Trabajos claims en Syracuse, New York - Page 3Crear alertas

Job Description Principal Duties and Responsibilities include but are not limited to: • Perform daily work review with individual Service Technicians, Installers., • Review paperwork to ensure complete and get to the Hub for processing., • Identify opportunities to increase revenue through lead generation, approved incentive programs, equipment upgrades, and service call upselling., • Consistently monitor and administer company policies and procedures to the team., • Enforce minimum performance standards for call-backs, stops per day and overall productivity., • Coach, train and counsel employees and address performance issues in a timely manner., • Spend a minimum of 50% of time in the field performing service work or performing “Ride-Along Training Missions” to monitor and improve the performance of the team., • Ensure in-house repairs and reconditioning of all reusable equipment are performed to company specifications., • Respond promptly to requests for involvement with customer inquiries, as requested by the office for input via mobile device while in the field and laptop computer. Respond directly to customer as requested and required., • Visit any and all damage claims, and work with local and corporate management to ensure the proper filing of all general liability, auto and workers compensation claims is performed timely and accurately., • Assemble pipe sections, tubing, or fittings, using couplings, clamps, screws, bolts, cement, plastic solvent, caulking, or soldering., • Install pipe assemblies, fittings, and valves for water treatment equipment using hand or power tools., • Complete basic installation and removal of water treatment equipment., • Ensure all Service, Route and Warehouse personnel receive an annual performance and salary review in a timely manner and by the due date assigned., • Review open service orders and open route tickets as requested by the Admin. Group, • Conduct Weekly safety meetings, maintain the local safety program and incentive plans, and document attendance and topics covered., • Distribute and communicate all service and installation manuals, service tip sheets and product bulletins as updated to the field service crew members., • Achieve and exceed budgeted service and installation revenue, as well as gross margins by working with the General Manager., • Maintain an organized and neat warehouse., • Manage, maintain and secure equipment inventory and supplies., • Keep inventory control log current and in balance., • Adhere to all defined fleet PM schedules, and ensure all drivers properly inspect and maintain the vehicles., • Enforce all company fleet requirements and meet all federal or DOT regulations including driver qualification files., • Plumbing and mechanical experience a plus., • 3-5 years front line supervisory or management experience, • 3-5 years water treatment experience preferred, • Working knowledge of Microsoft Office programs, specifically Excel, Outlook and Word, • Valid driver’s license and all state mandated special motor vehicle operations certificates, • Ability to motivate and lead others, • Outstanding communication and follow through customer service skills, • Occasional lifting and carrying of water treatment equipment, bottled water and coolers, salt, and any other products or supplies for the business, • Transportation by two-wheel cart, objects weighing 50 – 100 pounds as needed While performing the duties of this job, the employee frequently works in outside weather conditions and therefore could be exposed to a variety of elements. Equal Opportunity Statement: Decisions and criteria governing the employment relationship with all employees at Culligan by WaterCo are made in a non-discriminatory manner, without regard to race, color, creed, religion, national origin, sex, marital status, pregnancy, disability, sexual orientation, gender expression, veteran status, age, FMLA status, or any other factor determined to be unlawful by federal, state or local statutes. Compensation: $80,000-85,000K/Year Schedule: Mon-Fri, 8am-5pm Benefits: Employees of Culligan receive a competitive benefits package and exclusive privileges, including: • Medical, • Dental, • Vision, • 401(K), • Product Discounts The company is strong, profitable, and well-positioned in the market with focus on strategic growth initiatives. The business is expanding in previously under-serviced segments, growing revenue both domestically and abroad, and generating higher-levels of profitability. Culligan by WaterCo is an Equal Opportunity Employer. #PRO

Job Description Job Summary: The Medical Billing Specialist is responsible for managing the billing and coding process for our medical practice. This role involves ensuring accurate billing for medical services, processing insurance claims, and handling patient accounts. The Medical Billing Specialist works closely with healthcare providers, insurance companies, and patients to ensure timely and accurate reimbursement. Key Responsibilities: * Billing and Coding: • Accurately code medical procedures and diagnoses using ICD-10, CPT, and HCPCS codes., • Prepare and submit insurance claims for medical services provided, ensuring compliance with insurance requirements., • Review and correct any errors or discrepancies in billing codes and claims. Insurance Claims Processing: • Verify patient insurance coverage and benefits before services are provided., • Follow up on denied or rejected claims, working with insurance companies to resolve issues and obtain payment., • Appeal denied claims and address any billing disputes with insurance carriers. Patient Accounts Management: • Manage patient billing accounts, including processing payments, issuing refunds, and setting up payment plans., • Address and resolve patient billing inquiries, concerns, and discrepancies., • Ensure accurate and timely posting of payments and adjustments to patient accounts. Documentation and Record Keeping: • Maintain organized and accurate records of all billing transactions, insurance claims, and patient interactions., • Ensure confidentiality and security of patient information in compliance with HIPAA regulations. Reporting and Reconciliation: • Generate and review billing reports to monitor accounts receivable and identify any outstanding balances or issues., • Reconcile billing statements and resolve discrepancies between patient accounts and insurance payments. Compliance and Best Practices: • Stay updated on industry regulations, coding guidelines, and insurance policies to ensure compliance., • Implement and follow best practices for medical billing and coding to enhance accuracy and efficiency. Communication and Coordination: • Collaborate with healthcare providers and administrative staff to ensure accurate documentation and coding of medical services., • High School Diploma or equivalent; Associate’s or Bachelor’s degree in medical billing, health information management, or related field preferred., • Certification in medical billing and coding (e.g., CPC, CCS, or CBCS) is highly desirable., • Proven experience as a Medical Billing Specialist or in a similar role within a healthcare setting., • Strong knowledge of medical billing procedures, coding systems, and insurance claims processing., • Proficiency in medical billing software and electronic health records (EHR) systems., • Excellent attention to detail, analytical skills, and organizational abilities., • Strong communication and customer service skills., • Ability to sit or stand for extended periods., • This role is performed in a typical office setting with a standard office schedule.

