed generation solar PV and energy storage asset management – North America, • Managing a portfolio of energy storage solar sites, • Experience working in a high performing multi-disciplinary team., • Preferred experience with, but not required:, • PV and BESS operations and maintenance (O&M), • PV system repowerGreen field and/or brownfield development is an asset., • Budget preparation and management.Psychosocial Skills /Human Skills/Behavioral Skills, • Strong analytical, organizational, and problem-solving skills., • Entrepreneurial mindset with the ability to take ideas and run with them from concept to conclusion., • Technical understanding of clean energy business processes, • Exceptional verbal and writing communication skills with superiors, peers, partners, and other stakeholders., • Excellent interpersonal skills while managing multiple priorities in a fast-paced and ever-changing environment. Work Conditions If working remotely, your work environment is what you make of it, however CleanCapital encourages everyone to have a dedicated workspace that, for the most part, can be free of distractions. If working in one of our Corporate Offices, the work environment is usually quiet (normal city traffic noises are common), a blend of artificial and natural light, temperate and generally supports a collaborative work environment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Equal Employment Opportunity Statement CleanCapital provides equal employment opportunities to all employees and applicants in all company facilities without regard to race, color, religious creed, sex, national origin, ancestry, citizenship status, pregnancy, childbirth, physical disability, mental and/or intellectual disability, age, military status or status as a Vietnam-era or special disabled veteran, marital status, registered domestic partner or civil union status, gender (including sex stereotyping and gender identity or expression), medical condition (including, but not limited to, cancer related or HIV/AIDS related), genetic information, or sexual orientation in accordance with applicable federal, state and local laws. Powered by JazzHR WvNGLc6Iqj

Job Description Job Title: Orthodontic Treatment Plan Coordinator Department: Operations Reports To: Dental Practice Manager FLSA Status: Non-Exempt Company Overview ProSmile is one of the fastest-growing dental organizations, with a vast network of multi-specialty practices across New Jersey, Pennsylvania, Virginia, Michigan, Illinois, Wisconsin, Indiana, Washington D.C., and Maryland. Our practices are led by top-tier dentists who are committed to providing exceptional patient care while offering a supportive environment for dental professionals to thrive. We focus on delivering personalized, gentle care to our patients and creating a collaborative workplace with opportunities for mentorship, growth, and ongoing training. Position Summary Coordinating communications with patients and parents to ensure a commitment to dental treatment plans. Adept at establishing effective relationships between doctors staff members and patients. Committed to clearly presenting treatment options. Duties and Responsibilities The duties include, but are not limited to: • Provide patients and parents with detailed information on dental financing options., • Respond to all patient and parent inquiries in a timely courteous manner., • Follow up with missed appointment letters, • Provide patients with a thorough explanation of the orthodontic procedures., • Maintain strong relationships with all patients and dental staff., • Discuss follow-up procedures with patients, • Maintain inventory of dental supplies and reorder as necessary., • Convince patients to commit to follow-up treatments., • Address any billing and insurance issues in a timely manner., • Address patient concerns and grievances in a timely manner., • Greet patients and answer any immediate questions., • Contact patients with appointment reminders., • Verify and update all patient demographic data, • Collect all insurance information from patient / parent, • Verify Insurance Benefits, • Verify both, insurance, and patient payments, are up to date., • Follow up with unpaid insurance, • Promote in office marketing items, • Gather and submit claims and documents required by Insurance companies, • Set up patient account in auto pay system (OrthoBanc), • Perform hard credit inquiries and set up financing (Care Credit), • Ensure office profitability by building productive schedules, • Follow up with patients’ Recall visits, • Enter transactions and post payments, • Review Provider’s schedule and charts (if applicable), • Ensure accuracy of accounts (set up properly / Guarantor / FRP in account /correct provider & clinic), • Collect signatures on contracts and consent forms, • Ensure lab cases are both sent to the lab and follow up for lab cases returned from lab, • Prepare accounts for Debond (retention agreements, termination waivers, reconcile final balances), • Ability to travel daily, by personal car, to multiple dental practices and corporate office, • Ensure that the provider will reach Goal production, • High school degree or GED required, • Substantial familiarity with Ortho treatments and procedures, • Strong knowledge of financing options and dental payment processing, • Proficient in the use of MS Office software applications, • Remarkable understanding of dental insurance claims, • Excellent interpersonal skills and communications abilities, • Impressive ability to efficiently manage multiple tasks Benefits Summary At ProSmile, we are committed to supporting the health and well-being of our employees and their families. We offer the following benefits for Full Time Benefits Eligible Positions (35+ hours per week) and Part Time Benefits Eligible Positions (30-35 hours per week): • Medical Insurance: Choice of five comprehensive Aetna medical plans, including options with low copays, deductible-sharing, and national provider networks., • Dental Insurance: MetLife plans offering preventative, basic, major, and orthodontic coverage options., • Vision Insurance: Davis and UHC vision plans with