Sr. Specialist, Litigation

🏢 Summary: Risk Management role focused on overseeing general liability and property claims while managing and optimizing the RMIS system for real estate assets. The position combines claims adjudication, TPA performance management, compliance oversight, and cross-functional collaboration with IT, legal, and operations teams. It also includes reporting, risk transfer assessment, and system administration responsibilities. 🗂️ Requirements: Bachelor's degree in Business, Insurance and Risk Management or related field, Minimum 7 years of experience in a claims-heavy organization, Minimum 4 years of litigated claims experience or experience as Claims Supervisor at TPA, carrier or broker, Experience with commercial real estate, construction, general liability litigation and property claims, Strong knowledge of claims handling processes and insurance regulations, Experience managing claims systems (preferably Riskonnect), Proficiency with RIMIS software, Advanced Excel skills, Experience working with TPAs 📃 Skills: RMIS, Riskonnect, RIMIS, Excel, Claims, Insurance, Litigation, Reporting, Compliance 🏢 Description: POSITION PURPOSE: An integral member of the Risk Management team supporting the Operations team in managing real estate assets. This position is primarily focused on general liability claims and RMIS system management (60%) and includes general risk management support such as generating COIs, working with lenders, obtaining quotes for new assets, processing invoices, reviewing contract language, and supporting departmental needs (40%). ESSENTIAL FUNCTIONS: Work closely with the IT department and external vendors to enhance and optimize the RMIS system, ensuring alignment with company requirements and industry best practices. Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control. Oversee evaluation, investigation, and adjudication of complex claims related to commercial general liability and property. Provide guidance and support to adjusters and defense attorneys in claim resolution and settlement strategies. Assess risk transfer opportunities to third parties and draft tender documents when risk transfer is identified. Prepare and provide claim data for monthly and quarterly reports. Monitor TPA performance by establishing metrics, conducting evaluations, identifying areas for improvement, and implementing corrective measures. Provide ongoing training to the Operations team. Ensure compliance with industry regulations, legal requirements, and company policies, including timely reporting, documentation, and adherence to claims handling protocols. Foster a customer-centric approach emphasizing prompt and accurate FNOL, coverage issue resolution, claim investigations, timely litigation response, and effective communication. Collaborate with investments, development, legal, operations, and IT teams to optimize department performance and provide insights to senior leadership. NON-ESSENTIAL FUNCTIONS: Support the Risk Management team with various tasks and provide coverage for team members as needed. EDUCATION/EXPERIENCE REQUIREMENTS: Bachelor's degree in Business, Insurance and Risk Management, or related field (equivalent experience may be considered). Minimum 7 years of experience in a claims-heavy organization, including 4 years of litigated claims experience, or experience as a Claims Supervisor at a TPA, insurance carrier, or broker, with focus on commercial real estate organizations or construction, general liability litigation, and property. Strong knowledge of claims handling processes, insurance industry regulations, and best practices. Experience managing claims systems (preferably Riskonnect). Proficiency in RIMIS software and related tools. Experience working with TPAs is highly desirable. Relevant professional certifications (e.g., AIC, CPCU) are a plus. Proven experience with advanced Excel functions and data management. WHAT IS OFFERED: Competitive compensation. Comprehensive benefits including medical, dental, and vision plans. Health Savings Account with employer contribution. Company-paid life and disability insurance. 401(k) savings plan with company match. Comprehensive paid time off including vacation, holidays, sick time, and bereavement leave. Volunteer time off and paid parental leave. Ongoing professional development programs. Wellness program with incentives.