Job Description The Liability Claims Specialist manages non-complex and non-problematic Heavy Auto and/or General Liability claims under direct supervision of a senior claims professional. This role aims to achieve optimal outcomes for both CorVel and our clients. The Liability Claims Specialist handles litigated files and works with delegated limited authority, adhering to company best practices. This is a remote role. Heavy Auto Liability experience is required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Manages non-complex and non-problematic medical only claims and minor lost-time liability claims under close supervision, • Receives claims, confirms policy coverage and acknowledgment of the claim, • Determines validity and compensability of the claim, • Establishes reserves and authorizes payments within reserving authority limits, • Communicates claim status with the customer, claimant, and client, • Adheres to client and carrier guidelines and participates in claims review as needed, • Collaborates with team members on more complex or problematic claims as necessary, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Ability to identify, analyze and solve problems, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets, • Strong interpersonal, time management, and organizational skills, • Ability to meet or exceed performance expectations, • Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: • Heavy Auto and Liability experience is required, • Minimum of 1 year of industry experience and claims management preferred, • Bachelor's degree or a combination of education and related experience, • Current Adjuster’s License in state of operation is required, • Multi-State license is preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $52,999 - $85,473 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description Nursing degree, active registered nurse (RN) license and minimum 1+ years PEDS RN experience required. Applicants who do not meet these qualifications will not be considered. Immerse yourself in the vibrant atmosphere of Liverpool, NY—a fantastic destination for travel nurses seeking both adventure and professional enrichment. With its welcoming community and proximity to the scenic Finger Lakes, you’ll have plenty of opportunities to explore local attractions, enjoy cultural events, and unwind in picturesque surroundings during your time off. This travel assignment places you in a dynamic Pediatric Emergency Department environment, offering exposure to diverse clinical practices and leadership styles. Expand your resume with valuable experience in a Level 1 or Level 2 trauma setting, hone your acute pediatric care skills, and collaborate with a team committed to excellence. Schedule/Hours: • Night shifts: 7:00 PM – 7:30 AM, • Every other weekend required, • Current New York State RN registration, • BLS certification with ability to recertify, • Minimum two years’ recent (within the last two years) RN experience in an acute care facility of similar size and scope, with a majority in Pediatric ED, • Level 1 or 2 trauma experience preferred, • EPIC EMR proficiency preferred, • Excellent communication and interpersonal abilities, • Formal triage training and strong triage skills required, • No professional license suspensions, investigations, or past liability claims, • Legal right to work in the U.S.; successful completion of health, drug, and background screenings, • Deliver comprehensive patient care as a Pediatric ED RN with minimal orientation, • Demonstrate solid nursing assessment skills in acute pediatric settings, • Collaborate with multidisciplinary teams and contribute to quality patient outcomes, • Premium compensation, • Tax-advantaged travel stipends, • Dedicated travel support and assistance, • Comprehensive healthcare coverage, • 401(k) plan for long-term financial security, • Opportunities for professional growth and resume enhancement Compensation for this position ranges from $26.59 to $50.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date. #p31

Job DescriptionDescription: JOB SUMMARY: Work directly with laser cutting systems or plasma cutting systems and maintain QC system necessary for operations. You will be responsible for monitoring and changing cutting conditions, part nesting, material loading, schedules, and ensuring that all products meet the quality standards through first and last piece inspections. BENEFITS: • Health Insurance, • Life Insurance, • 80 Hours PTO, • 40 Hours Sick time, • 11 Paid Holidays, • 401K, • 401K Matching, • Up to $700 reimbursement for dental/vision claims for employee. ESSENTIAL JOB DUTIES: • Operate, maintain, and troubleshoot laser cutting systems or plasma cutting systems to meet production demands., • Monitor and adjust cutting conditions, part nesting, material loading, and schedules to ensure optimal performance of the machines, • Maintain QC and safety equipment as required, • Conduct first and last piece inspections to ensure product quality standards are met, • Perform regular preventive maintenance and cleaning of the equipment, • Work collaboratively with production and engineering teams to identify and resolve technical issues, • Complete production documentation and maintain accurate records, • Adhere to all safety and quality regulations and procedures, • Adhere to production schedules & deadlines, • Submit requisitions for consumable purchases as required, • Review manufacturing process, including tools and fixtures; recommend changes to improve cost, quality, and/or productivity, • Design fixtures as required to implement recommendations and improve efficiency of shop operation, • Work directly with shop foreman and personnel in defining problems, sources of scrap and rework and develop solutions, • Provide technical assistance for departmental and manufacturing personnel, • Performs other duties as assigned. 23.50 - 27.40 per hour Requirements: • Prior manufacturing experience required with an emphasis on Laser / Plasma cutting or CNC Machining or Metal Fabrication., • Ability to read and understand CAD drawings., • CAD drawing experience preferred., • Possess and demonstrate positive mentoring and leadership qualities., • Possess and practice good oral and written communication skills., • Treat all co-workers with dignity and respect., • Possess and utilize basic math skills and exercise superior organizational skills, • Ability to work independently., • Maintain and exhibit a positive attitude toward our work and our work environment.