annual exams, eyewear allowances, and contact lens benefits., • Flexible Spending & Health Savings Accounts: Pre-tax savings accounts for medical, dependent care, and healthcare expenses., • Life & Disability Insurance: Employer-paid basic life and AD&D insurance, with voluntary life, short-term, and long-term disability plans., • Additional Perks:, • Employee Assistance Program (EAP), • Identity Theft & Fraud Protection, • Legal Support Services, • Discount Programs (including pet insurance, travel, theme parks, electronics, etc.), • Wellness Programs The Company reserves the right to modify the job description based upon its needs and may require the employee to perform functions beyond those mentioned above. Neither this job description nor any other communication creates an employment contract between the Company and the employee. Equal Employment Our culture encourages individual development, embraces an inclusive environment, rewards innovative excellence, and leads in provider and patient satisfaction. Prosmile values diversity, inclusion, and equity as matters of fairness and effectiveness. We are committed to hiring and retaining a staff that reflects the diversity of the communities we serve, fostering an inclusive working environment where staff of all backgrounds feel welcomed and engaged. ProSmile is an Equal Opportunity Employer and encourages applications from individuals underrepresented in the medical sector, including people of color, and persons with non-traditional work and educational experience. All who believe they meet the stated qualifications are invited to apply. Company Safety We believe that the best care for our patients starts with the best care for our employees. ProSmile is committed to proactively creating and maintaining an environment that is safe for our team and patients. Employees are required to wear Personal Protective Equipment (PPE) including face masks, gloves, gowns, and more as needed and in accordance with CDC standards. Powered by JazzHR oyN9Ptssn3

Job Description POSITION SUMMARY: The WC Intake Specialist/Medical Records Clerk position encompasses a range of responsibilities that include administrative support, medical records management, and client intake operations. This role involves the retrieval and organization of medical records, management of case files and associated legal documentation, facilitation of client communications, processing of intake inquiries, and supporting the firm in the effective administration of workers' compensation claims. The position necessitates independent judgment to prioritize and organize a diverse workload. KEY RESPONSIBILITIES: Administrative Support Functions-If applicable • Assist Mr. Romano with calls and tasks as assigned., • Manage case files, including organizing legal documents, correspondence, and medical records., • Prepare and proofread legal documents and standard correspondence., • Submit legal documents through electronic court filing systems., • Answering and routing incoming calls to the appropriate departments., • Filter client calls by identifying urgent matters and following the call escalation process, • Responsible for returning calls, retrieving voicemail, and completing assigned call-backs by the manager., • Completing assignments and tasks provided by the manager as needed. Medical Records Clerk Functions • Contact healthcare providers and third-party vendors to request and obtain medical records, ensuring timely retrieval for workers' compensation cases., • Organize, file, and index medical records electronically for efficient case management., • Review medical records to extract relevant details such as diagnoses, treatment plans, and medical limitations., • Enter key medical information, including provider information, diagnosis, and treatment dates, into the firm’s case management system., • Furnish healthcare providers with the client's case information when requested. Intake Specialist Functions • Serve as the initial point of contact for potential clients, gathering essential information regarding work-related injuries., • Guide clients through the intake process and ensure all necessary information is accurately recorded., • Accurately input and manage client information within the firm’s database., • Verify that all forms are accurately completed and contain correct information., • Correspond with the NYSWCB to ensure timely processing of retainers and case assembly., • A High School Diploma is required., • One year of previous experience in a similar role is required., • An associate degree is preferred., • Bilingual/Spanish speaking is preferred., • Medical & Legal Knowledge: Basic understanding of medical terminology, NYS workers' compensation laws, and legal procedures., • Data Entry & Organization: Strong attention to detail with the ability to manage large volumes of information efficiently., • Communication & Customer Service: Excellent verbal and written communication skills to interact with colleagues, clients, healthcare providers, and insurance companies professionally., • Time Management & Multitasking: Ability to prioritize tasks and meet deadlines in a fast-paced environment., • Technical Proficiency: Experience with Microsoft Office Suite (Word, Excel, Outlook) required. Experience with Smart Advocate case management software is a plus., • Confidentiality & Compliance: Familiarity with HIPAA regulations and ethical handling of sensitive client information. PHYSICAL DEMANDS & WORK ENVIRONMENT: The physical demands and work environment characteristics 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 of the job. Physical Demands: While performing the duties of this job the employee is frequently required to sit, stand, walk, talk, hear, bend, stoop, and have finger, hand, and arm dexterity. Work Environment: This job operates in a professional office/remote environment and routinely uses standard office equipment. We are a paperless work environment utilizing Vonage or similar VOIP phone systems, Microsoft Office Suite package, Adobe Acrobat software suite, DocuBee signature software, and Smart Advocate Legal case management software.

