<p>We are looking for a proactive and detail-oriented Medical Front Desk / Billing Clerk to join a growing healthcare team in Portland, Maine. This position offers excellent growth opportunities, including potential advancement to Office Manager, and a four-day workweek with Fridays off. The role requires someone who is eager to learn, has strong administrative and customer service skills, and thrives in a fast-paced medical office environment.</p><p><br></p><p>Responsibilities:</p><p>• Manage front desk operations, including greeting patients, scheduling appointments, and handling inquiries.</p><p>• Perform medical billing tasks, including insurance claims processing and payment tracking.</p><p>• Maintain accurate patient records and ensure confidentiality of sensitive information.</p><p>• Collaborate with healthcare staff to ensure smooth office workflows and patient satisfaction.</p><p>• Address customer service needs by responding to patient questions and resolving issues promptly.</p><p>• Utilize computer systems effectively for scheduling, billing, and record-keeping.</p><p>• Assist with administrative tasks, such as filing, data entry, and correspondence.</p><p>• Support office efficiency by identifying areas for improvement and implementing solutions.</p><p>• Provide courteous phone etiquette when answering calls and directing them appropriately.</p>
<p>We are looking for a dedicated and detail-oriented Medical Insurance Verifier to join our team in Long Beach, California. The Medical Insurance Verifier role is integral to helping patients access healthcare services by assisting them with financial options and verifying their eligibility for Medi-Cal and other programs. The ideal candidate will have a strong background in medical billing, insurance verification, and financial counseling.</p><p><br></p><p>Responsibilities:</p><p>• Conduct financial screenings to determine patient eligibility for Medi-Cal, PPO, HMO and other healthcare programs.</p><p>• Guide patients through the application process for HMO, PPO, Medi-Cal, ensuring accuracy and timely submission of required documents.</p><p>• Explain available coverage options and assist patients in understanding their financial responsibilities.</p><p>• Verify insurance eligibility, financial status, and documentation to ensure services are appropriately covered.</p><p>• Collaborate with billing teams and other departments to ensure compliance with Medi-Cal regulations and accurate claims processing.</p><p>• Maintain comprehensive records of patient interactions and screenings in alignment with organizational standards.</p><p>• Stay informed about updates to HMO, PPO, Medi-Cal policies, eligibility criteria, and healthcare regulations.</p><p>• Support the organization’s operations by ensuring seamless patient access to financial assistance programs.</p><p>• Utilize electronic health record (EHR) systems to document and track patient information effectively.</p>
We are looking for a detail-oriented Medical Accounts Receivable Specialist to join our team in Doylestown, Pennsylvania. In this long-term contract position, you will play a vital role in managing Medicare billing, insurance claims, and patient accounts to ensure the financial stability of the organization. This opportunity is ideal for professionals with expertise in medical billing processes and a commitment to resolving accounts efficiently and accurately.<br><br>Responsibilities:<br>• Manage Medicare billing operations, ensuring all patient accounts are handled with accuracy and compliance.<br>• Submit electronic and paper insurance claims following payer guidelines and regulatory requirements.<br>• Process patient claims promptly and oversee account management to maintain compliance standards.<br>• Conduct timely follow-ups on payments to resolve outstanding balances, collaborating with stakeholders as necessary.<br>• Regularly review work lists to prioritize accounts requiring immediate attention and action.<br>• Work assigned accounts diligently until they are fully resolved, maintaining detailed documentation throughout the process.<br>• Analyze remittances to confirm that charges processed or paid align with insurance contracts and fee schedules.<br>• Utilize and interpret billing forms such as UB04 and 1500 to ensure proper claim submission and resolution.<br>• Leverage electronic medical record systems and billing software to streamline account management and reporting.
