by twochickswithasidehustle | Jun 20, 2025 | Uncategorized
Job Details
Description
The Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers’ compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Receives claims, confirms policy coverage and acknowledgment of the claim
- Determines validity and compensability of the claim
- Establishes reserves and authorizes payments within reserving authority limits
- Manages non-complex and non-problematic medical only claims and minor lost-time workers’ compensation claims under close supervision
- Communicates claim status with the customer, claimant and client
- Adheres to client and carrier guidelines and participates in claims review as needed
- Assists other claims professionals with more complex or problematic claims as necessary
- Requires regular and consistent attendance
- Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”)
- Additional projects and duties as assigned
KNOWLEDGE & SKILLS:
- Excellent written and verbal communication skills
- Ability to learn rapidly to develop knowledge and understanding of claims practice
- Ability to identify, analyze and solve problems
- Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets
- Strong interpersonal, time management and organizational skills
- Ability to meet or exceed performance competencies
- Ability to work both independently and within a team environment
EDUCATION & EXPERIENCE:
- Bachelor’s degree or a combination of education and related experience
- Minimum of 1 year of industry experience and claims management preferred
- State Certification as an Experienced Examiner
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: $51,807 – $83,551
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.
by twochickswithasidehustle | Jun 19, 2025 | Uncategorized
Description:
*100% Remote*
Industry leading business communications & digital transformation organization seeking a talented Project Manager.
This is a full-time, permanent opportunity, offering a competitive salary and comprehensive benefits package. Qualified applicants must be willing and able to work on a w2 basis.
Rate: $100,000k – $120,000k/year
Responsibilities:
- The Project Manager (PM) is responsible for successful deployments of software and SIP solutions for the full Project Life Cycle.
- Success is defined as completing a project that meets the assigned profitability target, is delivered on time and is signed off on by the customer.
- As the primary liaison between the company and the customer the PM collaborates with sales, deployment services and the customer.
- This includes confirming customer requirements, developing the project plan, assigning responsibilities (internal and customer), setting timelines, managing risks or issues, appropriately accounting for any changes in scope, and generally ensuring the successful delivery of the project.
- Understand customer requirements and objectives
- Collaborate with relevant stakeholders to develop the project plan
- Coordinate internal and customer resources required for successful delivery
- Schedule and manage meetings as required to complete the project
- Manage changes to the project scope, project schedule, and project costs as necessary
- Timely meet each project milestone, identify risk or issues and escalate as necessary
- Track and report to relevant stakeholders on overall project status
Experience Requirements:
- Minimum 3 years of project management work experience
- Proven experience in software project management roles
- Working knowledge of project management software
- Adept at analyzing requirements to ensure projects objectives are met
- Ability to collaborate with others in the spirit of teamwork
- Excellent written and verbal communication skills
- Possess the management skills required to direct the work of others
- Solid organizational skills including attention to detail and ability to multi-task
- Prior consulting experience, technical or business lead on projects, and/or previous leadership roles would be beneficial
- Experience leading projects relating to Unified Communications, Contact Center, Call Center, IVR, UCaaS, CCaaS (preferred)
- Project Management Professional (PMP) or equivalent (preferred)
Education Requirements:
- Bachelors Degree required
Skills, experience, and other compensable factors will be considered when determining pay rate. The pay range provided in this posting reflects a W2 hourly rate; other employment options may be available that may result in pay outside of the provided range.
W2 employees of Eliassen Group who are regularly scheduled to work 30 or more hours per week are eligible for the following benefits: medical (choice of 3 plans), dental, vision, pre-tax accounts, other voluntary benefits including life and disability insurance, 401(k) with match, and sick time if required by law in the worked-in state/locality.
Please be advised- If anyone reaches out to you about an open position connected with Eliassen Group, please confirm that they have an Eliassen.com email address and never provide personal or financial information to anyone who is not clearly associated with Eliassen Group. If you have any indication of fraudulent activity, please contact [email protected].
About Eliassen Group:
Eliassen Group is a leading strategic consulting company for human-powered solutions. For over 30 years, Eliassen has helped thousands of companies reach further and achieve more with their technology solutions, financial, risk & compliance, and advisory solutions, and clinical solutions. With offices from coast to coast and throughout Europe, Eliassen provides a local community presence, balanced with international reach. Eliassen Group strives to positively impact the lives of their employees, clients, consultants, and the communities in which they operate.
Eliassen Group is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.
