Claims specialist jobs in Plainview, New YorkCreate job alerts

Job Description Our Ideal Accounts Receivable Specialist: Are you detailed oriented and enjoy meeting deadlines? Have great time management and organization skills? Love solving problems? Do you feel a sense of accomplishment when completing tasks and meeting goals? Want to work for a company that has a strong mission of helping children with special needs? Interested? If this sounds like you, please apply today! Founded in 1995, Achieve Beyond nationally meets the needs of children by providing the highest quality of pediatric therapy and autism services. Our providers and administrative staff are dedicated to our mission of helping children and families, and we are looking for smart, innovative, and driven candidates to join our team. Achieve Beyond is centered around our culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. Job Summary: Responsible for collection of all insurance and private pay payments from start of service to discharge/termination. Essential Duties and Responsibilities: • Review and resubmit denied claims by calling insurance companies to have claims reprocessed., • Review, reconcile and follow up on claims which are incorrectly paid., • Contacts insurance companies with major issues to ensure accuracy of billing for maximum payment., • Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc., • Documents notes in patient's accounts, • Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor, • Communicate effectively via phone & in person with carriers, patients, staff and management, • Coverage for billing department during vacancies, • Collection of Patient Balances, • Other duties as assigned by manager Education and/or Work Experience Requirements: • Two to five years of experience working in health care billing., • Knowledge of Insurance rules, regulations and compliance guidelines., • Ability to interpret CPT/HCPC/ICD-10 books. Our Mission: At Achieve Beyond: We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities. We are always striving for continuous improvement by setting goals and measuring performance. It is the reason we will succeed together. Qualifications and Other Requirements: • Medical Insurance Experience Required, • Experience handling a heavy claim volume, • Excellent interpersonal skills, • Ability to multitask and respond quickly to concerns, • Quick learner, • Strong knowledge of MS Office, Outlook and Excel, • Ability to work overtime when needed Physical Requirements: • Occasionally ascends/descends stairs going to, while at, or leaving work location or facilities, • Occasionally moving and/or lifting objects at work weighing up to 10 pounds., • Must be able to remain in a stationary position for prolonged periods of time up to 90% of the workday working on a computer/electronic device., • The ability to observe details at close range (within a few feet of the observer)., • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. Benefits Include: • Comprehensive medical, dental, and vision coverage, and 401 (k) with employer match, • Short- and long-term disability coverage, as well as life, flex spending, and commuter benefits, • Paid time off, sick time, and holiday pay, • Various Employee Discounts on Entertainment and Equipment, • Educational reimbursement and referral bonuses, • Structured initial training, • Monthly administrative events and so much more! Compensation: Full time hourly $25-30. Hours: Monday-Friday 9:00am-5:30pm and overtime as needed.

Job Description We are looking for a Medical Accounts Receivable Specialist to support revenue cycle operations for a healthcare organization in Westbury, New York. This contract opportunity with permanent potential is ideal for someone who can manage outstanding balances, apply payments accurately, and follow through on commercial insurance collections in a fast-paced setting. The position plays an important role in maintaining cash flow, resolving billing issues, and reducing aged receivables through consistent follow-up and detailed account review. Responsibilities: • Review and manage medical accounts receivable balances to identify unpaid claims and prioritize follow-up activities., • Post and reconcile incoming payments with accuracy, ensuring cash applications are reflected correctly in patient and payer accounts., • Communicate with commercial insurance carriers to research claim status, secure payment, and address outstanding reimbursement issues., • Investigate denied or underpaid claims, determine root causes, and take corrective action to support timely resolution., • Prepare and submit billing corrections when needed to improve claim acceptance and accelerate payment turnaround., • Monitor aging reports and work assigned account inventories to reduce past-due balances and support collection goals., • Maintain complete and organized documentation of collection efforts, account updates, and payer communications., • Collaborate with internal billing and revenue cycle teams to resolve discrepancies that affect account payment or claim processing., • Experience working in medical accounts receivable within a healthcare, hospital, or related billing environment., • Working knowledge of accounts receivable processes, cash posting, and commercial insurance collections., • Familiarity with medical billing practices, including claim review, payment application, and account reconciliation., • Ability to analyze insurance denials and take appropriate steps to support claim resolution., • Strong attention to detail with the ability to manage multiple accounts and deadlines effectively., • Clear written and verbal communication skills for interaction with payers and internal stakeholders., • Proficiency with revenue cycle or billing systems and standard office software tools.