Job Description Job Summary: We are a leading out-of-network medical revenue cycle management company specializing in providing comprehensive support to providers. Our services include pre billing, claims processing, arbitration support, and navigating complex regulatory frameworks, such as the No Surprises Act. We are seeking an experienced Independent Dispute Resolution (IDR) Attorney to oversee and manage our arbitration processes, ensure compliance with federal and state regulations, and contribute to our claims processing operations Looking for Lawyer/Attorneys ready to join on immediately Lawyers/Attorneys from this location can apply." New York, New Jersey & Connecticut" The ideal candidate will bridge legal and billing expertise to enhance our service offerings. NOTE- This position offers a hybrid work arrangement, with 3 days per week in our New York office and 2 days working remotely, blending in-person teamwork with flexible scheduling. Key Responsibilities: • Independent Dispute Resolution Management, • Lead and oversee all IDR activities under the No Surprises Act for out-of-network claims., • Utilize proprietary arbitration software to track, manage, and resolve disputes efficiently for clients., • Keep track of all claims in the 90-day cooling off period, and monitor when they can be submitted on the IDR portal, • Follow up on unprocessed disputes or unpaid claims after determination has been made, • Assist with overseeing IDR Representative, • Additional duties and responsibilities as assigned, • Develop and maintain relationships with arbitrators, legal professionals, and other stakeholders., • Monitor regulatory updates and ensure compliance with arbitration-related laws and guidelines., • Support and streamline claims processing operations to ensure accurate and timely handling of out-of-network claims., • Collaborate with the claims team to identify potential arbitration cases and strategize resolutions., • Serve as a key point of contact for clients regarding arbitration cases and claims processing., • Provide expert guidance on dispute resolution processes to clients and internal teams., • Analyze and improve workflows for arbitration and claims processing., • Represent Sunknowledge and clients in Federal IDR proceedings, preparing and submitting offers to resolve payment disputes with health plans., • Review and draft legal documents, including contracts, IDR submissions, and compliance policies for billing operations., • Collaborate with our billing team to ensure claims align with NSA requirements and maximize collections., • Juris Doctor (JD) or Paralegal Certification highly preferred., • Minimum 2+ years of direct experience with out-of-network medical claims, arbitration, or dispute resolution., • In-depth knowledge of the No Surprises Act and related regulations., • Familiarity with arbitration platforms and claims processing systems., • Exceptional organizational and analytical abilities., • Strong understanding of medical billing and coding as it relates to out-of-network claims., • *Candidates must have demonstrated experience in handling IDR (Independent Dispute Resolution), NSA (No Surprises Act), and out-of-network claim cases on behalf of healthcare providers., • Strong understanding of State and federal laws, • Excellent communication and negotiation skills.Company DescriptionWe are Sunknowledge Services Inc., an ISO 27001:2022 certified, American-owned & operated company headquartered in New York City, and a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.We are Sunknowledge Services Inc., an ISO 27001:2022 certified, American-owned & operated company headquartered in New York City, and a leading global provider of Business and Knowledge Process Outsourcing services in the US healthcare domain.

