NonIT - Claim and Benefits Processor 2 Veterans Sourcing GroupNonIT - Claim and Benefits Processor 2Salem, ORRemoteThe main function of the Benefits Processor is to analyze disability claim information, make benefit decisions and payments on lower liability claims; administer low maintenance claims; provide administrative support for the department's management of disability claims including the set-up and distribution of new claims; provide responsive customer service to claimants, policyowners, Benefits staff, and group offices. •Investigate, secure and analyze information pertaining to claimant's medical condition, insured status and other policy provisions to accurately determine eligibility for, and entitlement to disability benefits for low liability and short duration claims; identify, file/fact discrepancies and outstanding issues and secure additional documentation as needed while investigating within prescribed time frames.
Claims Manager MWHClaims ManagerSalem, OR$125,000–$160,000 / yearIncorporating industry-leading preconstruction and construction services, the Company’s multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services. With the ultimate goal of delivering maximum value to clients and their local communities, MWH Constructors provides single-source, integrated design and construction services through a full range of project delivery methods.
NewClaims Supervisor Samaritan Health ServicesClaims SupervisorCorvallis, ORRemoteSamaritan Health Plans (SHP) operates a portfolio of health plan products under several different legal structures: InterCommunity Health Plans, Inc. (IHN) is designated as a regional Coordinated Care Organization (CCO) for Medicaid beneficiaries; Samaritan Health Plans, Inc. offers Medicare Advantage and Commercial Large Group plans. KNOWLEDGE/SKILLS/ABILITIES Effective written and verbal communication skills to perform group presentations, tactfully discuss issues, and listen to and understand concepts, rules and procedures.
Non-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote) Allstate Insurance CompanyNon-Attorney Represented Bodily Injury Claims Adjuster - PST/MST (Remote)ORRemote$47,500–$61,600 / yearCase Management, Claims Administration, Claims Resolution, Claims Review, Customer Centricity, Customer Service, Digital Literacy, Inclusive Leadership, Insurance Claims Investigations, Learning Agility, Personal Injury Claims, Problem Solving, Results-Oriented, Time Management, Written Communication. As a requirement of employment, individuals who currently hold an active insurance license must terminate all existing appointments prior to onboarding and must not hold any outside appointments at any point during employment.
Claims Manager Slayden Constructors IncClaims ManagerSalem, OR$125,000–$160,000 / yearIncorporating industry-leading preconstruction and construction services, the Companys multi-disciplined team of engineering and construction professionals delivers a wide range of projects, including new facilities, infrastructure improvement and expansion, and capital construction services. This role involves coordinating with Legal & Risk, project teams, insurance carriers, legal counsel, and subcontractors with oversight from Director of Risk to mitigate risk, analyze claims, and protect the companys interests.
Claims Team Leader GT Independence CareersClaims Team LeaderSalem, OregonThe Claims Team Leader manages the submission of claims data, payments and works with team members and agencies to resolve outstanding claim issues. · Communicate with Claims Manager including but not limited to: training issues, agency challenges, unbilled items and A/R issues.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTESalem, ORRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Claims Analyst - REMOTE Ryder System IncClaims Analyst - REMOTESalem, ORRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Claims Adjuster Senior - Injury The Progressive CorpClaims Adjuster Senior - InjurySalem, OR$70,000–$90,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Claims Adjuster Senior - Litigation The Progressive CorpClaims Adjuster Senior - LitigationSalem, OR$70,000–$90,000 / yearFor ideas about how you might be able to protect yourself from job scams, visit our scam-awareness page at https://careers.progressive.com/pages/how-we-hire-faq-job-scams/ . Investigating complex and high-risk claims - which may be attorney represented or have additional litigation features - you'll consult with police officers, medical professionals, claimants and others involved in the accident.
Senior Claims Adjuster Trean Insurance Group IncSenior Claims AdjusterOregon, OR$75,000–$90,000 / yearEnsure that all claim determinations and payments are completed timely including but not limited to, acceptance/denial letters, wage determination letters including required enclosures and appeal forms. Timely claims determinations for all services including but not limited to: acceptance, denials, authorizations for treatment, benefit payment start, termination are to be included within the statutory or regulatory time frames of the jurisdiction.