🏢 Summary: Risk Management professional supporting real estate operations with a focus on general liability claims oversight and RMIS system management. The role combines complex claims adjudication, TPA performance management, compliance oversight, and cross-functional collaboration. It requires strong experience in litigated claims, claims systems, and data analysis within commercial real estate or construction environments. 🗂️ Requirements: Bachelor's degree in Business, Insurance and Risk Management or related field (or equivalent experience), Minimum 7 years of experience in claims-heavy environment, Minimum 4 years of litigated claims experience, Experience as claims supervisor at TPA, insurance carrier or broker, Experience with commercial real estate or construction claims, Strong knowledge of claims handling processes and insurance regulations, Experience managing claims systems (preferably Riskonnect), Proficiency in RIMIS software, Advanced Excel skills, Experience working with TPAs 📃 Skills: Riskonnect, RIMIS, Excel, RMIS, Claims, Litigation, Insurance, Compliance, Reporting, Data 🏢 Description: POSITION PURPOSE: An integral member of the Risk Management team supporting the Operations team in managing real estate assets. This position is primarily focused on general liability claims and RMIS system management (60%) and provides general risk management support (40%), including generating COIs, working with lenders, obtaining quotes for new assets, processing invoices, and reviewing contract language. ESSENTIAL FUNCTIONS: Work closely with the IT department and external vendors to enhance and optimize the RMIS system, ensuring it meets company requirements and aligns with industry best practices. Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control. Oversee the evaluation, investigation, and adjudication of complex claims, including commercial general liability and property claims. Provide guidance to adjusters and defense attorneys in claim resolution and settlement strategies. Assess risk transfer opportunities to third parties and draft tender documents when risk transfer is identified. Prepare and provide claim data for monthly and quarterly reports. Monitor TPA performance by establishing metrics, conducting evaluations, identifying improvement areas, and implementing corrective measures. Ensure compliance with industry regulations, legal requirements, and company policies, including timely reporting and adherence to claims handling protocols. Promote prompt and accurate FNOL, thorough investigations, timely litigation response, and effective communication. Collaborate with investments, development, legal, operations, and IT teams to optimize performance and provide insights to the SVP of Risk Management. NON-ESSENTIAL FUNCTIONS: Support the Risk Management team on various tasks and provide coverage for team members as needed. EDUCATION/EXPERIENCE REQUIREMENTS: Bachelor's degree in Business, Insurance and Risk Management, or related field (equivalent experience may be considered). Minimum 7 years of experience in a claims-heavy organization, including at least 4 years of litigated claims experience, or experience as a claims supervisor at a TPA, insurance carrier, or broker. Experience within commercial real estate organizations or construction, general liability litigation, and property claims. Strong knowledge of claims handling processes, insurance regulations, and best practices. Experience managing claims systems (preferably Riskonnect). Proficiency in RIMIS software and related tools. Experience working with TPAs highly desirable. Relevant certifications such as AIC or CPCU are a plus. Advanced Excel skills and data management experience. WHAT CIM OFFERS: Competitive compensation package. Comprehensive medical, dental, and vision plans. Health Savings Account with employer contribution. Company-paid life and disability insurance. 401(k) savings plan with company match. Paid time off including vacation, holidays, sick time, and bereavement leave. Volunteer time off and Paid Parental Leave. Ongoing professional development programs. Wellness program with incentives. Actual base salary is determined by factors including geography, experience, and budget.

🏢 Summary: Senior Risk Management role focused on overseeing general liability and property claims while managing and optimizing the RMIS system. The position supports real estate operations through claims adjudication, TPA oversight, risk transfer, compliance, and cross-functional collaboration. It combines technical claims expertise with system management and reporting responsibilities. 🗂️ Requirements: Bachelor's degree in Business, Insurance and Risk Management or related field (or equivalent experience), Minimum 7 years of experience in claims-heavy environment, At least 4 years of litigated claims experience, Experience as claims supervisor at TPA, insurance carrier, or broker, Experience with commercial real estate or construction claims, Strong knowledge of claims handling processes and insurance regulations, Experience managing claims systems (preferably Riskonnect), Proficiency in RIMIS software, Experience working with TPAs, Advanced Excel skills 📃 Skills: Riskonnect, RIMIS, Excel, RMIS, Claims, Litigation, Insurance, Reporting 🏢 Description: POSITION PURPOSE: An integral member of the Risk Management team supporting the Operations team in managing real estate assets. This position is primarily focused on general liability claims and RMIS system