Job Description Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced SIU/Claims Investigators in the Syracuse or surrounding area. This is a part-time position to start with the ability to turn into a full-time position for the right individual. The owners are entrepreneurial, experienced, field investigators, each with over 25 years of experience. We understand the job and never forgot our roots in the field. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. Requirements: You must have complex SIU/Claims experience and reside in the Syracuse or surrounding area. If you do not have SIU/Claims experience, please do not apply because we can't hire you. Responsibilities • Provide detailed accurate reports, • Obtain written and recorded statements, • Perform scene investigations, • Experience conducting complex SIU/Claims cases is a must, • Experience conducting surveillance as a Private Investigator is preferred but not required, • Bi-lingual is a plus, • Associates/Bachelor, Degree in Criminal Justice or Related Field is a plus, • Notary license is a plus, • Ability and willingness to travel as necessary, • Flexibility to work varied/irregular hours and days, • Strong computer and Internet skills, • Possess a valid state-issued driver's license, • Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection, • Must have the personal pride to get your work product in on time, • Competitive starting pay, • Travel time compensation, • Report writing compensation, • FT positions are offered the following benefits: Medical, Dental, 401K, Paid Vacation and Paid Holidays

Job Description The WC Disability Claims Specialist manages within company best practices workers’ compensation claims to best possible outcome, supporting the goals of claims department and of CorVel. This role manages the claims toward closure and looks for settlement opportunities throughout reviews. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claims, confirms policy coverage and acknowledgement of the claim, • Reviews for validity and compensability of the claim, • Reviews and revises reserve and authorizes payments within reserving authority limits, • Ensures timely and accurate payment of WC claim benefits, including indemnity and medical, • Initiates investigations, including alive and well checks as needed to confirm continued payment of benefits, • Manages workers’ compensation claims toward closure (targeted case load is 250–300 files), • Develops strategies and pursues settlement and/or claim closures, whenever possible, • Communicates claim status with the customer, claimant and client, • Adheres to client and carrier guidelines and participates in claim reviews, as needed, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Analytical thinking: identifies current or future problems or opportunities; analyzes, synthesizes and compares information to understand issues; identifies cause/effect relationships; and explores alternative solutions that support sound decision-making, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office, including Excel spreadsheets, • Strong interpersonal, time management, and organizational skills, • Ability to meet or exceed performance competencies, • Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: • Bachelor’s degree or a combination of education and related experience, • State Certification as an Experienced Examiner, • Minimum of 1 year of industry experience and claims management preferred, • Preference for previous experience in WC disability benefit management PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $43,886 - $65,638 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Senior Liability Claims Specialist manages mid to complex Heavy Auto and/or General Liability claims, including bodily injury and property damage. This role aims to achieve optimal outcomes for both CorVel and our clients. The Senior Liability Claims Specialist handles litigated files and works with delegated authority, adhering to company best practices. This is a remote role. Heavy Auto and Liability experience is required. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claims, confirms policy coverage and acknowledgment of the claim, • Determines validity and compensability of the claim, • Investigates claims and handles Auto and/or General Liability claims, • Establishes reserves and authorizes payments within reserving authority limits, • Communicates claim status with the customer, claimant, and client, • Adheres to client and carrier guidelines and participates in claims review as needed, • Collaborates with team members on more complex or problematic claims as necessary, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Ability to identify, analyze and solve problems, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets, • Strong interpersonal, time management, and organizational skills, • Ability to meet or exceed performance expectations, • Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: • Heavy Auto and Liability experience is required, • Five (5) or more years’ experience handling General Liability claims, including high exposure and/or litigated claims, • Two (2) or more years' experience handling Auto Liability claims, • Bachelor's degree or a combination of education and related experience, • Current Adjuster’s License in state of operation is required, • Multi-State license is preferred, • Municipality experience is a plus PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $61,053 – $98,334 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description Human Resources Business Partner Position Summary The HR Business Partner serves as the primary point of contact between Pinnacle Employee Services (PES), client companies, and their Worksite Employees (WSEs). This role is responsible for supporting day-to-day client and employee needs by responding to inbound calls and emails and ensuring the effective delivery of PES services across payroll, benefits, and human resources. The HR Business Partner plays a key role in maintaining strong client relationships, resolving service-related issues, identifying opportunities for improvement, and escalating complex matters to specialized PES resources when necessary. A successful HR Business Partner delivers accurate, timely, and empathetic support while promoting a positive client and employee experience. Essential Duties and Responsibilities • Independently resolve general WSE inquiries related to payroll, benefits, and human resources., • Provide accurate information with a sense of urgency while maintaining a friendly, professional, and empathetic approach., • Strive to achieve first-contact resolution whenever possible., • Ensure proper triage and escalation of complex or sensitive issues to appropriate Subject Matter Experts., • Complete unemployment claims accurately and in a timely manner, acting in the best interest of client companies., • Attend unemployment hearings on behalf of client companies as required., • Interpret payroll and HR policies and provide guidance to clients and WSEs., • Maintain knowledge of federal, state, and out-of-state employment regulations., • Develop, maintain, and update employee handbooks and handbook policies for client companies., • Coordinate and administer sexual harassment prevention and workplace harassment training for WSEs., • Conduct sexual harassment and workplace investigations in collaboration with client companies and WSEs., • Assist client companies with workers’ compensation documentation for WSEs on leave due to work-related injuries., • Report workers’ compensation claims for clients enrolled under the Master Workers’ Compensation policy., • Demonstrate strong knowledge of benefit offerings and respond to benefit-related inquiries accurately., • Conduct a minimum of five client touchpoints per week through virtual or in-person meetings., • Deliver requested supplies and forms to client companies (applications, pay rate forms, tax documents, etc.)., • Create and edit Excel spreadsheets as requested by client companies., • Support the implementation of new policies and procedures with both clients and WSEs., • Learn and effectively utilize the HRIS system (PRISM)., • Attend conferences and professional development opportunities to remain current on HR best practices. Education • High school diploma or equivalent required; an equivalent combination of education and experience will be considered., • Minimum of 2 years of experience in Human Resources and/or Customer Service., • Experience with HR systems and automated operating environments preferred., • Proficiency in Microsoft Office applications, including strong Excel skills., • Ability to navigate HRIS systems and quickly learn new software and tools., • Strong attention to detail and organizational skills., • Excellent customer service, communication, and problem-solving abilities., • Strong interpersonal skills with the ability to collaborate effectively across teams., • Excellent written and verbal communication skills., • Ability to utilize intranets, extranets, and internet-based business applications., • Ability to take ownership of client needs and maintain a high level of customer satisfaction., • Ability to remain professional and effective in a changing, fast-paced environment., • Ability to manage multiple priorities and meet deadlines in a team-oriented setting.