Why Join GEICO? At GEICO, we offer a rewarding career where your ambitions are met with endless possibilities. Every day we honor our iconic brand by offering quality coverage to millions of customers and being there when they need us most. We thrive on relentless innovation to exceed our customers' expectations while making a real impact on local communities nationwide. Founded in 1936, GEICO is a member of the Berkshire Hathaway family of companies and one of the largest auto insurers in the United States. When you join our company, we want you to feel valued, supported, and proud to work here. That's why we offer the GEICO Pledge: Great Company, Great Culture, Great Rewards, and Great Careers. Claims Service Specialist**This is an in-office position Your Impact at GEICO As an Auto Claims Specialist, you’ll reassure customers and offer solutions when they need us the most with empathy and care. You will guide policyholders through their coverage and the steps to get back on the road safely. What Makes This Opportunity Exciting? Compensation & Incentives: Starting Salary: $25.81 per hour / $52,000 annually Benefits: Health and wellness benefits starting Day 1 (medical, dental, vision, flexible spending accounts and more). Accrue Paid Time Off immediately, plus 13 paid holidays annually (8 fixed, 5 floating). 401(k) with up to 6% match, vested immediately. GEICO Strive, upfront tuition assistance program (up to $5,250 annually). Professional Growth: Licensing and continuing education at no cost, including hundreds of eLearning courses to enhance your skills. Workplace Flexibility: Complete in-office training, then opportunity to work 80% on-site and 20% off-site. Enjoy GEICO Flex, additional weeks annually to work off-site, meeting location and work guidelines. Office Location:2 Huntington Quadrangle, Melville, NY 11747 How You’ll Make a Difference Customer Interaction: Manage incoming calls, collect accident facts, investigate claim details, collect statements from involved parties, and assist in the process of getting our customers back on the road. Problem Resolution: Resolve customer concerns ensuring a positive experience. Meaningful Impact: Drive customer satisfaction through meaningful interactions. What We’re Looking For: Experience: Customer-facing Claims experience preferred. Education: High School Diploma or GED required; College degree preferred. Strong customer service, interpersonal, problem-solving, and empathy skills. Adaptable, detail-oriented, and able to prioritize and multitask across platforms. Experienced in high-volume call centers with KPIs and measurable goals. Available to work evenings, weekends, and holidays. #geico200 Annual Salary $23.91 - $37.65 The above annual salary range is a general guideline. Multiple factors are taken into consideration to arrive at the final hourly rate/ annual salary to be offered to the selected candidate. Factors include, but are not limited to, the scope and responsibilities of the role, the selected candidate’s work experience, education and training, the work location as well as market and business considerations. At this time, GEICO will not sponsor a new applicant for employment authorization for this position. The GEICO Pledge: Great Company: Protecting customers through life’s twists and turns with innovation and integrity. Great Careers: Personalized development programs, mentorship, and certification assistance. Great Culture: Inclusive and collaborative culture rooted in shared success. Great Rewards: Competitive pay, benefits, and flexibility to support your well-being and future. The equal employment opportunity policy of the GEICO Companies provides for a fair and equal employment opportunity for all associates and job applicants regardless of race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability or genetic information, in compliance with applicable federal, state and local law. GEICO hires and promotes individuals solely on the basis of their qualifications for the job to be filled. GEICO reasonably accommodates qualified individuals with disabilities to enable them to receive equal employment opportunity and/or perform the essential functions of the job, unless the accommodation would impose an undue hardship to the Company. This applies to all applicants and associates. GEICO also provides a work environment in which each associate is able to be productive and work to the best of their ability. We do not condone or tolerate an atmosphere of intimidation or harassment. We expect and require the cooperation of all associates in maintaining an atmosphere free from discrimination and harassment with mutual respect by and for all associates and applicants.

Job DescriptionSalary: $60,000 Job description About Us LTE Care Plus Inc. is a nonprofit organization providing Applied Behavior Analysis (ABA) and Early Intervention (EI) services to children and families in New York. We are seeking a detail-oriented and reliable Bookkeeper to join our Finance & Accounting team. This role will ensure accurate financial recordkeeping, payroll processing, and compliance with state and federal requirements. Responsibilities Bookkeeping & Accounting • Accurately enter and categorize all financial transactions in QuickBooks Online, • Maintain a complete and organized set of records for audits and internal reviews, • Reconcile all bank and credit card accounts on a monthly basis, • Prepare adjusting journal entries as needed, • Generate financial reports (Statement of Activity, Statement of Financial Position, Cash Flow) Payroll (ADP) • Process bi-weekly payroll using ADP Workforce Now, • Collect and verify staff timesheets, ensuring accurate hours and compensation, • Input and double-check payroll data, including LBA hours, training pay, PTO, and bonuses, • Run preview reports and confirm accuracy before submission, • Download payroll reports, tax liability reports, and maintain payroll folders, • Ensure compliance with federal and state payroll regulations Finance & Compliance • Serve as liaison with external accountants; provide requested documentation, • Review internal books quarterly with accountants, • Respond to financial claims, notices, and maintain compliance with all agency policies, • Assist in preparing and submitting finance-related documents and forms as needed Requirements • 3+ Proven experience as a Bookkeeper, Payroll Specialist, or Accounting Clerk (nonprofit or healthcare experience preferred), • Proficiency in QuickBooks Online and ADP (Workforce Now or RUN), • Strong knowledge of payroll compliance, reconciliations, and financial reporting, • Excellent attention to detail, organizational skills, and ability to meet deadlines, • Strong communication skills and ability to collaborate with multiple departments, • Associates or Bachelors degree in Accounting, Finance, or related field preferred Tools & Systems • QuickBooks Online (accounting), • ADP Workforce Now (payroll), • Google Drive / Cloud storage (file management), • Gmail (communication) Compensation & Benefits • Competitive hourly rate or salary based on experience, • Bi-weekly pay schedule, • PTO and paid holidays, • Opportunity to grow with a mission-driven nonprofit organization Benefits: 401(k) Health insurance Paid time off Work Location: In person

