Auditor – Remote

About the EXL Insurance Premium Audit Group:
 
A leader in the field, EXL can complete all levels of premium audits on all auditable exposure types. We train our 450+ highly skilled professionals worldwide utilizing our industry-leading training platform and curriculum.

This expertise is combined with a technology-enabled proprietary platform, with predictive modeling capabilities.

Using a Premium Audit selection model, the team can predict the likelihood of policy misclassification, automatically assign audit methods to save carriers time and money, and use machine learning to continuously improve correlation and prediction accuracy.
 
To learn more about the EXL Insurance Premium Audit Group visit us at  
www.exlservice.com/industries/insurance/premium-audit 

Why work for the EXL Insurance Premium Audit Team?

  • No experience? No problem! We provide up to 8 weeks of paid training, depending on experience
  • 17 days paid vacation, plus 8 paid holidays
  • Additional 10 paid sick days
  • Superb training program
  • Work from home
  • Competitive total compensation package and benefits with 401k
  • Career advancement opportunities
  • Tuition Reimbursement Program
  • Discounted health club benefits in many areas around the U.S.
  • Paid Parental Leave
  • Laptop and other necessary office equipment provided

Compensation:

  • Pay Type: Hourly plus production bonus incentives, in accordance with EXL’s policies
  • Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $35k – $52k in total earnings within the first year.:
    • Hourly base rate is dependent upon job specific experience and location.
    • There is no cap on production bonus incentives

The Role and Responsibilities:

The Premium Insurance Field Auditor conducts insurance policy audits for Worker’s Compensation, Auto and General Liability policies.

This is done by auditing the policyholder’s records according to client company standards.

If you are looking for a fast paced, self-motivating work environment from home, this job may be for you!

  • Schedule appointments with insureds to obtain necessary documentation
  • Reviews and investigates any aspect of a business operation and prepares a detailed report of the audit findings
  • Submitting audit reports via our platform
  • Adhering to customer requirements and quality standards
  • Meeting all performance criteria’s
  • Maintaining confidentiality and integrity

Territory: Remote

Qualifications:

  • Ability to work independently from home
  • Experience with the MS Office Suite (excel, word, outlook, etc.)
  • Must be self-motivated, self-disciplined and exhibit a willingness to learn
  • Excellent time management
  • Excellent verbal and written communication skills
  • Working knowledge of insurance and / or basic accounting principles is a plus

#RSREXL

To view our total rewards offered click here —> https://www.exlservice.com/us-careers-and-benefits

Base Salary Range Disclaimer:

The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience.

The base salary range listed is just one component of EXL’s total compensation package for employees.

Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits.

RSREXL
 

Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. 

EEO/Minorities/Females/Vets/Disabilities 
Application & Interview Impersonation Warning – Purposely impersonating another individual when applying and / or participating in an interview in order to obtain employment with EXL Service Holdings, Inc. (the “Company”) for yourself or for the other individual is a crime.  We have implemented measures to deter and to uncover such unlawful conduct.  If the Company identifies such fraudulent conduct, it will result in, as applicable, the application being rejected, an offer (if made) being rescinded, or termination of employment as well as possible legal action against the impersonator(s).

EXL may use artificial intelligence to create insights on how your candidate information matches the requirements of the job for which you applied. While AI may be used in the recruiting process, all final decisions in the recruiting and hiring process will be taken by the recruiting and hiring teams after considering a candidate’s full profile. As a candidate, you can choose to opt out of this artificial intelligence screening process. Your decision to opt out will not negatively impact your opportunity for employment with EXL. 

Medical Director, Care at Home

20-May-2024
Overview
Full Time Director Best Buy Health Group
Job Description
As the Medical Director, Care at Home you will draw on your experience caring for patients with chronic disease in a hospital and/or ambulatory setting to define best practices for the care of these patients outside of the hospital. You can speak to your personal clinical experience caring for these patients, and translate that experience into recommendations for home-based care. Over time, you will become a subject-matter expert on the frontiers of home-based care and the landscape of available services, and creatively configure them to meet the needs of our clients and their patients. You have credibility so that our clients’ clinicians treat you as a peer and trust your judgement and your advice.