Job DescriptionCompany Description At EVERSANA, we are proud to be certified as a Great Place to Work across the globe. We’re fueled by our vision to create a healthier world. How? Our global team of more than 7,000 employees is committed to creating and delivering next-generation commercialization services to the life sciences industry. We are grounded in our cultural beliefs and serve more than 650 clients ranging from innovative biotech start-ups to established pharmaceutical companies. Our products, services and solutions help bring innovative therapies to market and support the patients who depend on them. Our jobs, skills and talents are unique, but together we make an impact every day. Join us! Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA. Job Description This position will be responsible for successful delivery of client programs for pharmaceutical, biotechnology and/or healthcare clients. The Engagement Manager is responsible for supporting the Associate Principal’s and Principal’s in coordinating efforts between customers, operations, medical and analytics teams and to enhance existing services business operations to generate new lines of business through custom data deliverables, consulting practices and new product development. EVERSANA is the leading provider of global commercial services to the life sciences industry. Our integrated solutions are rooted in the patient experience and span all stages of the product life cycle to deliver long-term, sustainable value for patients, prescribers, channel partners and payers. We serve more than 500 organizations, including innovative start-ups and established pharmaceutical companies to advance life science solutions for a healthier world. We have built a comprehensive integrated commercial services platform, powered by more than 7,000 employees, to bring innovative products to the market, reducing cost and risk while simultaneously improving outcomes. We are fast becoming a partner of choice for launches ranging from the largest pharmaceutical companies to the latest emerging biotech organizations. EVERSANA Data & Analytics team applies advanced analytics and AI/machine learning techniques to the breadth of healthcare and non-healthcare data integrated with our deep clinical expertise to provide a unique and unmatched suite of services and products to the pharmaceutical and healthcare industries • Leadership of commercial analytics engagement teams and client relationships, • Plan, organize and lead engagement teams to develop logical and insightful analyses, innovative and effective recommendations., • Working closely with the Offshore team, deliver well-structured, high-quality deliverables on a timely manner to realize high levels of client satisfaction., • Take an active role in building client relationships and identifying new business opportunities with clients., • Lead development of proposals for new projects / commercial opportunities in partnership with Principals and/or Senior Principals, • Hire, coach, and develop staff members., • Play an active role in data & analytics practice development and develop practice level intellectual capital., • Take responsibility in development and management of external relationships (e.g., client, vendors, external experts), • Recruit new team members; manage and coach junior team members and serve as a subject matter expert and thought partner to colleagues., • Develop broader and deeper knowledge of consulting methodologies and the pharmaceutical market through on-the-job exposure and formal training., • Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias., • Travel – Less than 10% An individual in this position must be able to successfully perform the expectations listed above. Qualifications MINIMUM KNOWLEDGE, SKILLS AND ABILITIES: The requirements listed below are representative of the experience, education, knowledge, skill and/or abilities required. • Undergraduate degree from a top-tier institution with a relevant concentration (e.g., computer science, statistics, economics, operations research) and strong academic record, • 6+ years in a Commercial Analytics or Healthcare consulting capacity with an in-depth knowledge of medical and Rx claims datasets and the application of this information in support of commercial and medical engagements., • Provide leadership of commercial analytics teams and client relationships, • Plan, organize and lead engagement teams to develop logical and insightful analyses, innovative and effective recommendations., • Work closely with the Offshore team, deliver well-structured, high-quality deliverables in a timely manner to realize high levels of client satisfaction., • Take an active role in building client relationships and identifying new business opportunities with clients., • Lead development of proposals for new projects / commercial opportunities in partnership with Principals and/or Senior Principals, • Play an active role in data & analytics practice development and develop practice level intellectual capital., • Take responsibility in development and management of external relationships (e.g., client, vendors, external experts), • Recruit new team members; manage and coach junior team members and serve as a subject matter expert and thought partner to colleagues., • Develop broader and deeper knowledge of consulting methodologies and the pharmaceutical market through on-the-job exposure and formal training., • Advanced degree(s) (e.g., MBA, PhD, MD) with a relevant concentration (e.g., computer science, statistics, economics, operations research) and strong academic record, • 8+ years of experience in data and analytics with