by twochickswithasidehustle | Sep 2, 2024 | Uncategorized
Date: Aug 30, 2024
Location:
Remote, Remote, US
Requisition ID: 10904
Description:
Role Description: The Claims Examiner evaluates insurance claims to determine whether their validity and how much compensation should be paid to the policyholder. The Claims Examiner is responsible for reviewing all aspects of the claim, including reviewing policy coverage, damages, and supporting documentation provided by the policyholder.
Roles & Responsibilities
- Review insurance claims to assess their validity, completeness, and adherence to policy terms and conditions.
- Collect, organize, and analyze relevant documentation, such as medical records, accident reports, and policy information.
- Ensure that claims processing aligns with the company’s insurance policies and relevant regulatory requirements.
- Conduct investigations, when necessary, which may include speaking with claimants, witnesses, and collaborating with field experts.
- Analyze policy coverage to determine the extent of liability and benefits payable to claimants.
- Evaluate the extent of loss or damage and determine the appropriate settlement amount.
- Communicate with claimants, policyholders, and other stakeholders to explain the claims process, request additional information, and provide status updates.
- Make recommendations for claims approval, denial, or negotiation of settlements, and ensure timely processing.
- Maintain accurate and organized claim files and records.
- Stay updated on industry regulations and maintain compliance with legal requirements.
- Provide excellent customer service, addressing inquiries and concerns from claimants and policyholders.
- Strive for high efficiency and accuracy in claims processing, minimizing errors and delays.
- Stay informed about industry trends, insurance products, and evolving claims management best practices.
- Generate and submit regular reports on claims processing status and trends.
- Perform other duties as assigned.
by twochickswithasidehustle | Sep 2, 2024 | Uncategorized
Job Details
Description
Responsible for review, auditing and data-entry of medical bills for multiple states and lines of business.
This is a remote position.
ESSENTIAL FUNCTIONS & RESPONSIBILITIES:
- Responsible for auditing medical bills to ensure that they are appropriate and adhere to the State Fee Schedules, customer guidelines and PPO discounts
- Position requires knowledge of the Fee Schedule and the operation of the computer terminal
- May consult reference materials in the auditing process
- Requires regular and consistent attendance
- Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP)
- Additional duties as assigned
PRODUCTION REQUIREMENTS:
- Based upon situation or state specific issues meet 98% accuracy, 10,000+ keystrokes per hour
KNOWLEDGE & SKILLS:
- Knowledge of medical terminology, workers’ compensation billing guidelines and fee schedules
- Knowledge of CPT/ICD/HCPS coding
- Knowledge of UBO4/DWC-9/DWC-10 and CMS 1500 form types preferred
- Strong interpersonal skills and commitment to customer service
- Able to work collaboratively and independently
- Able to identify problems and find creative, effective solutions
- Able to balance multiple priorities
- Excellent verbal and written communication skills
- Highly developed organizational abilities as well as time management skills
- Must be proficient in Microsoft applications
EDUCATION & EXPERIENCE:
- High school diploma or equivalent
- 1-2 years of data entry experience
- Experience with Medical Bill Review preferred
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: $18.36 – $29.63 per hour
A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management
ABOUT CORVEL:
CorVel, a certified Great Place to Work® Company, is a national provider of industry-leading risk management solutions for the workers’ compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!).
A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.
CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.
#LI-Remote
by Irma Moore | Sep 2, 2024 | Uncategorized
Red Ventures is looking for a Web Publisher who will be responsible for uploading editorial and SEO content to our portfolio of financial services websites. The web publisher will need to translate content into coded HTML, edit and format content, execute a monthly cross-functional team-wide project to market Bankrate products and perform site maintenance tasks to enhance performance and user experience. The web publisher will also be responsible for assisting and brainstorming content strategy initiatives on Bankrate.com.
The web publisher will collaborate with both technical and creative teams including editorial, compliance, developers, and SEO in order to develop and publish quality, engaging content and improve our sites’ strategy. The right candidate will also be able to stay up to date on industry topics and trends.
We’re looking for someone who is process-oriented and has a close attention to detail. You have strong written communication skills, and feel comfortable communicating with colleagues at different levels. Your strong interpersonal skills are backed by a comfort with website technologies (content management systems and HTML) and workflow tools like Google Suite, Microsoft Office, and Asana/Jira.