We are looking for a dedicated Customer Service Representative to join our team on a long-term contract basis in Minneapolis, Minnesota. This role offers the opportunity to make a difference in the healthcare industry by providing exceptional support and service to patients and customers. If you thrive in a fast-paced environment and have a passion for helping others, this position may be the perfect fit for you.<br><br>Responsibilities:<br>• Deliver outstanding customer service by addressing inquiries and resolving issues with professionalism and empathy.<br>• Maintain accurate and timely documentation of interactions with patients and clients using internal systems.<br>• Assist in scheduling appointments, processing authorizations, and managing claims to ensure seamless service delivery.<br>• Adhere to established performance standards, including metrics for accuracy, quality, and attendance.<br>• Provide support to colleagues and supervisors by handling paperwork and resolving patient-related concerns.<br>• Identify potential financial, medical, or legal risks during customer interactions and follow appropriate protocols.<br>• Translate verbal information into clear and concise written documentation according to company guidelines.<br>• Act as a patient advocate by exchanging complex and sensitive information to facilitate care and support.<br>• Utilize Microsoft Office Suite and other tools effectively to manage daily tasks and responsibilities.<br>• Ensure compliance with company policies and procedures while delivering services within established timeframes.
<p>Reputable and growing firm is seeking a Workers Compensation Attorney. This role involves providing high-quality, cost-effective legal representation and working closely with a diverse range of clients and professionals. You'll be part of a team that values excellent communication, research, and analytical skills in a dynamic work environment.</p><p><br></p><p>Responsibilities: </p><p>• Deliver high-quality legal representation in workers compensation defense</p><p>• Foster strong relationships with a diverse community of clients and colleagues</p><p>• Engage in thorough and efficient research and analytical tasks</p><p>• Participate in court appearances related to workers compensation cases</p><p>• Handle related insurance claims as part of the legal service provision</p><p>• Maintain good standing with the California State Bar</p><p>• Travel occasionally as per case requirements</p><p>• Contribute to a congenial work atmosphere, maintaining excellent communication and cooperation with attorneys/lawyers and staff</p><p>• Participate actively in the firm's Associate Bonus Program.</p>
<p>We are looking for a dedicated Customer Service Representative to join our team in the Metuchen, New Jersey. In this role, you will serve as the primary point of contact for customers, ensuring their inquiries are resolved efficiently and with attention to detail. If you thrive in a fast-paced environment and enjoy building relationships while solving problems, this position is perfect for you.</p><p><br></p><p>Responsibilities:</p><p>• Resolve customer inquiries by troubleshooting product issues and processing warranty claims and return authorizations.</p><p>• Identify opportunities to boost revenue through up-selling and promoting marketing campaigns.</p><p>• Utilize various software platforms, including Navision and ZenDesk, for order entry and customer documentation.</p><p>• Maintain accurate records and documentation in compliance with company procedures.</p><p>• Coordinate with shipping and production teams to ensure timely delivery of products.</p><p>• Assist the Customer Service Manager by preparing written documentation and knowledge-based materials.</p><p>• Maintain a focused and attentive demeanor during interactions with customers and team members.</p><p>• Provide constructive suggestions to improve department processes and efficiency.</p>
<p>Robert Half Legal is partnering with an insurance company located in downtown Chicago who is seeking to hire a Claims Attorney with at least 2-4+ years of experience to join their in-house team. This specialty insurance company handles complex environmental, asbestos, and other latent type insurance claims. In this position, you will be responsible for coordinating activities involving these claims, including resolution of coverage issues and establishment of adequate reserves. See further responsibilities below. Salary for the role is paying between $100-120K plus a 5% bonus and full benefits including generous PTO while working on a 40-hour work week. This position will start working fully in-office and begin transitioning to a hybrid schedule after 6-months. If you're looking to take your career in-house and get away from billable requirements, then this is the opportunity for you!