Role Description We are looking for experienced commercial legal professionals to contribute to an AI training initiative built around realistic business agreements. The project requires practical, high-quality contract documents that reflect common commercial transactions and current legal drafting standards. - You will create, adapt, and annotate agreements such as Master Services Agreements, lease contracts, IP licences, marketing agreements, and other commercial licensing documents. - The work is document-based, and contributors are compensated for each eligible submission accepted against the project requirements. - CONTRACT: Contractor - COMMITMENT: Hourly/Part-time - LOCATION: Remote - PROCESS: Application Form -> AI Interview -> Selection - HOURLY RATE: $80 - $100/h - NOTES: Contributors must provide or create eligible legal documents themselves. Confidential, proprietary, NDA-protected, or material non-public information cannot be submitted. Responsibilities - Draft practical templates and examples of commercial agreements. - Create and review Master Services Agreements and related service contracts. - Prepare lease, IP licensing, marketing, and general licensing agreements. - Adapt legal documents to realistic business scenarios and transaction structures. - Annotate agreements where required to explain clauses, risks, or drafting choices. - Ensure submissions reflect current legal standards and accepted commercial practice. - Review documents for consistency, clarity, structure, and legal accuracy. - Deliver well-organized materials suitable for use in an AI training dataset. - Clarify project requirements and respond to feedback on submitted documents. - Ensure all materials are free from confidential or restricted information. Qualifications - Qualification as a practicing or recently qualified commercial attorney or lawyer. - Professional experience drafting or negotiating commercial contracts. - Experience with Master Services Agreements. - Experience with at least two of the following: lease agreements, IP licensing, marketing agreements, or commercial licensing. - Ability to create or adapt legal documents for realistic business transactions. - Strong command of contractual language, structure, and legal terminology. - Knowledge of current commercial contracting standards and common risk provisions.

Role Description 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. Qualifications - Bachelor's degree and 3 years related experience required. - Proficient working within Internet search engines. - Familiar with the traits and capabilities of various major social media platforms. - General knowledge of multiple Lexis Nexis sites, TLO, Boolean search methods, and other internet-based resources. - 1-2 years desktop investigations experience (desired). Requirements - Under general supervision, investigates and evaluates potentially fraudulent claims to determine online prevalence and activity level. - Conducts basic to moderately complex claim investigations to collect information and often compile a comprehensive profile of a claimant for use in defense strategy and further potential investigation. - Prepares investigation reports to present findings, and takes appropriate action. - Investigates insurance claims via computer-based sources, such as social media, pay-to-access databases, and public record websites and offices. - Communicate via phone and/or email to obtain additional information, records, and documents. - Submit search requests to various government agencies. - Prepare high quality reports utilizing above average reporting skills. - Maintain individual diary with minimal late files. - Follow-up with additional client contact. - Perform specific database searches and conduct further inquiries. - Support extensive training programs and sessions. - Review and uphold quality assurance for desktop investigation reports. Benefits - Competitive compensation. - Comprehensive benefits programs designed to support your well-being. - Career development opportunities and ongoing learning. - A collaborative, people-first culture with accessible leadership. - The opportunity to do meaningful work with global reach and local impact.