What You’ll Do:
- Upload, update, and maintain web pages to be timely and error-free
- Add formatting, headlines, and hyperlinks to finished content using multiple content management system (CMS) tools and HTML
- Find and update broken links, outdated images, formatting errors utilizing crawl tools
- Workflow maintenance: monitor and update workflow tools (Asana, Google sheets, Jira) daily to ensure that assignments are flowing through the steps properly. Assess and mitigate any blockers.
- Work closely day to day with project managers and collaborate with teammates to prioritize daily tasks and projects to ensure high-quality, on-deadline content deliverables to all stakeholders.
- Take ownership of multiple monthly processes and side projects: communicating with cross-functional teams to meet task requirements on tight deadlines.
- Develop a full understanding of our custom WordPress-based CMS, building templated individual articles and facilitating the enhancement of complex programs and pages.
- Work with custom HTML, CSS and Javascript
- Understand how various administrative panels work and how to implement changes to our content using them
- Work closely with SEO and marketing analysts to develop strategy
What We’re Looking For:
- Advanced knowledge of semantic HTML (hyperlinks, paragraph formatting, tables, and lists)
- Some familiarity with WordPress, Storyblok or other CMS systems
- Excellent project management and communication skills
- Ability to adapt quickly to shifting priorities while keeping up with fast-paced content production processes
- Ability to meet tight deadlines while working independently to manage multiple publishing projects
- Ability to collaborate with editors, compliance, designers, project managers, and web development teams
- A strong sense of how to organize and visualize information
- Basic copyediting/writing experience
- Microsoft Office/Google Suite proficiency (Excel, Outlook, and Word)
- Content and/or design background is helpful for role
- Potential interest in editorial, technical, or project management
Compensation
- USA Compensation Range: $55,000 – $80,000*
- New York City Compensation Range: $55,000 – $96,000*
*Note actual salary is based on geographic location, qualifications, and experience.
Additionally, the following benefits are provided by Red Ventures, subject to eligibility requirements.
- Health Insurance Coverage (medical, dental, and vision)
- Life Insurance
- Short and Long-Term Disability Insurance
- Flexible Spending Accounts
- Paid Time Off
- Holiday Pay
- 401(k) with match
- Employee Assistance Program
- Paid Parental Bonding Benefit Program
Who We Are
Founded in 2000, Red Ventures (RV) is home to a diverse portfolio of industry-leading brands and businesses, strategic partnerships and proprietary technology – including Bankrate, Lonely Planet, CNET, The Points Guy, BestColleges and more. Together, RV helps millions of people worldwide make life’s most important decisions, accelerates digital adaptation, and innovates the online consumer experience by improving every step of the consumer journey – from first discovery of information, throughout the decision-making process, to transactions. Headquartered south of Charlotte, NC, Red Ventures employs thousands of people across the US and Puerto Rico, with international offices in the UK and Brazil. For more information, visit https://redventures.com and follow @RedVentures on social platforms.
We offer competitive salaries and a comprehensive benefits program for full-time employees, including medical, dental and vision coverage, paid time off, life insurance, disability coverage, employee assistance program, 401(k) plan and a paid parental leave program.
Red Ventures is an equal opportunity employer that does not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or any other basis protected by law. Employment at Red Ventures is based solely on a person’s merit and qualifications.
We are committed to providing equal employment opportunities to qualified individuals with disabilities. This includes providing reasonable accommodation where appropriate. Should you require a reasonable accommodation to apply or participate in the job application or interview process, please contact [email protected].
If you are based in California, we encourage you to read this important information for California residents linked here.
Click here for more details regarding the employee privacy policy: https://www.redventures.com/legal/us-emp-privacy-notice
Questions about this Privacy Notice can be directed to [email protected]. Alternatively, you may raise any questions or concerns to your manager, HR Business Partner, or through the Privacy Team.
by Irma Moore | Sep 2, 2024 | Uncategorized
Description
At Interapt we transform clients and empower humans with technology. Interapt is a world-class technology services company that attracts and develops the best talent while providing an opportunity to those both with IT experience and those without doors are open for all. We are building a thriving, inclusive technology ecosystem in middle-America that invests in people and communities. Our organizational commitment to social responsibility is not an afterthought, it is embedded in our services and everything we do.
