Antigo Jobs - Career Builder
Behavioral Health Case Manager I or II - 106783SK
Details: Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide. Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care. This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company. Location: Onsite in the Overland Park, Kansas office location. BH CASE MANAGER I Job Summary: Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources. Primary duties may include, but are not limited to: Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy, clinical criteria, and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs or community resources. Works with medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied. Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. Ensures member access to medically necessary, quality healthcare in a cost effective setting according to contract. Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process. Collaborates with providers to assess member needs for early identification of and proactive planning for discharge planning. Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards. BH CASE MANAGER II Job Summary: Responsible for collaborating with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical issues. Primary duties may include, but are not limited to: 1. Ensures medically appropriate, high quality, cost effective care through assessing the medical necessity of inpatient admissions, outpatient services, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy, clinical criteria, and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs or community resources. 2. Works with medical directors in interpreting appropriateness of care and accurate claims payment. 3. May also manage appeals for services denied. 4. Conducts pre-certification, retrospective, out of network and appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts. 5. Ensures member access to medically-necessary, quality healthcare in a cost effective setting according to contract. 6. Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high quality, cost effective care throughout the medical management process. 7. Collaborates with providers to assess member needs for early identification of and proactive planning for discharge planning. 8. Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications. 9. Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.
Financial Representative
Details: Tower Loan , one of America’s largest privately owned Consumer Finance companies, has been lending money to our customers for personal loans, home equity loans, and retail sales financing, for over 70 years . We are currently seeking candidates who are bright, dependable, and ambitious; who are determined to establish a successful career . Manager Trainees Earn a solid salary and exceptional benefits Receive paid Holidays , 401K, paid vacation and more. Earn promotion to Manager through successful completion of the 12 month training. Manager Trainee responsibilities include lending collecting assisting with branch management contract review customer service assist in hiring, training and staff development
Property Manager
Details: Property Manager Healthcare Realty Trust (NYSE:HR) is a real estate investment trust (“REIT") that integrates owning, managing and developing real estate associated with the delivery of outpatient healthcare services throughout the United States. We are currently recruiting for an experienced Property Manager for a portfolio of medical office buildings in the Charlotte, NC area. Responsibilities: • Monthly financial reporting • Accounts receivable and payable processes • Contract bidding • Tenant relations • Other property management responsibilities
Electronics Merchandising Specialist - Part Time
Details: Tech-Junkie • Electronics Guru • The “Fixer" ARE WE DESCRIBING YOU? We are seeking tech savvy candidates to join our team of Part-Time Tech Merchandising Specialists. If you want a flexible schedule and have knowledge and/or experience that includes merchandising, electronics, information technology, electrical installation, or audio visual, this could be the perfect job for you! Merchandising visits are typically conducted Monday through Thursday between 7 a.m. and 6 p.m.; however, some projects may include evening and/or weekend hours We offer competitive wages that take your experience into consideration We offer paid training to hone your existing skills and expertise Multiple positions are available in the Oklahoma City, OK area: Oklahoma City, OK Edmond, OK
Entry Level/Project Coordinator