direct experience working with Patient Level data, Hub/CRM data, Market Access data, with knowledge of cloud-based storage, Tableau, and other data visualization software., • Experience at a top global management consulting firm The physical and mental requirements along with the work environment characteristics described here are representative of those an individual encounters while performing the essential functions of this position. Office: while performing the essential functions of this job the employee is frequently required to reach, grasp, stand and/or sit for long periods of time (up to 90% of the shift), walk, talk and hear. The noise level in the work environment is usually moderately quiet, with frequent interruptions and multiple demands. Additional Information OUR CULTURAL BELIEFS: Patient Minded I act with the patient’s best interest in mind. Client Delight I own every client experience and its impact on results. Take Action I am empowered and hold myself accountable. Embrace Diversity I create an environment of awareness and respect. Grow Talent I own my development and invest in the development of others. Win Together I passionately connect with anyone, anywhere, anytime to achieve results. Communication Matters I speak up to create transparent, thoughtful, and timely dialogue. Always Innovate I am bold and creative in everything I do. Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA. EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position and is not applicable to locations outside of the U.S. Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). More information about EVERSANA’s benefits package can be found at eversana.com/careers. EVERSANA reserves the right to modify this base salary range and benefits at any time. From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility. Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at . Follow us on LinkedIn | Twitter

Job Description Position Summary The Billing Representative for Progressive Oral Surgery assists the Billing Manager with the overall operations of the organization's billing department. A billing representative must have strong analytical and communication skills to manage clients' accounts, as well as comprehensive knowledge on the accounting industry to explain the payment terms and policies of an organization to a client. Duties and Responsibilities • Analyze and correct claim denials and rejections, • Post and monitor Explanation of Benefits (EOB), enter insurance payments and EOBs into patient charts, • Reconcile accounts receivable ledger, • Post payments to general ledger and conduct daily cash reconciliation, • Identify billing issues and account errors and report directly to Billing Manager, • Monitor write-offs and other ledger adjustments, • Manage incoming/outgoing mail, answering phones, and responding to emails, • Organized and precise data entry, documentation, and coding for patient accounts, • Review patient statements for accuracy, completeness and obtain any missing information, • Handle confidential patient information with professional discreet, • Review, modify, document denial reason code, correct and regenerate denied claims, • Maintain communication with assigned Insurance Provider Representatives on any claim issues that may arise, • Answer all patients or insurance telephone inquiries pertaining to account information, • Strive to provide a superior patient customer service, • Provides support to front desk inquiries related to insurance participation and fee schedules, • Process and correct all returned or undeliverable mail, • Ensure all clients remain informed on their outstanding debts and deadlines, • Process weekly e-statements for outstanding patient balances and process and send accounts to collection agency when necessary, • Correspond with the collection agencies and provide all additional information requested, • Maintain and process all recurring monthly payment plans, • Process patient reimbursements and insurance overpayments, • Reconciles all web-based patient payments and post to patient ledger, • High School Graduate/GED, • Fluency in English (reading and writing), • Knowledge of dental or medical billing/collections/insurance terminology, • Knowledge of basic accounts receivable and accounting principles, • Proficiency in computer operations including MS Excel, • Excellent written/verbal communication skills, • Ability to handle multiple accounts and multiple priorities effectively with strong attention to monetary detail, • Ability to understand dental terminology and insurance breakdowns, • Knowledgeable with HMO and PPO dental insurance plans, • Demonstrated ability to manage time and prioritize projects to meet deadlines, • Outstanding organizational skills, • Ability to work independently and collaboratively

