• Support and advise clients as soon as they report a claim. • Provide a supportive ear and insurance expertise to clients who have suffered a loss. • Actively manage and maintain open claims files. • Serve as the main contact and follow up on any unresolved issues or abeyances. • Assist with the administration and upkeep of our claims document management system. • Support the creation and review of internal process flows, job aids, guides, and lesson plans. • Advocate for the client during the entire claims process, escalating issues whenever necessary. • Take a proactive approach to challenges, working ahead to prevent potential issues.

Role Description Do you have a meticulous eye for detail and a passion for helping patients access the care they need? Are you experienced in navigating insurance guidelines, prior authorizations, and the specialized world of wound care? If so, NIVA Health invites you to apply for our Remote Insurance Verification Specialist position! As a key member of our authorization coordination team, you will play a pivotal role in ensuring patients receive timely, necessary treatment, all while exemplifying our Core Values of Teamwork, Resilience, Open-Mindedness, Ownership, and Positivity. In This Role, You’ll: - Submit and manage prior authorization requests for wound care treatments, ensuring that all documentation meets payer requirements. - Handle PCP referrals/authorizations and follow up to facilitate smooth patient care. - Prepare and track Single Case Agreements/GAP exceptions for out-of-network cases. - Communicate with insurance providers to clarify coverage, resolve denials, and facilitate appeals. - Maintain precise records of authorizations, denials, appeals, and corresponding documentation. - Stay up to date with insurance policies, coding changes, and criteria for wound care procedures. - Collaborate with healthcare providers, nurses, and admin staff to gather complete, accurate documentation for submissions. - Serve as a patient advocate, keeping patients informed about the status of their authorizations and potential out-of-pocket expenses. - Conduct your work with utmost discretion, diplomacy, and tact during all patient and staff interactions. - Contribute to other duties of similar complexity as assigned by your supervisor. Qualifications - Possess at least 1 year of experience in prior authorization management, specifically within wound care services. - Demonstrate a strong work ethic, self-motivation, and a “can-do” attitude. - Communicate clearly, empathetically, and professionally with patients, staff, and payers. - Understand the intricacies of insurance processes, medical terminology, and healthcare systems. - Are proficient with electronic medical records (EMR) and case management software. - Excel at collaborating with multidisciplinary healthcare teams and solving complex problems. - Embody NIVA Health’s Core Values in every interaction with patients and colleagues. Requirements - Bonus Points If You: - Are experienced in handling appeals, denials, and single case agreements. - Bring innovative approaches to patient advocacy and insurance coordination. - Stay informed about industry trends, especially in advanced wound care and insurance policy changes. Benefits - At NIVA Health, your efforts are instrumental in ensuring that patients receive the life-changing care they deserve. - We celebrate our team’s achievements, invest in personal and professional growth, and provide meaningful work in a values-driven, supportive environment. - Pay: $1,300 per month - Work Schedule: US Timezone (East Coast) - Job Type: Full-time - Work Location: Remote

Role Description Bei der Checkfox Service GmbH erwartet dich die einzigartige Gelegenheit, als Teamleiter Teil eines hochdynamischen Scale-Ups mit Startup-Geist zu werden. Seit 2020 zählt Checkfox zu den am schnellsten wachsenden Vergleichsplattformen in den Bereichen Finanzen, erneuerbare Energien, Versicherungen und weiteren Zukunftsmärkten. - Führung & Steuerung Vertriebsteam: Leitung, Motivation und Weiterentwicklung deines Vertriebsteams zur Erreichung der definierten Ziele - Budgetverantwortung: Verantwortung für ein monatliches Werbebudget von etwa 250.000 € - Kunden- und Marktverantwortung: Identifikation von Neukunden- und Cross-Selling-Potenzialen zur Diversifikation unseres Produktportfolios - Umsatzverantwortung: Erreichung von vorgegebenen KPIs - Reporting & Analyse: Analyse von Kennzahlen, Erstellung von Forecasts und regelmäßiges Reporting an Stakeholder - Crossfunktionale Zusammenarbeit: Enge Abstimmung mit Head of Sales & Tech Qualifications - Abgeschlossenes Studium (z. B. BWL, Wirtschaftsingenieurwesen) oder vergleichbare kaufmännische Ausbildung - Mindestens 5 Jahre Berufserfahrung im Vertrieb, idealerweise im Bereich der Zahnzusatzversicherung - Erfahrung in der Leitung von >8 FTEs - Ausgeprägte Kunden- und Ergebnisorientierung bei hoher Selbstständigkeit - Strategisches Denkvermögen kombiniert mit ausgeprägter Empathie - Motiviert, stets überdurchschnittliche Resultate zu erzielen sowie Leidenschaft für Erfolg und Spitzenleistungen Benefits - 100% Remote (innerhalb DE) - Fixum (60.000€) + Provision (80.000-95.000€ Zielgehalt pro Jahr) in Festanstellung - 26 Tage Urlaub - Workation/Firmenevents - Professionelles Onboarding - Zu übernehmendes Team steht bereits - keine langwierigen Versprechen - Leistungsbezogene und attraktive Vergütung - Ein spannendes und abwechslungsreiches Aufgabengebiet mit hoher Eigenverantwortung

