Remote Medical Claims Processor I (Temporary role)

🏢 Summary: Full-time remote Registered Nurse position focused on conducting pre- and post-payment medical reviews to ensure compliance with clinical guidelines and reimbursement policies. The role involves assessing medical necessity, reviewing complex claims and appeals, and documenting determinations in accordance with regulatory standards. This position requires strong clinical expertise and experience in utilization or medical review environments. 🗂️ Requirements: Active unrestricted RN license (U.S. state of hire) or compact multistate RN license, Associate Degree in Nursing or graduation from accredited School of Nursing, Minimum 2 years of clinical experience, Minimum 2 years of experience in Home Health, Utilization/Medical Review, or Quality Assurance, Ability to interpret and apply medical review criteria and clinical guidelines, Proficiency in Microsoft Office and word processing software, Strong analytical and decision-making skills, Ability to work independently and manage priorities, Ability to handle confidential information 📃 Skills: Nursing, MedicalReview, UtilizationReview, QualityAssurance, ManagedCare, HomeHealth, Rehabilitation, MedicalSurgical, MicrosoftOffice, Documentation, ClaimsReview, Preauthorization, AppealsReview 🏢 Description: Job Type: Full-time (40 hours/week) Schedule: Monday–Friday, 8:00 AM – 5:00 PM Max Salary: W-2 ($60,000–$63,000) Location: Remote (U.S. – Work from home) Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office. Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed. About the Role We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriiateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements. Key Responsibilities - Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals. - Assess payment determinations using clinical information and established guidelines. - Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement. - Provide clear, well-documented rationales for service approvals or denials. - Educate internal and external teams on medical review processes, coverage determinations, and coding requirements. - Support quality control activities to meet corporate and team objectives. - Provide guidance to LPN team members and support non-clinical staff through training and discussions. - Assist with special projects and additional responsibilities as assigned. Minimum Qualifications Licensure: - Active, unrestricted RN license in the U.S. and in the state of hire OR - Active compact multistate RN license (as defined by the Nurse Licensure Compact). Education: - Associate Degree in Nursing OR - Graduate of an accredited School of Nursing. Experience: - Two years of clinical experience plus at least two years in one of the following: - Home Health - Utilization/Medical Review - Quality Assurance Skills & Competencies: - Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings. - Ability to interpret and apply medical review criteria and clinical guidelines. - Proficiency in Microsoft Office and word processing software. - Strong analytical, organizational, and decision-making skills. - Ability to work independently while managing priorities effectively. - Excellent customer service, communication, and critical thinking skills. - Ability to handle confidential information with discretion. Preferred Qualifications - Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred). - Proficiency in using multiple screens and software programs simultaneously.

🏢 Summary: Remote customer-facing role focused on driving value and outcomes for healthcare organizations using AI imaging solutions. Acts as a trusted advisor to physicians and medical centers, bridging customers with product, data, and engineering teams to enhance adoption and impact. Involves data analysis, stakeholder management, and cross-functional collaboration to demonstrate measurable clinical and operational value. 🗂️ Requirements: BSc in science, engineering, or quantitative field, 4+ years in Customer Success, customer-facing analytics, Project Management, or similar roles, Experience working in SaaS high-tech or startup environment, Stakeholder management and executive-level relationship building, Strong analytical and data-driven decision-making skills, Ability to understand technical concepts and collaborate with technical teams, Excellent verbal and written communication skills in English, Ability to work in PST time zones, Ability to travel up to 25% 📃 Skills: SaaS, Analytics, AI, MedicalImaging, Radiology, ProjectManagement, StakeholderManagement, DataAnalysis, Research, English 🏢 Description: About this role This position focuses on championing customer-centric solutions and outcomes. You will work closely with engineering, operations, sales, and support teams to understand customers, enhance the value they get from the solutions, and demonstrate organizational impact. You will develop