Role Description The Claims Investigator conducts insurance claims investigations on behalf of both employers/clients and injured workers. This unique opportunity breaks new ground in the workers’ compensation and injury liability fields through an innovative advocacy-based claims investigation paradigm that also raises the investigator’s interpersonal skills to new levels. In addition to performing the day-to-day insurance claims investigations with claimants, their supervisors, and witnesses, DigiStream’s enhanced Claims Investigator position also includes the opportunity to work in a more personally impactful context. Generally, the position also requires initiative in scheduling, preparing, and conducting a wide range of claims investigations and communicating with the General Manager regarding results obtained and updating clients as needed. The written reports obtained from these in-person interviews identify essential psychosocial factors in addition to the legally-relevant objective details—for purposes of seeing positive outcomes for employers and injured workers alike. Responsibilities - Conduct in-person recorded interviews with injured workers, their supervisors, witnesses, and management regarding industrial incidents and injuries - Conduct accident scene investigations including scene photographs, measurements, and analysis of equipment to determine cause of injury or third-party liability - Obtain and secure evidence, such as audio recordings, medical releases, photographs, police reports, court records, and other evidence - Regularly update the client, DigiStream supervisor, and the case tracking system regarding the progress of investigations - Complete well-written and in-depth reports on case findings within 48 hours of statement - Troubleshoot "locate" issues and utilize office staff to locate hard-to-reach claimants - Track and maintain hourly billing for accurate time reporting - Work under deadlines and multitask - Remain available and prepared to testify in court or provide testimony in depositions - Other duties as may be assigned from time to time Qualifications - Bachelors' Degree required (Criminal Justice, English, Psychology, History, Political Science or other writing intensive major preferred) - Ability to interact with subjects of an investigation in a professional manner while developing rapport and connection, and extracting necessary information - Familiarity and comfort with navigating ambiguity as well as a basic understanding of the workers' compensation system or desire to learn the system - Ability to read, analyze, and distill information from documents and forms and apply it to an investigation - Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form - Ability to maintain confidentiality of information

Title: ACO Medicaid Claims Review Specialist Location: Remote,United States Full time Job Description: Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Job Summary Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world's leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage. Our work centers on creating an exceptional member experience - a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills. We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more. Job Description Summary - Review claims to ensure accurate coding, appropriate documentation, and compliance with applicable billing regulations and payer guidelines. - Adjudicate claims to pay, deny, or pend as appropriate in a timely and accurate manner according to company policy and desktop procedure. - Review and research assigned claims by navigating multiple systems and platforms, then accurately capturing the data/information necessary for processing (e.g., verify pricing/fee schedules, contracts, prior authorization, applicable member benefits). - Communicate and collaborate with external departments to resolve claims errors/issues, using clear and concise language to ensure understanding. - Review and adjudicate medical claims submitted by healthcare providers, insurance companies, and patients to identify discrepancies, errors, or potential fraud. - Analyze and validate the assigned diagnosis codes (ICD-10) and procedure codes (CPT) on medical claims to ensure accurate representation of services rendered and compliance with coding standards. - Keep up to date with Desktop Procedures and effectively apply this knowledge in the processing of claims and in providing customer service. - Identify and escalate system issues, configuration issues, pricing issues etc. in a timely manner. - Ensure that the medical claims include complete and accurate documentation supporting the services rendered, including physician notes, test results, and other relevant records. - Meet the performance goals established for the position in areas of productivity, accuracy, and attendance that drives member and provider satisfaction. Qualifications Education - High School Diploma or Equivalent required - Associate's Degree preferred Licenses and Credentials - Professional Coder (CPC) license preferred - Pharmacy Technician certification and/or a degree in a pharmacy-related field preferred Experience - At least 1-2 years of healthcare billing experience required - At least 2-4 years of experience in healthcare claims processing, billing, or the health insurance industry (e.g., hospital or physician billing) highly preferred - Experience in pharmacy claims processing or adjudication, with a strong working knowledge of pharmacy terminology and National Drug Code (NDC) standards. - Experience with core healthcare claims processing and billing system highly preferred - Strong working knowledge of managed care concepts and medical coding, including ICD-10, CPT, HCPCS, and Revenue Codes highly preferred Knowledge, Skills, and Abilities - Knowledge of Medicaid/ACO claims processing - Knowledge of claim types including professional, facility, DME, outpatient, and inpatient - Ability to prioritize and manage aged claims (e.g., 30+ day inventory) to meet program guidelines and turnaround requirements - Strong attention to detail and accuracy in claim review, submissions, and documentation - Familiarity with insurance plans, government programs, and their billing requirements. - Strong attention to detail and accuracy in claim submissions and recordkeeping. - Excellent communication skills, both written and verbal, to interact effectively with insurance companies, patients, and colleagues. - Strong customer service orientation and ability to handle sensitive or difficult situations with empathy and professionalism. Additional Job Details (if applicable) Working Conditions - This is a full-time role with a Monday through Friday, 8:30-5 schedule - This is a remote role that can be done from most US states Remote Type Remote Work Location 399 Revolution Drive Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.71 - $25.28/Hourly Grade 2 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.