Job Description The Senior Claims Specialist handles complex and high-profile Workers' Compensation claims following company standards. This role works closely with case managers and attorneys, manages subrogation, and negotiates settlements. The Senior Claims Specialist ensures the best possible outcome for the claim, meeting customer service expectations, and supporting the goals of the Claims Department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claim, confirms policy coverage and acknowledgement of the claim, • Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies, • Establishes reserves and authorizes payments within reserving authority limits, • Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim, • Coordinates early return-to-work efforts with the appropriate parties, • Manages subrogation and litigation of claim as it applies, • Manages potential claim recoveries of all types, • Reports claims to the excess carrier when applicable, • Communicates claim status with the customer and claimant, • Adheres to client and carrier guidelines and participates in claims review as needed, • Develops and maintains professional customer relationships, • Complies with rules and regulations of applicable state, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to assist team members to develop knowledge and understanding of claims practice, • Ability to identify, analyze and solve problems, • Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets, • Strong interpersonal, time management and organizational skills, • Ability to work both independently and within a team environment, • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation EDUCATION & EXPERIENCE: • Bachelor's degree or a combination of education and related experience, • Minimum of 6 years’ industry experience and claim handling, • Self-Insured Certificate preferred, • State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $61,053 - $98,334 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description Senior Commercial Lines Account Manager – Mid-Market Accounts (Syracuse, NY) Salary: $85,000 – $105,000 base + full benefits Work Setting: Hybrid or In-Office (Syracuse, NY) Systems: EPIC, TAM, or AMS360 required A respected independent agency in Syracuse is seeking a Senior Commercial Lines Account Manager to join their growing team. This role is ideal for a seasoned insurance professional who excels at managing complex accounts and delivering high-level client service in a collaborative, fast-paced environment. Key Responsibilities: * Oversee a book of small to mid-sized commercial P&C accounts with a strong focus on retention, renewals, and client satisfaction. * Provide expert advice on coverage options, risk exposures, claims handling, and policy changes. * Quote and market new and renewal business using carrier relationships and online rating systems. * Partner with producers and underwriters to secure comprehensive, competitively priced coverage solutions. * Maintain accurate and organized documentation to ensure compliance and streamlined service. * Resolve client issues efficiently while fostering long-term relationships. * Mentor junior account managers or support staff as needed. Qualifications: * 7+ years of commercial lines experience in an independent agency environment. * Active Property & Casualty License (NY). * Proficiency in EPIC, TAM, or AMS360 is required. * Strong technical knowledge of commercial P&C coverages, markets, and carrier guidelines. * Excellent communication, analytical, and problem-solving skills. * Proficiency in Microsoft Office Suite (Outlook, Excel, Word). * Professional designations such as CIC, CRIS, or CPCU are preferred. Why Work with an Independent Recruiter? We partner with reputable agencies across the country, giving you access to career opportunities not posted publicly. If you're currently employed and considering a change, we can conduct a discreet, confidential search on your behalf—ensuring your privacy while helping you take the next step in your career. Interested in learning more? Let’s connect and explore your next move in Syracuse.

Job Description Nursing degree, active registered nurse (RN) license and minimum 1+ years PEDS RN experience required. Applicants who do not meet these qualifications will not be considered. Discover the vibrant community of Cicero, NY, nestled in a picturesque region known for its balance of small-town charm and access to dynamic city experiences. Traveling here offers a unique mix of professional growth and personal enrichment—expand your skills in one of the area's most respected medical environments, then explore scenic lakes, parks, and nearby entertainment during your downtime. This travel opportunity places you in a high-acuity Pediatric Emergency Department on the night shift (1900-0730), with scheduling that includes every other weekend and some holidays. You'll collaborate with experienced pediatric professionals and witness diverse approaches to pediatric emergency care within a Level 1 or 2 trauma setting. This immersive environment supports your clinical development, offers exposure to advanced EMR systems like EPIC, and contributes substantial value to your resume. Qualifications: • Current New York State RN registration, • BLS certification (or ability to recertify), • At least 2 years of recent experience (within past 2 years) in a comparably sized or larger acute care facility or trauma center, • Predominant background in Pediatric ED; Adult ED experience is a plus, but not as sole experience, • Level 1 or 2 trauma experience preferred, • Formerly triage-trained with robust triage skills, • EPIC EMR familiarity highly desirable, • Exemplary interpersonal and communication abilities, • Clean professional background, including no suspended/investigated licenses or professional liability claims, • Deliver comprehensive patient care and acute assessments in the pediatric ED with minimal supervision, • Apply triage expertise according to evolving department needs, • Utilize EPIC EMR for seamless documentation and communication, • Tax-advantaged travel stipends and premium compensation, • Professional travel assistance for a smooth transition, • Full healthcare coverage, including medical, dental, and vision plans, • 401(k) plan for your financial well-being Compensation for this position ranges from $26.59 to $50.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date. #p31