Details: GradStaff is the leader in providing college graduates with great career opportunities. We actively seek college grads seeking entry-level positions, or positions requiring up to a few years of professional experience. Our staffing model is focused on finding the right position for each candidate. To learn more, visit our website by clicking the link below. GradStaff is working with major clients in the Nashville area, hiring for a variety of positions, including: Account Specialist Project Coordinator Customer Service Associate Marketing Coordinator Finance Assistant We are looking for college graduates with a degree in liberal arts or business. The ideal candidate will have: Strong computer skills Excellent attention to detail Ability and motivation to provide great customer service Ability to take initiative, working independently and as part of a team Positive attitude Trustworthy – able to handle client information in a confidential manner GradStaff uses a behavioral-based interviewing technique to help job seekers better understand their marketable job skills and identify ideal career tracks. As part of our service, we will critique your resume, strengthen your interviewing skills, and provide you with job search advice. All of our services are provided at no cost to job seekers. We have helped hundreds of college graduates get their “foot-in-the-door" to prove what they can do for our client companies. Let GradStaff help you achieve your career goals and aspirations. Email your resume to
Temporay Sales Associate
Details: This position greets customers, assists customers with store inquiries, answers the phone and/or directs callers, tabulates purchases using the register for transactions. Use safe money handling procedures and secure transaction practices. Greet customers and render assistance as necessary responding to inquiries of products and merchandise. Answers phone and responds to inquiries or direct calls for appropriate resolution. Operates cash register tabulating transactions, accepting payments, giving change, bagging purchases and processing employee or faculty discounts as appropriate. Starts up and shuts down register, trouble shoots, counts down register, perform cashier audits, etc. Balances the cash drawer including checks and the credit card receipts and student charge slips. Observes safe money handling procedures and secure transaction practices when accepting cash payment, making change, accepting checks and credit card payments, and processing refunds/buybacks. Includes cashier integrity to safeguard register and drawer deposits. Test EAS security system daily and approach customers who set off EAS system investigating alarms, resolving issue and logging EAS activations. Receive, sort and open, as necessary, mail. May also take outgoing mail to mailbox or Post Office. Carry and shelve merchandise inventory; may also pull and package merchandise for return to vendors. Straightens merchandise, stocks shelves, prices merchandise and may assist in setting up displays and signs. May be required to mop, vacuum, clean shelves and take out trash. Ensure inventory controls tags are removed and/or replaced on merchandise according to company standards as applicable. Pick, process and pack orders for shipping in accordance with Retail Store Operations Fill in for other employees during absences, for breaks and lunches, and during periods of high volume. May perform data entry or type simple correspondence including printing and system back-up. Take inventory as needed and may have responsibility for ordering general merchandise items (snacks, beverages, newspapers, magazines, etc.). May provide customer service/sales functions for special events (including but not limited to author signings, graduation and athletic events)
Family Intervention Specialist
Details: ***Ask about our relocation assistance!*** Company Overview Youth Villages has been a national leader in the implementation of research-based treatment philosophies in the field of children's mental and behavioral health. Our commitment to helping troubled children and their families find success spans 20+ years and includes a comprehensive array of programs and services. If you are looking for a positive career move where you are meeting the challenges of life and striving to make a positive difference, then Youth Villages is the place for you. We are looking for people with a strong sense of purpose and focus to continually build confidence in yourself and our organization. Program Overview Our Intercept program serves a broad population of youth, including those involved with multiple child-serving systems and those at high risk of removal from their families. The program specializes in diverting youth from out of home placements by helping their families safely maintain youth in their home environment. This position is responsible for providing intensive home-based therapy to families. Position Overview Carry small caseload of 4-6 families Hold family sessions with each family 3 times a week scheduled at the convenience of the families 3 supervision meetings a week Web-based documentation (voice recognition technology in most locations) Provide on-call availability to families during the week, one weekend each month Drive up to 60-80 miles to meet with families in the home Counselors provide treatment in individual families' homes in a wide array of settings and communities Additional Information Schedule is non-traditional, but flexible and based around clients' availability. Since counselors are heavily involved with each family, long hours may be required. Counselors must have their own vehicle to use for work purposes as well as have liability insurance. Counselors are reimbursed for mileage.
