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Job Description UNITE HERE HEALTH serves 190,000+ workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Claims Adjudicator II position will receive, examine, verify and input submitted claim data, determine eligibility status, and review and adjudicate claims within established timeframes. This position utilizes multiple systems in order to perform the day-to-day functions of processing medical, disability, vision and dental claims, as well as, provider and member driven inquiries. ESSENTIAL JOB FUNCTIONS AND DUTIES • Screens claims for completeness of necessary information, • Verifies participant/dependent eligibility, • Interprets the plan benefits from the Summary Plan Description (SPD)/Plan Documents, • Codes basic information and selects codes to determine payment liability amount, • Evaluates diagnoses, procedures, services, and other submitted data to determine the need for further investigation in relation to benefit requirements, accuracy of the claim filed, and the appropriateness or frequency of care rendered, • Determines the need for additional information or documentation from participants, employers, providers and other insurance carriers, • Handles the end to end process of Medicare Secondary Payer (MSP) files, • Processes Personal Injury Protection (PIP) claims, • Requests overpayment refunds, maintains corresponding files and performs follow-up actions, • Handles verbal and written inquiries received from internal and external customers, • Processes Short Term Disability claims, • Adjudicates claims according to established productivity and quality goals, • 3 ~ 5 years of direct experience minimum in a medical claim adjudication environment, • Working knowledge and experience in interpretation of benefit plans, including an understanding of limitations, exclusions, and schedule of benefits, • Experience with eligibility verification, medical coding, coordination of benefits, and subrogation and it’s related processes, • Experience with medical terminology, ICD10 and Current Procedural Technology (CPT) codes, • Fluency (speak and write) in Spanish, preferred Salary range for this position: Hourly $20.36 - $24.97. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday~Friday, 7.5 hours per day (37.5 hours per week) Fully Remote, after 1-week training onsite in Oak Brook, IL. (Travel and Lodging paid for by UHH) We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Pension, Short- & Long-term Disability, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #Remote

Job Description UNITE HERE HEALTH serves over 200,000 workers and their families in the hospitality and gaming industry nationwide. Our desire to be innovative and progressive drives us to develop impactful programs and benefits designed to engage our participants in managing their own health and healthcare. Our vision is exciting and challenging. Please read on to learn more about this great opportunity! The Nurse Navigator is a licensed clinical professional who supports members in navigating the healthcare system, coordinating care, and improving health outcomes. This role focuses on reducing unnecessary emergency room utilization, enhancing chronic disease management (especially for diabetes and ESRD), and promoting cost-effective care through education and network optimization. The Nurse Navigator works collaboratively with members, providers, and internal teams to address barriers to care and support population health initiatives. ESSENTIAL JOB FUNCTIONS AND DUTIES • Serve as a clinical resource and point of contact for high-risk and high-cost members, guiding them through care coordination and benefit utilization., • Educate members on chronic disease management, preventive care, and appropriate use of healthcare services, with a focus on diabetes and ESRD., • Identify and address social determinants of health (SDOH) that impact access to care and adherence to treatment plans., • Support members in locating in-network providers and facilities to reduce out-of-network and emergency room usage., • Coordinate referrals, post-discharge planning, and medication adherence strategies., • Collaborate with network case managers, social workers, and providers to ensure timely and appropriate care delivery., • Conduct outreach to at-risk populations to promote engagement in wellness programs and adherence to care plans., • Partner with community-based organizations to connect members with additional support services., • Document all member interactions and interventions in compliance with HIPAA and payer-specific guidelines., • Monitor and report trends related to gaps in care, member concerns, and program effectiveness. ESSENTIAL QUALIFICATIONS • 3+ years of experience in care coordination, case management, or patient navigation., • Spanish Bi-lingual skills (preferred)., • Strong understanding of health insurance plans, provider networks, and value-based care models., • Clinical experience in chronic disease management, especially diabetes and ESRD., • Excellent communication, critical thinking, and interpersonal skills., • Ability to work with diverse populations and address health equity challenges., • Proficiency in electronic health records (EHR) and payer systems., • Bilingual language skills preferred., • Experience in managed care or payer settings is a plus., • Knowledge of community health resources and support service, • Strong understanding of health insurance plans, provider networks, and value-based care models., • Clinical experience in chronic disease management, especially diabetes and ESRD., • Proficiency in electronic health records (EHR) and payer systems., • Knowledge of community health resources and support services., • Experience in managed care or payer settings is a plus. • Education, Licenses, and Certifications, • Registered Nurse (RN) license required, • BSN or higher preferred., • Certified Diabetes Educator (CDE) or equivalent experience in diabetes education., • Certification in Case Management (CCM), Public Health (CPH), or similar credential. Salary range for this position: Salary $85,300 to $106.700. Actual base salary may vary based upon, but not limited to: relevant experience, qualifications, expertise, certifications, licenses, education or equivalent work experience, time in role, peer and market data, prior performance, business sector, and geographic location. Work Schedule (may vary to meet business needs): Monday thru Friday, 7.5 hours per day (37.5 hours per week) as a flexible hybrid employee. We reward great work with great benefits, including but not limited to: Medical, Dental, Vision, Paid Time-Off (PTO), Paid Holidays, 401(k), Short- & Long-term Disability, Pension, Life, AD&D, Flexible Spending Accounts (healthcare & dependent care), Commuter Transit, Tuition Assistance, and Employee Assistance Program (EAP). #LI-Hybrid