a strong understanding of customers' business objectives and articulate how AI enterprise solutions support their strategic goals. This is a remote role to be filled in the Western US. Responsibilities Serve as the customer's advocate and trusted advisor: - Proactively manage and grow customer relationships, identifying key stakeholders. - Lead discussions with top physicians in leading medical centers. - Understand customer pain points and workflows and enhance the value of AI in their departments. - Define next steps and collaborate with R&D teams to drive execution. Serve as the liaison between customers and internal teams: - Ensure smooth onboarding of new customers with the technical team. - Drive product enhancements and collaborate cross-functionally with Product, Data, and AI teams, representing the customer perspective. - Maintain a deep understanding of the solutions, expected performance, and user interface. Drive value demonstration: - Perform data analysis and present insights to customers. - Initiate and support research initiatives. Requirements - BSc in science, engineering, or any quantitative field (MSc preferred). - 4+ years of experience in Customer Success, customer-facing analytics, Project Management, or similar roles. - Experience in a SaaS high-tech or startup environment is an advantage. - Experience with data analytics is an advantage. - Experience working with medical imaging and radiologists is an advantage. - Research experience is an advantage. - Experience in stakeholder management and executive-level relationship building. - Ability to multitask, problem-solve, and work cross-functionally in a dynamic environment. - Strong analytical thinking and data-driven decision-making. - Ability to understand technical concepts and collaborate with technical teams. - Excellent verbal and written communication skills in English. - Ability to work in PST time zones. - Ability to travel up to 25%. What We Offer - Medical, dental, and vision benefits. - Stock options for full-time employees. - Flexible time off without accrual limits, coordinated with manager and team. - 401(k) plan with company match, life insurance, and long- and short-term disability coverage. - Opportunity to directly improve medical care and patient outcomes.

🏢 Summary: Human Resources Generalist role focused on benefits administration, multi-state leave management, HR compliance, and HRIS support in an on-site corporate environment. The position includes managing employee benefit programs, ADA accommodations, workers’ compensation, payroll support, and HR process improvements. Offers flexible scheduling, comprehensive benefits, paid time off, and professional development opportunities. 🗂️ Requirements: Bachelor's degree in Human Resources, Business Administration, Psychology, Organizational Development, or related field, 3–5+ years of progressive Human Resources experience, 2+ years of employee benefits and multi-state leave administration experience, Experience with Washington and California leave laws, Experience with HRIS systems, Fluent English communication skills, Proficiency in Microsoft Office applications, Ability to work on-site during office hours 📃 Skills: Workday, HRIS, Excel, Word, Outlook, FMLA, ADA, Payroll, Benefits, Compliance 🏢 Description: Position Overview Flexible Schedule: This position is Monday through Friday, with flexible start times between 6-9am and end times between 3-6pm. Corporate office hours are Monday through Friday, 7am to 4pm. Flexibility to work additional hours may be required to meet company/project needs. On-Site Requirement: This position requires physical presence at the corporate office during office hours. Compensation Package $82,000 to $90,000 / year What We Offer - Competitive starting wages - A company-wide commitment to diversity and inclusion - A positive work environment where employee contributions are valued - A fun culture with team building activities and events - Competitive medical, dental, and vision benefits. Employer pays 85% of employee premiums - 401k contribution opportunity with an annual company match - Paid sick leave accrual equivalent to 1.33 hours for every 30 hours worked (~11 days per year) - Paid vacation starting at three weeks and increasing with tenure - 13 paid holidays, including 2 personal holidays of your choice - Comprehensive training programs and development opportunities What We're Looking For - Bachelor's degree in Human Resources, Business Administration, Psychology, Organizational Development, or a related field required - 3–5+ years of progressive Human Resources experience - 2+ years of experience administering employee benefits and multi-state leave programs required, including experience with Washington and California leave laws - Experience with HRIS systems required; Workday experience highly preferred - Experience supporting a workforce of 200+ employees preferred - SHRM-CP, PHR, or similar HR certification preferred - Demonstrates exceptional attention to detail and organizational abilities - Proficient in effective communication and teamwork - Maintains a positive outlook and embraces a collaborative team approach - Shows responsibility and takes pride in their work - Fluent in English, with strong reading, speaking, and writing skills - Proficient in Microsoft Office applications, including Excel, Word, and Outlook Your Role - Administer health, dental, vision, life, and supplemental insurance plans, including annual open enrollment, qualifying life events, and carrier reconciliation - Manage 401(k) plan operations, including enrollments, contribution changes, compliance testing, and vendor relationship management - Administer FMLA and state paid leave programs across WA, CA, OR, AZ, NY, and UT from initial designation through return to work - Track leave dates, notices, and documentation - Ensure compliance with applicable state and federal laws - Coordinate communication with managers, employees, and payroll throughout the leave lifecycle - Manage multi-state workers' compensation programs - Review and approve benefits changes in Workday, ensuring accuracy of enrollments and deductions - Manage ADA accommodation requests, including the interactive process, documentation, and coordination with managers - Conduct job description audits and updates, partnering with managers to ensure accuracy and alignment with compensation bands - Provide support for the annual performance review cycle, including coordination of timelines, templates, and communications - Serve as a resource for managers on compensation-related questions and HR policy - Maintain accurate and up-to-date employee records in Workday - Identify inefficiencies in HR processes and recommend and implement improvements - Support HR reporting, audits, and compliance with federal and multi-state employment laws - Provide on-site payroll support - Serve as a resource for managers and employees on HR policies and procedures - Assist with all HR projects and initiatives The responsibilities above are not all-inclusive. Our Mission & Culture At American Capital Group, the mission is to be an innovator and leader in multifamily housing solutions. The organization prioritizes respect, collaboration, integrity, and transparency to create a work environment where every voice is heard and valued. Candidate Screening & Interview Process Candidates should be prepared to complete an online assessment test and participate in virtual and/or on-site interviews. Background Checks and Screenings Candidates should be prepared to undergo a background check and complete a 4-panel drug screening. Background checks may include professional reference checks, credit checks, criminal history reviews, social media screenings, and education, certification, and employment verifications. Equal Opportunity Employer The company is committed to fostering an inclusive workplace and encourages applicants from diverse backgrounds to apply.

🏢 Summary: Client-facing staffing and sales role focused on developing local business relationships, generating new clients, and matching candidates to open positions while managing ongoing support and payroll for placements. The position combines outbound sales activity, recruitment, and account management in an in-office environment with performance-based bonuses. Ideal for candidates with proven quota-driven sales experience and strong problem-solving abilities. 🗂️ Requirements: Minimum 2 years in a client-facing role, Minimum 2 years meeting monthly quotas or sales goals, Experience resolving customer and employee issues effectively, Ability to conduct outbound sales calls and client meetings, Ability to interview and evaluate candidates 📃 Skills: Sales, Recruiting, Staffing, CRM, Payroll, OutboundCalling, ClientManagement, Interviewing 🏢 Description: About the Role In this role, you'll make daily sales calls to local businesses, visit clients onsite, collaborate with hiring managers to strategize staffing solutions, conduct candidate interviews, and provide mentorship and guidance to jobseekers. Unlike technical recruiting roles, you'll spend a large portion of your day talking on the phone and emailing clients and candidates. You will: - Identify quality candidates to fill open positions. - Make outbound calls to set meetings with prospective clients. - Provide coaching, mentoring, and payroll management for placed candidates. - Build and maintain relationships with potential and current clients. - Strategize and create service delivery plans. You have: - At least two years in a client-facing role. - At least two years of experience in a position that required meeting monthly quotas or sales goals. - Proven ability to resolve customer and employee issues creatively and effectively. Pay: $26.00 - $33.00 + monthly bonus opportunity Benefits - Medical, Dental, Vision - Life and Long-Term Disability Insurance - Employee Wellness Program - Pet Insurance - Commuter Benefits - Consumer Discount Program Membership - 401(K) Retirement Plan with Employer Match - 8 Paid Holidays - 15 days of Paid Time Off (PTO) the first year - 3 days of Paid Community Service Time (CTO) - 3 weeks of Paid Parental Leave, plus PTO match of up to 3 weeks

