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CSI Companies is seeking a Medical Ecomonics Analyst to work with one of our top healthcare clients! Title: Medical Economics Analyst Location: Jacksonville, FL 32207 Type: Hybrid (On-site Monday - Wednesday; Remote Thursday & Friday) Salary: $90,000 - $100,000 annually Summary: Medical Economics Analyst / Senior Analyst will be responsible for working with Medicare Advantage and DCE membership files to produce panel reports, identify new and termed members, and other Medicare Advantage/DCE membership reporting. Essential Responsibilities: • Must be proficient in using SQL Server, • Consolidates monthly patient rosters from payers and disseminates standardized list to various departments (Value Based, Finance, Market Clinical Operations, etc.)., • Develops monthly process to identify new and termed members and work across multiple data systems to consolidate demographic details., • Communicates with operational teams to meet their data and reporting needs., • Tracks business requirements from payers regarding cost reallocations and monitors case outcomes., • Develops monthly processes and procedures for identifying candidates for potential cost reallocations and completes accompanying forms, if applicable, for payer submission., • Obtain and analyze data to understand how to continually improve processes, procedures and execution., • Maintain knowledge of current healthcare trends by reading appropriate literature and attending related conferences and/or seminars., • Relied upon applying business knowledge to analytics projects and provide value-added insights to directly impact business outcomes. Qualifications: • Proficient in using SQL Server is a must, • Excellent written and verbal communication skills and ability., • Proficient in Microsoft Office such as Excel, Word, Access, etc., • Experience with using Power BI strongly preferred., • Strong analytical, organizational, and problem-solving skills., • Experience working with complex data sets across claims, lab, financial, clinical outcomes, and external sources., • Knowledge of medical data structures including, but not limited to (ICD10, CPT, HCPCS, NDC), • Knowledge of different reimbursement models (DRG, APC, AWP+, Cost plus, PDGM) Minimum Requirements: • Bachelor's degree in Business, Health Care Administration, Mathematics, Finance, Health Informatics, or related field., • Proficient in SQL Server and Microsoft Suite, • Requires 1- 2+ years of experience in healthcare-related data analysis is strongly preferred., • Masters in relevant field preferred and can be substituted for 2 years' experience.

Job Description Blue Cross NC is seeking a Manager of Solution Architecture to lead a high-performing team of Solution Architects that partner with business and technology leaders to deliver complex, enterprise-scale solutions. This role blends hands-on architecture leadership with people management, coaching, stakeholder relations, and operational excellence-ensuring our solutions are secure, scalable, cost-effective, and aligned to business outcomes. Successful candidates will have technical strength and practical experience in a wide range of modern data and integration technologies ideally with healthcare payer business acumen. WhatYou'llDo Lead & Grow a High-Performing Architecture Team (People Leadership) ProvideTechnology Leadership / Guidance / Oversightacross critical programs and platforms, setting architecture direction, reviewing solutions, and ensuring adherence to standards and guardrails. Build andmaintainstrongRelationship Managementwith business stakeholders, delivery teams, and technology partners; translate strategy into actionable architecture roadmaps. Navigate and resolveConflictacross priorities, constraints, and viewpoints;facilitateoutcomes that balance time-to-market, quality, cost, and risk. OwnPerformance Monitoringof your architecture team-set expectations, define measurable outcomes, conduct regular coaching and performance reviews, and recognize achievements(Recognitions). DriveCareer Developmentthrough mentoring, skills planning, certification pathways, and succession planning. ChampionProcess Improvementto streamline architecture engagements, standards, and governance; reduce friction while improving consistency. ProduceValue Reporting(roadmaps, KPIs, OKRs, cost/benefit narratives) that clearly communicate how architecture accelerates delivery and reduces risk. Be a Hands-On Architecture Practitioner & Coach FosterTechnology Partnershipwith engineering, security, operations, and business teams to shape solutions that meet functional and non-functional requirements. DemonstrateDeep Technology Expertiseinseveralmodernarchitecturetechnologiesand coach architects on depth vs. breadth. AccelerateTechnology Innovation / PoCefforts to de-risk decisions andvalidatesolution approaches; cultivate a culture of experimentation with guardrails. OwnSoftware Design / Conceptual Architecturedeliverables-reference architectures, solution diagrams, sequence flows, NFRs, and decision records. SupportWork Decomposition / Project Managementby shaping epics and features, clarifying dependencies, and aligning architecture runway with delivery plans. What You Bring Bachelor's degree or advanced degree (where required) 8+ years of experience in related field. In lieu of degree, 10+ years of experience in related field. At least2of those yearsas an architect;2-4+ yearsleadinggroups ofITarchitectsor engineers. Technical depth in at leastfour of these areas: Cloud, integration, data,AI/ML/GenAI/Agentic,software development,security, resiliency. Demonstrated delivery of complex, multi-team solutions in hybrid cloud or cloud-native environments. Strong communicationand storytelling-able to simplify complexity, influence decisions, andaligndiverse stakeholders. Hands-onproficiencywith architecture practices: conceptual & logical design, non-functional requirements, security by design, integration patterns (APIs, events), resiliency, and observability. Preferred Qualifications Healthcare payer/provider domain familiarity (claims, eligibility, care management, member/provider data). Certifications (e.g., TOGAF, Azure, AWS, Snowflake, Databricks) and/orSAFe/Agile experience. Proven experience indata solution architecture(platforms, modeling, governance, analytics) or equivalentexpertisementoring data architects. Experienceestablishingand employingarchitecture standards, patterns, and governance with measurable adoption. Exposure toarchitecture modeling tools and notations (ArchiMate,UML, BPMN) and documentation practices. WhatYou'llGet The opportunity to work at thecutting edgeof health care delivery with a teamthat'sdeeply invested in the community Work-life balance, flexibility, and the autonomy to dogreat work Medical, dental, and vision coverage along withnumeroushealth and wellness programs Parental leave and support plus adoption and surrogacyassistance Career development programs and tuition reimbursement for continued education 401k match including an annual company contribution _ WhereYou'llWork Our Hybrid Flex approach is builton presencewith a purpose - giving you flexibility to work remotely with intentional in-person connection - that supports a workplacethat'sflexible, connected, and future focused. In a Hybrid-Flex role,you'llwork in the office at least two days a week for collaboration and connection. In a Remote Flex role,you'llwork virtually, with a few in-office visits each year formeaningfulmoments that matter. Whether your role is Hybrid Flex or Remote Flex depends on the nature of the work and distance from our Durham headquarters. We welcome candidates from outside the local area and in anystateslistedonthis job posting. Onsite expectations will be discussed during the interview process. Salary Range At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus*, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs. *Based on annual corporate goal achievement and individual performance. $143,616.00 - $229,786.00 Skills Agile Methodology, Data Architecture, Enterprise Architecture Framework, Information Technology (IT) Services, Information Technology Strategies, IT Service Management (ITSM), Requirements Gathering, Security Architecture Design, Services Management, Solution Architecture, Solution Planning, Solutions Design, Technical Knowledge, Technical Requirements, Technological Innovation, Technology Needs Assessments _ JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on . If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: .

When it comes to making a meaningful difference in the lives of our customers and employees, USAble Life is always ready. We are a diverse group of individuals working together to go the extra mile. Through our DEI initiatives, employees feel empowered to bring their talents and voice to our culture. Our passion for delivering the best products is matched only by our passion for our people. We are committed to making a meaningful difference in the lives of others which extends beyond our office walls. USAble Life has a long tradition of supporting our communities, and we're proud of the fact that our employees share that commitment. We have been recognized as a "Best Places to Work" in Arkansas, Florida, and Hawaii. You'll be rewarded with opportunities for personal and professional development and opportunities for advancement. This, coupled with our engaging culture and a comprehensive benefits package, ensures we are committed to our employees. Check out how we make a meaningful difference in the lives of others! https://player.vimeo.com/video/518665804 What We Offer You: • A culture that values employees and celebrates, empowers, and inspires a diverse workforce, • Outstanding and affordable benefits package, • PTO provided at date of hire, • 11 paid holidays, • 401(k) with up to 6% match; fully vested from day 1, • Remote opportunities with company-provided equipment, • Team-oriented, collaborative group of peers, • Career advancement opportunities, • Tuition Reimbursement, • Employee Assistance Program, • Inclusion Council and Employee Resource Groups, • Recharge Days and Volunteer Time Off Pay Transparency: The starting base salary range for a Provider Data Maintenance & Credentialing Specialist I is $40,000 to $50,000. Final compensation is determined by geographic location and a variety of factors, including qualifications, experience, skills, competencies, and internal equity. In addition to base compensation, the position is eligible for an annual incentive plan based on company and individual performance. Provider Data Maintenance & Credentialing Specialist I Overview This position is primarily remote role with onsite presence required for a single day every few weeks. Conducts provider credentialing application and contract package review prior to processing. Performs timely data entry of provider application information and contract arrangements into administrative system. Prepares adverse files for review by the Dental Credentialing Committee. Updates and maintains contract and demographic information on participating providers. Generates correspondence to providers confirming contract or demographic changes, credentialing status, and requests for missing or incomplete information. Provides general assistance with projects as required. Essential Duties: • Enters credentialing and re-credentialing applications into the administration systems., • Conducts follow-up as necessary with Credentialing Verification Organization to obtain completed Primary Source Verification credentialing report in a timely manner., • Communicates with providers regarding missing information from credentialing files and requests additional information from external agencies., • Reviews credentialing reports loaded into the administration system for accuracy, • Performs timely data entry of contract arrangements into administration system following credentialing., • Updates and maintains contract and demographic changes ensuring accurate reporting, claims payment and directory information., • Ensures timely follow-up is conducted to secure missing information., • Generates letters to providers following contract or demographic maintenance., • Meets or exceed departmental and individual metrics goal expectations as required by productivity and quality. Prepares documents for contract execution, • Processes adverse files including researching information with appropriate agencies., • Prepares adverse reports for review by the Dental Credentialing Committee., • Performs telephonic and written correspondence outreach to providers for any missing, expired or incomplete documentation., • Performs other related duties and responsibilities as assigned Required Knowledge, Skills, and Abilities: • Experience in the health or dental insurance industry, • Excellent communication skills including the ability to address a wide range of audiences, • Customer service skills, • Basic MS Office skills, • Ability to read documents and extract information, • Ability to understand and evaluate contractual language, • Ability to work within time constraints and maintain attention to detail, • Ability to prioritize workflow and work independently but coordinate efforts within a team Required Education and Experience: • High school diploma or equivalent, • 2 - 4 years of related experience, • Or, equivalent military experience Preferred Education and Experience: • Associate's Degree with 3 years of related experience Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment visa at this time #USAL1 Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the _ notice from the Department of Labor.