Job DescriptionBenefits: • 401(k), • 401(k) matching, • Bonus based on performance, • Company parties, • Competitive salary, • Dental insurance, • Employee discounts, • Flexible schedule, • Health insurance, • Opportunity for advancement, • Paid time off, • Training & development, • Tuition assistance Orthodontic Billing Specialist "Treating people like family for over 43 years and creating an experience that exceeds an expectation" Become a part of the dynamic and vibrant team at Babylon Dental Care, where the focus extends beyond dental care to making a profound impact on our community and enhancing the lives of our patients. As a foundational provider of general, specialty dental services, and Sleep/Airway Disorder treatments, Babylon Dental Care is recognized for its commitment to excellence, compassion, and unmatched patient care. We are currently seeking an Orthodontic Billing Specialist to infuse new energy into our Billing/Front Desk teams. Our Great South Bay location in West Babylon, NY and our Gateway Plaza location in Patchogue, NY are welcoming and warm environments, intentionally designed to promote collaboration and foster creativity. The intention of this role is to create everyday service success, while offering opportunities for growth and advancement, if desired by the professional. Why Babylon Dental Care? • A Caring Legacy: Step into a role where your work directly contributes to a legacy of exceptional dental care and community service. Privately owned, we honor all who want to serve., • Collaborative Practice Environment: Enjoy an environment created to foster and motivate all to learn the basics of service. Our team works together to help one another serve our patients with the highest quality of care. We recognize and appreciate the wholehearted professional you feel called to be., • Growth and Development: At Babylon Dental Care, your professional development is paramount. We invest in each team member's growth, ensuring that your career flourishes with us. What you can expect: A fast-paced, challenging, and exciting work atmosphere where everyone is focused on making you successful and happy in your role. Training! We will train you to become a great Orthodontic Billing Specialist and our (unique) Global Training program allows you to see how/what all departments do to support you in your role. Some of our Billing/Ortho Coordinators have moved into roles as Front Desk Team Leads, Billing Department Team Leads, Hygiene Coordinator Team Leads, and even Practice Administrators. We give plenty of support and were with you every step of the way! You start your BDC journey with a 15-day Global Training and your own Ambassador to walk you through it all. Our intention during the beginning days is to introduce you to BDC's entire service, culture mindset and give you customized and or individualized training needed to master your role as an Billing Coordinator. What we will ask of you: Commitment to Babylon Dental Care and the patients we serve. Teamwork and a willingness to learn every day! This role can be your steppingstone to success and professional growth within our practice! The skys the limit! Our billing department is very busy, so we need someone who is: • Reliable and team orientated., • Out of the box thinker and collaborative to support our growth., • Empathic and compassionate., • High level of professional presence., • Ability to multi-task in a fast-paced environment., • Open to learn all about technologies that will enhance our patient care and service., • Self-motivated, takes initiative without constant direction., • Calm under pressure, strong communicator., • Strong Mathematical skills. We expect you to be personally responsible for being on-time and present for every shift you work and always willing to go the extra mile for our patients! Knowledge of Dentrix Ascend (or other dental software) would be helpful in setting you up for success, but not mandatory. Ability and open to learn our dental software. Strong Dental Insurance knowledge is required for the most success in this role. Heres an example of what an Ortho Billing Specialist might do in a day: • Educate our patients about the details of their orthodontic treatment plan and associated fees after our Orthodontist has diagnosed and reviewed their options with them. You potentially clarify what the patient may have heard or "think" they heard. This can be in collaboration with our Patient Coordinators., • Help patients understand their dental insurance benefits (ortho specific) and their potential out of pocket costs associated with the dental care they want or need. Review with Patient Coordinators our patients financial responsibility based on any Insurance pre-determinations. You will essentially be mentoring our Patient Coordinators in developing a greater sense of Ortho Insurance Billing., • Monitor Pre-determinations sent to Patient's Insurance companies. Keeping an eye on their timely return to move forward with patient's care. Communicate with Patient Coordinators and or Ortho team about any issues that may arise., • Collaborate with our financial team and or Patient Coordinators to address and collect patient balances when they are set to return to the Practice for care., • Comfortable with keeping up to date with email communications as the day goes on, responding when appropriate and necessary., • Closely monitor any claims denied or rejected and in an immediate fashion dealing with all barriers to ensure Practice payment., • Assisting Orthodontist with any further documentation needed to secure timely payment of claim., • Constant collaborator in helping Front Desk team increase their knowledge of ortho insurance billing., • Mentoring new team members when comfortable and can create value., • Work collaboratively with the entire Practice to meet or exceed monthly goals so all can receive their check exercise bonus!, • Generate and review reports, when directed., • Helping when needed to re-credential Orthodontist within the Practices., • Proactively follow up on any outstanding Ortho Insurance claims and resolve to obtain payment., • Enter Ortho Insurance payments accurately., • Verify eligibility and benefits for ortho patients., • Send insurance claims & pre-authorizations manually & electronically with necessary attachments and information., • Help assume responsibility to decrease accounts receivable on any Ortho accounts., • Prepare nightly Practice close outs, which include spreadsheets for both Partners and Bookkeeper reconciliations., • Participate in bi-weekly huddle calls with Leadership, preparing proper huddle sheets beforehand to promote an organized and productive call., • Assist patients in setting up re-occurring charges for Ortho case payments., • Review with Ortho team contracts for patients treatment. May also need to review with patient directly throughout their care. We're looking for someone who has: • Three or more years experience in dental insurance and or Ortho billing departments. General dental practice experience is a must, three to five years preferred. Orthodontic billing experience of three to five years will be valued greatly., • Flexibility regarding scheduling. Our office is open 6 days a week, including early morning, late evenings, and some holidays. Insurance/Ortho Billing Specialists work every other Saturday., • Experience providing exceptional hospitality-inspired customer service in a fast-paced Practice., • Excellent attention to detail and high follow through., • The ability to calculate percentages accurately and quickly. Very strong math skills. Strong ability to understand and explain EOB's., • A positive, friendly, and enthusiastic attitude. Collaborative and comfortable in communications with patients regarding sensitive financial concerns., • Outstanding teamwork skills and the ability work with a diverse group of people., • Bi-lingual in English and Spanish welcomed.Education:, • High school or equivalent (Required)., • College degree preferred.Babylon Dental Care Perks:, • Competitive Compensation: Earn $25 to $28 per hour, reflective of your skills and dedication., • Comprehensive Benefits: Enjoy paid holidays, personal time off, sick time (as per NYS law), health insurance options available, a $2500 dental credit for your own dental needs within the Practices and a 401K with employer match. Monthly team bonus opportunities are extended. Most benefits start after your probationary period of 90 days. You start accruing sick time from day one, as per NYS and the Practice extends PTO within year one., • Professional Growth: Opportunities for learning and advancement in a supportive environment that values innovation and hard work. Are you ready to make a tangible difference in people's lives, contribute to a meaningful legacy, and grow your career in a supportive and dynamic environment? If so, Babylon Dental Care is waiting for you. Join us in our mission to not just care for smiles, but to create them, within our community and our team. Apply today and embark on a journey where your work truly matters. Visit our website to learn more about our organization and the exciting opportunity to be part of a team that provides exceptional dental care and exceeding patient expectations. Also, get a firsthand view of what its like to be a member of our team by watching video interviews with our team members on Youtube.com/BabylonDentalCareGSB We look forward to meeting you!

Job Description Claims Specialist As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects. You will support programs by monitoring requests, liaising with clinical partners, managing provider and contractor interactions, tracking deliverables and deadlines, and develop project frameworks to support interdisciplinary and interagency communications. Duties include by are not limited to: • Monitor appeal/dispute status and communication received on client portals., • Conduct initial eligibility reviews and recommend course of action to internal team and department management., • Track and assign cases using commercial off-the-shelf and custom software applications., • Monitor and measure key performance indicators., • Identify barriers and roadblocks in work processes, recommend solutions to solve problems, and execute approved solutions., • Routinely present case/project status in huddles and scrums while using an agile, iterative approach to implementation and data presentation., • Schedule regular team status meetings and record decisions (e.g., assigned tasks and next steps)., • Prepare billing invoices at conclusion of cases, submit to the Finance department, and liaise with accounting to track and trend payments. This is an in office position based in IPRO's headquarter office located in Jericho, NY QUALIFICATIONS: • Knowledge and experience with collaborative project management software, electronic documents, and design., • Ability to problem solve and work collaboratively with peers, medical, analytical, and administrative support staff., • Excellent written and verbal skills including phone manner., • Ability to work independently with little supervision., • Ability and desire to be flexible, innovative, and creative while multi-tasking., • Ability to meet deadlines in time sensitive environment. EDUCATION & EXPERIENCE: • Bachelors or advanced degree in healthcare, business, management digital studies or related field AND 2 years of collaborative project support, required., • OR-, • Associates degree in related field AND 3 years of collaborative project support, required. The salary range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The salary range for this position is $66,300.00 to $70,000.00 . Actual salary and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, protected veteran status or military status.