Senior .NET Developer
Details: Responsibilities * Participate in development and maintenance of our client*s system by maintaining their existing code base as well as extending it with new features as requested by Marketing and management * Implement solutions according to design, requirements, and standards. * Write unit tests, conform to code standards, have your designs and code reviewed, use both static and performance analysis tools. * Work closely with your team members and the software team leads to ensure you're on track. * Participate in our training programs designed to increase your software level knowledge. This includes the opportunity to attend a week-long offsite training course, seminar or conference. * Assist in continually improving our software development process and the development environment. * Be committed to stretch goal achievement and willing to do what it takes to get the job done Required Qualifications * Significant experience in web service development and Service Oriented Architecture * 5+ years of software development experience * 5+ years of experience using ASP.NET and C# to develop dynamic database driven web applications. * 5+ years of experience in relational database design * Solid understand of security issues related to multi-tier enterprise applications * Strong technical expertise with in the following: o ASP.NET Webforms/MVC Frameworks o WCF o C# o HTML o CSS o jQuery o JavaScript o Microsoft SQL Server, T-SQL o Microsoft Visio * Solid understanding of SOAP and ReST based web service protocols * Experience producing architectural design documentation * Experience communicating architectural designs at a variety of organizational levels * Excellent written and oral communications skills * A 4 year degree in a computer related field, or equivalent experience Desired Qualifications * Experience with Microsoft Enterprise Library * Experience with AJAX * Experience with Angular.js * Experience with Test Driven Development and automated unit testing The successful candidate has the ability to be creative, to develop innovative solutions and enjoys keeping up to date with current technology and development approaches. TEKsystems® is the nation's leading technology staffing and services company. Combining a proven track record of superior performance, a quality-focused approach to service delivery, and the highest-caliber technical professionals in the market, TEKsystems helps our clients successfully plan, build, and run their critical technology initiatives. About TEKsystems: Join TEKsystems®, a leading IT staffing, IT talent management and IT services firm, and get your career on the fast track. We have more than 100 offices worldwide, and we partner with over 6,000 clients and place over 80,000 consultants per year. At TEKsystems, we seek to understand our consultants’ skills, goals and interests, allowing us to present targeted job opportunities on a contract, contract-to-hire or direct placement basis. TEKsystems' leadership in the market stems from our sincere and personal commitment to driving the success of our customers, consultants and each other. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, genetic information or any other characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please call 888 472-3411 or email accommodation@teksystems .com for other accommodation options.
General Manufacturing (Operators - Full Time Finishing - 12 hour 223 Shift)
Details: Job Description Quad/Graphics is seeking full time General Manufacturing Employees to grow with us! A general manufacturing position includes the opportunity to learn the printing process from the ground up and advance in a progressive environment. In this position you will assist in the creation of various well known magazines/catalogs and other related products in our Finishing department. Quad/Graphics prides itself on having a grow-from-within philosophy where employees are provided the opportunity to learn in their roles and grow within the company. Essential Duties & Responsibilities The list of duties and responsibilities may include the following: Remove product from the end of the printing press or finishing machine. Stack loose signatures off a pallet and transfer to table and then place into a collator hopper. Transfer completed bundles of product off machine conveyor and stack onto pallets, then place mail bags onto pallet. Move product with a hand jack or motorized Raymond or Big Joe lift. Comply with all quality, safety and work rules and regulations. Effectively communicate with other members of the staff. Remove skids of product using a Big Joe and Hand Truck. Assist other crew members with various duties including webbing up of the press and/or special handwork in order to meet customer requests. Follow all clean-up and housekeeping procedures. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The ability to take stacks (average 10-30 lbs) using repetitive hand/wrist movement, off of the end of a machine (2-4 feet high) and stack product on skids from floor level to 5 feet high using repetitive bending and twisting. The ability to remove skids (weighing up to 2400 lbs) by using a Big Joe and Hand Truck Ability to lift stacks of end boards (30 lbs) as needed Lift rolls of banding strap (60 lb) as needed Moving logs as needed without lifting them (stand them up or lie them down) Ability to adjust stacker using a touch screen Ability to use a vibrating jogging table The ability to take stacks of loose signatures ranging (5-30 lbs.) off a pallet of up to 48” in height and transfer to table top work surface 42”, and then place into a collator hopper. Ability to transfer completed bundles of product (10-30 