management (60%) and provides general risk management support (40%), including generating COIs, working with lenders, obtaining quotes for new assets, processing invoices, and reviewing contract language. ESSENTIAL FUNCTIONS: Work closely with the IT department and external vendors to enhance and optimize the RMIS system, ensuring it meets company requirements and industry best practices. Manage relationships with TPAs, ensuring effective communication, adherence to service level agreements, and quality control. Oversee evaluation, investigation, and adjudication of complex claims, including commercial general liability and property claims. Provide guidance and support to adjusters and defense attorneys in claim resolution and settlement strategies. Assess risk transfer opportunities to third parties and draft tender documents when risk transfer is identified. Prepare and provide claim data for monthly and quarterly reports. Monitor TPA performance, establish performance metrics, conduct evaluations, and implement corrective measures. Provide ongoing training to improve effectiveness and efficiency. Ensure compliance with industry regulations, legal requirements, and company policies, including timely reporting, documentation, and adherence to claims handling protocols. Promote prompt and accurate FNOL, coverage analysis, claim investigations, timely litigation response, and effective communication. Collaborate with investments, development, legal, operations, and IT teams to optimize department performance and provide insights to the SVP of Risk Management. NON-ESSENTIAL FUNCTIONS: Support the Risk Management team on various tasks and provide coverage during team member absences. EDUCATION/EXPERIENCE REQUIREMENTS: Bachelor's degree in Business, Insurance and Risk Management, or related field (equivalent experience may be considered). Minimum 7 years of experience in a claims-heavy organization, including 4 years of litigated claims experience, or experience as a claims supervisor at a TPA, insurance carrier, or broker, with a focus on commercial real estate or construction, general liability litigation, and property. Strong knowledge of claims handling processes, insurance regulations, and best practices. Experience managing claims systems (preferably Riskonnect). Proficiency in RIMIS software and related tools. Experience working with TPAs is highly desirable. Relevant professional certifications (e.g., AIC, CPCU) are a plus. KNOWLEDGE, SKILLS AND ABILITIES: Proven experience with advanced Excel functions and data management. Ability to work independently and manage time effectively. Exceptional organizational skills and proactive mindset. WHAT CIM OFFERS: Competitive compensation package including eligibility for bonus pay. Comprehensive medical, dental, and vision plans. Health Savings Account with employer contribution. Company-paid life and disability insurance. 401(k) savings plan with company match. Paid time off including vacation, 10 designated holidays, sick time, and bereavement leave. Up to 16 hours of volunteer time off. Up to 16 weeks of Paid Parental Leave. Ongoing professional development programs. Wellness program with monthly and quarterly prizes. Actual base salary considers factors such as geography, job-related knowledge, experience, and budget. The anticipated base salary range for this position in New York, NY is $100,000 - $125,000.

🏢 Summary: Role focused on leading and supporting a team responsible for maintenance and optimization of WMS/TMS class systems. The position involves incident reduction, system functionality alignment with business needs, data analysis, and reporting. The offer includes active participation in improving system stability and developing technical knowledge base documentation. 🗂️ Requirements: Experience with WMS/TMS class systems, Very good knowledge of T-SQL, Ability to analyze business processes, Ability to communicate effectively with users and external vendors 📃 Skills: WMS, TMS, T-SQL, SQL, PowerShell, Python, Interlan, Mantis 🏢 Description: Opis stanowiska: Zarządzanie zespołem odpowiedzialnym za utrzymanie aplikacji klasy WMS/TMS Wsparcie zespołu podczas rozwiązywania bieżących problemów związanych z funkcjonowaniem aplikacji Zapewnienie zgodności funkcjonalności systemów z potrzebami biznesu Redukcja liczby incydentów przez eliminację powodów ich powstawania Tworzenie dokumentacji dla powtarzających się problemów i ich rozwiązań w formie bazy wiedzy Analiza danych, tworzenie raportów na potrzeby klienta oraz bezpośredniego przełożonego Wymagania: Doświadczenie w pracy z systemami klasy WMS/TMS Bardzo dobra znajomość T-SQL Skuteczne komunikowanie się z użytkownikami oraz z dostawcami zewnętrznymi Umiejętność analizy procesów biznesowych Mile widziane: Doświadczenie w zarządzaniu zespołem Znajomość procesów branży logistycznej TMS – Interlan WMS – Mantis PowerShell Python To oferujemy: Możliwość tworzenia oraz kreowania nowych pomysłów i rozwiązań w naszym dziale IT Stabilne zatrudnienie na podstawie umowy o pracę Dwuskładnikowe wynagrodzenie składające się z podstawy i atrakcyjnego systemu premiowego Pracę w renomowanej firmie będącej wiodącym operatorem logistycznym w Polsce Pakiet świadczeń socjalnych (karta Multisport, opieka medyczna, ubezpieczenie na życie, dofinansowanie do posiłków, zajęcia językowe) Szansę na podnoszenie kwalifikacji i rozwój zawodowy w strukturach organizacji Kompleksowy system szkoleń Udział w licznych wyjazdach integracyjnych oraz imprezach firmowych.