Job Description Our Ideal Medical Billing Specialist: Are you detailed oriented and enjoy meeting deadlines? Have great time management and organization skills? Love solving problems? Do you feel a sense of accomplishment when completing tasks and meeting goals? Want to work for a company that has a strong mission of helping children with special needs? Interested? If this sounds like you, please apply today! Founded in 1995, Achieve Beyond nationally meets the needs of children by providing the highest quality of pediatric therapy and autism services. Our providers and administrative staff are dedicated to our mission of helping children and families, and we are looking for smart, innovative, and driven candidates to join our team. Achieve Beyond is centered around our culture of collaboration and support to ensure our services are of the highest quality and adhere to our strong ethical standards. Job Summary: Responsible for collection of all insurance and private pay payments from start of service to discharge/termination. Essential Duties and Responsibilities: • Review and resubmit denied claims by calling insurance companies to have claims reprocessed., • Review, reconcile and follow up on claims which are incorrectly paid., • Contacts insurance companies with major issues to ensure accuracy of billing for maximum payment., • Prepare insurance letters of appeals as necessary, attaching medical documentation, referrals, prior authorizations, etc., • Documents notes in patient's accounts, • Identify refunds, provides supporting documentation, completes refund forms and submits to supervisor, • Communicate effectively via phone & in person with carriers, patients, staff and management, • Coverage for billing department during vacancies, • Collection of Patient Balances, • Other duties as assigned by manager Education and/or Work Experience Requirements: • Two to five years of experience working in health care billing., • Knowledge of Insurance rules, regulations and compliance guidelines., • Ability to interpret CPT/HCPC/ICD-10 books. Our Mission: At Achieve Beyond: We believe that all children have potential. We are guided by the mission to support children with special needs to Achieve Beyond their current abilities. We are always striving for continuous improvement by setting goals and measuring performance. It is the reason we will succeed together. Qualifications and Other Requirements: • Medical Insurance Experience Required, • Experience handling a heavy claim volume, • Excellent interpersonal skills, • Ability to multitask and respond quickly to concerns, • Quick learner, • Strong knowledge of MS Office, Outlook and Excel, • Ability to work overtime when needed Physical Requirements: • Occasionally ascends/descends stairs going to, while at, or leaving work location or facilities, • Occasionally moving and/or lifting objects at work weighing up to 10 pounds., • Must be able to remain in a stationary position for prolonged periods of time up to 90% of the workday working on a computer/electronic device., • The ability to observe details at close range (within a few feet of the observer)., • The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. Benefits Include: • Comprehensive medical, dental, and vision coverage, and 401 (k) with employer match, • Short- and long-term disability coverage, as well as life, flex spending, and commuter benefits, • Paid time off, sick time, and holiday pay, • Various Employee Discounts on Entertainment and Equipment, • Educational reimbursement and referral bonuses, • Structured initial training, • Monthly administrative events and so much more! Compensation: Full time hourly $25-30. Hours: Monday-Friday 9:00am-5:30pm and overtime as needed.

INSURANCE – Litigation Adjuster – NY Labor Law & Property Specialist opening in Melville, NY. Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for policyholders; providing a high level of customer service while managing a portfolio of complex and high exposure litigated claims involving complex liability and damage issues; evaluating coverage by interpreting/applying policy language to claim facts and preparing appropriate and timely coverage position letters; conducting and directing timely and quality claim investigation, evaluation and equitable settlement of all assigned claims; ensuring timely and accurate reserves consistent with established reserving philosophy and practices; negotiating fair and equitable settlements directly with attorneys; identifying risk transfer opportunities through trade contracts and/or applicable law. Ideal candidate will have a 4-year degree or equivalent work-related experience; minimum of 5 years’ experience handling New York Labor Law and third-party property damage claims; candidates with a JD and insurance defense experience looking for a new career path are encouraged to apply. Ability to oversee and manage defense counsel, select and retain appropriate experts and develop appropriate resolution strategies. Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars. Tuition Reimbursement. Salary up to $130k DOE. (DC13129)

What does a Medical Billing and Coding Specialist do?. A medical billing and coding specialist processes and codes healthcare claims to ensure accurate billing and insurance reimbursement, supporting the financial operations of healthcare facilities. Looking to start a rewarding career path in the h

INSURANCE – Litigation Adjuster – NY Labor Law & Property Specialist opening in Melville, NY. Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcomes for policyholders; providing a high level of customer service while managing a portfolio of complex and high exposure litigated claims involving complex liability and damage issues; evaluating coverage by interpreting/applying policy language to claim facts and preparing appropriate and timely coverage position letters; conducting and directing timely and quality claim investigation, evaluation and equitable settlement of all assigned claims; ensuring timely and accurate reserves consistent with established reserving philosophy and practices; negotiating fair and equitable settlements directly with attorneys; identifying risk transfer opportunities through trade contracts and/or applicable law. Ideal candidate will have a 4-year degree or equivalent work-related experience; minimum of 5 years’ experience handling New York Labor Law and third-party property damage claims; candidates with a JD and insurance defense experience looking for a new career path are encouraged to apply. Ability to oversee and manage defense counsel, select and retain appropriate experts and develop appropriate resolution strategies. Full Benefits: Health, Dental, Vision, Life Insurance, Short Term Disability, 401(k) employer match amount is 100% up to 6% of your annual contributions. You are immediately 100% vested in the employer match dollars. Tuition Reimbursement. Salary up to $130k DOE. (DC13129)

