Role Description Our Virginia workers’ compensation practice is seeking a Workers' Compensation Associate Attorney to join our growing team. - Handle all aspects of workers’ compensation defense litigation, including pleadings, discovery, depositions, hearings, and appeals. - Provide strategic legal analysis and case evaluations to employers, insurers, and third-party administrators. - Prepare and present cases before Deputy Commissioners. - Draft persuasive motions, briefs, and settlement evaluations. - Communicate regularly with clients to provide updates, recommendations, and risk assessments. - Collaborate with colleagues and support staff to ensure efficient and effective case management. Qualifications - Must have a JD degree from an ABA-approved law school and an active license in good standing in Virginia; Washington D.C. and/or Maryland license preferred. - 2-5 years of direct workers' compensation experience preferred. - Proficiency in Microsoft Office 365, ProLaw, Excel, and e-document management software preferred. - Must be a self-motivated independent thinker with excellent time management skills, strong organizational skills, and outstanding communication skills. - Ability to work as a team member in a high-volume fast-paced work environment. Benefits - Comprehensive medical, dental, and vision insurance - Matching 401(k) - Paid time off - Mentorship opportunities - Collaborative and welcoming work environment - Work-Life balance Salary Information The salary range for this position is $110,000-$135,000 and represents C&W’s good faith and reasonable estimate of the range at the time of posting. Actual compensation will depend upon a number of factors, included but not limited to experience and qualifications. Equal Employment Opportunity Cipriani & Werner P.C. 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.

Role Description The Senior Payments Specialist serves as a skilled subject matter expert in Merchant Services, responsible for managing complex reconciliations, resolving escalated disputes, and overseeing ACH, Check 21, and settlement adjustment processes. This role applies deep expertise and independent judgment to resolve high-impact issues, optimize workflows, and ensure compliance with banking regulations and organizational policies. The Senior Payments Specialist also acts as an informal team leader, mentoring colleagues, supporting cross-functional initiatives, and contributing to process improvements that enhance operational efficiency and client satisfaction. For this role, we are considering candidates located in Arizona, Utah, Wyoming, Idaho, Texas, North Carolina, or Florida. Responsibilities - Perform complex account reconciliations and lead the resolution of high-priority discrepancies. - Handle escalated chargeback disputes, reversals, and adjustment requests with minimal supervision. - Provide expertise in ACH and Check 21 return processes, ensuring compliance with regulatory requirements. - Identify trends in failed payments and settlement distributions; recommend and implement solutions to reduce reoccurrence. - Collaborate with clients, banking partners, and internal stakeholders to resolve critical or sensitive issues. - Contribute to process improvement initiatives, leveraging expertise to enhance accuracy, efficiency, and compliance. - Serve as a mentor and resource to less experienced team members, providing guidance and training as needed. Essential Functions - Independently resolve complex reconciliations, chargebacks, and adjustment cases. - Apply judgment and initiative in managing escalated payment issues and client inquiries. - Communicate effectively with external and internal stakeholders on high-impact matters. - Drive process improvements that enhance the efficiency and accuracy of payment operations. - Ability to prioritize tasks effectively by meeting deadlines and managing workload efficiently. - Maintain professional interaction with internal and external stakeholders. - Ability to work in a fast-paced and high-stress environment. Qualifications - Deep knowledge of banking operations, payment processing workflows, and accounting principles. - Advanced proficiency with spreadsheets, reporting, and data analysis tools. - Strong problem-solving and decision-making skills with the ability to anticipate risks. - Excellent communication skills with experience managing escalated client or partner issues. - Proven ability to balance multiple priorities while leading or supporting projects. - Demonstrated leadership qualities, including mentoring and training team members. Requirements - High school diploma or equivalent required; associate or bachelor’s degree in business, finance, or related field preferred. - Typically requires 4–6 years of related experience in banking, payment processing, or accounting. - Proven track record with credit card chargebacks, ACH, Check 21, and international payments. - Experience working with SQL or other query/reporting tools preferred. AI & Operational Fluency - Utilize company-approved GenAI tools to accelerate high-value deliverables. - Exercise critical judgment as the "Human-in-the-Loop," by auditing AI outputs for factual accuracy, brand alignment, and the removal of hallucinations. - Ensures no proprietary or Personally Identifiable Information (PII) data is exposed to unauthorized models. - Demonstrates the ability to craft clear, context-rich prompts to achieve consistent, high-quality results across various business domains. Benefits - Flexible and transparent culture with remote and hybrid work options, generous vacation time, and frequent company recharge days for work-life balance. - Comprehensive medical, dental, and vision coverage, including fertility benefits, available for eligible employees and their families. - HSA/FSA options and employer-paid disability benefits provided for eligible employees. - Access to 401(k) or similar retirement plans with employer matching for eligible employees, ensuring long-term financial security. - Wellness initiatives promoting physical and mental well-being, access to an onsite gym at HQ, gym memberships, mental health resources, wellness challenges, and employee assistance programs. - Entrata Cares programs offers opportunities for volunteerism, charity events, and giving back to our community. - Exclusive Previ cell phone plan and discounts on services or local business partnerships for additional employee benefits. - Bi-annual swag drops for employees.