🏢 Summary: Leadership role responsible for maintaining and optimizing WMS/TMS applications, ensuring system stability and alignment with business needs. The position focuses on incident reduction, data analysis, reporting, and supporting users in daily system operations. It combines technical expertise in SQL-based environments with process analysis in logistics systems. 🗂️ Requirements: Experience with WMS/TMS systems, Very good knowledge of T-SQL, Ability to analyze business processes, Experience in application maintenance and incident management, Ability to create technical documentation and knowledge base, Data analysis and reporting skills 📃 Skills: WMS, TMS, T-SQL, SQL, PowerShell, Python, Interlan, Mantis 🏢 Description: Opis stanowiska: Zarządzanie zespołem odpowiedzialnym za utrzymanie aplikacji klasy WMS/TMS Wsparcie zespołu podczas rozwiązywania bieżących problemów związanych z funkcjonowaniem aplikacji Zapewnienie zgodności funkcjonalności systemów z potrzebami biznesu Redukcja liczby incydentów przez eliminację powodów ich powstawania Tworzenie dokumentacji dla powtarzających się problemów i ich rozwiązań w formie bazy wiedzy Analiza danych, tworzenie raportów na potrzeby klienta oraz bezpośredniego przełożonego Wymagania: Doświadczenie w pracy z systemami klasy WMS/TMS Bardzo dobra znajomość T-SQL Skuteczne komunikowanie się z użytkownikami oraz z dostawcami zewnętrznymi Umiejętność analizy procesów biznesowych Mile widziane: Doświadczenie w zarządzaniu zespołem Znajomość procesów branży logistycznej TMS – Interlan WMS – Mantis PowerShell Python To oferujemy: Możliwość tworzenia oraz kreowania nowych pomysłów i rozwiązań w naszym dziale IT Stabilne zatrudnienie na podstawie umowy o pracę Dwuskładnikowe wynagrodzenie składające się z podstawy i atrakcyjnego systemu premiowego Pracę w renomowanej firmie będącej wiodącym operatorem logistycznym w Polsce Pakiet świadczeń socjalnych (karta Multisport, opieka medyczna, ubezpieczenie na życie, dofinansowanie do posiłków, zajęcia językowe) Szansę na podnoszenie kwalifikacji i rozwój zawodowy w strukturach organizacji Kompleksowy system szkoleń Udział w licznych wyjazdach integracyjnych oraz imprezach firmowych.

🏢 Summary: The offer is for a technical team leader responsible for maintaining and improving WMS/TMS class applications, ensuring system stability and alignment with business needs. The role includes incident reduction, data analysis, reporting, and building a knowledge base for recurring issues. It combines hands-on technical work with coordination of support activities. 🗂️ Requirements: Experience with WMS/TMS class systems, Very good knowledge of T-SQL, Ability to analyze business processes, Experience in application maintenance and incident handling, Ability to create technical documentation and reports, Effective communication with users and external vendors 📃 Skills: WMS, TMS, T-SQL, SQL, PowerShell, Python, Interlan, Mantis 🏢 Description: Opis stanowiska: Zarządzanie zespołem odpowiedzialnym za utrzymanie aplikacji klasy WMS/TMS Wsparcie zespołu podczas rozwiązywania bieżących problemów związanych z funkcjonowaniem aplikacji Zapewnienie zgodności funkcjonalności systemów z potrzebami biznesu Redukcja liczby incydentów przez eliminację powodów ich powstawania Tworzenie dokumentacji dla powtarzających się problemów i ich rozwiązań w formie bazy wiedzy Analiza danych, tworzenie raportów na potrzeby klienta oraz bezpośredniego przełożonego Wymagania: Doświadczenie w pracy z systemami klasy WMS/TMS Bardzo dobra znajomość T-SQL Skuteczne komunikowanie się z użytkownikami oraz z dostawcami zewnętrznymi Umiejętność analizy procesów biznesowych Mile widziane: Doświadczenie w zarządzaniu zespołem Znajomość procesów branży logistycznej TMS – Interlan WMS – Mantis PowerShell Python To oferujemy: Możliwość tworzenia oraz kreowania nowych pomysłów i rozwiązań w naszym dziale IT Stabilne zatrudnienie na podstawie umowy o pracę Dwuskładnikowe wynagrodzenie składające się z podstawy i atrakcyjnego systemu premiowego Pracę w renomowanej firmie będącej wiodącym operatorem logistycznym w Polsce Pakiet świadczeń socjalnych (karta Multisport, opieka medyczna, ubezpieczenie na życie, dofinansowanie do posiłków, zajęcia językowe) Szansę na podnoszenie kwalifikacji i rozwój zawodowy w strukturach organizacji Kompleksowy system szkoleń Udział w licznych wyjazdach integracyjnych oraz imprezach firmowych.