Job DescriptionBenefits: • Medical, Dental, & Vision Benefits, • 401(k) matching, • Opportunity for advancement, • Training & development Join Our National Team as the Sr. Human Resources Generalist! Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 340+ franchise locations across North America, seeks a Sr. Human Resources Generalist! Position Summary: The Senior HR Generalist will be part of the Strategic Business Solutions team and will play a pivotal role in supporting our human resources operations. This role serves as the primary subject-matter expert for employee benefits, health plans, 401(k), leave of absence administration, and workers compensation. The Senior HR Generalist ensures compliance across all U.S. states, delivers a highquality employee experience, and partners closely with Payroll, Safety, HRIS, and external vendors to maintain accurate, timely, and compliant HR operations. Position: Senior HR Generalist Reports to: HR Director Location: Jacksonville, FL or Remote Salary Range: $75,000.00 - $80,000.00 annually ESSENTIAL DUTIES & RESPONSIBILITIES: Core Responsibilities (75%) Benefits Administration (Health, Welfare, and 401k) • Serve as the primary point of contact for all employee benefit inquiries, including medical, dental, vision, life, disability, and supplemental plans., • Manage benefit enrollments, changes, and terminations; ensure accuracy in ADP and with carriers., • Partner with the HRIS Analyst to ensure benefit plans, rates, eligibility rules, and workflows are correctly configured and functioning smoothly., • Work directly with ADP and benefit carriers to monitor and troubleshoot EDI files, resolve discrepancies, and complete required audits., • Review and reconcile quarterly benefit reports, including billing audits and contribution accuracy., • Participate in the annual benefits review, supporting plan design discussions, data gathering, and vendor coordination., • Support Open Enrollment, including system setup, communication planning, employee education, and troubleshooting., • Support the annual 401(k) audit and conduct periodic HRIS audits to ensure accurate plan data., • Other duties as assignedLeave of Absence (FMLA, ADA, STD, LTD, Personal Leave), • Lead and administer all leaves of absence, ensuring compliance with FMLA, ADA, state-specific leave laws, and company policies across all U.S. states., • Provide timely distribution, collection, and processing of all required leave documentation., • Maintain accurate leave tracking, status updates, and communication with employees and managers., • Serve as the primary advisor to employees and supervisors throughout the leave process, ensuring clarity, compliance, and a positive employee experience., • Coordinate with Payroll to ensure accurate pay, benefit deductions, and returntowork processingWorkers Compensation & Return-to-Work, • Manage all workers compensation (WC) claims from initial report through closure, ensuring timely documentation and communication with employees, managers, carriers, and Safety, • Partner with the Safety team to evaluate light-duty or modified duty options and support returntowork planning, • Support compliance reporting as needed, • Provide weekly updates to employees on leave or WC status and communicate weekly summaries to department managers, • Ensure all WC paperwork is processed accurately and in accordance with state regulations and carrier requirementsHR Operations, Data Integrity, & Documentation, • Maintain accurate employee data in HR systems for all benefit, leave, and WCrelated transactions, • Conduct regular audits to ensure data integrity, compliance, and alignment between HRIS, carriers, and payroll, • Create, maintain, and continuously improve HR documentation, including SOPs, job aids, forms, and process guides, • Respond promptly to employee and supervisor inquiries through the HR ticketing system, ensuring timely resolution or escalationProjects or Additional Duties: (25%): Cross-Functional HR Support • Crosstrain in other HR areas, including onboarding/offboarding, employee relations, HR data administration, and policy interpretation to ensure full team coverage, • Provide backup support for HR team members during peak periods, absences, or highvolume cyclesHR Systems, Reporting & Process Improvement, • Participate in initiatives to optimize HR software and systems for better data management, automation, and analytics, • Support data review and cleanup for annual reporting requirements, including audits and compliance submissions, • Manage the annual ACA reporting process, including data validation, coordination with HRIS and Payroll, carrier file reconciliation, and timely submission of 1094/1095 forms. Assist the HR Director with ACA strategy, review, and final compliance checks., • Assist with benchmarking and bestpractice research related to benefits, leave, and workers compensation, • Identify opportunities for process improvements and contribute to initiatives that enhance efficiency, compliance, and employee experience, • Prepare and distribute HR communications related to benefits, leave, and WC programsTraining, Policy & Change Management, • Assist with policy implementation and change management for new or updated benefits, leave, and WC programs, • Support training for supervisors on leave protocols, workers compensation processes, and benefits-related procedures, • Contribute to the development and delivery of employee education materials, guides, and presentationsAdditional Shared Services Support, • Support HR compliance calendar tasks as assigned, • Participating in special projects assigned by HR leadershipCOMPETENCY - KNOWLEDGE, SKILLS, & ABILITIES:, • Demonstrates expertise in key HR disciplines, including employee relations and supervisor coaching, HR compliance, Workers Compensation administration, OSHA recordkeeping, leave management, onboarding, and people change administration (title and pay changes, promotions, and separations)., • Build trusting relationships and collaborate effectively with team members, supervisors, and stakeholders at all organizational levels, • Handles sensitive personnel situations with sound judgment, discretion, and confidentiality, ensuring consistent and compliant outcomes, • Embraces change and maintains a continual improvement mindset, with a strong preference for automation, self-service, and technology-driven HR solutions, • Understands business goals and recommends new approaches, policies, and procedures to improve productivity, compliance, and employee experience across all HR functions, • Communicates clearly and professionally, both in writing and verbally, and serves as a knowledgeable resource on HR policies, handbook interpretation, and process documentation, • Excels in organization, prioritization, and execution, effectively managing multiple tasks and HR projects in a fast-paced environment, • Demonstrates strong analytical, problem-solving, and decision-making skills; uses data to drive process improvements and operational accuracy, • Displays meticulous attention to detail, a commitment to continual learning, and alignment with Paul Davis Values, Vision, Mission, and 10 Serving BasicsREQUIRED EDUCATION & EXPERIENCE:, • Minimum of 3 years of hands-on experience in employee benefits administration, 401k audits, leave of absence management (FMLA, ADA, STD/LTD), and workers' compensation, • Strong knowledge and application of federal and state employment laws and regulations, • Proficient in using HR software (e.g., ADP, PeopleSoft) and Microsoft Office Suite, • Exposure to multiple HR functions and best practicesPREFERRED EDUCATION & EXPERIENCE:, • Bachelors degree in human resources, business administration, or related field, • HR certification (e.g., SHRM-CP, PHR) is a plus, • Experience in process improvement initiatives within HR functionsPhysical Requirement: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit, climb or balance, stoop or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. • This role is primarily a sitting position, requiring the employee to remain in a stationary position up to 100% of the time, • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer, • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with staff over the phone, • Occasionally will lift to 10lbs., • Ability to safely operate a passenger vehicle when necessaryWork Environment The employee will be working remotely in their home office and will be exposed to normal conditions of air conditioning and heat. Most work will be conducted over email, video conferencing, and telephone. Employees must have access to a stable internet connection when working outside of the office. Employees must use the provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision. Travel This position may require up to 20% travel. This position may require travel for training and team meetings, and may require travel to office locations. Reasonable Accommodation for Disability Any applicant or employee who believes that reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunities to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. Flexible work from home options available.