Job Description About the Role We're seeking a Finance and Operations Manager to manage day-to-day finance and accounting operations, own relationships with key partners (e.g. banks, outside accounting firms), and lead strategic and operational projects. You'll report to the COO and serve as a central point of contact for all finance and operations matters across Dime Line Trading and other Dime Line Holdings entities. Key Responsibilities • Accounting and Treasury, • Manage bank, trading, and other accounts to ensure adequate liquidity and optimize returns on capital, • Manage payables and receivables platform and oversee client invoicing process, including reconciliations, • Oversee expense reimbursement platform and respond to employee inquiries, • Manage accounting firm relationships and work with them to facilitate monthly financial reporting, • Serve as primary contact for banking relationships, • Corporate Finance, • Manage cap table, equity platform (e.g., Carta), and investor communications, • Coordinate periodic valuations and equity-related obligationsDevelop financial projections and performance reports, • Oversee intercompany transactions and establish framework for intercompany payments to ensure adequate funding, • Ensure tax compliance and optimization, • Contract & Operations Management, • Maintain contract database and proactively manage renewals and key dates, • Assist with evaluating vendor relationships and identifying potential alternatives, • Business and Gaming Licensing, • Maintain licensing database and proactively manage renewals and key dates, • 3-5+ years in finance, operations, or corporate accounting, • Strong understanding of corporate finance, cash management, and financial reporting, • Highly organized with ability to manage multiple workstreams independently, • Comfortable building processes and navigating ambiguity, • Proficient in Google Workspace and / or Microsoft Office suite; experience with SQL a plus, • Experience with cap tables and equity management preferred, • Experience with international entities a plus, • Must be willing to work ~3 days in office

WHAT OUR GAME ROOM ATTENDANTS DO. Our Game Room Attendants provide our guests with the best gaming experience possible. A GAME ROOM ATTENDANT'S DAY-TO-DAY.

North America's leading provider of integrated entertainment, sports content, and casino gaming experiences.From casinos and racetracks to online gaming, sports betting and entertainment content, we deliver the experiences people want, how and where they want them.We're always on the lookout for tho

Gaming Attendant | Waltzing Matilda Hotel. Complete machine payouts and cash handling tasks in accordance with hotel policies and gaming regulations. An exclusive discount card for our ALH Hotels pubs & accommodation, BWS, Dan Murphys and other Endeavour Group brands.

We are seeking an Executive Technology Leader to steer the creation of pioneering gaming experiences. Working closely with the executive team, you will help align our technology endeavors with strategic growth goals, modernize our gaming platform, and integrate artificial intelligence features, all

A leading gaming company is seeking a data analyst to enhance player experiences through data-driven insights. Candidates should possess a strong background in data analysis, proficiency in SQL and Python, and a bachelor's degree in a relevant field.

A leading online gaming company in Chicago is seeking a Senior Legal Counsel to serve as a legal advisor on employment law matters.The successful candidate will have over 6 years of experience, strong legal research skills, and the ability to navigate complex international regulations.This role offe

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever

This remote position requires frequent in-person meetings and offers a dynamic environment for growth in gaming and entertainment advertising.

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever

A leading gaming technology company in Chicago is seeking a Director of Engineering to lead a high-performing team responsible for developing innovative gaming technologies.

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever

This company is a trading shop, located in downtown Chicago.They are hiring for a backend trading infrastructure engineer.This isn't quant work; rather, it's the low-latency that makes everything run.IT includes data feeds, networking, and the software that glues high-performance systems together.Th

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever

Receive a $5 welcome bonus when you complete your first offer!Make money in your spare time by completing online tasks:.Take paid surveys (5-15 minutes each).Test new mobile games and apps.Share your opinion and get rewarded.Start earning immediately - average users earn $20+ per hour.Work whenever