</p><p><br></p><p><strong><u>Attorney/Account Manager Responsibilities:</u></strong></p><ul><li>Analyzing, investigating, and evaluating new loss notices and claim tenders</li><li>Collaborating with policy search teams to find copies of alleged coverage where appropriate</li><li>Analyzing and positioning claim under applicable primary, umbrella, and excess coverage swiftly</li><li>Coordinating the retention of defense counsel with internal/external stakeholders</li><li>Establishing defense strategy with insured, defense counsel, and/or other participating insurance carriers</li><li>Managing the case resolution process and actively participating in mediations as needed</li><li>Working with the reinsurance department to provide notice of new accounts, updates on existing accounts, and responding to specific reinsurer inquiries</li><li>Collaborating with in-house Legal/management to manage declaratory judgment actions, including formation and implementation of resolution strategy, settlement valuation, and obtaining settlement authority</li><li>Coordinating timely processing of payments including verifying proper allocation of such payments across appropriate policies</li><li>Managing ALAE through strategic handling and bill review/payment processing in coordination with the billing unit.</li></ul><p><br></p><p>For immediate consideration, please email your resume directly to Justin Rambert, VP - Permanent Placement at <strong><u>justin . rambert @ robert half com</u></strong></p>
We are looking for a detail-oriented Accounts Payable Analyst to join our finance team in Port Everglades, Florida. This role will focus on managing the accounts payable workflow, ensuring the accurate and timely processing of invoices and payments, and maintaining compliance with company policies. The ideal candidate will have strong analytical skills, excellent organizational abilities, and experience in collaborating with vendors and internal departments.<br><br>Responsibilities:<br>• Process invoices and purchase orders, ensuring accuracy and compliance with company policies.<br>• Manage the full accounts payable cycle, from invoice receipt through payment disbursement.<br>• Prepare and analyze reports related to accounts payable, including vendor performance and outstanding balances.<br>• Assist with month-end and year-end closing activities, including reconciliations for credit cards, fuel, and rental equipment.<br>• Maintain vendor relationships by addressing inquiries and resolving discrepancies in a timely manner.<br>• Manage the vendor database, ensuring proper documentation and filing for audit purposes.<br>• Identify opportunities to improve accounts payable workflows and enhance process efficiency.<br>• Ensure adherence to financial controls and provide documentation for audits.<br>• Support the reconciliation and processing of employee expense claims and weekly payment runs.<br>• Undertake additional projects and tasks as assigned by the finance team.
We are seeking a detail-oriented Accounting Associate to join our client's team in St. Louis. This permanent, full-time position offers an excellent opportunity to support core accounting functions, with a focus on accounts payable and accounts receivable.<br><br>The ideal candidate will ensure timely and accurate recording of transactions, maintain vendor relationships, and help uphold strong financial processes.<br><br>If you have a strong eye for detail and a commitment to accuracy, we encourage you to apply and contribute to a well-organized and professional finance team.<br><br>Key Responsibilities:<br>• Process and reconcile invoices, freight bills, and shipment claims.<br>• Perform 3-way matching of invoices to purchase orders or vouchers.<br>• Retrieve and analyze billing data from carrier portals, accurately allocating costs to accounts and cost centers.<br>• Prepare, issue, and manage payments, including checks, ACH transactions, and vendor activities.<br>• Reconcile vendor statements and resolve purchase order, invoice, or payment discrepancies.<br>• Maintain confidential and accurate accounts payable records while ensuring compliance with policies.<br>• Manage credit accounts: set up new accounts, update details, and enforce company credit policies.<br>• Respond to customer inquiries, resolve payment issues, and follow up on outstanding payments.<br>• Use payment portals to monitor and address unpaid or returned invoices.<br>• Handle daily cash tasks, including deposits, ACH payments, credit card processing, and cash log reconciliation.<br>• Take on additional departmental projects to support organizational goals.<br><br>Requirements:<br>• 3+ years of hands-on, full-cycle A/P and A/R experience.<br>• B2B collections experience.<br>• Proficiency with ERP systems (Macola experience is a plus).<br>• Intermediate Excel skills.<br>• Manufacturing or logistics experience is a plus.<br>• Strong verbal and written communication skills, with professionalism.<br>• Exceptional organizational and time management abilities with attention to detail.<br>• Willingness to take on additional tasks and collaborate with team members.