Job DescriptionMEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization and have a positive impact on the lives of millions of people. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Medicare Contractor Medical Director (CMD) provides medical leadership and decision making for an organization that serves as a Medicare Administrative Contractor (MAC). This role serves as a liaison between the Centers for Medicare and Medicaid Services (CMS) and stakeholders. CMDs play a vital role in developing Local Coverage Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims, and promoting evidence-based healthcare. ESSENTIAL DUTIES & RESPONSIBILITIES Clinical Expertise and Consultation 30% • Provide leadership in clinical program outreach to the practitioner/provider/supplier/beneficiary community., • Provide direction and assistance to clinical staff in conducting provider education, as well as assist in the development of clinical guidelines as needed., • Keep clinical knowledge up to date and abreast of medical practice and technology changes., • Serve as a subject matter expert in medical and clinical areas relevant to the Medicare program., • Provide clinical consultation to internal teams (e.g., medical review staff, appeals teams) and external stakeholders., • Provide the clinical expertise, scientific literature analysis, claims data analytics to effectively focus medical polical policy and reviews on identified problem areas. Collaboration and Leadership 30%, • Collaborate with CMS and other Medicare Contractors (e.g., A/B or DME MACs and others) to develop and update medical policies and articles based on clinical evidence and regulatory requirements., • Work with multidisciplinary teams within the MAC to improve processes and ensure compliance with CMS directives., • Liaise with CMS staff, medical societies, and other stakeholders to align goals and address emerging issues., • Represent the MAC at CMS meetings and industry conferences., • Strengthen the quality improvement procedures with emphasis on decision consistency and clinical education of clinical staff through various mechanisms including but not limited to overseeing Inter-Reviewer Reliability (IRR) reviews. Program Integrity 20%, • Support program integrity initiatives, including identifying trends in inappropriate billing practices or noncompliance., • Ensure the proper application of Medicare regulations, national and local coverage determinations (NCDs and LCDs), and clinical guidelines., • Participate in all phases of LCD development by leading the Local Coverage Determination (LCD) process to include development, revision, retirement, education, and decision making., • Collaborate with investigative teams and law enforcement when required. Medical Review (MR) and Appeals 10%, • Oversee medical review activities to ensure appropriate and consistent decisions on claim determinations including pre- and post-payment determinations., • Provide leadership in developing and implementing MR Quality Assurance Programs., • Provide leadership in effectively focusing MR and developing internal MR guidelines., • Review complex or high-level appeals and provide guidance on the application of Medicare policies., • Provide support to the claim appeal process including assistance in the development of position papers and participation in the administrative process when needed such as Administrative Law Judge (ALJ) hearings. Provider Education and Communication 10%, • Provide leadership in the provider community (including interacting with hospital/specialty associations)., • Educate providers, individually or as a group, regarding identified problems or medical policy., • Maintain Professional and Organization Relationships Performs other duties as the supervisor may, from time to time, deem necessary. • Travel within and outside the assignedjurisdictions, as needed. Expected to be no more than 3-4 weeks/year but could vary based on business needs. REQUIRED QUALIFICATIONS • MD or DO degree from accredited Medical School, • Minimum of three years clinical practice experience as an attending physician, • Extensive knowledge of the Medicare program, particularly the coverage and payment rules, • Work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines., • Knowledge, skill, and experience to evaluate clinical evidence, and to develop evidence-based medical necessity standards within the Medicare fee-for-service benefit structure, • Ability to develop strategies and processes to ensure evidence-based decision-making for policy in the Medicare population, • Basic understanding of medical coding conventions, • Ability to effectively communicate, collaborate with, and provide education on health care policy issues to both internal team members and external entities, • Ability to work collaboratively with internal staff to evaluate aberrancies, determine appropriate billing, coding, pricing, and utilization of services, • Proficiency with effective public speaking and ability educate providers, • Ability to work collaboratively with clinical and non-clinical team members, • Ability and desire to educate team members and external entities (i.e., CMS, providers, other federal agencies, law enforcement, etc.), • Computer literacy, including proficiency using word processing, spreadsheets, presentation, and virtual meeting applications, • Ability to complete independent or computer-based training and education Certifications, Licenses, Registration: • Current, active, valid, unrestricted license to practice medicine in at least one state or territory within the United States, never suspended or revoked in any state or territory of the United States, • Eligible for licensure within jurisdiction of enterpriseoperations, • Board Certified Doctor of Medicine or a Doctor of Osteopathy in a specialty recognized by the American Board of Medical Specialties for at least three years PREFERRED QUALIFICATIONS • Experienced Physical Medicine and Rehabilitation (PM&R), Oncology, Radiology, Ophthalmology or Infectious Diseases professionals with five years of clinical practice, • MBA, MHA, MS in Management, or formal accredited coursework in medical systems management, • Demonstrated successful working experience in organized medicine group(s) (e.g., AMA, specialty society, state health department) as a committee chairperson or other leadership, • Medical Director experience in Medicare-related or commercial healthcare organization, • Coding and billing experience utilizing HCPCs, CPT, and ICD-10 codes, • Experience using GRADE methodology for literature analysis and performing systematic reviews, • Experience working with physician groups, beneficiary organizations, and/or congressional offices Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke at johnb@arcgonline.com or apply online while viewing all of our open positions at www.arcgonline.com. ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Job DescriptionBenefits: • Medical, Dental & Vision Benefits, • 401(k) matching, • Training & development, • Opportunity for advancement, • Employee discounts Join Our National Team as a FAST Estimating Coach! Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 340+ franchise locations across North America, seeks a FAST Estimating Coach to support the team. This position will report to the Director of Estimating and be responsible for providing support across the organization, providing direct support to franchisees interested in utilizing the FAST Remote Estimating Service, providing world class remote estimating service to the Paul Davis network. In addition, this role helps support internal team members providing this service, bringing resources to the entire organization to ensure a smooth onboarding experience and ongoing opportunities to practice continuous improvement. This position assists in driving performance to exceed Customer (franchisee) and Carrier expectations. Position: FAST Estimating Coach Reports to: Director of Estimating Location: Corporate Office or Remote Essential Duties/Responsibilities This role is designed to provide operational support to the Paul Davis network of franchises and jointly to the FAST Estimating Team, ensuring collaborative efforts are made to complete accurate, timely, and profitable estimates. • Training and Resource Creation: Assist in providing ongoing FAST process training and support to franchisees, ensuring they have access to the latest tools, resources, documentation, and processes necessary for success using the FAST estimating service. Help create and update training materials related to best practices, expectations, and FAST process success. This includes FAST Hub content creation and updates, as well as network communications. • Internal Coaching and Onboarding: Provide onboarding and ongoing coaching support to the FAST Estimating Team as new team members join, are promoted, or advance in their skillsets. Ensuring that internal onboarding proceeds smoothly and team members can provide production-based support in response to current network demands. • Communication Coordination: Provide coordination of communication between the FAST Team, other PDRI team members, and franchisees. Ensure proper routing of urgent and important communication related to gaps in process, collaboration, or other areas. Provide support in scheduling 1:1 calls, FAST Consultations, and other meetings as requested., • Team Support: During times of spike volume, provide direct support to the network in writing estimates for all job types and estimating platforms., • Quality Assurance Focus: Ensure that scoping and documentation practices, software, and communication expectations are driving accurate and profitable estimating. This includes coordination, communication, training, and coaching with the offices as well as the FAST Estimating Team., • Documentation and Reporting: Provide support to provide key statistics and KPI updates on network demand, volume projections, and other data points that will drive appropriate resource allocation to support the network., • Communication and Problem Resolution: Act as a liaison within the FAST team, within PDRI, and within the greater organization to provide resources to solve problems and fill gaps in subject matter expertise, capacity, and other opportunities., • Teamwork and Collaboration: Attend company or team meetings in person or virtually, as required, to be informed on all things Paul Davis. Provide support to other Claims Force team members during periods of lower FAST Estimating demand, as cross-team support is required., • All other duties as assigned Key Result Areas: • Meet with offices interested in leveraging the FAST Estimating Service to train and coach on standard processes, best practices, and problem-solve concerns that may arise., • Support FAST Estimating Team in the initial onboarding of new team members and those promoted to new roles, as well as ongoing training and calibration opportunities., • Act as liaison between all stakeholders to practice continuous improvement, driving demand for the FAST Estimating Service, • Develop, enhance, and share training and communications on the FAST Estimating Service, • Distribute new FAST Estimate requests to appropriate team members, rebalancing workloads as needed, to drive service level commitment delivery, • Route communication within the team, PDRI, and the franchise network to drive a streamlined remote estimating processCompetency Knowledge, Skills, and Abilities:, • Ability to creatively and efficiently leverage technology to drive engagement in training and coaching sessions with a learner-focused design, • Strong organizational and time management skills, with the ability to prioritize, communicate, and manage the completion of multiple assignments simultaneously., • Excellent verbal and written communication skills, with a customer-service mindset, • Ability to work collaboratively with franchisees and internal teams to ensure smooth operations., • Proficiency with project management software, CRM systems, and general office tools (e.g., Microsoft Office Suite, especially PowerPoint) and communication tools (Zoom, Teams), • Ability to learn and operate our primary operating systems (RMS, Xactimate, XactAnalysis, Claims Connect, Mobile Claims, MICA Exchange, PowerBI, SharePoint, OneDrive, Adobe, and others), • The ability to work under pressure, • Exceptional attention to detail, • Ability to conceptualize, • Ability to work independently, • Self-driven, • Ability to work office equipment (fax, scanner, printer, copier, phone system, computers), • Maintain a high level of confidentiality, • Ability to follow our Paul Davis Values, Vision, Mission, and 10 Serving Basics Required Education and Experience, • High school diploma or GED, • Bachelors degree or equivalent experience in business administration or related field, • 2 plus years of direct coaching, training, or onboarding experience, • 3 plus years experience with estimation principles, concepts, and experience in the property restoration/insurance industryPreferred Education and Experience, • Experience serving in a customer service role, • 5 plus years experience in the restoration industry regarding water mitigation/mold remediation, abatement, contents, fire structure cleaning, and reconstructionPhysical Requirement The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. The employee is occasionally required to sit, climb, balance, stoop, or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. • Must be able to stay in a stationary position up to 100% of the time, • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer, • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with customers over the phone, • Occasionally will lift up to 10lbs, • Ability to safely operate a passenger vehicle Work Environment The employee will be working remotely in their home office and will be exposed to normal conditions of air conditioning and heat. Most work will be conducted over email, video conferencing, and telephone. Employee must have access to a stable internet connection when working out of the office. Employees must use the provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision.e. Travel This position may require up to 25% travel. This position may require travel to franchise locations, trainings, and team meetings. Reasonable Accommodation for Disability Any applicant or employee who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. This is a remote position.

