• Analyze Virginia Medical Only claims on behalf of our valued clients to determine benefits due. • Ensure ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements. • Process low level workers compensation claims determining compensability and benefits due on long term indemnity claims. • Develop and coordinate low level workers compensation claims' action plans to resolution, return-to-work efforts, and approve claim payments. • Approve and process assigned claims, determine benefits due, and administer action plan pursuant to the claim or client contract. • Administer subrogation of claims and negotiate settlements. • Communicate claim action with claimant and client. • Ensure claim files are properly documented and claims coding is correct. • Maintain professional client relationships.

Must have an active pharmacy technician license for the state of Colorado. Must be open to working an 8 hour shift assigned between 8:00am - 7:30pm Mountain Time. Job Purpose: - Proactively grow the specialty pharmacy patient population by identifying patients that are eligible to fill with a Shields Partner Pharmacy. - Complete patient benefits investigations. - Protect Shields values by keeping information confidential. Job Duties: - Perform benefits investigation. - Utilize multiple approved tools to identify insurance coverage. - Research within patients' medical records for current medication regimen. - Complete benefits investigation with approved Pharmacy Dispensing Systems. - Document clearly and concisely all outcomes of benefits investigation in documentation tool. - Collaborate with team members to provide an integrated approach of quality patient care. - Apply observations and recommendations to operational issues, increased productivity, quality, and customer-service standards. - Identify trends, resolve problems; recommend improvements; implement change. - Actively participate in process improvement initiatives. - Act as a value-added business partner to stakeholders throughout the organization. - Protect organization's values by keeping information confidential. - Update job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations. - Other duties as assigned. Skills: - We are looking for someone with strong computer skills and the ability to quickly learn to navigate Electronic Medical Records (EMR) and Pharmacy Dispensing Systems (PDS). - The applicant should be very organized self-motivated with attention to detail and have great interpersonal skills, high integrity and be dependable. - The ideal candidate will be an energetic and highly motivated, team player with a willingness to do whatever is necessary for the betterment of the company. Discretion and confidentiality are essential as position deals with highly sensitive and private data. Experience/ Education: Required Licensure/Certification: We are seeking experienced pharmacy technicians. Nationally certified from PTCB or equivalent is strongly preferred but not required. State license is required. Dependent on hospital placement you may be required to become state certified. Should licensure need to be obtained, the applicant will commit to obtaining the required licensure within a mutually agreed upon timeframe. Continued employment is contingent upon meeting these requirements. Years of Experience: 0-1 years' experience as a Pharmacy Technician. Required Education: High school diploma or GED. California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy. By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment. Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

• Investigate and report on a caseload of casualty and liability claims. • Manage claims through to effective and satisfactory resolution. • Maintain high levels of service delivery for internal and external stakeholders. • Handle claims across Commercial General Liability, construction including Builders Risk and Wrap-Up Liability, Professional Liability, Environmental Liability, Equine Liability, Medical Malpractice, and Automobile Liability.

Remote Leadership Opportunity – Work From Home Company: AO Location: 100% Remote AO is seeking motivated, results-driven professionals ready to grow into leadership roles while working from home. This opportunity offers flexibility, structured mentorship, and clearly defined advancement paths within a supportive, team-oriented environment. If you’re driven to lead, eager to grow, and looking for a remote career with long-term potential, this role provides the foundation to build meaningful leadership success. What You’ll Do - Lead and support team initiatives while maintaining high service and performance standards - Collaborate remotely with leadership and team members in a virtual environment - Manage responsibilities independently with accountability and professionalism - Participate in mentorship, training, and leadership development programs What We Offer - 100% Remote Work — no commuting required - Flexible Scheduling tailored to your lifestyle - One-on-One Mentorship from experienced leaders - Leadership Training designed to support career growth - Union-Backed Representation and Support Perks & Incentives - Annual Incentive Trips for top-performing leaders - Health Insurance Reimbursement Program - Performance-Based Growth and Advancement Opportunities What We’re Looking For - A strong leadership mindset and desire to make an impact - Excellent communication and interpersonal skills - Ability to work independently while collaborating as part of a team - Commitment to continuous personal and professional development Ready to Take the Next Step? Join AO and build a leadership career where flexibility, mentorship, and growth come together—all from the comfort of your home. Apply today and take the next step in your leadership journey.