lbs.) off machine conveyor and stack onto pallets or into mail bags that potentially weigh from 5 to 75 lbs. Then place mail bags onto pallet. The ability to use a hand jack or motorized Raymond or Big Joe lift. The ability to use a computer, scissors, and tape gun. At least 18-years of age or older A solid work history Ability to work well in a team environment Ability to follow instructions and work independently The ability to read and write; possess good verbal and written comprehension The flexibility to work a 12-hour work day, working 3 to 4 days per week, and having every other weekend off (two on, two off, three on, two off, two on, three off etc.) which includes Days, nights, holidays and weekends. This shift does rotate from days to nights or from nights to days. . Education and /or Experience Manufacturing experience is preferred, such as laborer, machinist, assembly, or bindery. Printing or Finishing (Bindery) experience is not required. Additional Company Information We offer excellent benefits to eligible employees, including 401(k) and profit sharing plans, holidays, vacations and more.EOE Minorities/Females/Protected Veterans/Disabled Drug Free Workforce Additional Job Board Text Additional External Text
Customer Support Representative
Details: Multiple Temp-to-Hire Openings!!!! Ultimate Staffing is part of the Roth Staffing family of Companies, which is one of the largest, privately held staffing companies in the country, with locations across the country. We are proud of being the only staffing company recognized with all industry's top awards for -- The Best Staffing Firm to Work for, The Best Staffing Firm to Temp for and the Best in Client Service. We get to make life better for the people and to create remarkable experiences every day. We are just a different kind of company! Our client a leading employer in the Metro Area has engaged Ultimate Staffing in their search for multiple openings! Positions are temp-to-hire, great training program, amazing company culture and career path opportunities! Location: Portland Metro Industry: Multiple Openings: CSR and Admin Support
Operations Manager - Special Handling
Details: Ally Overview Ally Financial Inc. (NYSE: ALLY) is a leading automotive financial services company powered by a top direct banking franchise. Ally's automotive services business offers a full spectrum of financial products and services, including new and used vehicle inventory and consumer financing, leasing, vehicle service contracts, commercial loans and vehicle remarketing services, as well as a variety of insurance offerings, including inventory insurance, insurance consultative services for dealers and other ancillary products. Ally Bank, the company's direct banking subsidiary and member FDIC, offers an array of deposit products, including certificates of deposit, savings accounts, money market accounts, IRA deposit products and interest checking. Ally's Corporate Finance unit provides financing to middle-market companies across a broad range of industries. Business Unit/Global Function DescriptionAlly Servicing is part of Ally’s Dealer Financial Services business and is a leading auto finance customer service organization with a portfolio of 4 million accounts. Ally is a full spectrum auto servicing organization including value streams from customer care to remarketing, and many support areas. It is a fast-paced, challenging and collaborative working environment. Our employees are focused on consistently delivering a superior customer experience. Position Description The Manager will play a lead role in a strategic program that will modernize one of Ally’s key IT systems & build the foundation that will drive business transformation. Primary responsibilities will include oversight of analysts, accountable for a business function, including oversight of Business and Change Delivery, Core Receivables System (COTS), and Integration Delivery and System Conversion. The Manager will drive value throughout the entire development lifecycle from project inception, requirements, design, construct, testing, and deployment. The ideal candidate must be passionate about delivering results, can learn quickly, is self-motivated, detail oriented, a decision maker, and can sift through voluminous amounts of information to pinpoint which items are relevant for inclusion in the future state solution (COTS and / or custom developed). The Manager will need blend of business skills and experience in leading cross-functional initiatives that enable them to facilitate sessions with multiple stakeholders to drive measurable results. This role will require also require impeccable organizational, time management, leadership and communication skills, and must work well in a matrix organization.Job Responsibilities Decompose as-is processes (including mapping to multiple systems, inputs, outputs and integration points) Gather and document requirements in multiple process areas and disciplines in the Consumer Auto Finance arena including business process, controls, system conversion, data conversion, analytics and reporting Determine how current functionality and business rules and controls map and be configured in the new system; identify opportunities to simplify and streamline existing processes and controls, leveraging go forward software Leverage internal and external best practice and benchmark data to drive productive and appropriate process changes that will simplify process, support ease of business, and improve controls Establish process to manage and maintain business rules & system configurations Maintain detailed documentation on system configurations; including business rules, controls, and process