Job Description Automotive Parts Advisor – Counter Sales | $19–$22.50/hr + Commission | Hiring Now ???? Westbury, NY (Long Island) ???? $55,000 - $80,000+ (Inclusive of Commission & Bonuses) ???? Full-Time | Weekend Availability Required | Immediate Opening ???? Join Westbury Jeep – VIP Automotive Group Westbury Jeep, part of the VIP Automotive Group of Long Island, is actively hiring an experienced Automotive Parts Advisor / Parts Counterperson / Parts Sales Specialist. We are one of Long Island’s top-performing dealership groups, offering career growth, stable hours, strong earning potential, and a professional dealership environment. This is an excellent opportunity for candidates with dealership parts, auto parts retail, or parts counter sales experience looking to build a long-term automotive career. ???? Compensation & Benefits • ???? $55,000 - $80,000+ (Inclusive of Commission & Bonuses), • ???? Medical & Dental Insurance, • ???? 401(k) with employer match, • ????️ Paid Time Off (PTO), • ???? Employee discounts (vehicles, parts & service), • ????️ Short-Term & Long-Term Disability + Life Insurance, • ???? Performance recognition programs, • ???? Career advancement within VIP Automotive Group, • ???? Ongoing training & manufacturer certifications???? Position Overview The Automotive Parts Advisor / Counter Sales Representative assists service technicians, retail customers, and wholesale clients by identifying, sourcing, and selling OEM and aftermarket automotive parts while supporting dealership parts operations. ???? Key Responsibilities (What You’ll Do) • Assist customers and technicians at the parts counter and via phone/email, • Identify correct OEM and aftermarket parts using catalogs & systems, • Process parts orders, quotes, invoices, and transactions, • Manage special orders, backorders, and customer follow-ups, • Handle core returns, warranty claims, and parts returns, • Cross-sell and upsell parts and accessories, • Support inventory control, stocking, and organization, • Maintain a clean, efficient, and customer-focused parts department, • Work closely with Service Department and Parts Manager✅ Qualifications, • Prior automotive parts advisor / parts counter / dealership parts experience required, • Knowledge of auto parts catalogs, inventory systems, and dealership operations, • Strong customer service, communication, and sales skills, • Ability to work in a fast-paced, high-volume dealership environment, • Detail-oriented with strong organizational skills, • Professional attitude and team-oriented mindset, • Weekend availability required???? Schedule, • Full-Time position, • 5–day work week, • Weekend availability required ???? Location Westbury Jeep – VIP Automotive Group Westbury, NY ???? Apply Today Join a high-performing automotive dealership team where you can grow your career in parts sales and operations. If you’re experienced, customer-focused, and ready to earn, apply now to join Westbury Jeep.

Job DescriptionNassau Financial Federal Credit Union Universal Membership Specialist Oyster Bay, New York Full-time $20 - $23 hourly About the Job: Nassau Financial Federal Credit Union Universal Membership Specialist - Banking. • Salary: $20.00 - $23.00., • Shift: 40-hour work week; Monday through Friday and Saturdays on rotation., • Work Location: Oyster Bay, NY - In-person., • Benefits: Medical, Dental, 401K, Vision, Short Term Disability, Long Term Disability and Paid Time Off, Tuition Reimbursement. Working at Nassau Financial Federal Credit Union means being part of something larger than yourself. At Nassau Financial, it is more than a job; we offer a career experience where you can grow personally and professionally while being an integral part of advancing our service mission of “Improving the financial well-being of each member and the communities we serve.” At Nassau Financial, our team of professionals are the backbone of achieving our mission each day. One of the primary means to achieve this end is to develop a highly effective team of employees and advance each employee to their highest potential through coaching and leadership. Our employees are responsible for ensuring that outstanding service is delivered to both internal and external members. A key component of this service is to identify the financial needs of the member and recommend an appropriate credit union solution. Our corporate tenets are an integral part of our culture and how we do business: • Commitment to Service: Providing extraordinary service with every interaction both internally and externally to exceed the expectations of our members., • Teamwork: Together we succeed through a spirit of mutual respect and collaboration. Feedback is welcomed and contributes to building a positive team spirit to achieve organizational goals., • Professionalism: Team members are approachable and treat others with respect and consideration; accept responsibility for their own actions; follow through on commitments., • Fun: We work hard, that’s why it’s called a job! However, working efficiently and effectively with others to achieve our goals can be fun too., • Community Engagement: Our industry was founded on the principles of people helping people. Being involved in the community through volunteerism is a great way to help others., • Continuous Improvement: An ongoing effort to make sure that our processes, methods, and practices are as efficient, accurate, and as effective as possible. We do this by examining and improving our processes to eliminate bottlenecks, use the best software, and take advantage of the most efficient methods. Overview of the Role: This role will be responsible for effectively developing and maintaining a financial relationship with our members. This includes identifying member inquiries and providing account resolution and solutions matched to member needs by building relationships to determine their needs. To provide a product and/or service solution to help meet the member’s need in a professional, prompt, and efficient manner. Overall, responsible for exceeding credit union goals. This position will be a hybrid of remote and in-branch work environment. Accountabilities and Responsibilities: • To deliver service consistent with our Service Promises., • Strive for one call resolution and execute best practices in accordance with the call monitoring scoresheet., • Conduct profile assessments for cross-sell opportunities., • Recommend products that fulfill the financial requirements of members within lending and credit guidelines., • Register leads into Synapsys CRM tool for “next step” follow-up action., • Partner with internal departments to resolve member inquiries across all channels, i.e.; Lending, Auditing, OSS, Accounting, and Real Estate. General: • Cross-sell appropriate products suited to member’s profile and confirmed through needs-based questions to attain sales goals covering member acquisition, new checking accounts, loan production, cross-sell, and insurance-related policies. Build multi-product relationships with each member to increase the loyalty factor., • Participate in monthly contests to achieve new product goals and the ongoing goal of opening new checking accounts., • Possess proficient product knowledge as measured by the annual product knowledge certification assessment., • Identify Member’s needs, clarify information, research every issue, and provide solutions and/or alternatives. Utilize effective listening and questioning techniques to identify the primary needs of members., • Accountable for the appropriate and timely response and resolution to member issues and concerns., • Responsible for properly maintaining and processing share and consumer loan applications from all delivery channels through our core processing software in an efficient and timely manner., • Responsible & accountable for remaining current on changes within the legal, regulatory, economic, competitive, and technology environments which may affect share, consumer lending, and Internet programs, • Provide technical expertise in the resolution of any problems related to internet-related products including but not limited to, mobile -t Banking, Bill Pay, and e-statements., • Effectively communicate with Members through various digital/electronic channels such as e-mail, e-chat, and mobile banking., • Process account inquiries, address changes, closing accounts, when necessary, account maintenance requests, reconciliation, and payroll requests., • Proactively modify performance based on Management coaching and/or feedback resulting from performance management tools., • Notify management or applicable personnel of any system issues in a timely manner., • Responsible for seeking out the appropriate training to further enhance expertise and professional development., • Handle Shared banking inquiries and transactions and members to the closest shared branch, if possible., • Individuals will be responsible and accountable for contributing to the credit union's goals., • Comply with Verafin guidelines, re: internal watch list, alerts for loan fraud, check disbursements, and wire transfer fraud., • Respond knowledgeably and courteously to members' questions concerning Credit Union policies and procedures., • Accountable for knowledge of Credit Union Policies and Procedures and how to appropriately communicate to members., • BSA/AML compliance (and compliance with the Office of Foreign Assets Control) is the responsibility of all employees throughout the organization. This is achieved through annual training, reporting compliance issues to the attention of the Compliance Officer, and keeping aware of regulatory requirements. In-Branch: • Responsible for facilitating account opening inquiries & the opening of new accounts to existing members, verifying and obtaining proper documentation. Distribution of the appropriate disclosures through the mail or electronic mail in order to comply with regulatory guidelines., • Conduct interviews to develop information concerning a member’s financial need and cross-sell all products and /or services including those of credit union-affiliated partners., • Responsible for all IRA opening, processing, and completion of all documents., • Process member death claims and follow-up documentation., • Conduct account transactions that are unable to be performed at the ITM or at peak times, such as but not limited to:, • Account closures., • Transfers., • Check Disbursals., • Check Deposits., • At the direction of, or in the absence of, the Manager: balance and perform daily maintenance of ITM, Coin Machine, Other Duties: • Performs functions related to the ITM Teller when necessary to meet the needs of the Credit Union and its members., • Possess knowledge in Lending and Home Equities., • Work Schedule requires the ability to work flexible hours and Saturdays. May be assigned to other branches/departments as business dictates., • Working remotely (from home) may be required., • The ability to capture and scan loan documentation., • Effectively participate in department meetings, training, credit union promotions, community events, and business development efforts., • Perform other duties as assigned. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, specific job duties, certifications, etc. Nassau Financial FCU is an Equal Opportunity Employer. m/f/h/v.