The Technical Risk Analyst will put their exceptional attention to detail to good use by identifying errors in critical transaction documents, ensuring our partners face minimal risks. We’re seeking individuals who have experience in this field but are now seeking an opportunity to expand their knowledge and learn something new. As part of this role, you will have the opportunity to participate in an extensive training program that aims to enhance and develop your technical risk analytical skills, enabling them to develop and review technical models and documents. Moreover, in this role, you will have the opportunity to engage with clients directly, through face-to-face meetings and presentations, where your valuable insights will make a substantial impact. Given the vital nature of this role, we are seeking individuals who possess a keen eye for detail, strong analytical capabilities, proficiency in adhering to written procedures, and the ability to effectively document analysis findings.
- Understand and document clients’ processes, risks, and controls by gathering information.
- Create clear documentation for processes, risks, and controls based on input from clients.
- Analyze data, identify potential issues, and summarize and document results and observations.
- Keep up with industry-leading practices, methodologies and tech regulations through research.
- Monitor project progress and risks, and regularly update key stakeholders.
- Collaborate with team members from different regions to ensure projects are completed efficiently.
Requirements
- Minimum of 3 years of prior experience in IT Audit, Digital Risk, IT Controls, SOX testing, or Control Testing
- Preference will be given to those who have experience using SAP
- Proficiency in Microsoft Office Suite, including Excel, Word, Outlook, PowerPoint, Access and/or SharePoint
- Strong writing skills and the ability to think critically and analyze situations effectively
*We are actively recruiting talent with a target hire date of October 6th (subject to change).
**At Interapt, we value diverse backgrounds and perspectives, and welcome applicants from all experiences and skill sets. Don’t be deterred if you don’t check every box on our list of qualifications. We believe skills can be developed, and we are willing to invest in the right candidate who shows potential. If you are excited about this opportunity, we want to hear from you!
Benefits
- Health Care Plan (Medical, Dental & Vision)
- Retirement Plan (401k, IRA)
- Life Insurance (Basic, Voluntary & AD&D)
- Paid Time Off (Vacation, Sick & Public Holidays)
- Family Leave (Maternity, Paternity)
- Short Term & Long Term Disability
- Training & Development
- Work From Home
- Wellness Resources
Interapt will not discriminate against apprenticeship applicants or apprentices based on RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX (INCLUDING PREGNANCY AND GENDER IDENTITY), SEXUAL ORIENTATION, GENETIC INFORMATION, OR BECAUSE THEY ARE AN INDIVIDUAL WITH A DISABILITY OR A PERSON 40 YEARS OLD OR OLDER.
by Irma Moore | Sep 2, 2024 | Uncategorized
StackAdapt is a self-serve advertising platform that specializes in multi-channel solutions including native, display, video, connected TV, audio, in-game, and digital out-of-home ads. We empower hundreds of digitally-focused companies to deliver outcomes and exceptional campaign performance everyday. StackAdapt was founded with a vision to be more than an advertising platform, it’s a hub of innovation, imagination and creativity.
StackAdapt is seeking a talentedLeadQuality Engineer who is passionate about software quality and test automation to be part of a highly impactful team that will directly affect the success of product releases in a cross-functional agile environment. In addition, you will be responsible for implementing reliable and scalable automation test cases and integrating them into our CI/CD pipeline. These initiatives will serve to enhance our software quality, accelerate our defect detection and prevention capabilities as well as transform our software development process.
Learn more about our engineering culture here: https://www.youtube.com/watch?v=LXM2NrkhKZc
StackAdapt is a remote-first company, we are open to candidates located anywhere in North America for this position.