🏢 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: Senior Architect role focused on leading large-scale multifamily residential projects, producing high-quality construction documentation in Revit/BIM, and ensuring zoning and code compliance. The position involves managing project lifecycles, coordinating consultants, and overseeing design standards while working on-site with a flexible schedule. Offers competitive compensation, comprehensive benefits, and professional development opportunities. 🗂️ Requirements: 10+ years of professional experience in architectural design, 5+ years of experience designing large-scale multifamily projects, Bachelor’s or Master’s degree in Architecture or related field, Licensed Architect in one U.S. state, 5+ years of professional experience using Revit, Strong knowledge of building codes and zoning regulations for multifamily design, Ability to lead project design with minimal oversight, Fluency in English, Proficiency in Microsoft Office 📃 Skills: Revit, AutoCAD, Enscape, BIM, Excel, Word, Outlook 🏢 Description: Position Overview Flexible Schedule: Monday through Friday with start times between 6–9am and end times between 3–6pm (full 8-hour day required). Corporate office hours are 7am to 4pm. Flexibility to work additional hours may be required to meet project needs. On-Site Requirement: Physical presence at the corporate office during office hours is required. Compensation: $110,000 - $130,000 per year. Offers are based on experience and geographical location. What We Offer - Competitive starting wages. - Commitment to diversity and inclusion. - Positive and collaborative work environment. - Team building activities and events. - Medical, dental, and vision benefits (employer pays 85% of employee premium). - 401k with annual company match. - Paid sick leave (~11 days per year). - Paid vacation starting at three weeks, increasing with tenure. - 13 paid holidays, including 2 personal holidays. - Comprehensive training and development programs. What We're Looking For - Minimum 10+ years of professional experience in architectural design. - Minimum 5 years of experience designing large-scale multifamily projects. - Bachelor’s or Master’s degree in Architecture or related field. - Licensed architect in one of the 50 states (financial support provided for Washington reciprocity). - Minimum 5 years of professional experience in Revit. - Strong proficiency in architectural software such as AutoCAD, Revit, Enscape, or similar tools. - In-depth knowledge of building codes, zoning regulations, and industry standards related to multifamily design. - Understanding of sustainable design principles. - Ability to lead project design with minimal oversight. - Exceptional attention to detail and organizational skills. - Strong communication and teamwork skills. - Fluent in English (reading, speaking, writing). - Proficient in Microsoft Office applications including Excel, Word, and Outlook. Your Role Operational Tasks: - Address zoning code issues and ensure compliance. - Contribute creative design ideas and details. - Prepare and present design concepts. - Produce high-quality construction documents using Revit/BIM. - Manage project drawings and ensure timely completion. - Analyze and summarize zoning codes. - Coordinate site plans and review grading and drainage compliance. - Participate in meetings, hearings, and oversee project lifecycles. Administrative Support: - Lead assigned projects in alignment with company standards. - Assist with site observations and document contract conformance. - Review consultant scopes of work and proposals. - Provide weekly progress reports and address issues promptly. Communication & Coordination: - Coordinate with external consultants and serve as primary contact. Quality Assurance: - Monitor consultant work, ensure ADA compliance, and review drawing accuracy. - Assist in establishing design standards and best practices. Other Responsibilities: - Foster teamwork and represent the company professionally. - Manage schedules and mentor junior team members. Candidate Screening & Interview Process Qualified applicants may be required to complete an online assessment and participate in virtual and/or on-site interviews. Background Checks and Screenings Candidates should be prepared to undergo a background check and complete a 4-panel drug screening. Background checks may include professional references, credit checks, criminal history reviews, social media screenings, and verification of education, certification, and employment.