Title: Experience Premium Insurance Field Auditor Location: Pittsburg, PA - Job Identification14958 - Job RolePremium Audit - Experience (In Years)0-3 - Job Location Pittsburg, PA Job Description: Why work for the EXL Insurance Premium Audit Team? - 17 days paid vacation, plus 8 paid holidays - Additional 10 paid sick days - Superb training program - Work from home when not in the field - Competitive total compensation package and benefits with 401k - Career advancement opportunities - Discounted health club benefits in many areas around the U.S. - Paid Parental Leave - Laptop and other necessary office equipment provided Compensation: - Pay Type: Hourly plus production bonus incentives, in accordance with EXL's policies - Total compensation for this position, which is a combination of an hourly base rate plus production bonus incentives, is targeted between $50K-$70K in total earnings within the first year.: - Hourly base rate is dependent upon job specific experience and location. - There is no cap on production bonus incentives The posted range is the hiring range for this role - a subset of the broader range available to employees over time - and reflects base salary across our national hiring scale. Final offers are based on several factors, including the candidate''s skills and experience, internal pay equity, work location, market conditions for the role, and the specific scope and responsibilities of the position. The top of the range is reserved for candidates who notably exceed the requirements; the lower end applies to those with less experience or fewer preferred qualifications. For positions based in higher-cost zones (e.g., California, New York, New Jersey), actual compensation may exceed the posted range; your recruiter will share specifics during the process. - Applicants must have at least 2 years of experience in a premium auditor role* Qualifications: - MUST be in current possession of reliable transportation and a valid driver's license. - Must have at least 2 yrs experience - Ability to work independently from home. - Experience with the MS Office Suite (excel, word, outlook, etc.) - Must be self-motivated, self-disciplined and exhibit a willingness to learn. - Excellent time management - Excellent verbal and written communication skills - Working knowledge of insurance and / or basic accounting principles is a plus. - High School Diploma or GED required. To view our total rewards offered click here -> https://www.exlservice.com/us-careers-and-benefits Base Salary Range Disclaimer: The base salary range represents the low and high end of the EXL salary range for this position. Actual salaries will vary depending on factors including but not limited to location and experience. The base salary range listed is just one component of EXL''s total compensation package for employees. Other rewards may include bonuses, a Paid Time Off policy, and many region-specific benefits. Please also note that the data shared through the job application will be stored and processed by EXL in accordance with the EXL Privacy Policy. EEO/Minorities/Females/Vets/Disabilities The Role and Responsibilities: The Premium Insurance Field Auditor conducts insurance policy audits for Worker's Compensation, Auto and General Liability policies. This is done by auditing the policyholder's records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards. The Role and Responsibilities: The Premium Insurance Field Auditor conducts insurance policy audits for Worker's Compensation, Auto and General Liability policies. This is done by auditing the policyholder's records according to client company standards. If you are looking for a fast paced, self-motivating work environment from home, this job may be for you! Working from your home office, this role requires scheduling appointments with the insured to be audited, and travel on an average of 4 days per week within your assigned territory to meet with the insured and obtain necessary documentation for our insurance company client audits all while adhering to customer requirements and quality standards.