Title: Short Term Disability Unit Leader 14842 Location: Aurora, Illinois Oriskany, New York Bloomfield, Connecticut Bridgewater, New Jersey Cary, North Carolina Tampa, Florida Omaha, Nebraska Warwick, Rhode Island Clarks Summit, Pennsylvania San Juan, Puerto Rico Dayton, Ohio Job Description: Working Schedule: Full-Time Work Arrangement: Hybrid Travel Required: 10% Relocation Assistance Available: No Job ID: 14842 Role Overview: Ensures that the team achieves or exceeds its business objectives in the areas of Claim Management Accuracy, Customer Centricity and Expense Management. Sets clear expectations of performance according to the MetLife vision and holds the team accountable to those expectations. Ensures that the team has the knowledge, skills, and tools to be successful and provides support as appropriate. Key expectations: - Clearly articulate the vision of success, how each role, and individual contributes to that vision, and the specific expectations for each role and individual - Supports and guides assigned team members to ensure that they have the knowledge and skills, tools, and resources to be successful in achieving those expectations - Remove barriers to the success of the team or the individual - Identifies barriers and escalates to senior leaders in the organization as appropriate along with recommended solutions - Takes accountability for the team they lead and the results it produces for each of the key areas of performance; customer centricity, expense management, claim management accuracy. - Holds team accountable and provides positive reinforcement to team members that is directly linked to their behaviors and outcomes - Intervenes as required to address acute gaps in performance, either of individuals on the team, or the team as a whole - Analyzes data and implements strategies to address root causes of the gaps and monitor strategies - Identifies and implements strategies to enhance claim management and customer centricity effectiveness and efficiency of their team - Interacts effectively with claimants and internal/external customers, to understand and service their needs while addressing service issues swiftly - Drives Claim Management Accuracy and Customer Centricity through support of the QQA Program, claim file reviews and call monitoring - Achieves all Individual and Team outcomes through the management of their team Key skills: - Strong verbal and written communication skills. Ability to articulate clearly to diverse audiences with different styles - Understanding of the broad business context, to include key business indicators, metrics, customer service scores, etc. - Influencing and motivation skills - Corporate courage - Ability to give and receive feedback in a non-judgmental and non-defensive manner - Comfort with conflict - Strong knowledge of Short-Term Disability claim practices and processes performed by the individuals they lead - Critical thinking skills - Strategic thinking skills - Strong listening skills - Ability to partner Essential Business Experience and Technical Skills: Required: - 2+ years of supervisory experience demonstrate strong leadership and coaching skills. Extensive knowledge of STD - Strong analytical and decision-making skills with a focus on producing results. Creative problem-solving abilities and the ability to think outside the box - Excellent interpersonal and communication skills in both verbal and written form. Excellent customer service skills proven through internal and external customer interactions - Demonstrated conceptual thinking, risk management, ability to handle complex situations effectively - Organizational and time management skills, ability to effectively manage multiple systems and technology resources Preferred: - Bachelor's degree - 7+ years of STD Insurance Claims experience - knowledge of STD, group disability, Workers Compensation, ERISA, Social Security and state laws The expected salary range for this position is $55,600 to $93,600. This role may also be eligible for annual short-term incentive compensation. All incentives and benefits are subject to the applicable plan terms. Benefits We Offer Our U.S. benefits address holistic well-being with programs for physical and mental health, financial wellness, and support for families. We offer a comprehensive health plan that includes medical/prescription drug and vision, dental insurance, and no-cost short- and long-term disability. We also provide company-paid life insurance and legal services, a retirement pension funded entirely by MetLife and 401(k) with employer matching, group discounts on voluntary insurance products including auto and home, pet, critical illness, hospital indemnity, and accident insurance, as well as Employee Assistance Program (EAP) and digital mental health programs, parental leave, paid time off, paid holidays, volunteer time off, tuition assistance and much more! About MetLife Recognized on Fortune magazine's list of the "World's Most Admired Companies", Fortune World's 25 Best Workplaces, as well as the Fortune 100 Best Companies to Work For, MetLife, through its subsidiaries and affiliates, is one of the world's leading financial services companies; providing insurance, annuities, employee benefits and asset management to individual and institutional customers. With operations in more than 40 markets, we hold leading positions in the United