• Participar de projetos de implantação • Oferecer suporte técnico aos clientes/usuários na utilização, esclarecimento de dúvidas e solução de problemas; • Realizar os processos de cadastros, e de auxílio aos clientes/usuários na utilização do sistema nas rotinas diárias; • Identificar os problemas e dúvidas e encaminhar as solicitações para os analistas de requisitos de desenvolvimento; • Levantar informações junto aos usuários, no registro e na elaboração de relatórios dos atendimentos • Registrar os atendimentos realizados e pendentes, com o intuito de realizar o controle e a aferição de sua qualidade; • Realizar teste em programas e simular problemas em ambientes controlados, confeccionar, atualizar e disponibilizar arquivos (relatórios do sistema, relatórios técnicos e atualização de versão).

Role Description Provide underwriting efforts to develop a book of business submitted by contracted producers to achieve profitability goals. Assist personnel in all levels of: - Individual risk underwriting decisions - Underwriting strategy - Book management - Product development and management - Efficient operations and technology Mentoring responsibilities to include partnering with the Managing Director and working with less-experienced Underwriters and Assistants to enhance their skills. Maintain and build upon appropriate business relationships with various constituencies, including but not limited to fellow employees, assigned brokers, reinsurers, and vendors. Duties and Responsibilities - Effectively write and retain profitable business aligned with division objectives - Build a strong working relationship with producers - Assist underwriting personnel at all levels to analyze and evaluate risk, recognizing exposures to make sound underwriting decisions on risk acceptability, coverage alternatives, risk management recommendations, and pricing - Review and evaluate products, filings, and pricing needs. Make recommendations for enhancements and changes as appropriate - Respond in a timely manner to work/questions - Develop opportunities for information flow - Maintain and continue to develop technical knowledge and expertise - Develop leadership skills through internal and external publications, seminars, and conferences, and share knowledge gained with peers - Contribute to the management team by discussing issues, developing efficiencies, and identifying and assisting in resolving conflicts - Participate in or lead assigned projects and special research projects as necessary - Travel as required, up to 10 percent - Perform other duties as assigned Essential Functions - Underwrite to attain profitable growth objectives - Assist personnel at all levels to analyze and evaluate risks or perform such duties as needed - Review and evaluate products, filings, and pricing needs - Build a strong working relationship with producers - Assist in development of division goals and objectives and achieving the supporting budget Qualifications - Ten years or more of underwriting, product development, product management, claims, risk management, distribution management, or related functions with a proven record of favorable accomplishments - Significant knowledge of the property and casualty industry is required, with knowledge of surplus and specialty lines preferred - Bachelor’s degree or comparable industry experience may be considered, with a high school diploma or equivalent required - CPCU, ASLI, ARM, or equivalent designations preferred, or evidence of continuing and progressive education in the insurance industry Necessary Knowledge and Abilities - Solid technical knowledge of commercial insurance forms, rates, and rules - Understanding of the state and federal regulatory environment - Skilled in building relationships, exercising sound judgment, making decisions, and influencing others - Understands the big picture and goals of the company and helps drive business unit results to contribute to the overall success and goals of the organization - Possesses a customer-centric service philosophy - Above-average communication skills - Negotiation, facilitation, and consensus-building skills - Thorough understanding or ability to learn new lines of business, including insurance procedures, processes, and product lifecycle management - Ability to promote a team environment of creative innovation - Understanding of CM | Vantage’s mission, philosophy, goals, and objectives - Ability to travel to meet with producers, brokers, vendors, and industry service organizations Necessary On-the-Job Training and Orientation - Six months; by the end of this time, the employee must be able to function with minimum direction - However, up to one year or more may be required before all aspects of the job are encountered Supervisory Responsibility - None Interactions - Company management and department personnel - Insurance producers, outside vendors, research firms, governmental and regulatory agencies, and insurance industry service organizations Additional Explanatory Comments NOTE: The CM Group is made up of Church Mutual Insurance Company, S.I., CM Regent Insurance Company, CM Vantage Specialty Insurance Company, and CM Select Insurance Company. NOTE: This job description in no way states or implies that these are the only duties performed by this employee. Employees may be requested to perform job-related tasks other than those specifically presented in this job description. The employer reserves the right to change or assign other duties to this position. #LI-Remote