We are looking for an experienced Medical Billing Specialist to join our team in Syracuse, New York. In this Contract-to-Permanent position, you will play a vital role in managing billing processes for Home Health Care services, ensuring accuracy in claims submission and payment processing. Candidates should possess a strong background in accounts receivable management and electronic claims systems, coupled with exceptional analytical and problem-solving skills.<br><br>Responsibilities:<br>• Review and verify claims for accuracy and completeness, correcting any missing or incorrect details related to Home Health Care billing.<br>• Prepare and submit claims and invoices to payors or clients in accordance with established billing schedules.<br>• Conduct timely follow-up on outstanding claims and invoices to optimize revenue collection.<br>• Investigate and appeal unpaid claims as needed to ensure maximum reimbursement.<br>• Post payments with a high degree of accuracy and within specified timelines.<br>• Utilize electronic billing systems, including Waystar, to manage claims efficiently and address billing exceptions.<br>• Communicate billing issues, payment discrepancies, and collection challenges to the Billing Manager promptly.<br>• Leverage agency IT systems to streamline work processes and meet job requirements.<br>• Participate in meetings and training sessions to stay updated on industry standards and practices.<br>• Ensure compliance with payor filing requirements to maintain timely and accurate billing.
<p>The Robert Half Healthcare Practice is working with a local healthcare center to add a <strong>Medical Accounts Receivable Specialist </strong>to their team.<strong> </strong>This is a fully onsite position. The ideal candidate must be able pick up the role quickly. </p><p><br></p><p><strong>Hours: </strong>Monday - Friday 7am - 3:30pm (hours can be flexible)</p><p><br></p><p><strong>Responsibilities for the position include the following: </strong></p><ul><li><strong>Proactively manage accounts receivable:</strong> Research and resolve outstanding balances efficiently to ensure timely collections.</li><li><strong>Action correspondence:</strong> Investigate and address assigned inquiries promptly and accurately.</li><li><strong>Optimize claims processing:</strong> Utilize effective resources to secure prompt payment for open claims.</li><li><strong>Resolve payment discrepancies:</strong> Identify and resolve underpayments, overpayments, and unpaid claims, initiating adjustments, overpayment notifications, and refund requests as needed.</li><li><strong>Support team initiatives:</strong> Be adaptable and willing to assist with various projects as they arise.</li><li><strong>Address complex issues:</strong> Troubleshoot and resolve escalated AR and manufacturer-related concerns.</li></ul><p><br></p>
We are looking for an experienced Medical Billing Specialist to join our team on a 12-week contract basis in Milwaukee, Wisconsin. In this role, you will play a key part in ensuring the accuracy and compliance of healthcare claims processing, supporting timely reimbursements and maintaining high standards in billing operations. This position offers an excellent opportunity to contribute your expertise in a dynamic healthcare environment.<br><br>Responsibilities:<br>• Review and analyze patient accounts and billing data to ensure accuracy within the designated billing system.<br>• Prepare and submit claims using UB04 and CMS1500 billing formats, adhering to payer-specific guidelines.<br>• Identify and resolve billing discrepancies by correcting errors and resubmitting claims for timely payment.<br>• Conduct follow-ups on unpaid or denied claims, collaborating with payers and internal teams to address issues.<br>• Ensure compliance with insurance and government regulations, including Medicare and Medicaid requirements.<br>• Communicate effectively with clinical and administrative staff to gather necessary information for accurate billing.<br>• Utilize your knowledge of medical billing systems and processes to optimize claims handling and reimbursement.<br>• Maintain organized records and documentation to track claims progress and outcomes.<br>• Stay updated on payer rules and billing compliance standards to ensure adherence to industry requirements.