workflows Ensure controls in place to manage business rules, including version controls & change controls Work with various internal and external IT partners to define best solutions for future-state Operations, ensuring solution is flexible and accommodating to future innovation and growth strategies Develop and execute thorough project, change management, and test plans and aid in the closure of gaps and defects Responsible for: A successful proof of concept for a key process area in the new system Identifying appropriate testing resources as appropriate Maintaining appropriate staffing levels throughout project Delivering within established timeline, forecast Maintaining strong partnership with IT counterparts and Enterprise Partners Ensuring integration touch points have been identified and links established Engaging operation throughout to ensure future solution identified has been vetted and accepted, aid in change management and acceptance, including communication and training Making decisions and leading change where appropriate to align with COTS package functionality Identifying custom work that needs to be done Employee Engagement Qualifications HS diploma or equivalent required. Bachelor's degree in related field strongly preferred, MBA is ideal. 7+ years in customer service or financial services industry is needed. At least 5 years leadership experience preferred. Highly organized with a controls mindset Strong time management skills Strong analytical and problem solving skills Must have experience in one or more of the following areas for the Consumer Auto Finance program: Customer Service (CRM, Salesforce, Lead Management, Campaign Management) Account Maintenance and Payments End of Term / Remarketing Collections and Loss Mitigation Data and Reporting Finance, Treasury and Tax Consumer Credit / Funding / Product / Pricing Dealer / OEM COTS stand-up Business and Change Delivery Core Receivables System Integration Delivery System Conversion Platform Development Solution Integration Accomplished at facilitating sessions with cross-functional groups to gather appropriate inputs required to define several key items including, but, not limited to processes flows, controls, requirements, technical specifications, test cases, and training materials Ability to identify and apply business needs to technical applications Excellent written and verbal communication skills Establish clearly documented business and system requirements Ability to effectively work with employee and external partner resources, both on-shore and off-shore Skilled with Microsoft products, in particular MS Excel, MS Access, MS PowerPoint Able to work on multiple teams and prioritize efforts based on program objectives and timeline Capable of working with stakeholders to define reporting and analytics needs Ability to travel as needed to support project Willingness to commit to multi-year project assignment Total Rewards Information Ally's compensation program offers market-competitive base pay and bonus pay potential based on achieving personal and company goals. Plus, we have a flexible paid-time-off program with an emphasis on work-life balance. Ally offers a variety of benefits to protect your health and well-being, provide financial security and balance your work/life needs including: Industry-leading 401K Retirement Savings Plan including Matching and Company Contributions Comprehensive wellness program and wellness rewards to help you reach your personal health goals Flexible health insurance options including dental and vision Pre-tax health savings, dependent care and commuter transit accounts Life and disability benefits Other work/life benefits including tuition reimbursement, adoption assistance, weight watchers and employee discount programs. Ally extends equal employment opportunities to qualified applicants and employees on an equal basis regardless of an individual's age, race, color, sex, religion, national origin, disability, veteran status, sexual orientation, or any other reason prohibited by law.
Restaurant Assistant Manager
Details: Panera Bread is looking for Restaurant Assistant Managers for our location in Wayland, Ma! Our upscale, friendly cafes feature freshly baked breads and pastries. We serve made to order soups, salads, and sandwiches as well as specialty espresso beverages. At Panera Bread, warmth is our business. It's what we do best. And for like-minded individuals who are ready to surround themselves with fresh food and great people, work has never felt so friendly. This is an outstanding opportunity to join a rapidly-growing concept with a great work environment. The Pull of Panera Bread Year after year consumers rank Panera Bread as one of America's Top 10 highest-rated chains. • Panera Bread has earned several "Quick-Track Awards of Excellence," including the highest-rated chain on restaurant cleanliness (Sandelman and Associates) • Over 90% of our retail management associates are "highly satisfied" with their careers at Panera Bread (Panera Bread Retail Satisfaction Survey) • A recognized market leader winning awards for our products, service and efficiency • No alcohol service and grease-free environment • No late nights for Retail Managers MUST HAVE AT LEAST TWO YEARS OF RECENT RESTAURANT MANAGEMENT EXPERIENCE. Great Compensation Plan -- Base plus Strong Incentive Growth Potential -- Many new Cafes will open each year in New England Attractive Operating Hours (No Late Nights!) Excellent Medical/Dental/Vision Benefits, and Life/Disability Insurance Paid Vacations 401K with Company Match A TRULY FUN AND GREASE/ALCOHOL FREE WORK ENVIRONMENT! Qualified candidates are encouraged to apply! Please send your resume to . .