Role Description Contributing faculty members serve in a part-time capacity to educate Walden University Students by effectively and proficiently using online technology and resources so that knowledge, information, feedback, and critique are imparted to and shared with students in thoughtful, carefully formulated, well written, and timely communications. This is accomplished in an environment that is respectful of the student, the Faculty Member, Walden University, and the discipline in which the Faculty Member is involved. Faculty Members are expected to adhere to all Walden University Faculty expectations, which are clearly set forth to the Faculty Member at the start of his/her employment with the University. Responsibilities - Training: All new Faculty Members receive specific training from Walden University in the techniques of teaching, use of an electronic learning platform, specifics of the policies, procedures and degree programs of the School or College in which they are going to teach, socialization into the Walden University culture, assessment of academic integrity of student work (including use of www.turnitin.com), and research supervision of theses and dissertations. - Course Teaching: Faculty Members are assigned a course, which is taught using Canvas, and are responsible for interacting with students within this platform. Discussion Boards for classrooms are open 24 hours per day, 7 days per week. Although postings to the classroom may be done at any time of day, they must be completed in a timely manner in accordance with the Faculty Handbook or other criteria established by Walden University. Per the faculty handbook, responses to student questions must be posted within 48 hours. Faculty Members are required to verify the accuracy of student postings and submissions and to provide feedback and grades to students through Canvas. Grading is due within 7 days from the due date of the assignment. - Availability: Walden expects faculty to be reasonably accessible to students. Faculty members are expected to be available to students outside the course discussion board and in addition to providing substantive feedback on assignments and postings. Faculty members will publish their availability to students through course syllabi, instructor information in the classroom, and/or other appropriate documents. The university suggests regular and predictable availability, such as online office hours or regular online chats. - Residencies: Faculty Members may be required to attend Residencies held domestically or internationally (Part-time faculty may, but are not required to attend), where they will teach intensives and colloquia, and facilitate school and university-wide discussions. - Performs other duties as assigned. - Complies with all policies and standards. Qualifications - Master's Degree in the field of study or closely related field (or recognized by a country’s Ministry of Education or Counsel of Higher Education). Required. - Active, unencumbered PMHNP certification. - Minnesota RN and APRN licenses, or willingness to obtain these licenses as a condition of employment. - 1 year of clinical practice as a PMHNP. Required. - Faculty members are required to have an adequate computer to handle an electronic learning platform, keyboard, pointing device, and computer monitor. All other tools are knowledge-based or training-based through Walden University. - The Faculty Member must be able to use Microsoft Office products (MS Word, MS Excel, and MS PowerPoint), zip software, and Adobe Acrobat and must have reliable Internet access as well as alternate access in cases where primary access becomes unavailable. - Candidates should possess a significant record of intellectual and professional contributions to the field of College of Nursing, including experience in the practice of Psychology Mental Health. - Commitment to advocating for the learning and development needs of students earning their degrees in a distance learning environment. - Teaching, advising and mentoring; commitment to the promotion of applied research and the recruitment and development of a diverse faculty; excellent leadership, communication, team, and human relations skills. - Experience with distance learning preferred. - Faculty Members must be appropriately credentialed, possess an earned degree from an accredited institution or recognized by a country's ministry of education in the discipline being taught, and may be expected to be licensed or license-eligible in order to teach in specific programs. - Faculty Members must maintain their licenses and any appropriate certifications in order to continue to teach at Walden University. - Faculty Members are also expected to maintain currency with research by reviewing articles, journals, and presentations. If participating in research, the Faculty Member may publish and acknowledge Walden University. Benefits - Graduate Course Instruction: $1,560 - $4,080 per Quarter or Semester, depending on type of course taught and length of course. - Undergraduate Course Instruction: $700 - $2,200 per quarter, depending on type of course taught and length of course. - Actual pay may be adjusted based on job-related factors permitted by law, such as type of course taught; experience and training; geographic location; licensure and certifications; market factors; departmental budgets; and responsibility. - Walden also offers other opportunities for its adjunct faculty members, such as dissertation/doctoral study committee chair positions, research reviewing, and dissertation and doctoral study mentoring. Equal Opportunity Minority / Female / Disability / V / Gender Identity / Sexual Orientation Department Faculty

• Review dental claims, referrals, and prior authorization requests across multiple lines of business. • Apply clinical expertise to evaluate treatment plans, radiographs, chart notes, and supporting documentation. • Make coverage determinations based on benefit plans, clinical guidelines, medical necessity criteria, and applicable policies. • Meet established productivity, quality, and turnaround-time standards. • Document clinical rationale clearly and accurately in accordance with regulatory and accreditation requirements. • Participate in calibration sessions to promote consistency and accuracy in clinical decision-making. • Complete inter-rater reliability assessments and support ongoing quality improvement efforts. • Collaborate with leadership and peers to address complex clinical scenarios and interpretation questions. • Incorporate audit findings and feedback to continuously enhance determination accuracy and documentation quality. • Conduct peer-to-peer consultations with treating providers regarding clinical determinations and treatment alternatives. • Participate in grievance, appeal, and secondary review activities. • Consult with dental specialists and subject matter experts as needed to support informed clinical decision-making. • Maintain expertise in Liberty Dental Plan benefit structures and applicable Medicaid programs. • Support regulatory reporting and accreditation-related activities. • Stay current with ADA CDT coding updates, evidence-based treatment guidelines, and state-specific requirements. • Participate in required training programs, departmental meetings, and organizational initiatives.