🏢 Summary: Senior Test Manager role responsible for defining and leading end-to-end testing strategies for large-scale logistics and TMS integration programs. The position focuses on integration, migration, regression, and UAT testing across multiple TMS, ERP, EDI, and middleware platforms. It involves managing cross-functional teams, ensuring quality governance, and validating complex logistics workflows and system integrations. 🗂️ Requirements: Bachelor’s or Master’s degree in Computer Science, Information Systems, Engineering or related field, Fluent English (written and spoken), 15+ years of software testing and QA management experience, 10+ years of experience in logistics or supply chain domain, Proven experience as Test Manager in Road Logistics / TMS implementation and integration projects, Deep knowledge of TMS platforms, Strong experience in system integration testing (TMS–ERP, TMS–Customer, EDI, API), Experience with customer migration and data validation, Experience with middleware and integration layers, Experience with test management and API testing tools, Experience with test automation frameworks, Experience in Agile and Waterfall methodologies 📃 Skills: SAP, Oracle, Kinaxis, BlueYonder, Manhattan, TMS, ERP, EDI, API, MuleSoft, Boomi, SAPPI, SAPPO, Jira, Xray, ALM, TestRail, Postman, ReadyAPI, SQL, RobotFramework, Agile, Waterfall 🏢 Description: Your responsibilities: Test Strategy & Planning Define and implement end-to-end test strategies for large-scale logistics integration programs, covering functional integration, migration, regression, and UAT testing. Collaborate with program and solution architects to understand business processes, system interfaces, and integration flows across multiple TMS platforms. Establish clear entry/exit criteria, quality gates, and risk mitigation plans. Develop a comprehensive test plan aligned with delivery milestones and business readiness. Test Management & Execution Lead and manage cross-functional test teams (internal, vendor, offshore) across multiple projects and geographies. Lead test preparation, execution, and defect management through agile and hybrid delivery models. Ensure full coverage for all integration points (TMS–ERP, TMS–Customer systems, EDI, API, middleware, etc.). Manage data migration validation and reconciliation between legacy and target systems. Domain-Focused Testing Oversee validation of integrations between multiple TMS platforms (e.g., SAP TM, Oracle TMS, Home grown TMS). Lead testing for customer migrations involving data mapping, transformation, and E2E process validation. Ensure compliance with logistics standards, SLAs, and regulatory requirements during testing phases. Validate core functionalities of Transport Management Systems (TMS) such as planning, dispatching, order management, carrier assignment, and invoicing. Perform end-to-end functional, regression, and integration testing of logistics workflows. Test and troubleshoot EDI transactions (e.g., 204, 214, 210, 990) to ensure data accuracy and successful exchange with partners Stakeholder Management Act as the primary quality gatekeeper and liaison between IT, business users, and external partners Support user acceptance testing (UAT) by defining scripts, coordinating execution, and validating sign-off Collaborate with program managers and solution architects to ensure smooth releases and post-implementation stability Quality Governance & Reporting Define and implement quality metrics, dashboards, and progress reports for stakeholders Chair defect triage meetings and drive timely resolution of defects and blockers Enforce quality standards and best practice across testing phases Continuous Improvement Drive process improvements in test automation, data management, and integration validation Leverage industry best practices to optimize testing frameworks for logistics and TMS systems Our requirements: Bachelor’s or Master’s degree in Computer Science, Information Systems, Engineering, or related field Fluency in written and spoken English 15+ years of experience in software testing and QA management, with at least 10+ years in logistics or supply chain domain Proven track record as a Test Manager in Road Logistics / TMS implementation and integration projects Deep understanding of TMS platforms (e.g., Kinaxis, Blue Yonder, SAP TM, Oracle TM, Manhattan, or similar) Strong experience in integration testing between systems (e.g., TMS ↔ ERP, TMS ↔ Customer portals, EDI/API layers) Solid knowledge of customer migration and data validation frameworks Experience working with middleware/integration layers (MuleSoft, Boomi, SAP PI/PO, etc.) Familiarity with testing tools (e.g., Jira, Xray, ALM, TestRail, Postman, ReadyAPI, SQL, TestRail) Experience with test automation tools (preferred: Robot Framework) Strong analytical, problem-solving, and stakeholder management skills Experience in both Agile and Waterfall QA methodologies and delivery models Ability to easily communicate and switch between levels of