• Reviews rejected pharmacy claims for appropriateness. • Becomes a pharmacy claim processing subject matter expert and triages claims issues. • Assist with resolution of rejected pharmacy claims via provider and/or pharmacy outreach. • Compiles, interprets, documents, and tracks findings from pharmacy claims monitoring data. • Becomes subject expert with Medicare Part D policies and procedures. • Reviews Part D transition claims reports. • Interacts with the pharmacy benefits manager, pharmacies, prescribers, and members to ensure appropriate and timely member access to prescription drugs. • Supports medical pharmacy prior authorizations (Part B). • Supports Medicare Part D Customer Service call center questions and issues received from members, pharmacies, and providers. • Supports compliance functions and requests, including support of the pharmacy department during CMS (Centers for Medicare and Medicare Services) audits when applicable. • Supports quality programs including STARS. • Conducts retrospective claims reviews.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description As a Sales Customer Representative, you'll be the crucial link guiding clients to smart financial solutions. You'll engage with individuals and families, providing personalized strategies for Life Insurance, Indexed Universal Life (IUL), and Annuities. - Client Engagement: Nurture connections with pre-qualified clients virtually. - Needs Assessment: Understand clients' situations and aspirations. - Solution Presentation: Clearly present tailored financial strategies via Zoom/phone. - Seamless Journey: Guide clients from inquiry to plan implementation. - Efficient Workflow: Utilize CRM for managing interactions. Qualifications - Exceptional Virtual Communicators: Build rapport and convey complex info remotely. - Proactive Problem-Solvers: Results-driven and committed to client solutions. - Client Advocates: Passionate about positive financial impact. Requirements - Important Note: This is an independent contractor (1099) position. - Compensation is solely commission-based. Benefits - Uncapped Earning Potential: Your hard work directly shapes your income with uncapped commissions. - Full-time opportunity offering consistent hours, stable income potential, and long-term career growth within a supportive remote environment. - Pre-Qualified Leads: Focus on building rapport; no cold calling! - Robust Growth & Support: Access training, tools, and mentorship. - Collaborative Community: Join a supportive network of peers. - Wellness Support: Opportunities for life insurance and healthcare benefits (Exchange option).

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Are you ready to make a meaningful difference in the lives of individuals and families? At ReWorks Solutions, we are on the lookout for an enthusiastic and dedicated Intake and Case Support Coordinator to join our dynamic team. In this engaging role, you will be the vital link that facilitates seamless communication and support for clients as they navigate their healthcare journeys. - Facilitating call center operations, admissions processes, CRM/EMR data management, and pre-admission insurance protocols - Overseeing outbound calling initiatives and marketing campaigns - Keeping the CRM database and pre-screening tools in tip-top shape - Coordinating the logistics for client intake - Building strong connections with clients, families, and referral sources - Assisting with billing procedures and financial planning - Monitoring calls, social media engagement, and SEO performance - Supporting the coordination of both internal and external marketing efforts - Managing emergency situations while upholding compliance standards Qualifications - A passion for helping others and a strong empathetic nature - Previous experience in a healthcare environment, particularly in intake or case support roles, is a big plus - Exceptional communication skills, both verbal and written, to engage with clients effectively - Strong organizational skills, with the ability to prioritize tasks in a fast-paced environment - Familiarity with healthcare documentation and regulations, ensuring compliance at every step - Proficiency in using electronic health records (EHR) systems and basic office software - Availability during US hours: Monday to Friday from 12 PM to 7 PM EST and Sunday from 10 AM to 3 PM EST - Comfortable working U.S. hours - Remote work from home Company Description Fraud Disclaimer: ReWorks Solutions will never request payment during recruitment or require in-person office visits. All official communication will come from a ReWorks Solutions email address. Please verify any suspicious messages with our team directly.

About The Job   About NAVER U.Hub NAVER U.Hub is the U.S. subsidiary of NAVER, a global internet technology company, based in Los Angeles with offices in Seattle and Redwood City. Our teams across NAVER Search US, BAND, ThingsBook, and NAVER Ventures collaborate to advance AI, social media, and investment initiatives that build smarter and more connected experiences for global users.   Overview This hybrid internship offers hands-on experience across customer support, product education, content creation, and team operations. Your primary role will be to help users succeed with BAND, deliver tailored demos to prospective customers, and develop resources that enhance onboarding—while also supporting the team with logistics and administrative coordination. You’ll collaborate closely with partnership and marketing teams to continuously improve the user experience and ensure internal operations run efficiently and smoothly. Why Join BAND? - Make a meaningful impact by helping communities stay connected - Collaborate with a mission-driven, fast-moving team - Opportunity to shape user education and support at scale - Flexible, collaborative work environment Key Responsibilities Customer Success & Relationships - Assist in responding to user inquiries via email, chat, and support channels with clarity and empathy - Help troubleshoot issues and guide users to effective solutions - Help identify recurring pain points and share actionable insights with internal teams - Support user interviews to better understand needs, use cases, and challenges - Assist in building relationships with users and developing connections with collaborators - Contribute to the creation of help articles, guides, and FAQs - Learn the ins and outs of the product to effectively help users Product Demos & Lead Support - Assist with product demos for prospective customers - Help understand prospect needs and support tailoring tailor demos to relevant use cases - Support onboarding for new groups to help ensure a smooth and successful start - Assist partnerships and marketing teams in nurturing leads Content Creation Support - Help gather real-world use cases through user interviews and success stories - Assist in creating clear, engaging support and marketing content (guides, tutorials, social posts, videos) - Collaborate with designers and videographers to produce graphics and video assets - Assist in scripting and producing demo videos and onboarding content Team Support & Operations - Assist with logistics for events, campaigns, and team initiatives - Assist with coordinating merchandise orders, shipping, and inventory tracking - Provide cross-functional administrative and operational support for efficient operations Skills & Qualifications - Strong customer-first mindset with a passion for helping people succeed - Strong problem-solving ability and attention to detail - Excellent written and verbal communication skills - Basic content creation skills (graphics and short-form videos using tools like Canva) Preferred Qualifications - Experience or interest in creating help center content, tutorials, or educational materials - Experience or interest in delivering product demos, training, or presentations - Experience or interest in service-based customer success, support, or onboarding What Success Looks Like - Users feel supported, confident, and satisfied with BAND - Prospective customers clearly understand BAND’s value through effective demos - Support content reduces repetitive inquiries and improves onboarding - Team operational bottlenecks are reduced through proactive support Other - Job type: Full-time internship - Contract period: 3 months (with potential for internship extension) - Location: Remote (must be based in California) This position is remote; however, candidates must be currently located in California due to employment requirements. - Pay: $30/hr - Please note: To be eligible, applicants must be currently authorized to work in the United States on a full-time basis (CPT/OPT required for F-1 students). Sponsorship for employment visa status is unavailable. Equal Employment Opportunity NAVER U.Hub is proud to be an Equal Opportunity Employer, fostering a diverse and inclusive workplace where all individuals are valued and respected. Naver U.Hub and its affiliated companies are committed to providing an Equal Employment Opportunity for all individuals regardless of race, color, religion, gender, age, national origin, marital status, sexual orientation, gender identity, status as a protected veteran, genetic information, status as a qualified individual with a disability, or any other characteristic protected by law.