Job DescriptionAbout Lyra Lyra Health is the leading provider of mental health solutions for employers supporting more than 20 million people globally. The company has published more than 20 peer-reviewed studies, and delivered unmatched outcomes in terms of access, clinical effectiveness and cost efficiency. Extensive peer-reviewed research confirms Lyra’s transformative care model helps people recover twice as fast and results in a 26% annual reduction in overall healthcare claims costs. Lyra is transforming access to life-changing mental health care through Lyra Empower, the only fully integrated, AI-powered platform combining the highest-quality care and technology solutions. About the Role Lyra is committed to addressing urgent and costly mental health needs with specialized support where it’s needed most. Our Center of Excellence for Neurodiversity offers psychological assessments, diagnosis, and tailored care for ADHD, and support for autism and learning differences. We are looking for contract Testing Psychologists who are passionate about whole-person, whole-family mental health care. The Testing Psychologist will perform comprehensive psychological assessments to support diagnostic clarity, treatment planning, and intervention strategies for children, adolescents, and adults. This role focuses on addressing behavioral health complexities, providing actionable insights through psychoeducational and psychological evaluations, and collaborating with interdisciplinary care teams to optimize outcomes. This role is a great fit for providers who are results driven, detailed, process oriented, and comfortable with data. Candidates with an independent work ethic who are flexible and adaptable, we encourage you to apply. Key responsibilities: • Work with patients of all ages is preferred, as well as their families, by providing psychological evaluations, • Administer, interpret, and integrate a wide variety of psychological test batteries, focusing on cognitive, emotional, behavioral, and academic functioning, • Provide clear, evidence-based diagnostic impressions and actionable recommendations tailored to the individual’s needs, • Collaborate and review work with psychometrists and psychometrist assistants, overseeing test administration, scoring, and ensuring quality control, • Deliver compassionate feedback through live in-person testing sessions and create feedback videos to communicate findings and recommendations, • Maintain a detail-oriented, process-focused approach to ensure the accuracy of testing data and comprehensive reporting, • Utilize telehealth platforms effectively for remote assessments, including adapting testing strategies for virtual delivery, • Conduct intake interviews, testing sessions, and live feedback sessions in person, as indicatedRequirements:, • Doctorate degree in Psychology (PhD or PsyD) from an American Psychological Association accredited program, • Licensed Clinical Psychologist in at least one state, • PSYPACT authorized or PSYPACT eligible preferred, • 3+ years of experience in psychological assessments with children, adolescents, or adults, • Familiarity with evaluating complex behavioral health needs (e.g., ASD ADHD, mood disorders, anxiety, trauma), • Expertise in psychological and psychoeducational assessment tools (e.g., BASC, Conners, ADOS, WAIS, WISC), • Effective therapeutic communication skills, • Proficiency with telehealth platforms and remote testing tools, • Experience conducting testing virtually, • Ability to deliver care virtually or in person and within your own office space, • Candidates must successfully pass a drug screen and background check for this opportunityHere are some of the advantages of joining the Lyra + Bend network:, • Connect with highly compatible clients who are a good fit for your clinical expertise, • Support from caring and highly qualified, vetted psychometrists, • Set your own schedule, without a minimum hours requirement, • Focus less on the administrative burden of billing with Lyra’s paperless billing and quick payment turnaround, • Have peace of mind with Lyra’s 24/7 Care Navigation team for client crisis support, • Access to a robust offering of live and recorded CE credited courses (approved by APA, ASWB, and NBCC), • Access to cutting edge technology and a team of support staff (e.g., psychometrists, psychometrist assistants) to help ease the administrative burden of the evaluation process, • Testing supplies are provided for youWe believe that our diverse perspectives are our biggest strengths, and that embracing them will create real change in healthcare. As an equal opportunity employer, we are committed to building an inclusive environment where you can be you. We are an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information or any other category protected by law. By applying for this contract position, your data will be processed as per Workforce Privacy Notice. If you are a California resident and would like to limit how we use this information, please use the Limit the Use of My Sensitive Personal Information form. This information will only be retained for as long as needed to fulfill the purposes for which it was collected, as described above. Please note that Lyra does not “sell” or “share” personal information as defined by the CPRA. For more information about how we use and retain your information, please see our Workforce Privacy Notice. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, summarizing interviews, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Job Description Position overview: The Chief Legal & People Officer (CLPO) serves as a strategic partner to the executive team, bridging the gap between legal risk management and organizational culture. The CLPO is a licensed attorney who will ensure that the company’s business practices, operations, risk management, and commercial dealings meet regulatory requirements and industry standards. On the people side, the CLPO will ensure that the company has the talent to meet its goals, manages daily operations like performance reviews, and focuses on constantly perpetuating the organization’s empowered remote culture. A typical day in the life of a CLPO: • Legal Counsel: Provide comprehensive legal advice and counsel to the company, leadership, and all internal stakeholders., • Policies & Governance: Draft and approve company policies, procedures, and bylaws while managing all corporate governance, licensing, and state registrations., • Contract Negotiation: Review and negotiate commercial, vendor, lease, and employment agreements in consultation with relevant teams., • Dispute Management: Manage all claims, litigation, and commercial or employment disputes for the company., • Regulatory Oversight: Advise the company on legislative or regulatory changes and provide all legal support for financial audit requirements., • Resource Management: Supervise law firms and external legal resources to ensure high-quality work and cost efficiency, prioritizing the internal handling of legal matters to minimize the need for outside counsel., • Talent Strategy: Build and oversee scalable systems to recruit and retain the talent needed to meet the company’s objectives., • Compensation & Benefits: Design and manage data-driven pay scales and benefit structures to optimize labor costs and maintain competitiveness., • Operational Machinery: Ensure the daily functions of the HR department—including time-off tracking, and HR records—run without friction., • Performance Accountability: Implement and manage clear performance review processes to ensure organizational productivity and consistency. The skills you’ll contribute to our diverse team: • Legal Experience: Minimum of 10 years of legal practice., • Core Expertise: Ability to provide legal advice and counsel to leadership while overseeing the operational systems that manage the company’s workforce., • Strategic Communication: Ability to communicate clearly with leadership, internal teams, and external parties., • Critical Thinking: Ability to evaluate complex situations, identify potential legal and operational risks, and provide practical, balanced solutions that align with business goals., • Operational Agility: Ability to multitask and manage a high volume of competing priorities across both Legal and HR functions simultaneously., • Resource Management: Experience managing legal/HR staff or external vendors (law firms, brokers, or PEOs) with a focus on cost control., • Conflict Resolution: Practical experience handling employee relations and internal disputes, either as a lawyer or as an HR professional., • Education & Licensing: J.D. from an ABA-accredited law school and a member in good standing of any state bar (please include bar number). Preferred: • Contracts: Strong background in drafting and negotiating commercial agreements., • In-House: Previous experience working directly within a corporate legal department., • HR Operations: Experience managing or overseeing core HR functions, including payroll and benefits. Who are we? At SDI, we’re proud to help essential organizations across North America compete more effectively in a challenging global marketplace – and keep our economy moving. We do this by thinking differently, questioning conventional wisdom, and constantly challenging the status quo. We’re evolving the way leading manufacturers, multi-site retailers, and higher education think about their maintenance, repair, and operations (MRO) strategies – the critical supply chain of parts, materials, equipment, and consumables necessary to keep plants and facilities operating safely and productively. Every day, we help companies eliminate waste, minimize risk exposure, and stay competitive on an ever-changing world stage. Why work for SDI? The Philadelphia Inquirer named us a Top Workplace in 2023! Additionally, we pride ourselves on taking care of our employees. Here are some of the benefits we offer: Health insurance (medical, dental and vision). Training and development opportunities – 2023 winner of the People Accelerator award. Vacation, wellness days, pet bereavement days and 12 paid holidays. 401K with a company match. Tuition reimbursement. Student loan repayment assistance. Reimbursement for safety shoes. Discounted tickets to a variety of different vendors. The pay range for this bonus-eligible role is $190,000 - $200,000 annually. Individual pay depends on various factors, such as role level, relevant experience and skills, and location. Pay ranges are reviewed and typically updated each year. Offers are made within the pay range applicable at the time. EEO SDI is proud to be an equal opportunity employer committed to inclusion and diversity. We do not discriminate based upon race, religion, color, national origin, sex (including pregnancy, childbirth, reproductive health decisions, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, genetic information, or other applicable legally protected characteristics. If you have a disability or special need that requires accommodation for any part of the employment process, please let us know by contacting us at hr@sdi.com. SDI participates in the E-Verify program.

Job Description The CareIQ Service Coordinator provides administrative customer service and file management assistance to claimants, providers, claims professionals, and case managers regarding new and ongoing ancillary healthcare services. Utilizing proprietary systems and knowledge from training, a CareIQ Service Coordinator will provide excellent telephonic and written customer service to both inbound and outbound customers. This role operates with a high focus on accuracy, urgency and communication to ensure that services are completed on schedule and without interruption. This is a remote role. Candidates must live in Eastern or Central standard time zones, Shift for this role will be 11:30 AM - 8:00 PM EST. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: • Provide telephonic customer service in an inbound and outbound high-volume call-center environment, • Complete accurate data review and entry, • Able to learn and operate corporate proprietary systems, • Request and review treatment and appointment documentation to verify completion and accuracy, • Administrative review of claim referral orders, authorization, appointment notes and reports, ensuring alignment of pending and completed services, • Update all case stakeholders on a regular basis, • Type and proofread reports and correspondence via email and management systems, • Transcribe correspondence/reports from dictation, • Use problem solving and critical thinking skills to ensure daily scheduling challenges do not cause delays in securing appointments, • Meet departmental production and quality performance expectations, • Additional duties as assigned KNOWLEDGE & SKILLS: • Process oriented and effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment, • Excellent written and verbal communication skills, • Ability to meet designated deadlines, • Computer proficiency and technical aptitude with the ability to utilize MS Office and Proprietary Systems, • Strong interpersonal, time management and organizational skills, • Ability to maintain a professional and courteous demeanor that sets tone for complex telephonic conversations, • Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: • High School diploma, • Prior work experience in a detail-oriented customer service environment 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: $15.61 - $23.82 per hour 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 Job Type: Contract Workplace Type: Remote, but must live in US and preferably within Central/Eastern Time Zone Compensation: Commission only based on successful recovery of claims Schedule: Flexible full-time caseload with preferred Monday to Friday during business hours COMPANY OVERVIEW Phoenix Loss Control (PLC) is a US-based business services provider in the cable, telecom, and utilities sector. PLC’s core service is outside plant damage investigation, recovery, and prevention. Across the US and parts of Canada, we help our clients recover the costs of third-party damage to their infrastructure, such as underground fiber optic or gas lines. PLC currently employs over 140 people, servicing some of the largest cable and telecoms operators (e.g., Comcast, Spectrum, AT&T, and Google). PLC is currently aggressively expanding its business and looking for talented and energetic people to bring onboard to help drive growth. POSITION SUMMARY Claim Recovery Agents are responsible for reviewing information provided on a damage, determining the liable party, invoicing the responsible party, and pursuing recovery of the repair costs. Duties • Review and analyze claim information, identify liable party, and take action to move claims toward successful resolution, • Gather costing and prepare invoices for select clients, • Correspond with liable party/insurance carrier both verbally and in writing, • Negotiate settlements, • Resolve conflicts and escalate urgent issues Requirements • Strong computer skills and knowledge of Microsoft Office, • Ability to work independently, manage goals and deadlines, have good attention to detail, • Adaptability, logical thinking and conscientiousness, • Excellent communication skills (both verbal and written), • Strong conflict resolution and negotiation skills, • High-speed internet access, personal computer, phone line dedicated to work contacts Position Advantages • Uncapped Compensation Potential: Top Performers who excel at the role have the ability to earn an annual compensation of more than $100,000, • Flexible Work Schedule: Remote with the ability to choose your own hours/days of work This is a contract position. There are no benefits offered with this position.