<p>Responsibilities:</p><p>• Deliver exceptional customer service by addressing inquiries, resolving complaints, and managing claims in line with legal regulations.</p><p>• Support sales and promotional activities by coordinating communication and installations with customers.</p><p>• Develop and implement initiatives to proactively inform and educate customers about products and services.</p><p>• Analyze customer feedback and surveys to identify areas for improvement and create actionable plans.</p><p>• Follow established procedures and guidelines to ensure consistency in decision-making and task execution.</p><p>• Maintain accurate records of customer interactions and claims to support efficient resolution and reporting.</p><p>• Collaborate with internal teams to enhance customer satisfaction and streamline processes.</p><p>• Provide training and guidance to customers on product usage and service options.</p><p>• Ensure compliance with consumer laws and company policies in all interactions.</p><p>• Assist in planning and executing customer-focused strategies to drive engagement and loyalty.</p>
<p>We are seeking a highly skilled and detail-oriented <strong>Medical Biller</strong> to ensure timely and efficient processing of medical claims and support in optimizing revenue.</p><p><br></p><p><strong>Responsibilities:</strong></p><p>As a <strong>Medical Biller</strong>, your duties will include:</p><ul><li>Preparing and submitting medical claims to insurance companies, government payers, and patients in compliance with healthcare regulations.</li><li>Reviewing and verifying accuracy of patient insurance information, ensuring claims are complete and error-free.</li><li>Monitoring the progress of submitted claims and following up on delayed or denied claims, resolving discrepancies appropriately.</li><li>Generating patient invoices and explaining charges while ensuring clarity for patients regarding financial obligations.</li><li>Ensuring proper coding of procedures, diagnoses, and services using CPT, ICD-10, and HCPCS codes.</li><li>Collaborating with healthcare providers and other administrative staff to resolve complex billing issues.</li><li>Handling adjustments for payments, posting refunds or corrections, and reconciling account balances.</li><li>Staying informed of changes in regulations, policies, and industry standards related to medical billing.</li><li>Maintaining compliance with HIPAA regulations to safeguard patient information.</li></ul><p><br></p>
We are looking for a dedicated Workers' Compensation Customer Service Representative to join our team in Albany, New York. In this role, you will play a key part in supporting the production and retention of insurance accounts while delivering exceptional service to policyholders. This position requires a strong understanding of workers' compensation policies and a proactive approach to customer service.<br><br>Responsibilities:<br>• Oversee existing insurance policies to ensure audits, reports, and claims are managed in compliance with New York State regulations.<br>• Assist policyholders by addressing claims, providing educational materials, verifying coverage, and delivering proof of insurance.<br>• Identify and pursue new business opportunities to meet monthly sales targets.<br>• Perform administrative tasks such as bookkeeping, data entry, electronic filing, resolving billing issues, and processing policy changes.<br>• Collaborate with agents to prepare certificates of insurance and renewal documents.<br>• Serve as a backup representative for workers’ compensation client services.<br>• Develop expertise in regulations and requirements specific to agriculture-related Workers’ Compensation Safety Group 486.<br>• Maintain effective systems and procedures to ensure revenue generation while providing high-quality service to members.<br>• Support departmental programs and services by adhering to established processes and objectives.
We are looking for an experienced Medical Billing Specialist to join our team on a long-term contract basis. This role is ideal for a detail-oriented individual with expertise in healthcare billing and claims processing. Based in Milwaukee, Wisconsin, you will play a key role in ensuring accurate reimbursement and compliance in a fast-paced healthcare setting.<br><br>Responsibilities:<br>• Review patient accounts and billing data to ensure accuracy and completeness.<br>• Prepare and submit healthcare claims using UB04 and CMS1500 formats, adhering to payer-specific requirements.<br>• Identify and correct errors in billing data, reprocessing claims as necessary to secure timely payments.<br>• Follow up on unpaid or denied claims, collaborating with insurance payers to resolve outstanding issues.<br>• Ensure compliance with Medicare, Medicaid, and other government insurance regulations.<br>• Communicate effectively with clinical and administrative teams to gather required information for billing.<br>• Utilize medical billing systems, such as Epic, to manage accounts receivable and streamline billing operations.<br>• Handle appeals and authorizations to address claim denials.<br>• Maintain organized records and meet strict deadlines in a fast-paced environment.