abstraction depending on the target group and/or product stage Ability to proactively establish and maintain effective working relationships with both internal and cross-functional teams Ability to be a strong team player, as well as the ability to effectively influence technical teams Ability to act accordingly under strong pressure, along with the ability to effectively manage crisis situations Ability to evaluate information, identify key issues, and formulate conclusions based on sound, practical judgment, experience, and common sense Ability to deliver to and successfully manage stakeholder expectations while working in a fast-paced environment with tight deadlines, budgets, and resources Commitment to quality and continuous improvement What we offer Employment based on an employment contract, along with a comprehensive benefits package Training and development programs, as well as access to an e-learning platform Onboarding program with the support of a dedicated Buddy Participation in an annual, company-wide integration event A work environment based on Scandinavian organizational culture Opportunities for growth through our internal program Benefits Sharing the costs of sports activities Private medical care Sharing the costs of foreign language classes Sharing the costs of professional training & courses Life insurance Integration events Corporate gym Corporate sports team Coffee / tea Parking space for employees Extra social benefits Holiday funds Christmas gifts Employee referral program Charity initiatives Bicycle parking Modern and ergonomic office Yoga in the office GIT/RIT/ITM/112395/625

🏢 Summary: Temporary remote medical claims processor role supporting the World Trade Center Health Program through November, with potential follow-on work. The position focuses on reviewing, adjudicating, and processing complex medical claims while ensuring compliance with healthcare regulations and program policies. Candidates must have extensive medical claims processing experience, coding knowledge, and the ability to manage high claim volumes accurately. 🗂️ Requirements: High school diploma or equivalent, 5+ years of medical claims processing experience, Experience with professional, facility, complex, and high-dollar claims, Knowledge of ICD-10 coding, Knowledge of CPT coding, Knowledge of HCPCS coding, Understanding of medical terminology and insurance procedures, Ability to interpret insurance policies and government regulations, Proficiency with Microsoft Office Suite, Experience with claim denial resolution and appeals, Ability to manage high claim volumes, Strong attention to detail and accuracy, Ability to work independently and in a team, Availability to work Monday–Friday, 8 AM–5 PM EST 📃 Skills: ICD-10, CPT, HCPCS, HIPAA, Excel, Word, Outlook 🏢 Description: This role is Temp thru November with a chance for follow-on work. Become an integral part of a dedicated team supporting the World Trade Center Health Program. In this role, you will leverage your strong attention to detail and commitment to accuracy in processing complex medical claims. Work Schedule Remote Monday through Friday, 8:30 AM to 5:00 PM EST Must be able to work 8am - 5pm Eastern Standard Time Responsibilities Claims Review and Processing - Analyze and process a variety of complex medical claims in accordance with program policies and procedures, ensuring accuracy and compliance. Critical Analysis - Adjudicate claims according to program guidelines, applying critical thinking skills to navigate complex scenarios. Timely Processing - Ensure prompt claims processing to meet client standards and regulatory requirements. - Identify and resolve any barriers using effective problem-solving strategies. Issue Resolution - Collaborate with internal departments to proactively resolve discrepancies and issues. - Use analytical skills to identify root causes and implement solutions. Confidentiality Maintenance - Uphold confidentiality of patient records and company information in accordance with HIPAA regulations. Detailed Record Keeping - Maintain thorough and accurate records of claims processed, denied, or requiring further investigation. Trend Monitoring - Analyze and report trends in claim issues or irregularities to management. - Assist Team Leads with reporting to contribute to continuous process improvements. Audit Participation - Engage in audits and compliance reviews to ensure adherence to internal and external regulations. - Critically evaluate and recommend process improvements when necessary. Mentoring - Mentor and train new claims processors as needed. Requirements - High school diploma or equivalent. - Minimum of five years of experience in medical claims processing, including professional and facility claims, as well as complex and high-dollar claims. - Billing experience doesn't count towards years of experience qualification. - Familiarity with ICD-10, CPT, and HCPCS coding systems. - Understanding of medical terminology, healthcare services, and insurance