States, Latin America, Asia, Europe, and the Middle East. Our purpose is simple - to help our colleagues, customers, communities, and the world at large create a more confident future. United by purpose and guided by our core values - Win Together, Do the Right Thing, Deliver Impact Over Activity, and Think Ahead - we're inspired to transform the next century in financial services. At MetLife, it's #AllTogetherPossible. Join us! MetLife is an Equal Opportunity Employer. All employment decisions are made without regards to race, color, national origin, religion, creed, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, marital or domestic/civil partnership status, genetic information, citizenship status (although applicants and employees must be legally authorized to work in the United States), uniformed service member or veteran status, or any other characteristic protected by applicable federal, state, or local law ("protected characteristics"). If you need an accommodation due to a disability, please email us at accommodations@metlife.com. This information will be held in confidence and used only to determine an appropriate accommodation for the application process. MetLife maintains a drug-free workplace. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities. $55,600 to $93,600

Title: Claims Specialist PACE Location: Work From Home, Indiana Work Type: Remote, Full Time Job Description: The PACE Claims Specialist I, is responsible for performing day-to-day claims processing and adjudication tasks while providing support to vendors and internal teams. This role plays an integral part in ensuring PACE medical claims are processed efficiently and in compliance with PACE policies and CMS requirements. The PACE program's vision is to provide individualized and joyful care through exemplary teamwork serving as many seniors as possible with the best quality-of-life in their communities. WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve. The PACE program's vision statement is to provide unmatched, individualized, and joyful care through teamwork that is worthy of praise so that seniors experience the best quality-of-life in their communities. PACE offers seniors and their families the care, nutrition, rehabilitation, transportation, and supportive services they need to remain healthy so that they can live in their own home. Franciscan is known for our mission of caring. WHAT YOU CAN EXPECT - Practice Hours: Monday - Friday, 8:00 a.m. - 5:00 p.m. Eastern - No Weekends, Evenings, or Holidays - Serves as point of contact for vendors and participants for concerns related to claims or billing. Performs customer service activities including, but not limited to, support and education to vendors during onboarding phase of partnership, communicating claim statuses to vendors, investigating vendor inquiries, and gathering information related to vendor claim appeals. - Performs duties related to the timely and accurate adjudication of PACE participant medical claims. This includes data entry, processing manual and electronic claims, verifying proper authorizations, and processing claim denials. Ensures claims adhere to CMS rules, Medicare guidelines, and PACE-specific policies. Collaborates with the interdisciplinary team (IDT) to resolve discrepancies in authorizations or documentation. Conducts any necessary follow up with internal and external stakeholders. - Assists with maintaining the vendor and provider network within the claims adjudication software. Builds and modifies vendor profiles as program's vendor network changes. Ensures accuracy of vendor profiles in relation to reimbursement structure in vendor contracts, provider lists, W-9s, etc. Enters paper claims into claim adjudication software upon receipt. - Supports Claim Specialist II in monthly EDPS reporting and error clearance. This includes, but is not limited to, reporting to regulatory agencies, clearing errors for resubmission of codes, and monthly auditing of EDPS return/output data. Prepares routine claim reports for review by leadership. - Collaborates with PACE intake and eligibility team members to maintain accurate participant eligibility record in claim adjudication software, driving accurate and compliant claim payments. - Assists with tracking vendor 1099s and gathering claims data for reinsurance reporting. Performs administrative tasks related to claims processing such as mailing vendor checks and remittance advice, mailing vendor notification letters, etc. - Works closely with internal stakeholders, including finance, compliance, and clinical teams, to facilitate claims processing workflows. Partners with external stakeholders, such as CMS or third-party vendors, to ensure seamless claims operations. QUALIFICATIONS - Associate's Degree- Finance, Business or Healthcare Administration- Preferred - Certified Medical Reimbursement Specialist- American Medical Billion Association- Preferred - 1 Year- Medical Claim Processing or Medical Claim Support Role Experience- Required TRAVEL IS REQUIRED: Never or Rarely JOB RANGE: PACE Claims Specialist I $20.25 - $26.33 INCENTIVE: Not Applicable EQUAL OPPORTUNITY EMPLOYER It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law. Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights. Franciscan Alliance is committed to equal employment opportunity. Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.