🏢 Summary: Architect II role focused on leading and supporting large-scale multifamily residential projects, producing construction documentation in Revit/BIM, and ensuring compliance with zoning, ADA, and building codes. The position requires on-site collaboration, coordination with consultants, and oversight of design quality and documentation. Offers competitive compensation, comprehensive benefits, and flexible scheduling within a corporate office setting. 🗂️ Requirements: 7+ years of professional experience in architectural design, 3+ years of experience in large-scale multifamily project design, Bachelor's or Master's degree in Architecture or related field (or equivalent experience), Licensed Architect in a U.S. state, 4+ years of professional experience using Revit, Strong knowledge of building codes and zoning regulations, Ability to produce construction documents using BIM, Proficiency in Microsoft Office (Excel, Word, Outlook), Fluent English (reading, writing, speaking) 📃 Skills: Revit, BIM, AutoCAD, ADA, Zoning, BuildingCodes, MicrosoftOffice, Excel, Word, Outlook 🏢 Description: Position Overview Flexible Schedule: Monday through Friday with start times between 6–9am and end times between 3–6pm (full 8-hour day required). Flexibility to work additional hours as needed. On-Site Requirement: Physical presence required at the corporate office during office hours. Compensation: $86,350 - $110,000 per year. What We Offer - Competitive starting wages. - Commitment to diversity and inclusion. - Positive and collaborative work environment. - Team building activities and events. - Medical, dental, and vision benefits (employer pays 85% of employee premium). - 401k with annual company match. - Paid sick leave (~11 days per year). - Paid vacation starting at three weeks, increasing with tenure. - 13 paid holidays including 2 personal holidays. - Comprehensive training and development programs. What We're Looking For - Minimum 7+ years of professional experience in architectural design. - Minimum 3+ years of experience in large-scale multifamily project design. - Bachelor's or Master's degree in architecture or related field (equivalent experience considered). - Licensed architect in one of the 50 states. - Minimum 4+ years of professional experience using Revit. - Strong understanding of building code, zoning regulations, and multifamily standards. - Ability to lead design efforts with oversight. - Strong attention to detail and organizational skills. - Effective communication and teamwork skills. - Fluent in English (reading, writing, speaking). - Proficient in Microsoft Office (Excel, Word, Outlook). Your Role Operational Tasks: - Address zoning code issues and clarify ambiguous areas. - Contribute creative design ideas and details. - Assist in presentations to design team and directors. - Produce high-quality construction documents using Revit/BIM. - Manage access to architectural drawings and files. - Ensure timely completion of construction drawings. - Analyze zoning codes and provide summary reports. - Coordinate site plans with senior architects. - Review grading and drainage plans for compliance. - Participate in weekly RFI and coordination meetings. - Attend public meetings and hearings as needed. Administrative Support: - Support architectural tasks for multiple projects. - Assist with site observations and contract conformance reports. - Review scopes of work and consultant proposals. - Provide weekly progress reports. - Address RFI, submittal, and change order issues. Communication & Coordination: - Coordinate with external consultants. - Serve as point of contact between design team and outside consultants. Quality Assurance: - Ensure timely completion of work by consultants. - Ensure ADA compliance with guidance from senior architects. - Assist in quality control reviews of consultant drawings. - Adhere to design policies and procedures. Other Responsibilities: - Promote teamwork and timely project completion. - Represent the company professionally and maintain punctuality. - Adjust schedules to meet project timelines and priorities. Candidate Screening & Interview Process - Online assessment test may be required. - Virtual and/or on-site interviews with HR and hiring managers. Background Checks and Screenings - Background check required. - 4-panel drug screening required. - May include reference, credit, criminal history, social media, education, certification, and employment verification checks. Equal Opportunity Employer - Committed to equal opportunity and fostering an inclusive workplace.