Community Event Coordinator - Bilingual Spanish
Details: JDC Healthcare Management, LLC is ahigh growth, private-equity owned business, providing management services forJefferson Dental Clinics (“JDC"). Jefferson Dental Clinics has been servingpatients throughout Texas for almost 50 years, with over 200,000 patient visitseach year. With 50 locations in DFW and Houston, we continue to grow ourbusiness: adding new clinics, products, services, and technology to ensure ourplace as a leader in the dental space. We are excited about this growth, aswell as the tremendous opportunity it provides for our team members to grow andshare in our success! Summary The Community EventCoordinator will be responsible for managing the event calendar,planning events, managing event logistics, scheduling staff, and will bededicated to cultivating new relationships to access new event leads. EssentialFunctions Research and initiate new event leads Work with the marketing team to plan and execute booth layout and logistics for events Determine appropriate equipment and products needed for the exhibit, and organizes the packing, shipping and ordering of any necessary materials Execute events onsite by supervising booth set-up and teardown, maintaining booth appearance and operations, and handling any onsite issues that arise Coordinate and communicate directly with internal teams about event logistics Assist in maintaining events calendar and prepares related documentation as required. Positive interaction with consumers at scheduled events and presentations Create brand awareness and positive impressions Create patient appointments Ability to quickly learn service and dental health benefits and effectively communicate these plans to consumers - in a positive, concise, friendly manner Ability to answer dental health questions and other company-related questions relating to Jefferson Dental Clinics and the brand’s entire service line Ability to "make the sale" via our education platform Assist with set-up and program breakdown at events Ensure that the brand talking points are communicated in an effective manner with all potential patients Communicate pro-actively with manager
Property Claims Supervisor - CJW
Details: Property Claims Supervisor- CJW CLAIM YOUR FUTURE AS A GREAT PERFORMER! Providing both satisfying and challenging work along with a highly professional and friendly work atmosphere, VeriClaim a Sedgwick company has a strong commitment to its colleagues and its clients. If you are seeking a place where you can do great things for those whose lives you touch while maximizing your own career possibilities, VeriClaim is the place for you. We invite you to come be a part of our team and, “Claim Your Future.” PRIMARY PURPOSE: To supervise the operation of a team of property examiners and technical property staff which administer property claims for clients; to monitor colleagues' workload, provide training, and monitor individual claim activities; to provide technical/jurisdictional direction to examiner reports on claims adjudication; and to maintain a diary on claims in the teams including frequent diaries on complex or high exposure claims. ESSENTIAL FUNCTIONS and RESPONSIBILITIES Supervises a team of Account Managers/Examiners, single of multiple product line examiners and/or several (minimum seven) technical operations colleagues for a wide span of control; may delegate some duties to others within the unit. Identifies and advises management of trends, problems, and issues as well as recommended course of action; informs management of new procedures and ideas for continuous process improvement; and coordinates with management projects for the office. Provides technical/jurisdictional direction to examiner reports on claims adjudication. Compiles, reviews and analyzes management reports and takes appropriate action. Performs quality review on claims in compliance with audit requirements, service contract requirements, and quality standards. Acts as second level of appeal for client and claimant issues regarding claim specific, procedural or special requests; implements final disposition of the appeal. Reviews reserve amounts on high cost claims and claims over the authority of the individual examiner. Monitors third party claims; maintains periodical review of litigated claims, serious vocational rehabilitation claims, questionable claims and sensitive claims as determined by client. Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim status; and provides written resumes of specific claims as requested by client. Assures that direct reports are properly licensed in the jurisdictions serviced. Ensures claims files are coded correctly and adequate documentation is made by claims examiners. ADDITIONAL FUNCTIONS and RESPONSIBILITIES Performs other duties as assigned. Supports the organization's quality program(s). SUPERVISORY RESPONSIBILITIES Administers company personnel policies in all areas and follows company staffing standards and training recommendations. Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions. Provides support, guidance, leadership and motivation to promote maximum performance. QUALIFICATIONS Education & Licensing Bachelor's degree from an accredited college or university preferred. Professional certifications as applicable to line of business preferred. Licenses as required. Experience Six (6) years of claims experience or equivalent combination of education and experience required to include two (2) years claims supervisor experience. Skills & Knowledge Thorough knowledge of claims management processes and procedures for multiple product lines Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Analytical and interpretive skills Strong organizational skills Excellent interpersonal skills Excellent negotiation skills Ability to work in a team environment Ability to meet or exceed Service Expectations WORK ENVIRONMENT When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding, travel as required Auditory/Visual: Hearing, vision and talking NOTE: Credit security clearance, confirmed via a background credit check, is required for this position. The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. VeriClaim a Sedgwick company is an Equal Opportunity Employer and a Drug-Free Workplace
Office Assistant / Customer Service / Receptionist
Details: General Summary: Provide excellent first-line customer service. Answer and route incoming calls. Greet and assist visitors at front counter. Routine clerical projects requiring organization, accuracy, and timely completion. Projects require the ability to think critically, evaluate situations, and choose the most appropriate solution or course of action . Extensive use of computers, including Excel, Word, Outlook, Access, Crystal Reports. Job tasks may include: Reception coverage -- greet and welcome visitors, process payments Answer and route incoming calls Take and enter orders while on the phone Process orders received via fax and email Generate customer invoices Perform basic bookkeeping, filing, data entry, and clerical duties Make collection calls Make coffee (everyone does) Manage and take ownership of ongoing projects which may include Review, maintain, edit and draft operational procedure documents Review, maintain, edit and draft product information Design and generate sales and accounting reports Write advertising copy, assist with advertising design Evaluate existing procedures, offer practical suggestions for improvement, implement approved suggestions You will be expected to: Accomplish tasks & achieve results in a timely fashion Accept ownership of both existing job duties and new tasks as assigned Explore opportunities to add value Arrive to work and meetings on time and prepared Work well both independently & part of a team Work independently Enhance organization reputation
QUALITY ASSURANCE MANAGER
Details: Plans, coordinates and directs all quality functions within the company. Ensures all products and procedures meet internal and external requirements. Monitors performance of the quality system; analyze data and reports on performance measuring against set standards. Advise on changes required and methods to implement change. Provide training, tools, and techniques to enable others to meet quality standards required.
Regional Design Consultant
Details: Regional Design Consultant Bring your expertise and passion for design to work every day. Best Western, a premier worldwide hospitality brand, needs you, a design-savvy consultant, to collaborate with hotel owners to promote compliance with Best Western design guidelines and standards. This unique role will allow you to be client-focused while utilizing your breadth of professional design experience as you leverage your consultative approach to write practical and relevant property improvement plans. If this appeals to your creative palette, join this energized, forward-thinking organization where your vision and hard work will be recognized and rewarded. Work with people who care. Best Western International, Inc., headquartered in Phoenix, Arizona, is a privately held hotel brand made up of more than 4,000* BEST WESTERN®, BEST WESTERN PLUS® and BEST WESTERN PREMIER® hotels in more than 100* countries and territories worldwide. Now celebrating 69 years of hospitality, Best Western welcomes hundreds of thousands of guests nightly. Best Western provides its hoteliers with global operational, sales, marketing and promotional support, and online and mobile booking capabilities. We're an organization that genuinely cares about our staff. Wouldn't you like to work with people who care?