<p>A Healthcare Company in Lynwood California is in the need of a Medical Biller with expertise in DMH billing and a strong background in insurance collections. The DMH Medical Biller will navigated denials management and appeals processes. If you meet these qualifications, we have an exciting opportunity for you! For experienced DMH professionals, <strong>remote work opportunities may be available</strong>.</p><p><strong>Key Responsibilities:</strong></p><ul><li>Submit and process medical claims accurately to Medi-Cal, commercial insurance, government payers, and other third-party entities.</li><li>Perform insurance collections for outstanding Medi-Cal and medical insurance accounts to ensure timely and accurate reimbursements.</li><li>Manage <strong>denials and appeals</strong>, researching root causes, documenting issues, and resubmitting claims as needed.</li><li>Collaborate with payers and providers to resolve complex billing issues and discrepancies efficiently.</li><li>Maintain compliance with DMH-specific guidelines and payer regulations, ensuring accuracy in claims processing.</li><li>Prepare and analyze aging reports to proactively monitor unpaid claims and optimize collections.</li><li>Work with internal teams to support clinical documentation and authorization workflows for DMH services where required.</li></ul><p><br></p>
<p>Our healthcare client is seeking a dynamic Project Manager – Strategic Initiatives to support the CEO and executive leadership team in advancing critical organizational priorities. This role is ideal for someone who thrives in a fast-paced, highly visible environment, working directly with executive leadership while driving meaningful operational improvements across multiple departments. </p><p><br></p><p>Role Overview: Reporting directly to the CEO (with a dotted-line to systemwide leadership), the Project Manager will provide structure, oversight, and execution support for strategic initiatives that strengthen compliance, streamline operations, and enhance member and provider experiences. Unlike traditional departmental management, this role focuses on special projects and cross-functional coordination, requiring a hands-on approach to both planning and execution. </p><p> </p><p>Key Responsibilities: Partner closely with the CEO to scope, plan, and execute high-impact initiatives. Assess current state processes and develop actionable project plans to ensure forward progress. Collaborate with diverse groups including IT, Quality, Medical Directors, Claims & Processing, and Utilization Management. Support governance activities with the executive leadership team and external oversight bodies. Stand up and coordinate new steering committees for emerging initiatives. Develop project tracking and reporting tools, leveraging systems such as Jira, Qlik, and data visualization platforms. Translate business and regulatory requirements into structured reporting, dashboards, and metrics to monitor progress. Ensure consistent project documentation, progress tracking, and alignment with organizational priorities. Focus Areas Regulatory Compliance: Map and standardize workflows, strengthen internal audit tools, and prepare the organization for state and federal oversight. Claims Operations: Redesign workflows to improve timeliness, accuracy, and efficiency while partnering with IT to implement automation and payment integrity solutions. Utilization Management: Standardize UM processes, improve turnaround times, and support Medical Directors in consistent clinical decision-making.</p>
We are looking for a dedicated Bilingual Spanish/English Loyalty Services Representative to join our team in Jersey City, New Jersey. As part of this long-term contract position, you will play a key role in providing exceptional service to policyholders and customers. This role involves handling inbound and outbound calls, addressing inquiries, resolving issues, and supporting retention efforts.<br><br>Responsibilities:<br>• Respond to customer inquiries and service requests via inbound and outbound calls, ensuring timely and accurate resolutions.<br>• Assist policyholders in understanding the benefits of their insurance products to support retention and minimize cancellations.<br>• Handle the collection of both current and overdue premiums, ensuring compliance with company standards.<br>• Manage various call domains, including claims intake, policy administration, billing, and agent support, as needed.<br>• Enter and maintain accurate data across multiple applications while adhering to established procedures.<br>• Provide clear guidance and set expectations for policyholders regarding their insurance policies.<br>• Consistently meet or exceed departmental performance metrics, such as call quality, average handle time, and other KPIs.<br>• Collaborate with leadership to support process improvements and share feedback for enhancing customer service.<br>• Demonstrate the organization’s values and traits while performing duties and addressing customer needs.<br>• Adapt to various shifts and schedules as required to meet operational demands.