Don’t miss out on our referral program! If we hire a candidate that you refer us to then you can be eligible for a $1,000 referral check!
by twochickswithasidehustle | Jun 18, 2025 | Uncategorized
Job Description
ASSOCIATE PRODUCT MANAGER
American Eagle Outfitters, Inc. seeks an Associate Product Manager who will partner with our team of
product managers to deliver incremental value to elevate our digital and in store customer experiences.
This is a fully remote position, and the employee can work from anywhere in the United States. Duties
include: (i) working collaboratively with internal stakeholders and other product managers to inform
priorities and to deliver value incrementally; (ii) dive into internal systems to understand problems,
propose solutions, gain alignment, manage dependencies, and successfully rollout solutions; (iii) use
internal and third party data to help prioritize opportunities to drive growth; (iv) manage queues for new
requests, balance fixes vs. features; clear reporting on delivery timelines, and measured value; (v)
manage a development team’s backlog- write clear stories, prioritize, and manage a roadmap; and (vi)
participate in daily standups to ensure key priorities are being delivered.
This is a fully remote position, and the employee can work from anywhere in the United States.
Must have a bachelor’s degree (or foreign equivalent degree) in Computer Science, Information
Technology, or a directly related field plus three (3) years of experience in a related position.
Experience must include three (3) years as a Business Systems Analyst.
Experience must also include one (1) year of experience in a related Product Management position.
Must also have one (1) year of experience: (i) leading product development through an agile framework;
(ii) working with cross-functional teams; (iii) collaborating with stakeholders; and (iv) developing detailed
product requirements; synthesizing business needs, defining success metrics, and managing projects
from conception to completion.
Experience can be concurrent.
This is a fully remote position, and the employee can work from anywhere in the United States
Apply at https://aeo.jobs with cover letter, resumé and salary requirements.
PAY/BENEFITS INFORMATION:
- Actual starting pay is determined by various factors, including but not limited to relevant experience and location.
- Subject to eligibility requirements, associates may receive health care benefits (including medical, vision, and dental); wellness benefits; 401(k) retirement benefits; life and disability insurance; employee stock purchase program; paid time off; paid sick leave; and parental leave and benefits.
- Paid Time Off, paid sick leave, and holiday pay vary by job level and type, job location, employment classification (part-time or full-time / exempt or non-exempt), and years of service. For additional information, please click here.
- AEO may also provide discretionary bonuses and other incentives at its discretion.
#LI-DNI
Job Info
- Job Identification14348
- Job CategoryTechnology
- Posting Date06/17/2025, 08:52 AM
- Locations 19 Hot Metal
- Job ScheduleFull time
- Anticipated Pay Range for All Posted Locations$142,135
by twochickswithasidehustle | Jun 18, 2025 | Uncategorized
UMR, UnitedHealthcare’s third-party administrator (TPA) solution, is the nation’s largest TPA. When you work with UMR, what you do matters. It’s that simple . . . and it’s that rewarding.
In providing consumer – oriented health benefit plans to millions of people; our goal is to create higher quality care, lower costs and greater access to health care. Join us and you will be empowered to achieve new levels of excellence and make a profound and personal impact as you contribute to new innovations in a vital and complex system. Opportunities are endless for your career development and advancement within UMR due to our record-breaking growth.
Regardless of your role at UMR, the support you feel all around you will enable you to do what you do with energy, quality, and confidence. So, take the first step in what is sure to be a fast – paced and highly diversified career.
The Data Entry Claims Clerk is responsible for providing expertise or general claims support to teams in reviewing, researching, investigating, negotiating, processing and adjusting claims.
This position is full time. Employees are required to have flexibility to work any of our 8-hour shift schedules Monday – Friday during our normal business hours of 6:30am – 9:00pm CST. It may be necessary, given the business need, to work occasional overtime.
We offer 6-8 weeks of on-the-job / shadow-based training. The hours during training will be 8:00am to 4:30pm CST, Monday – Friday. The duration of the training is based on the individual candidate and their needs. More details on the training will be discussed further during the interview process by the hiring manager.