Job DescriptionAre you the type of person who loves solving problems, bringing smiles to people’s faces, and making a positive impact every day? If so, GetixHealth wants YOU! We’re looking for Customer Service Representatives who take pride in their work, show initiative even when no one is watching, and understand that the quality of their work reflects who they are. Successful candidates are thoughtful, detail-oriented, and communicative. They are proactive, professional, well-spoken, polite, and accountable—both to themselves and to others. If you enjoy helping people and thrive in a fast-paced environment, this role is for you. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Position Overview: As a Bilingual Customer Service Representative at GetixHealth, you will be on the front lines of delivering exceptional service and support to patients and clients. Your primary responsibility is handling high-volume inbound and outbound calls related to billing, payments, medical claims, benefits, and coverage. You’ll use established procedures and tools to resolve inquiries efficiently and with empathy—ensuring compliance, accuracy, and customer satisfaction in every interaction. This is a high-impact, fast-paced role ideal for someone who thrives in a collaborative team environment. Key Responsibilities: Must be bilingual (Spanish) • Position is Remote (must pass internet speed test) * yes- we provide the equipment Handle 60+ inbound and outbound calls per day related to billing, payments, medical claims, and coverage questions. Respond to telephone inquiries using standard procedures and scripts. Gather required information, research account details, and resolve customer concerns accurately and promptly. Clearly explain billing information, insurance benefits, and available services to patients. Assess patient needs and provide appropriate solutions or escalate issues when necessary. Schedule work to ensure optimal call coverage and maintain daily productivity. Collaborate with leadership and peers using screen-sharing tools to support real-time problem-solving and performance goals. Support department initiatives and contribute to continuous improvement efforts. Maintain strict adherence to HIPAA regulations and confidentiality policies. Assist with department goals and recommend improvements to enhance efficiency. Perform other duties as assigned to support the team and organizational success. Education & Experience: Must be bilingual (Spanish) High School Diploma or GED required; additional education is a plus. 1–2 years of customer service experience required. Healthcare, insurance, or medical collections experience preferred. Familiarity with Medicaid, Medicare, Workers’ Compensation, and liability claims preferred. Basic understanding of medical terminology and the healthcare revenue cycle. Proven experience working with multiple systems and databases in a fast-paced environment. Skills & Qualities: Strong verbal, written, and interpersonal communication skills. Excellent problem-solving abilities with a calm, empathetic approach. High attention to detail and accuracy. Ability to work independently and collaboratively to meet and exceed performance goals. Comfort using Microsoft Office Suite and adapting to new technologies. Bilingual abilities are a plus. Strong attendance and reliability. Schedule & Compensation: Schedule: Monday–Friday Hours: 9:00 AM – 6:30 PM CST (Hours adjusted for Pacific and Mountain Time Zones) Applicants in Pacific or Mountain Time Zones Preferred Pay Rate: $18.00/hour + Quarterly bonus eligible Benefits & Incentives: • Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment., • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D., • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following three (3) months of continuous service., • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment., • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed. Note: This job description outlines the primary duties and qualifications of the role and is not intended to be an exhaustive list of responsibilities. GetixHealth is an Equal Opportunity and E-Verify Employer.

Job DescriptionBenefits: • Medical, Dental & Vision Benefits, • 401(k) matching, • Training & development, • Wellness resources, • Opportunity for advancement Join Our National Team as an Estimating Team Manager! Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 340+ franchise locations across North America, seeks an Estimating Team Manager. This Estimating Team Manager will serve as a member of the Claims Force team (formerly known as Quality Assurance). The primary responsibility of the Estimating Team Manager is to lead a team of estimators in performance management, SMART goal creation, and team meetings that involve collaboration with other departments within the franchisor, designed to strategically position Paul Davis at the top of each carriers scorecard. Work standards for the Manager and the team are focused on accuracy, speed, customer service, and similar supporting metrics. The Estimating Team Manager will support the team with claim management escalations, performance accountability, and general oversight. Position: Estimating Team Manager Reports to: Director of Estimating Location: Hybrid Essential Duties/Responsibilities • Recruits, onboards, and trains new team members, • Completes monthly meetings with team members for performance coaching and management, • Completes monthly Goal Setting & Review (GS&R) Meetings with team members, focusing on continuous improvement, • Supports team members growth with the creation of SMART Goals and development paths, • Facilitates and conducts regular team calibration meetings, • Supports assignment-level success through control points that include but are not limited to: Scorecard support, pre-estimate upload SLAs, estimate reviews, centralized remote estimate creation, and post-CF Approval managed repair, • Provides direct support for any function within the team during periods of assignment spikes, catastrophe events, team member absences or shortages, and as requested based on organizational demands, • Communicates effectively with direct reports, supervisors, franchisees, insurance carrier partners, and all stakeholders within the organization, • Communication expectations include inbound and outbound phone calls, Validate, CMS, claim management system notes, email, MS Teams, and other potential software/communication applications, • Coach franchises on opportunities to improve their estimating and documentation performance, • Provides assistance to franchises on estimating requirements and claim expectations, based on carrier guidelines, and supports technical claim inquiries across the estimating/claim management platforms, • Identify and communicate trends to Directors, Team Managers, Account Managers, Regional Business Coaches, and other organizational stakeholders, • Provides trend analysis of internal performance to the supervisor and participates in problem-solving sessions to address gaps, • Provide support to the Director of Estimating and other leaders in the onboarding process of new team members and those in new positions, acting as a key support role in organizational and departmental success, • The support provided to the franchise network and carrier partners provides an opportunity for Paul Davis to obtain more jobs through improved scorecard performance, • Creates opportunities for team building through engaging meetings and events, strengthening the cohesiveness of the team, and creating the opportunity for a high level of support to the network, • Collaborates with other departments to create standard operating procedures and program guidelines, • Other duties as assigned.Competency Knowledge, Skills, and Abilities:, • Proficient use of a laptop and operating accessories, • Proficient use of Microsoft Office applications (Outlook, Teams, OneDrive, SharePoint, Forms, PowerPoint, Word, Excel), • Subject matter expert-level knowledge and performance excellence within the insurance industry, including but not limited to mitigation, contents, and reconstruction concepts, operational practices, and verbiage, • Ability to lead and manage a team to move through reviews of varying job types, estimate severity, and complexity, • Assertive, professional communication skills - adaptive communication based on the context of the information being conveyed, both verbal and written, • Ability to assertively embrace the continuous improvement model and provide feedback necessary to move the business forward, • Proficient use of technology applications, including the creation of new documents, • Ability to independently problem solve, resolve conflicts, and manage priorities, • Ability to learn and implement new processes related to our industry and the specific duties and responsibilities required to be successful in this role, • Ability to review and write estimates for water mitigation, mold, fire mitigation, temporary repairs, contents, reconstruction, and other job-type estimates in an accurate and timely manner, • Ability to complete multiple reviews or estimates within a given time frame, • Knowledge of estimating platforms: Xactware Products, Symbility, and other estimating software, • Ability to successfully pass required industry and company certifications on the first attempt, • Ability to answer and communicate with PDRI, independent franchises, and PDO offices via phone and email, • Ability to work in our main operating systems, • Ability to work independently, • Ability to pass and maintain a satisfactory background check, • Ability to maintain a level of confidentiality, • Ability to follow our Paul Davis Values, Vision, Mission, and 10 Serving BasicsRequired Education and Experience, • High school diploma or GED, • Bachelors degree or equivalent experience in insurance claims or related field, • 3 plus years of experience with estimation principles, concepts, and experience in the property restoration/insurance industry, • 3 plus years of experience with personnel management or coachingPreferred Education and Experience, • Experience serving in a customer service role, • 2 plus years of experience with contracting and/or fieldwork for a given trade., • 5 plus years of experience in the restoration industry regarding water mitigation/mold remediation, abatement, contents, fire structure cleaning, and reconstruction., • 5 plus years of personnel management or coaching experiencePhysical Requirement The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. The employee is occasionally required to sit, climb or balance, stoop or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. • Must be able to stay in a stationary position up to 100% of the time, • The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer, • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with customers over the phone, • Occasionally will lift up to 10lbs, • Ability to safely operate a company vehicle Work Environment The employee will work remotely from their home office and be exposed to normal air-conditioning and heating conditions. Most work will be conducted over email, video conferencing, and telephone. Employees must have access to a stable internet connection when working out of the office. Employees must use the provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision.e. Travel This position may require up to 20% travel. This position may require travel to franchise locations, trainings, and team meetings. Reasonable Accommodation for Disability Any applicant or employee who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. Flexible work from home options available.

