Role Description This role reviews medical paid claims against provider contracts and policies to ensure medical payments have been processed accurately. The incumbent will employ data mining and coordination of benefit techniques to analyze and audit hospital and physician claims to identify errant claim payments. Duties - Achieve measured production, quality, and growth results. - Utilize analytics and data mining and coordination of benefits techniques to client paid claims data. - Evaluate medical claims for coding and pricing errors using accurate HCPCS, ICD-10, and CPT codes. - Lookup and review medical claims in payer system to determine methods of payment and validate savings identified. - Promote a positive team environment that is based around critical thinking and sharing intelligence to help meet both individual and team goals. - Utilize official coding guidelines and resources as required, including CMS directives and bulletins. - Collaborate, coordinate, and communicate across disciplines and departments. - Ensure compliance with HIPAA regulations and requirements. - Demonstrate Company's Core Competencies and values held within. - Please note due to the exposure of PHI sensitive data, this role is considered to be a High Risk Role. - The position responsibilities outlined above are in no way to be construed as all encompassing. Other duties, responsibilities, and qualifications may be required and/or assigned as necessary. Qualifications - Minimum high school diploma or GED along with two (2) years of direct experience in medical claims investigation or data mining / coordination of benefits auditing. - Attainment of relevant medical billing and coding certification along with a bachelor's degree in a relevant field are both highly preferred. - Knowledge of coding type edits and medical claim reimbursement structures and methodologies. - Proficiency with medical terminology, medical procedures, medical conditions, and illness and treatment practices. - Experience in applying principles of coding guidelines; federal/state regulations and policies pertaining to coding and billing. - Knowledge in researching state and federal healthcare guidelines, i.e. Medicare and State Medicaid Programs. - Familiarity with automated medical claims payment systems and/or working knowledge of payer systems (i.e. Facets, QNXT, etc.). - Advanced computer skills and proficiency with Microsoft Excel. - Must be able to prioritize, coordinate, multitask, think outside the box, and be energetic. - Must be able to work independently while maintaining close attention to detail. - Required licensures, professional certifications, and/or Board certifications as applicable. - Individual in this position must be able to work in a standard office environment which requires sitting and viewing monitor(s) for extended periods of time, operating standard office equipment such as, but not limited to, a keyboard, copier and telephone. Requirements - The salary range for this position is $50-55K. Specific offers take into account a candidate’s education, experience and skills, as well as the candidate’s work location and internal equity. - This position is also eligible for health insurance, 401k and bonus opportunity. Benefits - Medical, dental and vision coverage with low deductible & copay. - Life insurance. - Short and long-term disability. - Paid Parental Leave. - 401(k) + match. - Employee Stock Purchase Plan. - Generous Paid Time Off – accrued based on years of service. - WA Candidates: the accrual rate is 4.61 hours every other week for the first two years of tenure before increasing with additional years of service. - 10 paid company holidays. - Tuition reimbursement. - Flexible Spending Account. - Employee Assistance Program. - Sick time benefits – for eligible employees, one hour of sick time for every 30 hours worked, up to a maximum accrual of 40 hours per calendar year, unless the laws of the state in which the employee is located provide for more generous sick time benefits. EEO Statement Claritev is an Equal Opportunity Employer and complies with all applicable laws and regulations. Qualified applicants will receive consideration for employment without regard to age, race, color, religion, gender, sexual orientation, gender identity, national origin, disability or protected veteran status. Application Deadline We will generally accept applications for at least 5 calendar days from the posting date or as long as the job remains posted.

Description Voted “Best Place to Work in FL”* by the Sun Sentinel! We’re searching for Customer Service Agents to join us here at our dynamic call center for a catering program. You will be required to have your own equipment. In this role you will communicate with customers in a proactive and professional manner across multiple communication channels, including phone, chat, and email. Agents may be asked to transition to between channels at any time. Responsibilities: - Strong desire to be helpful and take ownership and resolve customer situations - Identify root cause of inquiries by asking probing questions to determine the best solution - Provided customer relationship management tool to research inquiries and document customer interactions - Receive and respond to inbound customer inquiries via phone, email, and text while updating internal computer applications and systems - Guide callers through troubleshooting, navigating the client's menus - Maintain required product knowledge to deliver best in class service - Exhibit a positive attitude and bring enthusiasm to work each and every day - Proven record of great attendance and demonstrating skills as a team player Qualifications: - Excellent interpersonal and verbal skills, clear diction, tone and knowledge/use of proper grammar - Ability to multitask by reading, typing, and navigating through applications while speaking with customers - Seek 1+ yrs of experience & familiarity in the food ordering - Must be able to communicate effectively with customers, management, and co-worker Inktel is proud to be an Equal Opportunity Employer and Drug-Free Workplace. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, among other things, or status as a qualified individual with a disability.