Job Description The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Receives claims, confirms policy coverage and acknowledgment of the claim, • Determines validity and compensability of the claim, • Establishes reserves and authorizes payments within reserving authority limits, • Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision, • Communicates claim status with the customer, claimant and client, • Adheres to client and carrier guidelines and participates in claims review as needed, • Assists other claims professionals with more complex or problematic claims as necessary, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to learn rapidly to develop knowledge and understanding of claims practice, • Ability to identify, analyze and solve problems, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets, • Strong interpersonal, time management and organizational skills, • Ability to meet or exceed performance competencies, • Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: • Bachelor's degree or a combination of education and related experience, • Minimum of 1 year of industry experience and claims management preferred, • State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $52,999 – $85,473 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Northeast Workers’ Compensation Regulatory Specialist is responsible for managing jurisdictional reporting, regulatory filings and compliance-related processes across the Northeast region. This role ensures timely, accurate and compliant submission of filings, responses and payments to mitigate organizational risk and potential penalty exposure. The Specialist oversees HP and C-8.1 activity from intake through resolution, supports FROI/SROI reporting and exception processes and assists with OSHA and Medicare validation initiatives. This role partners closely with claim professionals and leadership to strengthen regulatory workflows, identify trends, reduce penalties and support broader regulatory projects as assigned. This is a hybrid role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Regulatory Filings & Compliance Oversight • Manage HP and C-8.1 activity from intake through resolution, including review, rebuttal, corrective payment coordination and follow-up., • Review C-8.1 filings and supporting documentation for appropriateness, accuracy and compliance with jurisdictional requirements., • Support FROI/SROI submission processes, including monitoring rejections, clearing exceptions and resolving reporting discrepancies., • Partner with claim professionals to ensure filings and payments meet jurisdictional deadlines and compliance standards., • Work through jurisdictional reporting exceptions to ensure timely resolution., • Identify root causes of filing errors, system issues or workflow gaps., • Recommend process improvements to reduce recurring exceptions or penalties., • Track outcomes of HPs, C-8.1s, FROI/SROI filings and penalties for trend analysis., • Analyze penalty activity and identify patterns, training gaps or operational concerns., • Provide regular updates to management regarding regulatory exposure and compliance trends., • Serve as a subject matter expert on New York Workers’ Compensation regulatory requirements and Northeast jurisdictional guidelines., • Provide training and guidance to claim professionals regarding filing requirements, internal workflows and compliance best practices., • Assist in implementation and refinement of regulatory processes and workflows., • Support regional regulatory initiatives and specialist projects, as assigned., • Maintain working knowledge of department functions and communicate regulatory requirements clearly across all levels of the organization., • Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)., • Maintain regular and consistent attendance., • Perform additional duties as assigned. KNOWLEDGE & SKILLS: • Active New York State Adjuster’s License required., • Strong knowledge of New York Workers’ Compensation regulations; familiarity with Northeast jurisdictional reporting requirements preferred., • Experience with HP and C-8.1 filings required., • Working knowledge of FROI/SROI reporting processes and exception management preferred., • Familiarity with OSHA reporting and Medicare validation processes preferred., • Excellent written and verbal communication skills., • Strong analytical skills with the ability to identify trends and recommend solutions., • Ability to work independently while collaborating effectively across teams., • Strong organizational, time management and prioritization skills., • High attention to detail and accuracy., • Proficiency in Microsoft Office and claims management systems. PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $58,126 - $86,947 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Workers’ Compensation Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The WC Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Supervises WC claims staff in their day-to-day operations, • Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions, • Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements, • Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval), • Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions, • Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests, • Participate in customer claim reviews and presentations, • Ability to travel overnight and attend meetings if required, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to assist team members to develop knowledge and understanding of claims practice, • Effective quantitative, analytical and interpretive skills, • Strong leadership, management and motivational skills, • Demonstrated, strong customer service skills, • Ability to maintain composure under pressure and communicate diplomatically across various channels, including telephone, email, and written correspondence, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets, • Strong interpersonal, time management and organizational skills, • Ability to work both independently and within a team environment, • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation EDUCATION & EXPERIENCE: • Bachelor's degree or a combination of education and related experience, • Demonstrated public speaking skills, • Minimum of 5 years’ claims handling experience, • Knowledge of Workers’ Compensation required, • Current license or certification in Workers’ Compensation claims must be maintained throughout employment with CorVel, • State Certification or license as an experienced claims adjuster PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $71, 696 - $110,701 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description The Claims Supervisor is responsible for supervising a team of direct reports, ensuring all quality, productivity and customer service criteria are met while adhering to company policies and procedures. The Claims Supervisor position is integral to the success of the company and requires regular and consistent attendance, supporting the goals of the claims department and CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Supervises claims staff in their day-to-day operations, • Assists Claims Manager with recruitment, interviewing, and onboarding new staff, ensuring proficiency in procedures and job functions, • Ensures staff compliance with Workers’ Compensation laws and mandated regulatory reporting requirements, • Ensures optimal team performance through ongoing training, coaching, and regular performance evaluations; recommends merit-based actions (subject to managerial approval), • Provides technical and jurisdictional guidance to claims staff regarding complex compensability, investigation, litigation issues and service account instructions, • Acts as a liaison by recommending and executing final resolutions for clients and employees concerning claim-specific, procedural, or special requests, • Participate in customer claim reviews and presentations, • Ability to travel overnight and attend meetings if required, • Additional duties as assigned KNOWLEDGE & SKILLS: • Excellent written and verbal communication skills, • Ability to assist team members to develop knowledge and understanding of claims practice, • Effective quantitative, analytical and interpretive skills, • Strong leadership, management and motivational skills, • Demonstrated, strong customer service skills, • Ability to maintain composure under pressure and communicate diplomatically across various channels, including telephone, email, and written correspondence, • Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets, • Strong interpersonal, time management and organizational skills, • Ability to work both independently and within a team environment, • Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers’ Compensation EDUCATION & EXPERIENCE: • Bachelor's degree or a combination of education and related experience, • Demonstrated public speaking skills, • Minimum of 5 years’ claims handling experience, • Knowledge of WC required, • Current license or certification in Workers’ Compensation must be maintained throughout employment with CorVel, • Self-Insured Certificate preferred, • State Certification as an experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $73,345 - $113,247 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description Nursing degree, active registered nurse (RN) license and minimum 1+ years PEDS RN experience required. Applicants who do not meet these qualifications will not be considered. Discover the charm of Manlius, NY, a welcoming community set amidst scenic landscapes and easy access to the attractions of Central New York. Travel nursing here offers a rewarding blend of professional development in a new setting and the chance to experience historic villages, local eateries, and beautiful parks during your downtime. This pediatric emergency department position provides valuable exposure to high-acuity care in a Level 1 or 2 trauma center, working alongside dedicated professionals and strong clinical leaders. Your skills will grow as you collaborate with interdisciplinary teams, applying your expertise in pediatrics—while gaining fresh perspectives and techniques that enhance your career portfolio. Schedule: • Night shifts: 7:00 PM – 7:30 AM, • Current New York State RN license, • At least 2 years’ recent experience in a large or trauma-designated acute care pediatric emergency department, • Formally triage trained with strong triage skills, • Adult ED experience a plus; experience must be primarily in dedicated Peds ED (not combined), • BLS certification (with ability to recertify), • EPIC EMR experience highly preferred, • Outstanding interpersonal and communication skills, • No active or prior license/certification suspensions or professional liability claims, • Legal eligibility to work in the U.S., • Deliver comprehensive patient care for pediatric emergencies with minimal supervision, • Accurately assess, triage, and document in a fast-paced acute care setting, • Tax-advantaged stipends for housing and meals, • Premium compensation for travel nurses, • Health insurance plans and 401(k) for financial security, • Travel assistance with logistics and relocation support Compensation for this position ranges from $26.59 to $50.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date. #p31