Job Description(Full stack) Java/react Developer - Remote ARC Group has an immediate opportunity for a(Full stack) Java/react Developer! This position is 100% remote. This is starting out as a contract position running through February 2025 with strong potential to extend longer or possibly convert to FTE. This is a fantastic opportunity to join an established and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Reference # 16822-1 Candidates must have permanent work authorization and work for any employer without sponsorship now or in the future. Third party candidates are not eligible for this role. Job Description: PROJECT SCOPE: Claims connect project (Full stack) Java/react Application: A multi-year project with most of it focused on in the React space. Ability to edit claims in new claims connect application (web-based) JOB SUMMARY: • Must have 5+ years of Full-Stack Java development exp., with an emphasis on React, • Strong leadership/communication skills, • Deployments using Jenkins highly preferred (not required) GENERAL REQUIREMENTS:, • Experience with unit testing, release procedures, coding design and documentation protocol as well as change management procedures, • Proficiency using MERN and MEAN Scaffolding tools, • Demonstrated organizational, analytical and interpersonal skills, • Flexible team player, • Ability to manage tasks independently and take ownership of responsibilities, • Ability to learn from mistakes and apply constructive feedback to improve performance, • Must demonstrate initiative and effective independent decision-making skills, • Ability to communicate technical information clearly and articulately, • Ability to adapt to a rapidly changing environment, • In-depth understanding of the systems development life cycle, • Proficiency programming in more than one object-oriented programming language; React.Js, Node.JS, JavaScript, and HTML, • Proficiency with HTML, CSS, SASS, JavaScript/jQuery, local storage, and cross-browser compatibility are required, • May include database knowledge in MongoBD, • Experience with modern web/UI development tools and techniques: Node, Webpack, Grunt/Gulp, GIT, Axios, Jest, • Client-side templating: mustache.js, handlebars.js, panni.js, and dust.js, • Proficiency using standard desktop applications such as MS Suite and flowcharting tools such as Visio, • Proficiency using debugging tools such as; Advanced Debugger, Allinea DDT, AQtime, ARM, CA/EZTEST, etc, • Solid knowledge of DOM manipulation and client-side validation, • Solid knowledge with jQuery and other JavaScript libraries, • High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy, • Experience with responsive grid systems, • Solid knowledge of React and Redux principals and build out PREFERRED QUALIFICATIONS: The preferred qualifications listed below reflect desired knowledge, skill, and/or experience. Additional Preferred Qualifications: Various Domain experience; Health Care, Financial, etc Experience using Agile, Waterfall, or hybrid methodology Experience with mobile design (native and mobile web) a plus Experience with Foundation a plus Experience with web accessibility guidelines and requirements a plus REQUIRED EDUCATION/EXPERIENCE: • Related Bachelors degree or related work experience, • 5+ years related work experience, Professional experience with technical design and coding in the IT industry, • Must have 5+ years of Full-Stack Java development exp., with an emphasis on React, • Strong leadership/communication skills, • Deployments using Jenkins highly preferred (not required)Would you like to know more about our new opportunity?For immediate consideration, please apply online and view all our open positions at www.arcgonline.com. ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. ARC Group is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Position offered by No Fee agency.

Job DescriptionPROVIDER AUDIT AND REIMBURSEMENT MANAGER (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Manager (CMS)! Must have experience with Medicare Cost Reports. This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Job Description: The Provider Audit and Reimbursement Manager is responsible for managing a team of auditors and ensuring the work is performed in compliance with the Medicare laws and regulations, the standards set forth by the Centers for Medicare and Medicaid Services (CMS), the company's and department's quality and production standards, and the company's policies and procedures. The Manager will be responsible for either audit or reimbursement functions and can be responsible for one of four primary roles -- desk review/audit, reopenings/appeals, interim rate review/reimbursement or acceptance/finalization for all provider types as both a preparer and reviewer of work product. The Manager assigns annual workload budget, distributes assignments to the team, ensures timely and accurate completion and review of all work, and makes final reimbursement determinations for all work assigned to the team. ESSENTIAL DUTIES & RESPONSIBILITIES: • Manages team members and workload of the Audit/Reimbursement unit to ensure compliance with the standards set forth by CMS. The standards are in the form of Medicare laws and regulations and budget dollars granted for completion of the workload. (20%), • Manages the daily activities of the Audit/Reimbursement unit, coordinates their interactions with other departments and numerous external entities. Assigned team members can be in more than one office location. (20%), • Coordinates and manages the reimbursement for services, ensures that assigned team members update interim rates and other payment factors, ensures that all changes are entered into the claims processing system, and produces credible output reports that capture all relevant claim payment data required for cost report preparation and settlement. (5%), • Coordinates the testing and validation of the pricing software releases installed in the payment system. (5%), • Manages audits, provides direction to team members via work assignments, coordinates subordinate duties and provides guidance on audit issues. (5%), • Maintains and controls audit and appeal assignments, and also schedules resources to meet performance requirements. (5%), • Ensures that the Provider Audit unit completes its assigned objectives within the limits of established quality, policies, regulations and budgets. Determines the initial plan of audit work to be performed at desk and in the field for all assigned units. (5%), • Reviews workpapers of auditors for correctness, control and adherence to Generally Accepted Accounting Practices (GAAP), Generally Accepted Accounting Standards (GAAS) and Government Auditing Standards (GAS) as required. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence. (5%), • Reviews, evaluates and approves the disbursement of tentative cost settlements in compliance with Federal Government regulations for each class/type of provider within area of responsibility. (5%), • Makes accounting decisions relative to audits, conferring, when necessary, with Senior Manager or Director on audit problems and/or interpretations of regulations. (5%), • Reviews completed audit reports and approves them prior to the Senior Manager's or Director's review. (5%), • Attends entrance and exit conferences, lends assistance to auditors as required, and follows up on audit recommendations. Reviews, researches and/or answers inquiries from governmental and other agencies regarding findings made on provider cost reports. (5%), • Researches and reviews all written policies as related to the interpretation and application of governmental regulations on a consistent basis as affecting cost settlements. (5%), • Attends meetings away from office as needed and renders assistance to providers by responding to inquiries. (5%) REQUIRED QUALIFICATIONS, • Bachelors'/Master's degree with a concentration/major in Accounting or Finance. Bachelor's/Master's degree in other fields can qualify if the candidate has 15 or more credit hours in specific Accounting or Finance classes., • 4 years' related work experience in Medicare audit and reimbursement, including 3 years supervisory/project management lead or other leadership experience., • Demonstrated oral and written communications skills, • Demonstrated ability to exercise independent judgement and discretion, • Demonstrated attention to detail PREFERRED QUALIFICATIONS • Masters in Business Administration (MBA), • Certified Public Accountant (CPA) This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available. Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke johnb@arcgonline.com or apply online while viewing all of our open positions at www.arcgonline.com. ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Job Description Casualty Claim Adjuster Join a collaborative, service-focused team where analytical rigor, sound judgment, and professionalism are valued. At Stillwater Insurance Group, the Casualty Claim Adjuster II plays a critical role in investigating, evaluating, negotiating, and resolving complex casualty claims while delivering exceptional service to policyholders and internal partners. Why Stillwater? Stillwater Insurance Group is a mid-sized national insurance provider offering home, auto, and commercial insurance products across all 50 states. Headquartered in Jacksonville, Florida, with offices in New York, and Omaha. We are known for our supportive culture, strong values, and people-first approach. Our employees describe Stillwater as a workplace with accessible leadership, strong integrity, and a genuine commitment to teamwork and professional growth. We emphasize collaboration, accountability, and internal development within a high-performing environment. Role Overview The Casualty Claim Adjuster is responsible for investigating, analyzing, negotiating, and resolving first- and third-party casualty claims involving homeowner, dwelling, condominium, renters, and commercial policies across Stillwater’s 50-state market. This is a primarily in-office, desk-based role located in our Jacksonville, FL location. Occasional travel may be required for scene inspections, loss investigations, settlement conferences, mediations, or litigation-related matters. This level handles a significant percentage of claims involving coverage determination and dispute resolution, requiring strong technical and analytical expertise. Key Responsibilities • Investigate and analyze casualty claims to determine coverage, liability, damages, and exposure, • Manage disputed claims including AOBs, CRNs, NOIs, demands, and complex liability and litigation disputes., • Interpret and apply complex policy language while protecting company rights and defenses, • Resolve the majority of assigned claims involving coverage determinations, • Prepare professional, original correspondence including reservations of rights, non-waiver agreements, disclaimers, partial denials, and coverage determination letters, • Perform detailed liability and damage evaluations, including bodily injury assessments and projected settlement ranges, • Communicate promptly and professionally with insureds, claimants, attorneys, agents, vendors, and internal stakeholders, • Manage disputed claims including AOBs, CRNs, NOIs, demands, and complex liability disputes, • Utilize appropriate adjusting resources, including remote tools, independent adjusters, and expert vendors, • Establish, monitor, and adjust claim and expense reserves based on claim development, • Ensure accurate and thorough claim documentation, file notes, and financial transactions, • Identify fraud indicators and refer matters to SIU when appropriate; collaborate with SIU investigators, • Identify and pursue subrogation and salvage recovery opportunities, • Prepare detailed claim summaries, reports, and litigation narratives for management, reinsurers, and regulatory purposes, • Negotiate effectively with claimants, attorneys, and other stakeholders to resolve claims at the optimal loss cost, • Ensure compliance with all applicable state insurance laws, Unfair/Fair Claims, • Practices Acts, and internal claims standards, • Deliver professional, solutions-oriented customer service while managing and diffusing conflict Minimum Qualifications • Bachelor’s degree (BA/BS/BBA) or equivalent combination of education and relevant experience, • 3–5 years of casualty claims handling experience, • Strong knowledge of property and casualty insurance policies and claims handling principles, • Demonstrated experience investigating and resolving liability and coverage issues, • Experience evaluating bodily injury claims and exposure, • Solid understanding of loss reserving principles and claim financial management, • Strong analytical, investigative, and problem-solving skills, • Excellent written and verbal communication skills, • Proficiency in Microsoft Office applications, including Excel, • Ability to manage multiple claims and competing priorities in a fast-paced environment, • Commitment to ethical standards, accuracy, and regulatory compliance, • Ability to obtain and maintain required adjuster licenses and continuing education Preferred Qualifications • Multi-state casualty claims handling experience, • Experience handling disputed, complex, or attorney-represented claims, • Familiarity with insurance litigation processes and pre-suit dispute resolution, • Working knowledge of Unfair Claim Practice Acts and applicable insurance codes What You Can Expect • A supportive, team-oriented culture, • Exposure to increasingly complex claims, • Opportunities for professional development and internal career growth, • Recognition for quality, efficiency, and sound claim decisions, • A workplace built on trust, integrity, and respect Apply today to advance your career with Stillwater Insurance Group. Employment offers are contingent upon successful completion of a background investigation and pre-employment drug screening. Stillwater Insurance Group is a drug-free workplace and an equal opportunity employer.