🏢 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: Full-time in-office LPN/MA/CNA role focused on reviewing patient charts to ensure accurate documentation and compliance within skilled nursing and long-term care settings. The position involves submitting review logs, coordinating corrections, supporting operational processes, and working with multiple healthcare systems. Offers competitive hourly pay and comprehensive benefits. 🗂️ Requirements: LPN certificate/degree or MA/CNA certification, Full-time availability, Experience reviewing patient records, Ability to submit review logs and clinical corrections, Proficiency with healthcare documentation systems, Strong time management skills, Strong communication skills, Detail-oriented approach 📃 Skills: Emsow, PointClickCare, Gmail, Sigma, Matrix, Reliable, Visual, Documentation, Healthcare, IT 🏢 Description: Job Summary We are seeking to hire a responsible, patient, and qualified Licensed Practical Nurse (LPN), Medical Assistant (MA), or Certified Nursing Assistant (CNA) to assist with reviewing patient charts. You will review patient records to ensure that information is accurate and that records and documents accurately reflect the conditions and treatment requirements of each patient. Responsibilities - Review patient records to ensure that information is accurate - Submit Review Visit Logs (RVLs) to the supervisor - Adhere to the operational guidelines for color coding of patients - Respond to HR, operational, and clinical correspondences - Submit clinical corrections to the supervisor - Attend all operational and educational pod meetings as scheduled by the pod leader and submit the post-educational survey following these meetings - Promptly communicate with Operations to resolve any IT issues encountered - Cross-train in other areas of care management - System Used: Emsow, Pointclickcare, Google Gmail, Sigma/Matrix, Reliable/Visual Requirements - LPN certificate/degree, Medical Assistant certification, or Certified Nursing Assistant certification - Ability to work full-time - Empathetic and active listener - Detail-oriented - Effective time management skills - Strong communication and interpersonal skills Benefits - Competitive salary: $30.00 an hour - $35.00 an hour - Health - Dental - Vision - Company-Sponsored Life Insurance - 401K - Paid Time Off - $1,000 Sign-on Bonus

🏢 Summary: IT Project Manager responsible for leading implementation projects of Contact Center, CRM and related systems for Polish and international clients. The role focuses on delivering projects on time and within budget, coordinating communication between client and technical teams, and overseeing documentation and processes. It involves operational project management, workshops facilitation, and stakeholder coordination. 🗂️ Requirements: Experience in a similar Project Manager role, Experience managing IT implementation projects, Knowledge of project management methodologies, Strong process and project management skills, Experience organizing and leading project workshops, Ability to manage project documentation and schedules, Fluent English, Ability to work under time pressure 📃 Skills: ProjectManagement, IT, CRM, ContactCenter, Ticketing, UnifiedCommunication, ProcessManagement, RiskManagement, Documentation, English 🏢 Description: Od 2017 rozwijamy od podstaw i wdrażamy z sukcesem własny system Contact Center, CRM, Ticketing, Unified Communication itd… dla klientów polskich i międzynarodowych. Szybko się rozwijamy i szukamy osoby, która zadba o to, aby dopilnować założeń wdrożenia, pilnować jego harmonogramu oraz skutecznie prowadzić komunikację pomiędzy klientem a naszym zespołem. Wszystkiego Cię nauczymy! Jeśli odnajdujesz się w takiej roli, nie boisz się nowych wyzwań zaaplikuj! ✅ Zakres obowiązków Odpowiedzialność za cele projektu, jego zawartość, terminy i cele kosztowe Definiowanie kroków milowych, zadań I harmonogramów celu zapewnienia realizacji projektów w wyznaczonym czasie. Identyfikacja i implementacja procesów kluczowych dla skutecznej realizacji projektów Zarządzanie operacyjne projektem m.in. komunikacja, realizacja warsztatów, raportowanie statusu, harmonogramowanie Aktywna komunikacja z klientami i partnerami, prowadzenie regularnych spotkań, Dbanie o dokumentację projektową, w tym listę otwartych zadań, harmonogramy macierze ryzyka i plany komunikacji Śledzenie zadań i koordynacja plików projektowych z interesariuszami 🎯 Wymagania pracodawcy Doświadczenie na podobnym stanowisku. Doświadczenie w kierowaniu projektami wdrożeniowymi w branży IT. Wysokie kompetencje w zakresie zarządzania procesami i projektami. Doświadczenie w organizacji warsztatów projektowych. Umiejętności analityczne i strategiczne oraz pracy w zespole, orientacja na cel. Znajomość metod zarządzania projektami. Asertywność, elastyczność, umiejętność pracy pod presją czasu Biegła znajomość języka angielskiego ✨ Mile widziane Wiedza z zakresu infrastruktury i systemów IT. znajomość branży contact center prawo jazdy kat. B. ⭐ Co oferujemy? Praca zdalna, 8h dziennie, start pomiędzy 8:00 – 10:00 B2B Wymiana wiedzy technicznej w firmie Możliwość wprowadzania własnych pomysłów Multisport Plus Darmowy dostęp do profesjonalnych kursów Spotkania firmowe, wyjazdy integracyjne (żagle, poker, mazury)