procedures. - Strong attention to detail and accuracy. - Ability to interpret and apply insurance program policies and government regulations effectively. - Excellent written and verbal communication skills. - Proficiency in Microsoft Office Suite (Word, Excel, Outlook). - Ability to work independently and collaboratively within a team environment. - Commitment to ongoing education and staying current with industry standards and technology advancements. - Experience with claim denial resolution and the appeals process. - Ability to manage a high volume of claims efficiently. - Strong problem-solving capabilities and a customer service-oriented mindset. - Flexibility to adjust to the evolving needs of the client and program changes. Benefits: $20-$23/hr - 401(k) with employer matching - Health insurance - Dental insurance - Vision insurance - Life insurance - Flexible Paid Time Off (PTO) - Paid Holidays

🏢 Summary: The role combines Senior Java Development (70%) with system analysis (30%) for a complex Terminal Management System managing 300k+ payment terminals. It involves designing, upgrading and integrating distributed system components, working with legacy code, and supporting migration to Spring Boot-based architecture. The project includes system integration, reverse engineering, automated testing and vulnerability remediation in a large-scale enterprise environment. 🗂️ Requirements: Very good knowledge of Java 8+ (17–21), Strong object-oriented programming knowledge, Experience in independent design, implementation, documentation and testing of application components, Very good practical knowledge of Spring and Spring Boot, Very good practical knowledge of Hibernate/JPA and JEE, Strong SQL knowledge, Knowledge of relational databases, especially Oracle, Experience with message queue systems (RabbitMQ), Practical knowledge of RESTful API design, Experience with distributed systems, Experience with system integration, Experience with application servers (JBoss/WildFly), Knowledge of Maven, Git, GitLab, GitLab CI/CD, Jenkins, Nexus, Jira, Knowledge of Scrum methodology, Knowledge of scanning tools (Fortify, Sonatype), Ability to work from Warsaw office 4 days per week 📃 Skills: Java, Spring, SpringBoot, Hibernate, JPA, JEE, SQL, Oracle, RabbitMQ, REST, Maven, Git, GitLab, Jenkins, Nexus, Jira, JBoss, WildFly, Hazelcast, SOAP, RMI, GWT, GWTExt, Fortify, Sonatype, Scrum 🏢 Description: Analyst (70%) Senior Java Developer (30%) Terminal Management System •         Design and implementation of IT solutions based on the presented analytical and technical documentation; •         Reviewing analytical documentation; •         Creating technical documentation; • Technical upgrade for existing system; • Working with legacy code • Reverse engineering based on: o existing source code o existing functional and technical documentation o collected and documented business processes, o user interface to the system and accessing databases • Defining and building test cases for automatic tests Job Requirements • Ability to work from the office in Warsaw (weekly: 4 days at office + 1 day remotely); • Very good knowledge of Java 8+ (17 - 21) and object-oriented programming issues; • Experience in independent design, implementation, documentation and testing of application components; • Very good and p ractical knowledge of Spring, Spring Boot, SQL, Scrum, Hibernate/JPA and JEE frameworks; • Practical knowledge with message queue systems, particularly RabbitMQ; • Practical knowledge of tools supporting the software development process: Maven, Git, Gitlab, Gitlab CI/CD, Jenkins, Nexus, Jira; • Knowledge of relational databases, in particular Oracle; • Practical knowledge of RESTful API design; • Experience in system integration; • Experience with distributed systems; • Experience with application servers, JBoss/WildFly; ·  Knowledge of scanning tools (Fortify, Sonatype..) • Knowledge of English / B2; Nice to have : ·         Angular ·         Linux server ·         Docker Description of the area of involvement TMS (Terminal Management System) is used to manage a very large number of payment terminals (300k+), it gives users a uniform way to manage different terminals from different hardware vendors. TMS has a complex architecture, consisting of two components TMS (1 WildFly instance) providing GUI and implementing some business functions and RTMS (3 Spring-boot instances) implementing most of the business functionalities. A gradual migration from TMS to RTMS is being carried out. The system intensively uses Spring, Hibernate and RabbitMQ. The system has distributed transactions (different two-phase-commit, saga approaches) and distributed cache (Hazelcast). TMS is integrated with many internal and external systems (via REST, SOAP, RMI, direct database connections and database links). The GUI is written in GWT and GWTExt. TMS is subjected to regular application scans and vulnerabilities removal 1 year project with possibility for hiring after this time.