Process Improvement Engineer Senior
Details: Position could be located in one of the following locations Craigavon, Irvine, Greenville, Charlotte, Berea or Portland Put a LIFT in Your Career! NACCO Materials Handling Group, Inc. (NMHG), a world-class manufacturer of industrial lift trucks, has an outstanding opportunity for an exceptional and talented Process Improvement Engineer Senior. NMHG designs, engineers, manufactures, sells and services a comprehensive line of lift trucks and aftermarket parts marketed globally under the Hyster and Yale brand names. We are one of the global leaders in the Material Handling industry and have been building relationships and partnering with our customers, suppliers, dealers and employees for over 80 years. NMHG is looking for an energetic individual who will have a positive influence on the Global Process Improvement team. As a Process Improvement Engineer Senior, you will have the opportunity to drive sustainable improvement into NMHG Business and MFG processes based on the most significant opportunities related to achieving target market share and bottom line profit. This position will utilize Six Sigma tools and methodologies to help identify and validate the opportunity, align and focus the applicable resources, deploy the identified action and validate the results. Key accountabilities include: Identifies and assists in the implementation of sustainable business process and manufacturing improvements intended to achieve market share and profit targets. Serve as a dynamic change agent and lead strategic and customer focused business improvement projects using lean and Six Sigma tools. Utilize excellent and refined facilitation tools. Lead cross functional teams in order to deliver sustained improvement to critical manufacturing and transactional processes to help management achieve strategic goals and impact financial results. Work across functional and organizational boundaries to analyze and solve problems. Mentor Lean or Six Sigma Green Belt employees acting as a cross functional coach and holding them accountable for maintaining project documentation. Minimum qualifications: Bachelor's degree from an accredited college or university in Mechanical, Electrical or Business Minimum of -5-7 years additional experience in a Process Improvement position at a Six sigma Green Belt Level or Black Belt level. Certification at a Six Sigma Black Belt level required. Experience leading projects across various business segments and/or leading a process improvement team. Evidence proving the execution and implementation of multiple projects valued at $50,000+ each and totaling $300,000 overall. Ability to communicate complex ideas clearly and concisely and to facilitate meetings. Strong analytical and quantitative skills; statistically literate and well equipped with Six Sigma quality concepts and tools Customer focused in defining quality and establishing priorities. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables. Location information: Position could be located in one of the following locations Craigavon, Irvine, Greenville, Charlotte, Berea or Portland We are an equal opportunity employer with an excellent benefit package including medical, dental and life insurance, 401(k) and profit sharing. EOE/Minorities/Females/Veterans/Disabled
Customer Services- Chinese Cantonese/ Mandarin
Details: Customer Services Location: Diamond Bar, CA. Full Benefits: 100% paid Medical and Dental insurance, 401k, Paid Time Off, Paid Holidays, Life Insurance Please e-mail your resume to No phone calls. Training will be provided to those without experience. Member Services Coordinator 1. Handle incoming customer calls and assignments professionally. 2. Has strong Customer Skills 3. Must be responsible, able to multi-task, and detail-oriented 4. Basic Computer skills (Excel, Work, Outlook) 5. Must be able to type at least 45 wpm 6. Must be bilingual in Chinese- Cantonese/ Mandarin and English
Property Tax Administrator
Details: Company Overview Cushman & Wakefield is the world’s largest privately‐held commercial real estate services firm. Founded in 1917, it has 253 offices in 60 countries and nearly 15,000 employees. It offers a complete range of services for all property types, including leasing, sales and acquisitions, equity, debt and structured finance, corporate finance and investment banking, corporate services, property management, facilities management, project management, consulting and appraisal. Cushman & Wakefield is an equal opportunity / affirmative action employer, and as such, we hire the most talented professionals and invest in superior resources and technologies. The talent of our extraordinary people and the culture and business approach we foster, coupled with the exceptional, creative services we provide and the results we deliver worldwide for owners, occupiers, and investors are what distinguishes Cushman & Wakefield. Job Title: Property Tax Administrator Job Summary: •To support the operation of Property Tax Services Software platform •To learn, experience and contribute to Property Tax Operations •To gain an understanding of C&W businesses and service lines as well as the commercial real estate industry and local jurisdictional knowledge as it relates to property tax Duties & Responsibilities: •Computer proficiency in MS Office, including Excel, Word and PowerPoint •Excellent organizational skills including the ability to multi-task and prioritize efficiently •Ability to work independently on assigned projects •Strong attention to detail •Must enjoy working with numbers •Good communication skills •Ability to efficiently perform tasks and ability to obtain a high level of proficiency in all related software in a relatively short time frame •Knowledge of commercial real estate terms and definitions is preferred •Knowledge of property tax terms and definitions is preferred Physical Conditions: While performing the duties of this job, the employee is regularly required to travel from floor to floor and may be required to travel outside between buildings in varying outdoor weather conditions. The employee may also be regularly required to sit or stand for prolonged periods of time; regularly use hands to operate office machinery including, but not limited to, telephones, computers, fax, and photocopy machines; regularly required to walk, talk, and hear. Cushman & Wakefield is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.