You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Provide general claims support by reviewing, researching, investigating, negotiating, processing and adjusting claims
- Authorize the appropriate payment or refers claims to investigators for further review
- Conduct data entry and re-work; analyzes and identifies trends and provides reports as necessary
- Analyze and identify trends and provide reports as necessary
- Consistently meet established productivity, schedule adherence, and quality standards
- Recognize claims by determining claim type – HCFA, Hospital, UB, Dental and/or RX
- Identify more complicated claims and refer them to Senior Claim Processor or Supervisor
- Work claims files to ensure the appropriate eligibility and provider records are matched to the claim
- Updates and maintains claims tracking database
You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma / GED OR equivalent work experience
- Must be 18 years of age OR older
- 1+ years of experience with Microsoft Excel and Microsoft Outlook, including the ability to create, edit, save and send documents, spreadsheets and correspondence
- Basic proficiency with computer and Windows PC applications, which includes the ability to learn new and complex computer system applications
- Ability to work full time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:30am – 9:00pm CST. It may be necessary, given the business need, to work occasional overtime
Preferred Qualifications:
- 1+ years of experience working with medical and/ or dental claims
- 1+ years of data entry experience
- 1+ years of working in a production-based environment
- 1+ years of experience in an office setting environment using a computer as the primary instruments to perform job duties
- Ability to type 60+ WPM
- Basic understanding of healthcare claims including ICD-10 and CPT codes
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Required to have a dedicated work area established that is separated from other living areas and provides information privacy
- Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
*All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you’ll find a far-reaching choice of benefits and incentives. The salary for this role will range from $16.00 – $24.23 hourly based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
by twochickswithasidehustle | Jun 17, 2025 | Uncategorized
United States
Welo Data – AI Services – Data Validation /
Part-Time /
Remote
Apply for this job
OVERVIEW
Do you enjoy researching or know how to find what you’re looking for with just a few keywords? Are you the type of person that already knows what someone is saying before they finish their sentence? If so, we have a unique opportunity for you to put your skills to the test!
Welocalize is seeking Englishspeakers to help support our client’s project as a Search Quality Rater.
In this position, you will use your unique gifts of understanding people’s intentions to improve the online search engine experience. Our main goal for this project is to develop and augment AI data. To put it more plainly, you will provide subjective and objective ratings based on project rules and conventions. You will complete tasks in American English.
In this position, you will be able to set your own schedule to accomplish the weekly goals and you will receive support from the project management team during business hours, usually Monday to Friday, from 9:00 AM to 5:30 PM (Pacific Time).
Project Details
Job Title: Search Quality Rater
Location: Remote, US-based
Hours: Minimum 10 hours per week, up to 29 hours per week; set your own schedule
Start date: ASAP
Employment Type: W2 Part-Time Employee, payment every 2 weeks
Longevity of project: 12 months (with possibility of extension).
This work is based on project needs. Weekly hours may vary.
Benefits
Employee Assistance Program
Following eligibility requirements
Paid Sick Time
Medical Insurance
Dental Insurance
Vision Insurance
HSA
Voluntary Life Insurance
Accident, Critical Illness, Hospital Indemnity Insurance
401(k) Retirement Plan
Currently hiring in: Alabama, Florida, Georgia, Indiana, Kansas, Kentucky ,Missouri ,Montana, New Hampshire, North Carolina, Ohio, Oklahoma, Pennsylvania ,South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin.
Applicants must be of at least 18 years of age to apply.
Requirements
- Fluency in English, both written and spoken;
- Strong understanding of the popular culture in the United States;
- Excellent online research skills;
- Web-savvy and able to work in a fast-paced environment;
- Reliable computer system and internet connection;
- Reliable anti-virus software (as you will be surfing the web as part of the work);
- Ability to follow instructions in English and comply with the project conventions and rules expected by the client;
- Must be dedicated only to “Search Quality rating program” and not other search or ads rating programs.
Privacy Notice
- In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Additionally, we employ anti-fraud checks to ensure all candidates meet program requirements. At Welocalize, we are committed to protecting your privacy. We collect and process personal data responsibly and transparently, ensuring its confidentiality and security. Personal information collected during the hiring process will be used solely for employment eligibility verification and compliance with legal obligations. We do not share your information with third parties without your explicit consent, except as required by law. Our Privacy Policy outlines how we handle your personal data, including the types of information we collect, how we use it, and the measures we take to protect it. We are dedicated to maintaining the accuracy, confidentiality, and security of your personal information. For more details, please review our Privacy Policy, which provides comprehensive information about our data collection, usage, and protection practices.
To be successful in the process, candidates must sign a Non-Disclosure Agreement to protect client confidentiality and pass learning modules and a required quality test designed by our client before starting work.
In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. In addition, we employ anti-fraud checks to ensure all candidates meet the requirements of the program.
If you are currently working or have previous experience as an “Ads Quality Rater”, unfortunately, you will not be able to work on our Search Quality Rating project.
Recent Comments