Job Description Come grow with us! Lemieux & Associates, a national leader in the investigative industry, is seeking experienced Field Investigators in the Syracuse, NY or surrounding area. This is a part-time position for the right individual. The owners are entrepreneurial, experienced field investigators, each with over 25 years of experience. We understand the job and never forgot our roots in the field. We are dedicated professionals with a motivational management style with proven ability to recruit, develop and direct highly successful teams that consistently excel. You must have surveillance experience as a Private Investigator, SIU/Claims investigation experience and reside in the Syracuse or surrounding area. Please submit your resume and complete the questionnaire. If you do not complete the questionnaire, your resume will not be accepted. Job Classification: Non-Exempt Position Summary: A part-time investigator familiar with New York State Insurance Fund surveillance & SIU/Claims investigations is needed to cover Syracuse and the surrounding area. Applicants must be timely with follow-up and have experience conducting surveillance & SIU/Claims investigation specifically for NYSIF. The investigator must also be familiar with NYSIF protocols and be able to follow all directives and policies in place. Note: If an applicant is currently on another agencies NYSIF Personnel Spreadsheet, they must be removed prior to employment with Lemieux & Associates as a NYSIF investigator. Essential Job Functions: • Conducting surveillance assignments within investigation parameters and special instructions, • Conducting PDFR's (Alive and Well checks), Beneficiary Field Reviews, Claimant/Employer Interviews, and Forms assignments., • The investigator must also be familiar with NYS WCB forms and be able to determine whether the acquired forms are acceptable for submission to the WCB by the client., • Investigators are expected to be able to discreetly determine information such as the subject's identity, whereabouts, and any other investigative procedures that may include direct contact as the investigation warrants., • Surveillance typically is conducted in four-hour blocks but is subject to change, with multiple blocks worked per day., • The investigator is also expected to follow procedures and protocols laid out by Lemieux & Associates as well as the client., • Testifies to the facts collected in any hearing or court of law., • Other assignments and projects as dictated by business need or management direction. Required Skills and Abilities: • Working Knowledge of Windows, Microsoft Office, Internet Explorer, and Adobe Acrobat, • Effective written communication skills and report writing, • Strong organizational and time management skills, • Demonstrated strong interpersonal communication skills and the ability to effectively build rapport, • Ability to make timely phone calls as necessary to facilitate an interview, • Ability to conduct interviews with employers and claimants thoroughly while following procedures and protocols laid out by Lemieux & Associates as well as the client, • Flexibility to work varied/irregular hours and days including holidays and weekends, • Able to work well independently, • Able to travel extensively throughout assigned territory and effectively manage expenses, • Possess a reliable vehicle, digital camera and computer with Windows Operating, • Possess a valid state-issued driver's license Qualifications: • Experience conducting surveillance as a private investigator is a must, • Bi-lingual is a plus, • Possess a valid state-issued driver's license, • Possess a reliable vehicle, digital camera and computer with Windows Operating System, Microsoft Word and Internet connection Physical Demands and Work Environment: While performing the duties of this job, the employee is typically in the community. The employee is regularly required to spend long periods of time in an automobile or other location for surveillance purposes. Regularly operates a video camera, computer, and cellular telephone. Communicates on a regular basis with supervisors, clients, and staff via telephone and email. The noise level in the work environment is usually moderate.