Job DescriptionNassau Financial Federal Credit UnionUniversal Membership SpecialistFarmingdale, New York Full-time $20 - $23 hourly About the Job: Universal Membership Specialist - Banking. • Salary: $20.00 - $23.00., • Shift: 40-hour work week; Monday through Friday and Saturdays on rotation., • Work Location: Farmingdale, NY - In-person., • Benefits: Medical, Dental, 401K, Vision, Short Term Disability, Long Term Disability and Paid Time Off, Tuition Reimbursement. Working at Nassau Financial Federal Credit Union means being part of something larger than yourself. At Nassau Financial, it is more than a job; we offer a career experience where you can grow personally and professionally while being an integral part of advancing our service mission of “Improving the financial well-being of each member and the communities we serve.” At Nassau Financial, our team of professionals are the backbone of achieving our mission each day. One of the primary means to achieve this end is to develop a highly effective team of employees and advance each employee to their highest potential through coaching and leadership. Our employees are responsible for ensuring that outstanding service is delivered to both internal and external members. A key component of this service is to identify the financial needs of the member and recommend an appropriate credit union solution. Our corporate tenets are an integral part of our culture and how we do business: • Commitment to Service: Providing extraordinary service with every interaction both internally and externally to exceed the expectations of our members., • Teamwork: Together we succeed through a spirit of mutual respect and collaboration. Feedback is welcomed and contributes to building a positive team spirit to achieve organizational goals., • Professionalism: Team members are approachable and treat others with respect and consideration; accept responsibility for their own actions; follow through on commitments., • Fun: We work hard, that’s why it’s called a job! However, working efficiently and effectively with others to achieve our goals can be fun too., • Community Engagement: Our industry was founded on the principles of people helping people. Being involved in the community through volunteerism is a great way to help others., • Continuous Improvement: An ongoing effort to make sure that our processes, methods, and practices are as efficient, accurate, and as effective as possible. We do this by examining and improving our processes to eliminate bottlenecks, use the best software, and take advantage of the most efficient methods. Overview of the Role: This role will be responsible for effectively developing and maintaining a financial relationship with our members. This includes identifying member inquiries and providing account resolution and solutions matched to member needs by building relationships to determine their needs. To provide a product and/or service solution to help meet the member’s need in a professional, prompt, and efficient manner. Overall, responsible for exceeding credit union goals. This position will be a hybrid of remote and in-branch work environment. Accountabilities and Responsibilities: • To deliver service consistent with our Service Promises., • Strive for one call resolution and execute best practices in accordance with the call monitoring scoresheet., • Conduct profile assessments for cross-sell opportunities., • Recommend products that fulfill the financial requirements of members within lending and credit guidelines., • Register leads into Synapsys CRM tool for “next step” follow-up action., • Partner with internal departments to resolve member inquiries across all channels, i.e.; Lending, Auditing, OSS, Accounting, and Real Estate. General: • Cross-sell appropriate products suited to member’s profile and confirmed through needs-based questions to attain sales goals covering member acquisition, new checking accounts, loan production, cross-sell, and insurance-related policies. Build multi-product relationships with each member to increase the loyalty factor., • Participate in monthly contests to achieve new product goals and the ongoing goal of opening new checking accounts., • Possess proficient product knowledge as measured by the annual product knowledge certification assessment., • Identify Member’s needs, clarify information, research every issue, and provide solutions and/or alternatives. Utilize effective listening and questioning techniques to identify the primary needs of members., • Accountable for the appropriate and timely response and resolution to member issues and concerns., • Responsible for properly maintaining and processing share and consumer loan applications from all delivery channels through our core processing software in an efficient and timely manner., • Responsible & accountable for remaining current on changes within the legal, regulatory, economic, competitive, and technology environments which may affect share, consumer lending, and Internet programs, • Provide technical expertise in the resolution of any problems related to internet-related products including but not limited to, mobile -t Banking, Bill Pay, and e-statements., • Effectively communicate with Members through various digital/electronic channels such as e-mail, e-chat, and mobile banking., • Process account inquiries, address changes, closing accounts, when necessary, account maintenance requests, reconciliation, and payroll requests., • Proactively modify performance based on Management coaching and/or feedback resulting from performance management tools., • Notify management or applicable personnel of any system issues in a timely manner., • Responsible for seeking out the appropriate training to further enhance expertise and professional development., • Handle Shared banking inquiries and transactions and members to the closest shared branch, if possible., • Individuals will be responsible and accountable for contributing to the credit union's goals., • Comply with Verafin guidelines, re: internal watch list, alerts for loan fraud, check disbursements, and wire transfer fraud., • Respond knowledgeably and courteously to members' questions concerning Credit Union policies and procedures., • Accountable for knowledge of Credit Union Policies and Procedures and how to appropriately communicate to members., • BSA/AML compliance (and compliance with the Office of Foreign Assets Control) is the responsibility of all employees throughout the organization. This is achieved through annual training, reporting compliance issues to the attention of the Compliance Officer, and keeping aware of regulatory requirements. In-Branch: • Responsible for facilitating account opening inquiries & the opening of new accounts to existing members, verifying and obtaining proper documentation. Distribution of the appropriate disclosures through the mail or electronic mail in order to comply with regulatory guidelines., • Conduct interviews to develop information concerning a member’s financial need and cross-sell all products and /or services including those of credit union-affiliated partners., • Responsible for all IRA opening, processing, and completion of all documents., • Process member death claims and follow-up documentation., • Conduct account transactions that are unable to be performed at the ITM or at peak times, such as but not limited to:, • Account closures., • Transfers., • Check Disbursals., • Check Deposits., • At the direction of, or in the absence of, the Manager: balance and perform daily maintenance of ITM, Coin Machine. Other Duties: • Performs functions related to the ITM Teller when necessary to meet the needs of the Credit Union and its members., • Possess knowledge in Lending and Home Equities., • Work Schedule requires the ability to work flexible hours and Saturdays. May be assigned to other branches/departments as business dictates., • Working remotely (from home) may be required., • The ability to capture and scan loan documentation., • Effectively participate in department meetings, training, credit union promotions, community events, and business development efforts., • Perform other duties as assigned. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, specific job duties, certifications, etc. Nassau Financial FCU is an Equal Opportunity Employer. m/f/h/v.

