$33.65/hrRemote
Analyze complex or technically difficult workers’ compensation claims to determine benefits due; to work with high exposure claims involving litigation and rehabilitation; to ensure ongoing adjudication of claims within service expectations, industry best practices and specific client service requirements; and to identify subrogation of claims and negotiate settlements.
Analyzes and processes complex or technically difficult workers’ compensation claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.
Negotiates settlement of claims within designated authority.
Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.
Prepares necessary state fillings within statutory limits.
Manages the litigation process; ensures timely and cost effective claims resolution.
Coordinates vendor referrals for additional investigation and/or litigation management.
Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.
Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.
Ensures claim files are properly documented and claims coding is correct.
Refers cases as appropriate to supervisor and management.
QUALIFICATIONS
Bachelor’s degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred.
5 years of claims management experience or equivalent combination of education and experience required
Subject matter expert of appropriate insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedures as applicable to line-of-business
Excellent oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Analytical and interpretive skills
Strong organizational skills
Good interpersonal skills
Excellent negotiation skills
Pay Details: $33.65 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to https://www.adecco.com/en-us/candidate-privacy
The Company will consider qualified applicants with arrest and conviction records subject to federal contractor requirements and/or security clearance requirements.
United States
Business Operations /
Full Time /
Remote
About Us:
Torch Dental is a rapidly growing start-up whose mission is to improve the lives of healthcare providers by simplifying supply ordering, providing transparent pricing, and modernizing a previously outdated ordering process. Torch is targeting the $100+ billion office-based healthcare supply industry, starting with dental practices. Our innovative e-commerce software platform streamlines healthcare professionals’ procurement process and secures the best prices for products.
We are a close‑knit team that enjoys working together every day to solve real‑world problems. We obsess over customer satisfaction, promote a strong bias for action, encourage team members to engage in impactful work, and foster a one team culture. Our goal is to create better solutions to help healthcare professionals succeed, and we are looking for people like you to help bring this vision to life.
Your Impact:
We are seeking a driven Operations Support Specialist who will play a pivotal role in ensuring seamless operations and outstanding customer satisfaction within Torch’s marketplace ecosystem. This position will be instrumental in executing order placement processes, collaborating with suppliers to ensure efficient and prompt order fulfillment, and supplementing Torch automation to streamline post-order activities such as invoice collection and return processing. This position will involve direct interaction with multiple stakeholders and require an ability to juggle several priorities daily. The ideal candidate will thrive in a fast-paced environment, demonstrating exceptional attention to detail and a proactive approach to managing workload.
The expected working hours for this role will be 9 AM – 6 PM EST
We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
Starting Salary: $54,000+
If you’re searching for a full-time, permanent work-at-home or hybrid career, we’ve got an opportunity for you to join our fast-growing team!
The WebstaurantStore is a leading e-commerce company that exists to meet the purchasing needs of food service professionals worldwide. As a remote or hybrid employee, you’ll enjoy the same training and support to be successful in your position as employees at our physical corporate location in Lititz, PA. We stay connected through video meetings, training sessions, and collaborative forums, and provide opportunities for you to connect with other employees from across the country. You will be provided with the essential computer equipment, such as hardware and software, needed to perform the job.
We are looking for proactive, detail-oriented candidates to join our growing company as a Fulfillment Specialist within our Stock Order Support department which is a part of the Order Optimization umbrella. This supply chain role mixes back-end order processing with internal and external customer support functions while focusing on problem solving and process improvement. This part of the supply chain is a key component of growing our business and serving the purchasing needs of foodservice professionals worldwide. We are currently hiring to support our Expedited Order Report Task group. Additional task responsibilities may be assigned in the future according to department needs.
As a Fulfillment Specialist you will:
We are looking for driven, motivated candidates who are:
We offer competitive compensation and a comprehensive benefits package including paid time off, medical/dental/vision insurance, wellness programs, gym membership reimbursement, paid maternity/parental leave, and a 401k with company match.
If you’re ready for a challenge and have the ambition to succeed in a fast paced, growing industry, we’d love to discuss the Fulfillment Specialist position with you! Submit your resume and apply online today.
Remote work qualifications
Title: Search Quality Rater – US Only – English – Work from Home , Fixed Term Employee, Part time
Location: Home working; You Must currently reside in the following US State: Pennsylvania (PA)
Work Schedule: Part time, minimum of 10 hours per week, maximum of 25 hours per week until March 2025 (with likely extension).
Compensation: Fixed $15.00 USD per hour
Start Date: September 2024
Overview:
Are you a web-savvy, search expert with a talent for finding things online by using just a few words…. Do you want to influence the future of global AI search. If so, we want you on board!
Working on behalf of RWS, you will test and evaluate how our clients’ search engine responds to everyday searches from everyday people.
Using your search expertise, you will work through a variety of assignments playing a crucial part in enhancing AI data which will be used to improve the online search engine experience of our clients’ users.
You:
Requirements:
Benefits:
Apply now to get started!
NB; Regrettably we are unable to offer a role to anyone who is currently working for RWS as a freelancer or who is currently employed by another company as a “Search Quality Rater”
#INDHP
At RWS, we’re here for one purpose: unlocking global understanding.
As a unique, world-leading provider of technology-enabled language, content, and intellectual property services, we remove the barriers to communication to make global connection possible. Our unrivalled experience and deep understanding of language have been developed over more than 60 years. As we look to shape the future, our ambition is to create a world where understanding is universal for everyone.
We work with over 80% of the world’s top 100 brands, more than three-quarters of Fortune’s 20 ‘Most Admired Companies’ and almost all the top pharmaceutical companies, investment banks, law firms and patent filers. Our client base spans Europe, Asia Pacific and North and South America. Our 65+ global locations across five continents service clients in the automotive, chemical, financial, legal, medical, pharmaceutical, technology and telecommunications sectors.
If you like the idea of working with smart people who are passionate about breaking down language barriers and giving back to their communities, then you’ll love life at RWS. Our work fundamentally recognizes the value of every language and culture. So, we celebrate difference, we are inclusive and believe that diversity makes us strong.
We want every employee to grow as an individual and excel in their career. In return, we expect all our people to live by the values that unite us: to partner with colleagues and clients, to adopt a pioneering spirit, to be positive in progressing the work we do, and always to deliver what we promise.
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