Job DescriptionDescription: Capstone ISG is one of the nation's fastest growing Independent Adjustment firms. As we continue to grow our business, we are looking for people who offer inspiration and innovation, as well as have an internal drive. Our team members are focused on customer service and are dedicated to making Capstone a fun and rewarding place to work. Our Field Property Adjuster specializes in investigating and adjusting residential and commercial property claims. Our focus is high quality claim investigation and resolution. We're seeking a conscientious individual with high attention to detail, excellent decision-making, ability to work well under pressure, solid organizational and time management skills to balance diverse tasks including on site investigations in a standard work day. 2+ Years Experience in and around the Long Island, NYC Area.IA Experience is preferredPay is based on experience Benefits Include: • Competitive salary with annual raises, • Quarterly performance bonuses, • Profit Sharing, • Medical, Dental, Vision, • 401 (k), • Short and Long Term Disability, • Life Insurance, • Sick, Vacation and Holiday Pay, • Fitness Membership Reimbursement, • Conducts field investigations to resolve residential and commercial property claims., • Examines and applies claims forms, policies and endorsements, client instructions and other records to determine coverage and client exposure., • Adjusts all elements of Property Loss claims of varying levels of severity and complexity., • Sets loss reserves., • Prepares written reports by collecting and summarizing information required by client., • Prepares settlement letters, denial letters, Reservations of Rights and other letters as needed., • Maintains expected case load., • Maintains company reputation and integrity of work product by complying with federal and state regulations and service standards., • Maintains professional and technical knowledge through continuing education., • May assist less-experienced adjusters with claims handling when requested, • Participates in special projects or performs duties in other areas if requested., • Documents damage and prepares written estimates using Xactimate software., • Handles content inventories to include moderate to complex pricing analysis and prepares claim inventory reports., • Conducts subrogation investigations., • Engages and manages consultants/independent contractors to assist in determining facts, causation, damage and exposure., • Keeps the client and the insured informed about the claim status with clear, timely and accurate written/oral communication., • Negotiates settlement of claims of varying complexity under the direction of the Claims Manager or Supervisor., • Travels to loss locations in assigned territory, • Records time and expense charges to bill clients., • Maintains adjuster license(s) when required. Requirements:, • Requires a high school diploma; advanced education beyond high school preferred or an equivalent combination of education and experience., • Previous experience as a claims adjuster or must complete Capstone specified adjuster training if no experience., • If previous adjuster experience, working knowledge of Xactimate is preferred., • Must be licensed, or have the ability to obtain license(s), as required by state and local jurisdictions to adjust insurance claims., • Ability to work in a high volume, fast paced environment managing multiple tasks., • Ability to provide excellent service to policyholders and clients., • Ability to efficiently operate a computer and related claims and business software., • Effective analytical and problem-solving skills necessary to make decisions and resolve conflict, • Good verbal and written communication skills., • Good attention to detail., • Strong analytical and mathematical ability., • Ability to work independently in a virtual environment when required. 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. While performing the duties of this position, auto travel is required. Ability to lift a minimum of 35 pounds to include lifting a ladder in and out of the trunk of a vehicle. Ability to climb ladders and traverse roofs, this includes the ability to work at heights while inspecting roofs and attics. Ability to work in a confined or restricted area. Kneeling, crouching, crawling, standing, sitting, walking, pushing, pulling, etc. as is required to inspect claims. Ability to work outdoors, exposed to all weather conditions.

Job DescriptionOur clients develops innovative clinical service products for cell therapy manufacture. They seek a Human Resources Representative Contractor for a 3-4 month contract role, reporting directly to the Sr. Director, Human Resources, operating in a matrixed environment, with responsibility to the business, multiple functions, internal customers, and vendors, the HR is the primary person who handles and provides support for various HR employee programs within the site. As an HR representative this role will support business leaders with staffing, training, HRIS, onboarding and process improvement initiatives. In addition, this role supports, implements, and executes all tactical aspects of the HR function at the site. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. • Benefits function/administration of BenefitSolver and assisting with Open Enrollment., • Calculates and provides staff with annual fringe benefit allowance; reviews enrollment forms for accuracy and coordinates enrollment with third-party administrator., • Ensures compliance with COBRA guidelines by preparing letters and other paperwork as directed; receives and records COBRA insurance premium payments., • Coordinates health, life and disability insurance enrollments and communicates with service providers concerning routine administration of programs., • Maintains personnel files in compliance with applicable legal requirements., • Keeps employee records up to date by processing employee status changes in timely fashion., • Maintains listing of approved positions along with assigned salary grade levels., • Processes personnel action forms and ensures proper approvals; disseminates approved forms., • Prepares new-hire paperwork., • Assists in hiring process by coordinating job posting on the website, reviewing resumes, and performing telephone interviews and reference checks., • Maintains the employee handbook with updated resolutions and other pertinent information, as needed., • Supports all site efforts around recruitment and