Job Description.Net Developer - Remote ARC Group has an immediate opportunity for a .NET Developer. This is starting out as a contract position running through January 2025 with strong potential to extend or possibly convert to FTE. This is a fantastic opportunity to join a well-respected organization that offers tremendous career growth potential. Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). This position is 100% remote Reference # 16679-1 MUST HAVES: • SQL experience (Team uses MSSQL), • Producing code using .NET languages (C#, VB .NET, ASP .NET), • Proven experience as a .NET Developer or Application Developer, • Familiarity with architecture styles/APIs (REST, RPC) PREFERRED: • Medical claims processing background Job Description: ESSENTIAL FUNCTIONS: Producing code using .NET languages (C#, VB .NET, ASP .NET) Upgrading, configuring and debugging existing systems Providing technical support for web, desktop or mobile applications Participate in requirements analysis Collaborate with internal teams to produce software design and architecture Write clean, scalable code using .NET programming languages Test and deploy applications and systems Revise, update, refactor and debug code Improve existing software Develop documentation throughout the software development life cycle (SDLC) Serve as an expert on applications and provide technical support REQUIREMENTS: Experience with unit testing, release procedures, coding design and documentation protocol as well as change management procedures Proficiency using versioning tools: GIT, GNU, RCS, SCCS, CVS, SVN, Mercurial, Monotone, etc Demonstrated organizational, analytical and interpersonal skills Flexible team player Ability to manage tasks independently and take ownership of responsibilities Ability to learn from mistakes and apply constructive feedback to improve performance Must demonstrate initiative and effective independent decision-making skills Ability to communicate technical information clearly and articulately Ability to adapt to a rapidly changing environment In-depth understanding of the systems development life cycle Proficiency programming in more than one object-oriented programming language; .Net, React.Js, Node.JS, JavaScript, HTML, VB.NET and C# o May include languages such as; Hadoop, Storm, Spark, Kafka, Hive, NFI, Scoop, etc o May include database knowledge in; SQL, MySQL, Oracle DB, PostgreSQL, Cassandra, dBase, MS Access, etc Proficiency using standard desktop applications such as MS Suite and flowcharting tools such as Visio Proficiency using debugging tools; Advanced Debugger, Allinea DDT, AQtime, ARM, CA/EZTEST, etc Proven experience as a .NET Developer or Application Developer Familiarity with architecture styles/APIs (REST, RPC) Familiarity with the ASP.NET framework, SQL Server and design/architectural patterns (e.g. Model-View-Controller (MVC)) High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy PREFERRED QUALIFICATIONS: The preferred qualifications listed below reflect desired knowledge, skill, and/or experience. Additional Preferred Qualifications: Various Domain experience; Health Care, Financial, etc Experience using Agile, Waterfall, or hybrid methodology Specific tools, languages and specialty skills may vary REQUIRED EXPERIENCE: Required Work Experience: 5+ years related work experience, Professional experience with technical design and coding in the IT industry Required Education: Related Bachelors degree or related work experience MUST HAVES: • SQL experience (Team uses MSSQL), • Producing code using .NET languages (C#, VB .NET, ASP .NET), • Proven experience as a .NET Developer or Application Developer, • Familiarity with architecture styles/APIs (REST, RPC) PREFERRED: • Medical claims processing background Would you like to know more about our new opportunity? For immediate consideration, please apply online and view all our open positions at www.arcgonline.com. ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. ARC Group is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Position offered by No Fee agency.

Job DescriptionBenefits: • Medical, Dental & Vision Benefits, • 401(k) matching, • Opportunity for advancement, • Training & development Join Our National Team as the Commercial Operations Specialist! Are you looking to leverage your expertise to grow a role that offers varied and challenging work? Our company, a leading parent organization that owns and operates 340+ franchise locations across North America, seeks a Commercial Operations Specialist. In this role, you will oversee and assist our offices with working on commercial jobs and communicating with our customers. This individual establishes relationships with our customers from the initial call, notifying us of the job through daily updates and final invoicing, realizing that sales and customer service are part of the entire process. This role supports our offices daily with job processing, estimating, and project oversight. This role has flexible work hours but sometimes requires conversations with customers and offices during night and weekend hours. The ideal candidate for this role will have strong project management and customer service skills, and experience in the insurance industry and structural damage estimating. Position: Commercial Operations Specialist Reports to: Vice President Commercial Operations Location: Remote Salary Range: $70,000 - $90,000 annually Essential Duties/Responsibilities • Receive jobs from national customers and assign to the local Paul Davis office based on location and job requirements., • Sometimes required to have conversations with customers and offices during the night and weekend hours - flexible work hours., • Builds relationships with national customers., • Oversees job confirming that the office is meeting the requirements of the service level agreement with the customer., • Communicate initial job information and reporting to customer based on-site inspections., • Assist offices with the creation of preliminary reports, rough order of magnitude estimates, and timelines on all jobs., • Locate additional resources or expertise within the Paul Davis network if the job requires., • Partner with other internal business functions to facilitate a successful commercial job process, • Work with offices to provide daily updates to customers on the progress of jobs., • Manage the progress of jobs through the job management system., • Provide assistance with cost estimating on the job., • Communicate with offices regularly to confirm the job is progressing based on the timeline., • Review estimates submitted by offices to confirm accuracy based on scope and reporting, and that correct pricing is used., • Discusses the estimate or bid with the customer, focusing on sales and customer service., • Provide final estimate to Finance and Administration Coordinator for invoicing., • Other duties as assigned.Competency Knowledge, Skills, and Abilities:, • Motivated, confident, and experienced in handling commercial restoration jobs or claims, • Strong property damage estimating skills and experience, • Advanced operating knowledge of Xactimate, • Demonstrated skill in customer service and managing relationships with multiple customers, • Proficiency in managing a project or claim load, • Highly detail-oriented and organized., • Project Management skills, • Ability to work under pressure to meet deadlines, • Exceptional analytical and problem-solving skills, • Excellent written and verbal communication skills, • Ability to work independently and make decisions, • Demonstrated success in driving process improvements, • Effective interpersonal skills, • Ability to foster teamwork, • Ability to follow our Paul Davis Values, Vision, Missions, and 10 Serving Basics Required Education and Experience Bachelor's Degree in business, construction, construction management, insurance, or a relevant degree and/or experience. A combination of experience, proven skills, and extensive knowledge of insurance and the restoration industry may be considered in lieu of a degree. Preferred Education and Experience A minimum of 10 years of relevant property insurance or restoration industry experience. Physical Requirement The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is occasionally required to sit, climb or balance, stoop or kneel. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. • Must be able to stay in a stationary position up to 100% of the time, • Needs to occasionally move about inside the office to access file cabinets, office machinery, etc., • Constantly operates a computer and other office productivity machinery, such as a calculator, fax machine, copy machine, and computer printer., • Must be able to observe and perceive information on a computer and documents, • Must be able to communicate and converse with customers over the phone, • Occasionally will lift up to 20lbs, • Ability to safely operate a passenger vehicle Environment The employee will be working remotely in their home office and will be exposed to normal conditions of air conditioning and heat. Most work will be conducted over email, video conferencing, and telephone. Employee must have access to a stable internet connection when working out of the office. Employee must use the provided VPN technology to securely connect remotely. The successful person must be productive with minimal supervision. Travel This position may require up to 30% travel for vendor sites, business visits, as well as for team meetings and training. Reasonable Accommodation for Disability Any applicant or employee who believes that a reasonable accommodation is required for purposes of federal or state disability law is required to contact Human Resources to begin the interactive exchange process. The ADA defines reasonable accommodation as a change or adjustment to a job or work environment that allows a qualified individual with a disability to satisfactorily perform the essential functions of a particular job and does not cause an undue hardship for the employer.. Disclaimer Paul Davis Restoration is an equal opportunity employer. Paul Davis Restoration provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. The job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Other duties, responsibilities, and activities may change or be assigned at any time with or without notice. This is a remote position.