Job Description Alliance Risk Group, founded in 2005, is a leading provider of risk mitigation solutions. We specialize in workers' compensation investigations, surveillance, and claims support for clients across multiple industries. About the Role Work from your home office while conducting field investigations near your city, with travel typically within a 60-mile radius and occasional longer trips when needed and if desired by the candidate. What You'll Do • Conduct workers' compensation investigations and alive & well checks, • Perform video surveillance using both overt and covert cameras, • Collect and analyze evidence to identify inconsistencies or potential fraud, • Prepare clear, detailed investigative reports, • Experience in private investigations, preferably with workers' comp cases, • Skilled in video surveillance techniques, • Strong analytical and report writing abilities, • Ability to work independently and manage multiple assignments

Job Description The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel. This is a remote role. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer, • Collects data and analyzes information to make decisions regarding certification or denial of treatment, • Documents all work in the appropriate manner, • Promotes utilization review services with stakeholders, • Additional duties as assigned KNOWLEDGE & SKILLS: • Must have thorough knowledge of both CPT and ICD coding, • Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers, • Effective organization skills in a high-volume, fast-paced environment, • Strong time management skills with the ability to meet designated deadlines, • Excellent written and verbal communication skills, • Ability to work both independently and within a team environment, • Strong interpersonal skills, • Ability to utilize Microsoft Office including Excel spreadsheets, • Knowledge of the workers’ compensation claims process preferred, • Knowledge of outpatient utilization review preferred EDUCATION & EXPERIENCE: • Graduate of accredited school of nursing with an associate’s degree, Bachelor of Science degree or Bachelor of Science in Nursing, • Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN, • 4 or more years of recent clinical experience, • Prospective, concurrent, and retrospective utilization review experience preferred, • Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $63,739 - $95,264 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job Description In this Supervisor role you will assist IPRO’s Senior Director and the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, Long Term care, with oversight of surveillance and investigation activities related to nursing homes (long term care). These activities are mandated to evaluate facility performance and monitor the quality of care and services provided. Duties include but are not limited to ensuring the quantity and quality of IPRO staff work output with acceptable outcomes; working with IPRO’s designated staff to ensure correct invoicing are submitted for staff; coordinating and assisting in providing preceptor surveillance training to IPRO surveyors; participating as a member of an interdisciplinary survey team and producing written documentation and draft Statements of Deficiencies (SOD); attend meetings and other duties assigned. The position will be located at the NYS DOH lower Manhattan OR Central Islip office. Non-travel days are based at the designated office or telecommuting, if approved. QUALIFICATIONS: • Demonstrate strong interpersonal skills with the ability to facilitate positive customer satisfaction in situations that are adverse or in controversy., • Ability to successfully work independently with minimal supervision, as well as in a team environment., • Excellent written and verbal skills with the ability to communicate professionally with co-workers, supervisors, providers, medical and administrative personnel, and residents/patients., • Ability to translate collected information into a clear, concise, legal, and defensible document., • Excellent investigative and analytical skills., • Strong computer skills with working knowledge of Microsoft office products, and the ability to learn new programs., • If approved to work remotely, must have secure internet that meets the speed required to perform all work duties, must have a workspace that provides privacy for all work-related calls, and must be able to secure all work-related items when not in use., • Must have a valid driver’s license & the ability to travel to on-site facilities review assignments. EDUCATION & EXPERIENCE: • NYS Licensed, Registered Nurse, required., • A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance, or monitoring activities, OR, three (3) years of clinical or administrative experience, OR A bachelor’s degree in nursing and two (2) years of clinical or administrative experience and two (2) years of supervisory experience., • Surveyor Minimum Qualifications Test (SMQT), required. 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 salary range for this position is $109,750.00- $115,996.50. Actual salary range and /or hourly rate depends on a variety of factors including experience, education, credentials, location, and budget. The salary range and/or hourly rate 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 or any other category protected under applicable law.

Job DescriptionJob Title: Registered Nurse (RN) – Labor & Delivery Location: Syracuse, NY 13215 Shift: Mid Shift (12x3) Schedule: 01:00 PM – 09:00 PM Hours per Week: 36 Duration: 13 Weeks Overview: A healthcare facility is seeking experienced Registered Nurses (RNs) to join its Labor & Delivery unit on a travel assignment. This role involves providing high-quality patient care in a fast-paced acute care environment, with the opportunity to float between Labor & Delivery, Postpartum, and Nursery units. Key Responsibilities: • Deliver comprehensive nursing care in the Labor & Delivery setting, • Perform patient assessments and respond promptly to clinical needs, • Circulate during C-section procedures (scrubbing experience preferred), • Float between Labor & Delivery, Postpartum, and Nursery units as required, • Collaborate with physicians and interdisciplinary care teams, • Maintain accurate and timely documentation of patient care, • Operate effectively with minimal supervision after orientationRequired Qualifications:, • Active New York State RN license/registration, • Basic Life Support (BLS) certification (or ability to obtain), • Minimum 1.5 years of recent experience (within the last 2 years) in an acute care facility, • Experience in hospitals of similar or greater size/acuity (required for travel nurses), • Strong clinical, communication, and interpersonal skills, • Legal authorization to work in the United States, • Successful completion of pre-employment health screening, drug test, and background checkPreferred Qualifications:, • Experience with Epic Electronic Medical Records (EMR), • Experience in circulating C-sections (scrubbing preferred)Additional Requirements:, • No history of license suspension, investigation, or professional liability claims About Navitas Healthcare, LLC: It is a certified WBENC and one of the fastest-growing healthcare staffing firms in the US providing Medical, Clinical and Non-Clinical services to numerous hospitals. We offer the most competitive pay for every position we cater. We understand this is a partnership. You will not be blindsided and your salary will be discussed upfront.