retention, HR program administration, employee relations, performance management, policy interpretation and application. Is responsible for day-to-day delivery of HR services; respond to general employee questions related to benefits, company policies and procedures., • Acts as a single point of contact for the employees and managers in assigned locations -Allendale and at times through matrix management, will work with our location in California., • First point of contact for employee relations issues and will assess, gather information and refer to HRBP/Project Leader., • Successfully monitor the “pulse” of the site to ensure a high level of employee engagement., • Support heavy volume recruitment activities; coordinates with RPO provider & representative on all candidates scheduling, debriefing and offers with management. May maintain the internal careers page and referral program., • Conduct new employee’s orientation and process all on-boarding and integration into the organization. Assures all new hire administration is processed timely, including coordinating and verifying benefits enrollment information and I-9’s., • Cooordinate the offboarding process which may include conducting exit interviews and coordination of documents., • Coordinate workers compensation claims with vendor and employees while partnering with EHS as required., • Manages leave of absence administration through provider., • Support Hitachi’s Compliance Program and activities., • Performs other related duties as required and assigned., • Comfortable with manually intensive environment, • Comfortable with computer systems, preferably ADP and some staffing (lower level interviewing). Competencies:, • Communication, • Relationship Management, • Ethical Practice, • This is a true “roll-up-your-sleeves” role. Must action oriented and the ability to get things done in a fast, fluid environment., • High level of integrity, curiosity, strong discipline, and a high degree of accuracy., • Must have high ethical standards and know when to report and/or investigate matters of utmost importance with complete confidentiality., • Customer Focused and diligently seeks to refine what needs to get done through employee experiences.REQUIREMENTS, • Bachelor’s Degree with 5-7 years of experience. PHR/SPHR or SHRM CP/SCP certification desired., • Proficiency in core HR disciplines such as: employee relations, talent management, compensation and total rewards, performance management, training and development and diversity/affirmative action developed via progressively responsible HR roles., • Demonstrated experience in tactical human resources operations. Current and in-depth knowledge of federal, state and local laws., • Experience with ADP preferred., • Proficiency with Microsoft office suite., • Experience in biotech, pharma or the life sciences highly preferred. Experience working in small manufacturing operations highly desirable., • Measured success working in an extremely fast-paced, high-profile environment., • Creative, can-do attitude, high comfort-level delivering simple, tactical solutions to complex problems., • Ability to maintain confidentiality while handling sensitive information; strong problem-solving and analytical skills, excellent judgment and composure., • High attention to detail required with a focus on ensuring deadlines are met and accurate records are kept., • Strong interpersonal skills and a proven ability to work with confidence independently and cross-functionally across various departments; establish and maintain effective relationships with internal and external parties; handle multiple projects and competing priorities with frequent interruptions., • Excellent communication and presentation skills and a proven ability to establish positive relations both internal and external., • Demonstrate success in fostering diverse workplaces that enable all participants to contribute to their full potential in pursuit of company objectives.

Job DescriptionBenefits/Perks • Competitive Pay, • Professional Development 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, • Hold the insurance license required by your state and have a minimum of two years of commercial lines insurance account management experience as well as a Bachelor’s Degree or comparable work experience., • 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 Position Summary: The Inside Sales Representative will report to the NY Branch Manager and work closely with the Aftermarket Sales Manager to accomplish annual aftermarket sales goals. This position focuses on providing responsive customer service, accurate quotations, efficient order management, and warranty claim processing while maintaining strong communication with customers, the factory, vendors, and internal teams. This is a semi-hybrid role, with the expectation of being in the office 4 days per week, 1 day remote and spending approximately 15–20% of total time in the field. The ideal candidate will be organized, technically inclined, and capable of managing and reprioritizing tasks in a dynamic environment. The incumbent should be a friendly, and proactive and effective communicator who can establish clear expectations with customers, manage multiple responsibilities, and contribute to building strong, lasting relationships. They should be customer-oriented, fast learners, and willing to learn on the job. Key Responsibilities: Quoting & Opportunity Management • Prepare and issue quotes for aftermarket parts., • Enter and track all opportunities in the CRM system., • Respond to customer inquiries regarding new and existing orders., • Provide updates on order status, tracking, and delivery schedules., • Maintain close communication with the manufacturing plant and vendors to confirm lead times, address obstacles, and resolve delays., • Work in tandem with the NY Sales team to drive territory sales efforts., • Participate in customer site visits and inspections (approx. 