<p>We are looking for a skilled and detail-oriented Collector to join our team in Minnesota. In this long-term contract position, you will play a key role in managing customer accounts, ensuring timely payment processing, and maintaining compliance with company policies and regulations. If you have strong communication skills, a background in customer service, and a passion for problem-solving, we encourage you to apply.</p><p><br></p><p>Responsibilities:</p><p>• Contact customers to address overdue payments and negotiate repayment plans while maintaining clear and respectful communication.</p><p>• Accurately document and update customer account information in the system to ensure all records are current and compliant.</p><p>• Monitor customer accounts to identify delinquencies and take appropriate action in accordance with company policies and federal regulations.</p><p>• Process payments, review account details, and resolve discrepancies to ensure accurate financial transactions.</p><p>• Collaborate with other departments to address complex account issues and provide solutions to customers.</p><p>• Apply knowledge of federal, state, and company regulations to maintain compliance throughout all collection activities.</p><p>• Utilize computer applications, including Microsoft Word and other specialized software, to manage records and generate reports.</p><p>• Work independently to prioritize tasks and manage time effectively in a fast-paced environment.</p><p>• Provide exceptional customer service by addressing inquiries and resolving issues related to account collections.</p>
<p>We are looking for a Licensed Insurance Claims Investigator/Adjuster to join our team on a remote contract basis. In this role, you will leverage your expertise to assess and manage risks, analyze complex insurance and/or litigation claims, and provide strategic recommendations. This position offers an opportunity to contribute to the resolution of challenging cases while ensuring compliance with industry regulations. This is a 3-month contract position. 100% REMOTE.</p><p><br></p><p><strong><u>Licensed Insurance Claims Investigator/Adjuster (remote contract role):</u></strong></p><p>Responsibilities:</p><p>• Evaluate and manage diverse insurance claims, including general liability, construction liability, and third-party bodily injury cases.</p><p>• Conduct contractual analysis, interpret policy provisions, and draft comprehensive Reservation of Rights letters and coverage declinations.</p><p>• Analyze complex litigation claims related to auto, garagekeepers, employers liability, and liquor liability.</p><p>• Provide expert insights on state regulations and standard operating procedures to ensure compliance.</p><p>• Collaborate with stakeholders to identify risks and develop effective mitigation strategies.</p><p>• Apply critical thinking to assess data and make sound decisions based on established guidelines and policies.</p><p>• Obtain necessary insurance adjuster licenses within the required timeframe, including completing state-mandated tests.</p><p>• Stay updated on industry trends and engage in continuous development to enhance expertise.</p><p>• Utilize problem-solving skills to challenge the status quo and improve processes.</p><p>• Support the organization by ensuring accurate policy interpretation and adherence to risk management practices.</p>
<p>We are looking for a skilled Benefits Specialist to join our team in Scottsdale, Arizona. In this long-term contract role, you will manage and administer various employee benefit programs, ensuring accurate processing and clear communication to staff. This position offers an opportunity to work closely with employees, vendors, and third-party providers to optimize the benefits experience.</p><p><br></p><p>Responsibilities:</p><p>• Provide employees with comprehensive guidance on benefit plans, acting as a liaison between the organization and third-party providers.</p><p>• Conduct orientation sessions and enrollment meetings to explain eligibility, costs, coverage options, and assist with claims and enrollment processes.</p><p>• Perform regular audits of benefit enrollments to ensure accuracy and resolve any discrepancies.</p><p>• Assist employees with questions related to claims, plan changes, and leave management, while maintaining up-to-date records in payroll and leave tracking systems.</p><p>• Monitor employee absences for trends and report findings to HR Operations and leadership.</p><p>• Compile reports, interpret regulations, and provide data to employees, employers, healthcare personnel, attorneys, and insurance companies as needed.</p><p>• File and administer workers’ compensation claims and manage claims related to student accidents.</p><p>• Stay informed on federal and state laws related to benefits and ensure compliance in all processes.</p>
We are looking for a Claims Admin Support Specialist to join our team in Maitland, Florida. This role involves performing a variety of administrative and clerical tasks, ensuring office operations run smoothly under direct supervision. As this is a long-term contract position, it offers stability and an opportunity to contribute to a dynamic work environment.<br><br>Responsibilities:<br>• Maintain and manage the inventory of office supplies to ensure availability for daily operations.<br>• Operate and oversee office equipment such as fax machines, printers, and copiers, ensuring proper functionality.<br>• Coordinate document shredding services with external vendors to uphold confidentiality standards.<br>• Handle document management tasks, including retrieving files, making copies, and delivering documents as needed.<br>• Draft routine correspondence and respond to visitor inquiries with professionalism and efficiency.<br>• Open, sort, and distribute incoming mail and packages, including deliveries from FedEx and other couriers.<br>• Assist in organizing meetings, coordinating record retention, and performing additional clerical support as requested.<br>• Conduct research and compile reports based on leadership requests to support decision-making processes.<br>• Occasionally travel to fulfill job-related duties and meet organizational needs.