What you’ll be doing:
- Lead and mentor a team of 2-4 talented quality engineers within platform engineering
- Act as a hands-on lead and participate in test strategy and test automation
- Promote QE best practices and drive process improvements
- Develop E2E integrated test plan and identify optimization opportunities
- Develop and implement test scripts and automation tools to address issues and deliver high impact quality improvements
- Work closely with Engineering Managers, Product Managers and Designers to ensure requirements and priorities align
- Utilize metrics to help improve process and drive team’s performance
- Measure appropriate product quality metrics to make informed decisions that enhance overall product quality
- Conduct interviews to attract and identify potential high performing candidates
- Balance and prioritize projects to maximize efficiency and ensure company objectives are achieved
We’ll be reaching out to applicants that have:
- Proven track record of delivering results and leading growing, high-impact teams
- At least 5+ years of testing experience including test automation
- Experience with at least 3 direct reports in a leadership role
- In-depth experience with API & UI test automation frameworks such as Playwright, Selenium, Cypress, Mocha, Jest or Junit
- Fluency in at least one of Javascript, Typescript, Python, or Java is a plus
- Experience with CI/CD tools like Jenkins, Github Actions, CircleCI
- Strong understanding of scalable system design for web-based APIs and backend processing systems
- In-depth understanding of QA methodologies in a software company with short release cycles
- Experience working with cross-functional teams and coaching them on testing plans and strategies, and guiding them through the execution
- Passion to build a positive and fun engineering culture
StackAdapters enjoy:
- Competitive salary
- 401k/RRSP matching
- 3 weeks vacation + 3 personal care days + 1 Culture & Belief day + birthdays off
- Access to a comprehensive mental health care platform
- Health benefits from day one of employment
- Work-from-home reimbursements
- Optional global WeWork membership for those who want a change from their home office
- Robust training and onboarding program
- Coverage and support of personal development initiatives (conferences, courses, etc)
- Access to StackAdapt programmatic courses and certifications to support continuous learning
- Mentorship opportunities with industry leaders
- An awesome parental leave policy
- A friendly, welcoming, and supportive culture
- Our social and team events!
If this role speaks to you then please submit an application – we’d love to speak with you. Due to a high volume of interest, only those shortlisted for interview will be contacted.
StackAdapt is a diverse and inclusive team of collaborative, hardworking individuals trying to make a dent in the universe. No matter who you are, where you are from, who you love, follow in faith, disability (or superpower) status, ethnicity, or the gender you identify with (if you’re comfortable, let us know your pronouns), you are welcome at StackAdapt. If you have any requests or requirements to support you throughout any part of the interview process, please let our Talent team know.
About StackAdapt
We’ve been recognized for our diverse and supportive workplace, high performing campaigns, award-winning customer service, and innovation. We’ve been awarded:
by Irma Moore | Sep 2, 2024 | Uncategorized
WHAT YOU’LL BE RESPONSIBLE FOR
Reporting to the Operations Business Analysis Manager, this position will:
- Conduct advanced business requirements analysis within the Operations Division
- Coordinate regulatory and compliance deliverables
- Project manage medium- to large-scale projects
- Perform other duties as assigned
ABOUT THE TEAM
The Operations Business Analysis team supports the Alliance in implementing its work most effectively and efficiently. We do this by supporting the organization to achieve its mission, measuring performance, facilitating process improvement, and ensuring sound project execution.
THE IDEAL CANDIDATE
- Will demonstrate advanced knowledge of business analysis methodologies and experience managing medium- to large-scale projects, ideally in a healthcare or managed care environment.
- Is a skilled Business Analyst with a minimum of 5 years’ experience and a BA certification, such as International Institute of Business Analysis (IIBA) or equivalent Business Analysis experience.
- Excels in analyzing business processes, documenting requirements, and developing actionable plans.
- Is proficient in data analysis and can translate complex business requirements into clear, comprehensive deliverables.
- Has excellent verbal and written communication skills, capable of presenting strategic information effectively to diverse stakeholders.
WHAT YOU’LL NEED TO BE SUCCESSFUL
To read the full position description, and list of requirements click here.
- Knowledge of:
- Standards in business analysis
- Research, analysis, and reporting methods
- The principles and practices of project management
- Ability to:
- Conduct business requirements analysis and translate business requirements into actionable plans and deliverables
- Define issues, interpret data, identify solutions, and make recommendations for action
- Think critically to make informed recommendations and decisions
- Independently document, summarize and resolve complex issues
- Use a customer-focused approach to solving complex business problems that involve diverse stakeholders
- Education and Experience:
- Bachelor’s degree in Health Care, Business, or a related field
- A minimum of five years of experience conducting business analysis, including a minimum of two years of project management experience (four years of additional experience may substitute for the Bachelor’s degree); or an equivalent combination of education and experience may be qualifying
- Desirable Qualifications:
- Master’s degree in Health Care, Business, or a related field
- Project management certification, such as Project Management Professional (PMP) or Business analysis certification, such as International Institute of Business Analysis (IIBA)
- Experience working in a healthcare or managed care environment
- Working knowledge of data analysis tools and techniques
OTHER INFORMATION
- We are in a hybrid work environment and we anticipate that the interview process will take place remotely via Microsoft Teams.
- While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
- In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
The full compensation range for this position is listed by location below.
The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate’s qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).
Compensation Range
$76,109—$133,827 USD
OUR BENEFITS
Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
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