Job Description Registered Nurse - Nursing Home Surveyor/Complaint Investigator - Syracuse, NY (#25304) • Location: Syracuse, NY, • Employment Type: Full-time, • Hourly Rate: $50/hr About Greenlife Healthcare Staffing: Greenlife Healthcare Staffing is a leading nationwide recruitment agency dedicated to connecting healthcare professionals with top-tier opportunities. We partner with hospitals, clinics, nursing homes, multi-specialty groups, and private practices to match talented individuals with roles that align with their skills and career goals. Position Overview: We are seeking an experienced Registered Nurse to conduct nursing home surveys and complaint investigations, ensuring compliance with federal and state regulations. This role involves travel to facilities, investigative work, and documentation to protect resident health and safety in long-term care settings. Why Join Us? • Competitive Compensation: Earn $50 per hour, • Comprehensive benefits:, • Mileage reimbursement, • Sick leave, • Flexible Schedule, • This is a temporary-to-permanent position, • Work Schedule: Monday - Friday, Flexible Schedule (7:00 am - 7:00 pm) with required travel, • Professional Growth: Gain specialized experience in healthcare regulation and compliance, • Impactful Work: Contribute to quality improvement and resident safety in nursing homes Qualifications: • Education: Nursing degree; Bachelor's in Nursing preferred, • Licensure: Current New York State RN license, • Experience:, • A minimum of two (2) years of experience in performing utilization review, claims adjudication, medical review, fraud investigation, surveillance or monitoring activities, required, OR, • Three (3) years of clinical or administrative experience, required, OR, • A Bachelor’s degree in nursing and two (2) years of clinical or administrative experience, required., • SMQT Certification, preferred., • Other Requirements:, • Strong interpersonal skills with the ability to facilitate positive customer satisfaction in situations that are adverse or in controversy., • Ability to successfully work independently with minimal supervision, as well as in a team environment., • Excellent communication (written and verbal) skills with the ability to relate effectively to providers, physicians, senior medical and administrative personnel, and residents/patients., • Superior investigative and analytical skills with a proficiency in conducting interviews with facility staff, residents, and families., • Strong computer skills with the ability to learn new programs., • Ability to obtain Surveyor Minimum Qualifications Test (SMQT) certification within 12 months of employment, required., • Ability to travel to onsite location. Key Responsibilities: • Participate in surveys or complaint investigations to include allegations of abuse and neglect, and perform surveillance activities/tasks at nursing homes (long-term care) to determine compliance with Federal and State regulations., • Produce written documentation and draft a Statement of Deficiencies (SOD) within the required time frame, using Principles of Documentation., • Assess compliance with the Plan of Correction within the required time frame., • Complete data entry in Federal and State reporting databases as required., • Participate in State monitoring during Immediate Jeopardy situations., • Attend meetings as required., • Testify in administrative hearings as needed., • Adhere to DOH work schedules., • Adhere to DOH and IPRO policies and procedures., • Travel to onsite locations according to work schedule Greenlife Healthcare Staffing - Empowering Healthcare Professionals, Enriching Lives

Job Description Nursing degree, active registered nurse (RN) license and minimum 1+ years PEDS RN experience required. Applicants who do not meet these qualifications will not be considered. Discover the unique charm of Syracuse, NY—a vibrant city in Upstate New York offering an inviting blend of cultural experiences, beautiful parks, and a welcoming community. Travel assignments here provide opportunities to enjoy the great outdoors, from exploring the Finger Lakes region to taking in the local art and food scenes. Beyond the adventure, working in this environment means exposure to varied clinical practices and seasoned leadership, setting the stage for significant professional development and résumé growth. Schedule/Hours: • Night shifts: 7:00 PM – 7:30 AM, • Every other weekend required Qualifications: • Current New York State RN license, • Certified in BLS, with ability to recertify as needed, • Minimum 2 years of recent pediatric ED experience in a large acute-care facility (Level 1 or 2 trauma center), • Strong triage training and skills required, • EPIC EMR experience preferred, • Excellent communication and interpersonal abilities, • Clean professional record: No license suspension/investigation or liability claims, • Deliver comprehensive patient assessments and implement care plans in high-volume, acute settings, • Apply advanced triage abilities for pediatric emergencies, • Utilize EPIC for accurate patient documentation Embrace a rewarding challenge in Syracuse—expand your skills, work with leaders in pediatric emergency care, and explore a lively region. Take your next career step and apply today! Compensation for this position ranges from $26.59 to $50.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date. #p31

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Promote Best Practices: Guide claims team to handle claims in accordance with GBs B Workers Compensation, Claims Supervisor, Claims, Compensation, Worker, Supervisor, Administrative, Insurance. Supervise: Lead and encourage a Workers Compensation claims team handling a variety of caseload sizes and

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The Project Attorney will ensure ASA claims made against the state of New York are properly litigated and defended in the Court of Claims. While the Project Attorney will be assigned to handle cases in a specific region, they will work collaboratively as a statewide team to develop and apply consist

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