Best Buy Health (BBYH) is searching for a physician to work with our Chief Medical Officer (CMO) in building out BBYH’s clinical infrastructure in the United States, particularly our care at home solution. In this role you will develop a point of view about how BBYH supports high-quality cost-effective care for patients that can be managed outside of the four walls of a hospital, and then partner with our world-class clients to implement our technology to achieve these aims. You will work cross-functionally, with our sales and implementation teams, and with the clinicians and project managers from our clients who are building novel care models to serve their patients in their homes. You will become a thought leader in virtual care in the U.S., helping us to define best practices and lead the industry. You will help to define the agenda advancing the deployment of Best Buy Health products and services to advance virtual care.

What you’ll do

  • Work directly with the CMO and other leaders to build and support a medical affairs program for our Care at Home work
  • Work with leaders across Best Buy Health to develop a clinical advocacy and research agenda for the advancement of our broader product offering.
  • Develop and maintain evidence-based care pathways that deliver safe care of patients with CHF, COPD, cancer, infectious disease, and other conditions in the home, leveraging current and future BBYH technology, partners, services, and programs.
  • Work closely with clinicians to adapt their hospital-based protocols for the safe deployment in the home.
  • Teach our clients how to manage patients outside the hospital who would otherwise receive inpatient care.
  • Engage with existing and prospective customers in the pre-close process to provide in-depth industry and product expertise to help identify and drive an implementation that meets their evolving business needs.
  • Become an industry and product expert, a landscape, customer, and product leader, capable of serving as a value-added consultant to customers across multiple disease areas spanning the healthcare continuum.
  • Collaborate with sales, marketing, business development, product management, customer support and implementation to define appropriate solutions
  • Work closely with the Product team to ensure proper alignment of customer requirements, and stay up to date with feature availability and customer timelines
  • Work with channel partners to develop partner expertise at both solution design and implementation

Basic Qualifications

  • An MD or DO degree or equivalent.
  • Residency training in an aligned medical field, including internal medicine, general surgery, emergency medicine, anesthesia or family medicine.
  • Experience in emerging clinical technologies, clinical practice transformation, innovations, or care models requiring change management
  • Demonstrated subject-matter expertise in a relevant aspect of healthcare, such as High Acuity patients, chronic disease management, or Healthcare IT
  • Superior skills in relationship building, active listening, needs analysis, solution design and negotiating.

Preferred Qualifications

  • Board eligibility or board certification in the aforementioned disciplines.
  • Prior experience and a demonstrated track record of success in a technology company or a informatics environment
  • Background in clinical or management consulting
  • Experience working in a business environment
  • Experience with patient engagement initiatives

What’s in it for you

We’re committed to helping our people thrive at work and at home. We offer generous benefits that address your total well-being and provide support as you need it, especially key moments in your life.

Our benefits include:

  • Competitive pay
  • Generous employee discount
  • Physical and mental well-being support

About us

Best Buy Health aims to enrich lives through technology and meaningful connections. We do that by focusing on consumer health products that help people live healthier lives, device-based emergency response services for the active aging population and virtual care offerings that help connect patients to physicians.

As an Affirmative Action employer, Best Buy Health is dedicated to creating an inclusive environment that values the diversity of its employees and does not discriminate against any employee or applicant. Best Buy Health is committed to equal employment opportunity for all applicants and employees, without regard to race, color, religion, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other protected characteristic under applicable law. Learn more about our Affirmative Action Policy Statement HERE.

Best Buy is an equal opportunity employer.

Social Media College Content Creator – Remote/Part-time

Social Media College Creator – Remote

Part-time – Approximately 10 hours a month

This role is perfect for student content creators with their own established social channels who live and breathe social media. The ideal candidate is an innovative trendsetter who is constantly thinking of new content ideas to help drive engagement and positive conversation. Interest in the latest fashion and pop culture trends is preferred.

Responsibilities
•Create and edit fun, engaging, and shareable content for the Claire’s social channels (focusing on Instagram and TikTok)
•Identify and research the latest fashion and social media trends, complete competitor analysis, and generate content ideas to speak to our Gen Z audience

Process
•Work closely with the Claire’s Social Media team to ensure content is aligned with the brand’s current product and marketing strategies
•Keep the Claire’s content deck up to date with video uploads, edits, notes, and feedback
•This role will report to the Claire’s social media team and will interact with other college creators
•In this role, the creator will be asked to attend meetings with other internal Claire’s employees from the wider marketing team

•In this role, the creator will be required to feature themselves on camera within content created for the Claire’s social channels.