Merchants is seeking a Litigation Adjuster - NY Labor Law and Property Specialist in Melville, NY, to join our Claims Legal Team.

Job Description As a Coding Reviewer, you will be responsible for the general coding validation and verification and preparation of independent dispute resolution reviews from external state and federal agencies in accordance with reporting requirements. Duties include but are not limited to: • Confirm and verify submitted codes for DRG validation., • Apply national coding standards and regulations to the claims and clinical data., • Provide subject matter input and support agency-wide projects., • Other duties as assigned. This position requires working on-site at the Jericho, NY office. Qualifications: • Excellent interpersonal and communication skills, both written and verbal., • Ability to relate effectively with technical, medical, analytical and administrative personnel., • Proficiency in EHR applications, office technology, and Microsoft applications including Word, Excel, and PowerPoint., • Being able to handle sensitive and confidential information., • Ability to work in a team environment and independently. Education & Experience: • Licensed Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS)/ Certified Coding Specialist Physician (CCS-P) required., • Technical knowledge of coding and DRG validation with CPT, HCPCS experience and ICD-10 certification required, • Bachelor’s degree in healthcare administration or health information management preferred., • Minimum of two (2) years of experience abstracting and coding of outpatient medical records for billing., • Some experience in utilization reviews preferred. The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. The annualized salary range for this position is $65,000.00 – $70,000.00. Actual salary range and/or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range listed does not include other forms of compensation or benefits. IPRO is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or military status, or any other category protected under applicable law.

INSURANCE – Litigation Adjuster – NY Labor Law & Property Specialist opening in Melville, NY.Cultivating relationships with claims and other internal staff, policyholders, attorneys, agents and a variety of service providers and experts all while working towards achieving the most optimal outcom