Introduction At Gallagher Bassett, we're there when it matters most because helping people through challenging moments is more than just our job, it’s our purpose. Every day, we help clients navigate complexity, support recovery, and deliver outcomes that make a real difference in people’s lives. It takes empathy, precision, and a strong sense of partnership—and that’s exactly what you’ll find here. We’re a team of fast-paced fixers, empathetic experts, and outcomes drivers — people who care deeply about doing the right thing and doing it well. Whether you're managing claims, supporting clients, or improving processes, you’ll play a vital role in helping businesses and individuals move forward with confidence. Here, you’ll be supported by a culture that values teamwork, encourages curiosity, and celebrates the impact of your work. Because when you’re here, you’re part of something bigger. You’re part of a team that shows up, stands together, and leads with purpose. Overview Role specifics: - Jurisdictions: Any - Licenses: Any - Location: This role is eligible for fully remote work. How you'll make an impact • Apply claims management experience to execute decision-making to analyze claims exposure, plan the proper course of action, and appropriately resolve claims. • Interact extensively with various parties involved in the claim process to ensure effective communication and resolution. • Provide exceptional customer service to our claimants on behalf of our clients exhibiting empathy through each step of the claims process • Handle claims consistent with clients' and corporate policies, procedures, and standard methodologies in accordance with statutory, regulatory, and ethics requirements. • Document and communicate claim activity timely and efficiently, supporting the outcome of the claim file. About You Ideal candidates for this position will have: • Claims Background: General Liability • Jurisdictional Experience: Any • Active Adjusters' licenses: Any As a key member of our Claims Adjuster team, you will: • Investigate, evaluate, and resolve General Liability claims, applying your claims experience and analytical skills to make informed decisions and bring claims to resolution. • Work in partnership with our clients to deliver innovative solutions and enhance the claims management process • Think critically, solve problems, plan, and prioritize activities to optimally serve clients QUALIFICATIONS Required Qualifications: • High School Diploma. • Minimum of 3 years related claims experience. • Appropriate licensing and/or certification in all states in which claims are being handled. • Knowledge of accepted industry standards and practices. • Computer experience with related claims and business software. Desired Qualifications: • Organization • Detail Oriented • Cutomer Focus #LI-DF1 #LI-REMOTE Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: - Medical/dental/vision plans, which start from day one! - Life and accident insurance - 401(K) and Roth options - Tax-advantaged accounts (HSA, FSA) - Educational expense reimbursement - Paid parental leave Other benefits include: - Digital mental health services (Talkspace) - Flexible work hours (availability varies by office and job function) - Training programs - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing - Charitable matching gift program - And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Company Description This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much money will be paid after an insurance claim has been examined. This is not a customer service or customer facing position. This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly customized depending on the service level. You will work independently with the assistance of knowledge base and support personnel. You will also be expected to meet all Key Performance Indicators and Quality goals throughout Training and beyond. Job Description What you will be doing as a Claims Examiner: - Work independently, processing claims via data entry for 90% of your day. - Be responsible for effectively adjudicating claims to meet production, quality, and other metrics in accordance with policy/procedures and regulatory guidelines - Follow up on claims needing additional information - Refer problem claims to a Lead and/or auditor for additional review - Make sure that the integrity of the information is accurate and kept private according to HIPPA guidelines - Work with specific software - May be assigned special projects When you join us, you’ll enjoy: - Pay rate of $13.50/hour with the opportunity to bonus an additional $1500 a month. - Medical, dental, and vision plans. - Paid training and PTO (be sure to ask about our Global Flexible Vacation Policy). - Company-provided equipment. - Advancement opportunities – 80% of our frontline leaders have been promoted from within. - Monthly rewards & recognition programs. - Employee Discounts. - EAP and Health and Wellness programs including a personal trainer dedicated to Sutherland. - Weekday schedule, Monday – Friday 8:30 AM – 5:00 PM EST. Qualifications Skills - Data entry - Time management - Attention to detail - Analytical Required Qualifications - High School Diploma or equivalent - Excellent Internet Connectivity: - Internet access speed of 2 Mbps upload and 10 Mbps download – the faster the better. - - house network, and a hard-wired internet connection capable of continuously supporting outstanding call quality and high-speed response rates. (Wireless and/or satellite Internet Service Providers are not compatible with our systems) - A quiet and distraction-free, secure place to work - Effective verbal and written communication skills - Strong typing and analytical abilities - Multi-tasking skills with a strong attention to detail - Computer knowledge - Minimum 40 words per minute on typing test - Must have and maintain a clean and paper free work environment to meet our company policies. - Medical Billing and Coding degree/certification. - Previous experience in a medical office type setting, including some knowledge of insurance, claims, billing or coding, with an understanding of the different types of insurance (Medicare/Medicaid and/or Child Plus). - Knowledge of Medical terminology Additional Information All your information will be kept confidential according to EEO guidelines. EEOC and Veteran Documentation During employment, employees are treated without regard to race, color, religion, sex, national origin, age, marital or veteran status, medical condition or handicap, or any other legally protected status. At times, government agencies require periodic reports from employers on the sex, ethnicity, handicap, veteran and other protected status of employees. The purpose of this Administrative EEO Record is for statistical analysis only and is used to comply with government record keeping, reporting, and other legal requirements. Periodic reports are made to the government on the following information. The completion of the Administrative EEO record is optional. If you choose to volunteer the requested information, please note that all Administrative EEO Records are kept in a Confidential File and are not part of your Application for Employment or Personnel file. Please note: YOUR COOPERATION IS VOLUNTARY. INCLUSION OR EXCLUSION OF ANY DATA WILL NOT AFFECT ANY EMPLOYMENT DECISION.