15–20% of time)., • Assist with outside sales activities by documenting opportunities and ensuring smooth follow-up., • Process warranty claims in collaboration with the NY Sales team ensuring accurate documentation and timely resolution., • Ability to climb ladders and work at heights during site visits., • Comfortable working on rooftops and cooling towers., • Trade school minimum. Bachelor’s degree preferred, ideally in Engineering, Business, or related field., • Prior experience in sales support, customer service, or order management required., • Experience using SAP., • Knowledge of HVAC systems, cooling towers, or industrial equipment is a plus but not required., • Strong organizational skills with attention to detail and follow-through., • Proficiency in Microsoft Office (Excel, Word, Outlook); familiarity with ERP/CRM systems a plus., • Competitive base salary., • Comprehensive healthcare package including medical, dental, and vision coverage., • 401(k) plan with company match., • Quarterly bonus eligibility based on meeting aftermarket sales goals., • Hybrid schedule: in-office 4 days per week and 1 day remote work. Full attendance required for the first 3 to 6 months., • Local travel within NYC and surrounding boroughs (15–20% of time)., • Combination of office and field environments; occasional exposure to noise, heat, and weather conditions. We recognize that attracting the best talent is key to our strategy and success as a company. As a result, we aim for flexibility in structuring competitive compensation offers to ensure we are able to attract the best candidates. As required by law in this state, the estimated hourly rate range for this position is $75,000 - $90,000 and represents our good faith estimate as to what our ideal candidates are likely to expect. We tailor our offers within the range based on organizational needs, internal equity, market data, geographic zone, and the selected candidate’s experience, education, industry knowledge, location, technical and communication skills, and other factors that may prove relevant during the selection process. At SPX, it is not common for individuals to be hired at the higher end of the range, and compensation decisions depend on a variety of factors. This position is eligible to participate in a discretionary bonus, subject to the rules governing the plan. SPX offers a variety of benefits, including health benefits, 401K retirement with a company match, and flexible time off. More information about our benefits can be found on the “Rewards and Benefits” section of our career page. Company DescriptionAt SPX Corporation, what’s in it for our employees transcends market-competitive compensation and benefits. Our Total Rewards program also includes opportunities for employees’ personal development, career growth, and recognition. These programs focus on alignment and assessment of organizational, team, and individual efforts toward achieving business results. Our development and career growth programs empower our employees to enhance their skills, develop new competencies, and pursue career goals. SPX Corporation’s benefits package provides choices designed to help employees manage their well-being. Our compensation programs are performance-based to recognize and reward employees who work hard, display the values and leadership practices we embrace, and deliver exceptional results. WORKING AT SPX Our work environment is established on a work-life philosophy supported by policies, programs, and practices that help employees achieve success within and outside the workplace. We believe in creating an inclusive work environment where employees strive to realize their fullest potential. We are an affirmative action and equal opportunity employer committed to making selection decisions without regard to race, color, religion, sex, sexual orientation, national origin, gender identity, genetic information, age, disability, veteran status or any other legally protected basis.At SPX Corporation, what’s in it for our employees transcends market-competitive compensation and benefits. Our Total Rewards program also includes opportunities for employees’ personal development, career growth, and recognition. These programs focus on alignment and assessment of organizational, team, and individual efforts toward achieving business results. Our development and career growth programs empower our employees to enhance their skills, develop new competencies, and pursue career goals. SPX Corporation’s benefits package provides choices designed to help employees manage their well-being. Our compensation programs are performance-based to recognize and reward employees who work hard, display the values and leadership practices we embrace, and deliver exceptional results.\r\n\r\nWORKING AT SPX\r\nOur work environment is established on a work-life philosophy supported by policies, programs, and practices that help employees achieve success within and outside the workplace. We believe in creating an inclusive work environment where employees strive to realize their fullest potential. We are an affirmative action and equal opportunity employer committed to making selection decisions without regard to race, color, religion, sex, sexual orientation, national origin, gender identity, genetic information, age, disability, veteran status or any other legally protected basis.