We are looking for a dedicated and customer-oriented Customer Service Representative to join our team in Bentonville, Arkansas. In this long-term contract role, you will play a key part in providing exceptional support to employees and clients during our benefits administration period. This is an excellent opportunity to make a meaningful impact by helping individuals navigate their health, retirement, and other benefit options.<br><br>Responsibilities:<br>• Deliver accurate and up-to-date information regarding benefit plans, including options, eligibility, enrollment, and claims processes.<br>• Guide employees through the use of benefit portals and assist with completing enrollment documentation.<br>• Investigate and resolve customer inquiries promptly and professionally, ensuring a positive experience.<br>• Maintain thorough and precise records of customer interactions and resolutions within the system.<br>• Collaborate with internal teams to address and resolve complex issues effectively.<br>• Uphold the confidentiality and security of sensitive employee and benefits-related information.
<p>We are offering an exciting opportunity for a Benefits Analyst in ENGLEWOOD, Colorado, United States. As a part of our team, you will be working in the financial services industry, utilizing your skills in a diverse set of roles including processing claims, maintaining customer records, and resolving inquiries.</p><p><br></p><p>Responsibilities:</p><p><br></p><ul><li>Manages and maintains assigned book of business. Has a good understanding of relevant compliance regulations and stays up to date on changes and new legislation. Works within the guidelines, ensures compliance.</li><li>Develop and maintain key relationships critical to the sales process and negotiate with carrier contacts to seek competitive options for clients.</li><li>Coordinates with account team to understand client’s strategy, and to define roles and responsibilities including deadlines.</li><li>Prepares requests for proposals (RFP’s) for all submissions to market. Responds to all carrier and client requests.</li><li>Responsible for ensuring timely target renewal delivery. Collaborates with insurance carriers and vendors to obtain preliminary and/or firm renewals.</li><li>Analyze current benefits, evaluating coverage, effectiveness, cost, plan utilization and trends.</li><li>Analyze all marketing and plan option responses, evaluates for accuracy and completeness, and requests clarifications and revisions, as needed. Develops plan options to best meet client’s strategy.</li><li>Presents all final results to account team. Determines content and structure of renewal presentation and identifies what to include (i.e; marketing results, utilization review, contribution strategy, benchmarking, financial reporting, etc.). Prepares renewal presentation.</li><li>Gather, review and validate all information related to assigned clients for renewal analysis and marketing purposes to include cost and contract terms</li><li>Provide analysis of benchmarking, contributions, data analytics, network disruption, as applicable</li><li>Applies underwriting as needed for trend analysis, high-cost claim analysis, contribution strategy, etc.</li><li>Monitor administrative costs of benefit plans and programs. Recommend cost containment strategies, including alternative methods for administration and funding.</li><li>Work with internal team regarding negotiations with carriers</li><li>Manage outsourcing of vendors and ensure reporting and other service needs are met</li><li>Build custom financial/utilization reports as needed and update monthly or as needed. Provide written and oral summary of findings.</li><li>Stays abreast of market competitiveness, carrier products and services, rate trends as well as State and Federal laws and regulations.</li><li>Supports data audits.</li><li>Updates financial summary and benefit highlight comparisons with all final renewal negotiation results</li><li>Complies with agency management system CRM standards. Saves and documents work product.</li><li>Will work primarily with medium to large clients who are fully insured and self-funded. Will also assist with the small group book of business on an as needed basis.</li></ul>