About You

•Currently enrolled full-time in a two or four-year university or college
•Pursuing a marketing, social media, public relations, media studies, journalism, or fashion degree is preferred
•Keen interest in social media content creation and have established social media channels that align with Claire’s brand guidelines and legal guardrails
•Solid understanding of current and emerging social media platforms
•A creative eye for copy and video content creation
•Excellent verbal and written communication skills
•A positive ‘can do’ attitude, collaborative spirit, and a great sense of humor
•A love (and borderline obsession) with fashion, culture, beauty, celebrity lifestyle, and trends
•Must thrive in a fast-paced and dynamic environment
•Demonstrable photography and video editing skills are required

Claire’s is an equal opportunity employer committed to diversity, equity and inclusion and we encourage applications from members of all underrepresented groups, including those with disabilities. We will accommodate applicants’ needs, upon request, throughout all stages of the recruitment process. Please inform us of the accommodation(s) that you may require.

Paper Claims Processor I

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills.

A Brief Overview

Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills.

What you will do

· Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers.

· Enters claim information, such as patient information, provider details, procedure codes, and diagnosis codes, into the company’s claims processing system.

· Documents relevant information for the eligibility of the claim, determining coverage and benefits, and assessing the validity and medical necessity of the services rendered.

· Calculates claim payments based on the approved reimbursement rates, fee schedules, or contracted rates with healthcare providers.

· Communicates claim status updates to healthcare providers, policyholders, or other stakeholders to provide transparency and ensure any additional information is resolved quickly.

· Assists in resolving discrepancies or issues related to claims by researching and investigating claim-related inquiries, collaborating with internal teams or departments, and coordinating with healthcare providers to resolve claim processing errors or discrepancies.

· Provides customer service support by addressing inquiries and resolving issues related to claims processing.

· Ensures that all claims processing details and notes are inputted into the company systems database.

· Assists in data entry tasks related to claims data management, such as updating claim statuses, maintaining accurate records, or ensuring proper documentation of claims processing activities.

Required Qualifications

· 6 months work experience

· Working knowledge of problem solving and decision making skills

Preferred Qualifications

· Certified Billing and Coding Specialist (CBCS) preferred.

Education

High School Diploma or equivalent GED

Pay Range

The typical pay range for this role is:

$17.00 – $28.45

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

We anticipate the application window for this opening will close on: 05/22/2024

Digital Production Associate

Description

About Concern Worldwide

Concern Worldwide is an international humanitarian organization committed to ending extreme poverty, whatever it takes. Founded in Ireland in 1968, Concern Worldwide has nearly 4,000 personnel working in 26 countries across the globe. Concern believes in a world where no one lives in fear; where all have access to a decent standard of living and the opportunities essential to a long, healthy and creative life. 

We believe in creating a culture of inclusion where everyone feels empowered to bring their full, authentic selves to the workplace. Building a diverse and inclusive team is an absolute necessity to deliver the solutions needed to achieve our core mission, because without promoting justice and equality, we cannot eliminate extreme poverty.

Concern Worldwide US (CUS) is an independent affiliate of Concern Worldwide, with offices in New York, Chicago, and Los Angeles. CUS advances the Concern Worldwide mission through mobilizing financial and human resources, as well as influencing and activating networks in the US to elevate programs globally.

Information about the position:

This is a contract position through December 2024, but has the potential to lead to a full-time position. The Digital Production Associate will assist the Marketing Technology Manager in email production and maintenance of Concern’s marketing technology platform.

Responsibilities:

  • Assist in the production of Concern Worldwide US emails 
  • Set up and maintain tracking for web, social media, and email
  • Assist in the creation and set up of digital marketing campaigns
  • Sourcing data, formatting it, and inputting into the correct systems
  • Troubleshoot issues in email rendering and templates

Requirements

  • Intermediate HTML/CSS knowledge
  • Adobe Photoshop experience
  • Strong attention to detail
  • A highly motivated self-starter with the ability to work with minimal supervision
  • Flexibility to meeting changing deadlines and priorities and ability to manage multiple tasks
  • Commitment to the core values and vision of Concern Worldwide
  • Candidates must be currently authorized to work in the US
  • Availability during normal working hours in New York City (Eastern Time Zone) 

Nice to Have: 

  • Knowledge of email-specific coding conventions
  • Knowledge of Salesforce Account Engagement (Pardot) or similar marketing automation platform
  • Experience with Litmus

Compensation & Structure: 

24-30 hours/week @ $25-30/hour, based on experience

Salary Description

$25- $35 an hour