Job Description Job Description: Who We Are: At Community Mainstreaming, our mission is to support individuals with developmental disabilities in living fulfilling, independent lives. Through our comprehensive services, we promote inclusion and empower those we serve to thrive within their communities. We are driven by compassion, innovation, and a strong commitment to making a difference. Learn more about our impactful work at communitymainstreaming.org Overview: The Benefits Specialist is responsible for administering and managing all employee benefits programs and leave of absence processes. This includes health, dental, vision, life and disability insurance, retirement plans, and wellness initiatives, as well as federal, state, and employer-sponsored leaves such as FMLA, Paid Family Leave (PFL), Workers' Compensation, and Disability. This role ensures compliance with applicable laws and policies and provides excellent service to employees throughout their benefits and leave experiences. Why You’ll Love Working with Us: A supportive, inclusive team culture where your contributions make a real difference. The chance to work for an organization that transforms lives and empowers individuals with developmental disabilities. Opportunities for career advancement and professional development. Minimum Qualifications: • Associate or bachelor’s degree in human resources, business administration, or related field is preferred, • 2+ years of experience in benefits and/or leave of absence administration., • Familiarity with FMLA, PFL, ADA, Workers’ Compensation, and disability programs., • Knowledge of relevant employment laws and benefits regulations., • Experience with HRIS and benefits systems (ADP)., • Strong communication, problem-solving, and customer service skills., • Ability to maintain confidentiality and manage sensitive information., • Smartphone required. Generous Benefits: • Medical Benefits: Generous employer contribution; eligibility begins the first day of the month following 60 days of employment., • Dental Benefits: Employer-paid., • Vision Plan, • Accident Insurance, • Critical Illness Insurance, • Pet Insurance, • Identity Theft & Fraud Protection, • Legal Services, • 403(B) Retirement Plan: Organization match of up to 5%., • Life Insurance: Employer sponsored, • Tuition Assistance, • Section 125 Flexible Spending Program, • Additional Voluntary Life Insurance and Long-Term Disability Benefits Paid Time Off: • Up to 80 hours of vacation during the first calendar year of employment. Employees accrue an additional 8 vacation hours each subsequent calendar year, up to a maximum of 120 hours., • Up to 40 hours of personal time per calendar year., • 10 paid holidays. As a non-profit organization, we offer employees the opportunity to qualify for Public Service Loan Forgiveness. Join our team and make a positive impact in the community while benefiting from this valuable financial relief. Pay: $55,000 - $60,000/year What You Will Do: Benefits Administration • Serve as the primary point of contact for employee questions regarding eligibility, coverage and provision for our health, dental, vision, life, disability insurance, and retirement benefits., • Coordinate benefits enrollment for new hires and process changes due to qualifying life events., • Facilitate annual open enrollment, including preparation of materials, vendor coordination, and employee education., • Maintain accurate benefit records in HRIS and benefit systems; ensure timely updates., • Responsible for all billing and reconciliation of benefit invoices and resolve billing discrepancies with carriers and finance., • Ensure compliance with ERISA, COBRA, HIPAA, ACA, and other benefits-related regulations., • Distribute mandatory notices and benefit plan documents., • Support wellness programs, education campaigns, and benefit-related employee communications. Leave of Absence Management • Manage all aspects of employee leaves of absence, including FMLA, Paid Family Leave (PFL), Workers' Compensation, Short-Term Disability (STD), and Long-Term Disability (LTD)., • Communicate leave eligibility, required documentation, and timelines to employees., • Coordinate with third-party administrators, insurance carriers, and internal departments (e.g., payroll) to ensure timely processing of leave claims and pay., • Track leave usage and maintain accurate records of employee status and return-to-work dates., • Ensure compliance with federal, state, and local leave laws and organizational policies., • Provide support and guidance to managers on employee leave processes and coverage planning. Work Location: Westbury, NY (Nassau County) Work Hours/Schedule: Full-time, Monday – Friday, 9 AM – 5 PM _ Community Mainstreaming Associates is an equal opportunity employer._ Monday - Friday, 9:00 am to 5:00 pm Job Type: Full-time Work Location: In person #FMLA #WorkersComp #WorkersCompensation #Disability #DisabilityBenefits #LeaveOfAbsence #MedicalLeave #FamilyLeave #SickLeave #ShortTermDisability #LongTermDisability

As the Claims Specialist, you will coordinate activities critical to the successful completion of clinical reviews projects.

The Litigation Adjuster NY Labor Law and Property Specialist will become part of a dedicated team focusing on New York Labor Law, and third-party property damage claims. Litigation Adjuster - NY Labor Law and Property Specialist. Merchants Insurance Group, a leading Property and Casualty Insurer in

Enter all claims into Epic and generate Acord notices and follow up with carriers to ensure that the claim was reported, obtain necessary adjuster contact information and claim number then provide client with this information.

Litigation Adjuster - NY Labor Law and Property Specialist Job Category: Claims Requisition Number: LITIG001693 Posted: May 19, 2026 Full-Time Locations Melville, NY 11747, USA Description Litigation Adjuster – NY Labor Law and Property Specialist Hybrid Work Schedule Merchants Insurance Gr

Litigation Adjuster – NY Labor Law and Property Specialist Hybrid Work Schedule Melville, New York The Litigation Adjuster – NY Labor Law and Property Specialist will become part of a dedicated team focusing on New York Labor Law, and third-party property damage claims.

Job Description Allied Universal® is hiring a Special Investigations Unit (SIU) Investigator with New York Labor Law construction investigation experience. Special Investigations Unit (SIU) Specialists investigate claims with red flags that suggest fraudulent behavior In relation to an Insurance claim. The SIU Specialist must use their extensive knowledge of Insurance policies and the components of fraud to determine If claims warrant reporting to the appropriate state agency for prosecution. • Must possess a valid driver's license with at least one year of driving experience, • Pay Rate: $32 - $40 / hr RESPONSIBILITIES: • Independently investigate suspected fraudulent insurance claims for a variety of coverage to include workers’ compensation, general liability, property and casualty and disability, • Acquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance, • Create and maintain detailed documentation for investigations, file reviews, audits, training tasks, consulting projects, and other assignments as directed, • Produce professional and expert reports, memos, and letters that are clear, concise, and grammatically correct, • Run appropriate database indices if necessary and verify the accuracy of results found, • Independently develop a strategic plan to achieve assignment objectives, ensuring thorough documentation and effective communication with clients and their Special Investigation Unit Supervisor QUALIFICATIONS (MUST HAVE): • Experience with New York Labor Law construction investigations, • Must possess one or more of the following:, • Bachelor’s degree in Criminal Justice, • High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud, • Ability to be properly licensed as a Private Investigator as required by the state where work Is completed, • Post offer, must be able to successfully complete the Allied Universal Investigations training/orientation course, • Minimum of five (5) years of demonstrated experience conducting complex insurance investigations or adjusting complex insurance claims, • Proficient understanding and application of anti-fraud laws, insurance regulations, and compliance standards within their home state and designated regional area., • Proficient in utilizing laptop computers and cell phones., • Special Investigative Unit (SIU) Compliance knowledge, • Ability to type 40+ words per minute with minimum error, • Flexibility to work varied and irregular hours and days including weekends and holidays PREFERRED QUALIFICATIONS (NICE TO HAVE): • OSHA Certification, • Construction Related Experience, • Military experience, • Law enforcement, • Insurance administration experience, • Familiarity with California SIU regulations, • One or more of the following professional industry certifications:, • Certified Fraud Investigator (CFE), • Certified Insurance Fraud Investigator (CIFI), • Fraud Claim Law Associate (FCLA), • Fraud Claim Law Specialist (FCLS), • Certified Protection Professional (CPP), • Associate in Claims (AIC), • Chartered Property Casualty Underwriter (CPCU) BENEFITS: • Medical, dental, vision, basic life, AD&D, retirement plan and disability insurance, • Seven paid holidays annually, sick days available where required by law, • Vacation time offered at an initial accrual rate of 3.08 hours biweekly; unused vacation is only paid out where required by law