🏢 Summary: Role combining business analysis and senior Java development for a large-scale Terminal Management System, focused on designing, upgrading, integrating, and maintaining distributed enterprise applications. The project involves legacy system modernization, reverse engineering, automated testing, and work with complex integrations and distributed transactions. Hybrid work model in Warsaw with a 1-year contract and potential long-term hiring. 🗂️ Requirements: Work from Warsaw office 4 days per week, Java 8+, Object-oriented programming, Spring, Spring Boot, SQL, Scrum, Hibernate, JPA, JEE, RabbitMQ, Maven, Git, GitLab, CI/CD, Jenkins, Nexus, Jira, Oracle, REST, System integration, Distributed systems, JBoss, WildFly, Fortify, Sonatype, English B2, Experience in design and implementation of application components, Experience with documentation and testing 📃 Skills: Java, Spring, SpringBoot, SQL, Scrum, Hibernate, JPA, JEE, RabbitMQ, Maven, Git, GitLab, Jenkins, Nexus, Jira, Oracle, REST, JBoss, WildFly, Fortify, Sonatype, Hazelcast, SOAP, RMI, GWT, GWTExt, Angular, Linux, Docker 🏢 Description: Analyst (70%) Senior Java Developer (30%) Terminal Management System •         Design and implementation of IT solutions based on the presented analytical and technical documentation; •         Reviewing analytical documentation; •         Creating technical documentation; • Technical upgrade for existing system; • Working with legacy code • Reverse engineering based on: o existing source code o existing functional and technical documentation o collected and documented business processes, o user interface to the system and accessing databases • Defining and building test cases for automatic tests Job Requirements • Ability to work from the office in Warsaw (weekly: 4 days at office + 1 day remotely); • Very good knowledge of Java 8+ (17 - 21) and object-oriented programming issues; • Experience in independent design, implementation, documentation and testing of application components; • Very good and p ractical knowledge of Spring, Spring Boot, SQL, Scrum, Hibernate/JPA and JEE frameworks; • Practical knowledge with message queue systems, particularly RabbitMQ; • Practical knowledge of tools supporting the software development process: Maven, Git, Gitlab, Gitlab CI/CD, Jenkins, Nexus, Jira; • Knowledge of relational databases, in particular Oracle; • Practical knowledge of RESTful API design; • Experience in system integration; • Experience with distributed systems; • Experience with application servers, JBoss/WildFly; ·  Knowledge of scanning tools (Fortify, Sonatype..) • Knowledge of English / B2; Nice to have : ·         Angular ·         Linux server ·         Docker Description of the area of involvement TMS (Terminal Management System) is used to manage a very large number of payment terminals (300k+), it gives users a uniform way to manage different terminals from different hardware vendors. TMS has a complex architecture, consisting of two components TMS (1 WildFly instance) providing GUI and implementing some business functions and RTMS (3 Spring-boot instances) implementing most of the business functionalities. A gradual migration from TMS to RTMS is being carried out. The system intensively uses Spring, Hibernate and RabbitMQ. The system has distributed transactions (different two-phase-commit, saga approaches) and distributed cache (Hazelcast). TMS is integrated with many internal and external systems (via REST, SOAP, RMI, direct database connections and database links). The GUI is written in GWT and GWTExt. TMS is subjected to regular application scans and vulnerabilities removal 1 year project with possibility for hiring after this time.