Newsweek Recognizes Sedgwick as America’s Greatest Workplaces National Top Companies Certified as a Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Claims Representative, Auto | PIP | Remote PRIMARY PURPOSE To evaluate auto claims involving injured parties and m

Short Term Disability Case Associate.Location: Cincinnati, OH (Hybrid/Remote).Manage end-to-end short term disability claims process.Evaluate medical and claim documentation for eligibility decisions.Ensure timely adjudication and benefit payments.Collaborate with clinical and vocational teams for c

Job Description Property Claim Adjuster Join a collaborative, service-focused team where attention to detail, professionalism, and customer care are valued. At Stillwater Insurance Group, you will play a critical role in supporting our Claims Department by ensuring accurate and timely claim intake while delivering exceptional service to policyholders and internal partners. Why Stillwater? Stillwater Insurance Group is a mid-sized national insurance provider offering home, auto, and commercial insurance products across all 50 states. Headquartered in Jacksonville, Florida, with offices in New York and Omaha, we are known for our supportive culture, strong values, and people-first approach. Our employees consistently describe Stillwater as a place with great people, accessible leadership, and a genuine commitment to integrity. We emphasize teamwork, professional development, and internal growth within a positive, high-performing environment. Role Overview The Property Claim Adjuster is responsible for investigating, evaluating, negotiating, and resolving homeowner, dwelling, condominium, renters, and commercial property claims across our 50-state market. This is an in-office, desk-based role located in Jacksonville, FL. The position requires strong technical adjusting expertise, analytical capability, and the ability to manage complex coverage and damage determinations while delivering exceptional customer service. Key Responsibilities • Investigate and analyze property claims to determine coverage, liability, and damages, • Interpret and apply policy language accurately while protecting company rights, • Prepare professional correspondence including reservation of rights, non-waiver agreements, disclaimers, and coverage determination letters, • Communicate clearly and promptly with insureds, agents, contractors, public adjusters, attorneys, and internal stakeholders, • Utilize remote inspection tools and independent adjusters as appropriate, • Establish and maintain accurate claim documentation, file notes, and reserves, • Identify and pursue subrogation and salvage recovery opportunities, • Manage disputed claims including AOBs, CRNs, NOIs, and complex scope or pricing disputes, • Prepare detailed claim summaries and reports for management and regulatory purposes, • Create and audit property damage estimates using Xactimate; continuously refine estimating proficiency, • Ensure compliance with applicable state insurance laws, regulatory requirements, and internal claims handling standards, • Provide professional, solutions-focused customer service while effectively managing conflict Minimum Qualifications • 5+ years of property claim experience as an adjuster with an insurance carrier, • Bachelor’s degree (BA/BS/BBA) or equivalent combination of education and relevant experience, • Strong knowledge of property and casualty insurance policies and claims handling principles, • Demonstrated experience investigating and adjusting residential and/or commercial property claims, • Demonstrated experience using Xactimate to write, review, and edit property damage estimates., • Strong analytical, investigative, and problem-solving skills, • Solid written and verbal communication skills, • Proficiency in Microsoft Office applications, including Excel, • Ability to manage multiple claims and competing priorities in a fast-paced environment, • Commitment to ethical standards, accuracy, and regulatory compliance, • Ability to maintain required adjuster licenses and continuing education Preferred Qualifications • Experience handling multi-state property claims, • Familiarity with Unfair/Fair Claims Practices and applicable insurance codes, • Experience managing litigated or complex property claims Skills & Competencies • Technical property damage assessment expertise, • Strong negotiation and conflict resolution skills, • High level of organization and file management discipline, • Sound judgment and coverage interpretation skills, • Collaborative team mindset, • Customer-focused approach balanced with risk management awareness What You Can Expect • A supportive, team-oriented culture, • Opportunities for cross-training and professional growth, • Recognition for accuracy, efficiency, and service excellence, • A workplace built on trust, integrity, and respect Apply today to begin your career with Stillwater Insurance Group. Employment offers are contingent upon successful completion of a background investigation and pre-employment drug screening. Stillwater Insurance Group is a drug-free workplace and an equal opportunity employer.

Full-Service Reviewer (QA Analyst). On behalf of a leading national restoration company with over 300 franchise locations across North America, we are seeking a highly skilled and analytical Full-Service Reviewer to join their remote Claims Force team. As a Full-Service Reviewer, you will be respons

Job DescriptionCLINICAL REVIEW NURSE - REMOTE ARC Group has multiple positions open for Clinical Review Nurses! These positions are 100% remote. These are direct hire FTE positions with salary, benefits, etc. This is a fantastic opportunity to join a dynamic and well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Clinical Review Nurse is responsible for reviewing and making medical determinations as to the validity of health claims and levels of payment in meeting national and local policies as well as accepted medical standards of care. The incumbent applies clinical knowledge to assess the medical necessity, level of services and appropriateness of care which may include cases requiring prior authorization, complex pre-payment medical review or post-payment medical review. ESSENTIAL DUTIES & RESPONSIBILITIES To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This list of essential job functions is not exhaustive and may be supplemented as necessary. 90% of time will be spent on one or more of the following activities depending on assignments: Review and analyze pre and post pay complex health care claims from a medical perspective, inclusive of prior authorization: • Perform clinical review work as assigned; may provide guidance to other team members and accurately interpret and apply broad CMS guidelines to specific and highly variable situations., • Conduct review of claim data and medical records to make clinical decisions on the coverage, medical necessity, utilization and appropriateness of care per national and local policies, as well as accepted medical standards of care., • Review provider practices and identify issues of concern, overpayment and need for corrective action as necessary; includes surfacing potential fraud and abuse or practice concerns., • May develop recommendations for further corrective action based on medical review findings., • May refer for review, or implement, corrective action related to medical review activities., • May process claims and complete project work in the appropriate computer system(s). The remaining 10% of time will be spent on the following activities depending on assignments: Identify providers needing education and individually educate providers who are subject to medical review processes: • Initiate or participate in provider teaching activities, creating written teaching material, providing one on one education or education to a group as a result of a medical review (e.g., probe, progressive corrective action, consent, etc.) or appeal., • This may involve discussion with CMS leaders and leaders in the provider community., • Participate in special projects as assigned. REQUIRED QUALIFICATIONS • Valid nursing degree, • 2 years' clinical experience, • Excellent written and oral communication skills, • Demonstrated experience with evaluating medical and health care delivery issues (e.g., Inpatient Rehab Facility), • Strong computer skills to include Microsoft Office proficiency, • Valid unrestricted Registered Nurse (RN) license PREFERRED QUALIFICATIONS • Inpatient Rehabilitation Facility Experience, • Bachelor of Science in Nursing (BSN), • Insurance industry experience, • Certified Coder ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

BlueCross BlueShield of South Carolina is hiring for a remote position focused on auditing and authorizing medical stop loss claims. The ideal candidate will have at least 6 years of managed care or reinsurance claims experience and an Associate's degree. Responsibilities include analyzing claims, c

Sedgwick is looking for a Claims Representative to handle low-level general liability and bodily injury claims. The role offers remote flexibility and a pay range of $45,000-$63,000.

As one of the fastest-growing and most exciting brands in the industry, Crash Champions is the largest founder-led multi-shop operator (MSO) of high-quality collision repair service in the U.The company, which also operates the growing Crash Champions LUXE | EV Certified brand of highline and luxury

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

Are you passionate about delivering exceptional customer service? Do you thrive in a fast-paced, remote work environment? Responsive Answering is seeking a dedicated and customer-focused Customer Service Representative to join the team.

Stable remote work environment. This role focuses exclusively on claim submission, denial management, and accounts receivable follow-up for Medicare and commercial DME claims. Submit clean Medicare Part B DME claims.

We're currently looking for individuals across the country to take part in remote paid market research, including online focus groups, product trials, and consumer studies. Most research studies are conducted remotely from home, though some may be in-person. Comfort participating in remote, market r

Customer Service Representative Distribution Center.Under the supervision of the Operations Manager, the Distribution Customer Service Representative provides exceptional customer service to all company branches.You are responsible for providing accurate, reliable, and helpful information in a timel

Banking Customer Service Representative.This position is located onsite in Jacksonville, FL with varying shift availability.As a Banking Customer Service Representative, you will work in an inbound contact center providing exceptional service to our clients or branch office partners regarding their

Customer Service Representative.Join one of the fastest-growing fitness brands in the United StatesCrunch Fitness! At Crunch, we're more than a gymwe're a community built on energy, inclusivity, and results.We offer real opportunities for career growth, hands-on leadership training, and strong earni

Customer Service Representative.Location: Jacksonville, FL (Onsite).We're looking for a Customer Service Representative to join our team and provide outstanding support to our customers and internal teams.In this role, you'll be a key point of contact for order processing, customer inquiries, and se

Flexible remote work opportunity. Customer Service Representative Travel (Remote). Ability to work independently in a remote environment.

Process insurance claims and follow up with clients.

Customer Service Representative.We want you to join our team as a Customer Service Representative.If you have the desire to be challenged, work in a fast-paced, fun environment and to grow your career - look no further.As a Customer Service Representative, you will enjoy:.Medical, Vision, Dental, &

We are looking for people nationwide to participate in polls - Apply ASAP!.We offer you the opportunity to earn extra income from home (teleworking) and also to decide your own participation schedule.At this job, you will be performing various tasks such as data entry, performing email response, rev

Process policy changes, claims, and payments accurately and efficiently.

Process insurance claims and follow up with customers.

Customer Service Representative.Collabera is a leading Digital Solutions company providing software engineering solutions to the world's most tech-forward organizations.With more than 25 years of experience, we have hired over 17000 employees across 60+ offices globally and currently place 10000+ pr

Manages patient calls to the Health System's enterprise-wide centralized call center.Assists with appointment scheduling, messaging physicians (test results, clinical advice, medication request, etc.Fulfills patient needs, resolves issues, and ensures patient satisfaction.Interacts with patients and

Customer Service Representative.Are you a people person? Do you love helping others? U-Haul is in search of friendly, motivated people for the position of Customer Service Representative.As a Customer Service Representative, you will work as part of a supportive team to be the face of U-Haul company

Are you outgoing and customer-focused? Do you enjoy working with the public? If you answered yes to these questions, working for a State Farm independent contractor agent may be the career for you! State Farm agents market only State Farm insurance and financial service products.Are you outgoing and

Process insurance transactions under the supervision of a licensed agent, including submitting applications, providing quotes, issuing policies and certificates of insurance, processing endorsements, and assisting with claims reporting. Support clients through the claims process, including first not

Customer Service Representative - Jacksonville.Turner Pest Control has an exciting opportunity for you! We are currently seeking a friendly, helpful, detail-focused Customer Service Representative to join our team.A business thrives based on how well it treats its customers, so this fast-paced, high

Customer Service Representative.UniFirst is seeking a dedicated Customer Service Representative to join our team.You will be a key player in delivering outstanding customer service as a liaison between customers and the company.At UniFirst we have a 5-day work week, enjoy Saturday and Sunday off!! W

Customer Service Representative.Working at Citi is far more than just a job.A career with us means joining a team of more than 230,000 dedicated people from around the globe.At Citi, you'll have the opportunity to grow your career, give back to your community and make a real impact.Train on site/ Ho