TEMP-Workers'''' Compensation Claims Adjuster Argo Group International Holdings IncTEMP-Workers'''' Compensation Claims AdjusterORRemote$37.66–$44.33 / hourBoston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C. Clearing the error involves researching to obtain the missing or misaligned information (sometimes requiring communication with the claimant or insured) and entering or correcting data in various fields in either our claims system or the state's reporting site.
Multi-Line Claims Adjuster - Oregon Provencher & Company, LLCMulti-Line Claims Adjuster - OregonSalem, ORWe excel in providing professional, knowledgeable claims professionals to handle large losses, catastrophe claims, business interruption and daily property claims, as well as handle complete liability investigations, task assignments including scene investigations and property damage appraisals, construction defect claims as well as first party automobile claims for personal and commercial insurance policyholders. Experience in industry specific areas a plus, but not necessary: fire departments, agricultural, lumber mills, high value or historic buildings or Construction Defects, Automobile Liability, Subrogation Recovery investigations.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteORRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Senior Analyst Claim Reporting and Special Services CVS Health CorpSenior Analyst Claim Reporting and Special ServicesOR$46,988–$112,200 / yearPosition Summary: We are looking for a highly motivated candidate who can effectively and accurately oversee and coordinate rework projects, work closely with other members of the Commercial Services Operations team providing project management, root cause analysis and precise resolution of affected claims. The candidate will serve as a Project Lead for rework projects/issues for a specific network or large-scale rework projects generated as a result of Plan Sponsor issues, release fallout and/or legal/regulatory/compliance concerns.
Provider Support Specialist Generis Tek Inc.Provider Support SpecialistCorvallis, OR$20–$21 / hourDepartment description: The Network Management / Provider Relations department is responsible for developing, supporting, and maintaining relationships with the provider network across all product lines. The department collaborates with internal stakeholders including Claims, Utilization Management, IT, and Configuration to resolve provider issues and improve overall provider satisfaction.
Auditor/Investigator I Qlarant Quality Solutions IncAuditor/Investigator IORCollects data for audits/investigations into claims, utilizing a combination of analytical skills and attention to detail, reviewing documentation, interviewing involved parties, and communicating with various stakeholders to gather relevant information for successful resolution and closure. Qlarant is a not-for-profit corporation that partners with public and private sectors to create high quality, safe, and efficient delivery of health care and human services programs.
NewSales Consultant Summit Business GroupSales ConsultantCorvallis, OregonWe will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.
Sales Leader Summit Business GroupSales LeaderCorvallis, OregonYou'll receive extensive training to engage with small and medium-sized businesses across various industries, interfacing directly with business owners and decision-makers to offer industry-leading supplemental insurance products and services. Balancing cold lead generation and sales with warm leads and appointments with existing clients, leveraging provided sales leads and engaging in targeted cold-calling efforts.
Insurance Sales Representative Summit Business GroupInsurance Sales RepresentativeMcMinnville, OregonWe will train you to call on small and medium-sized businesses that operate in a variety of industries, meeting face-to-face with business owners and decision-makers to offer some of the industry's best supplemental insurance products and services to them and their employees. You will work with business owners, benefits managers, and their employees individually at times; other times, you will give product presentations with employee groups as large as 50-100+ people.
Sales Representative Summit Business GroupSales RepresentativeSherwood, OregonUnlike traditional office-based roles, you will spend the majority of your day out in the field, cold calling using our Custom Salesforce CRM, building rapport with potential clients, and delivering compelling product presentations. Because your primary goal is to establish connections with business owners and key decision-makers at small and medium-sized businesses within your sales territory through in-person sales calls, the hours that you work should/will reflect times when these businesses are open.
Bilingual Compliance Monitor - Nutrition First Mid-Willamette Valley Community Action AgencyBilingual Compliance Monitor - Nutrition FirstSalem, ORFull timeThe Compliance Monitor is responsible for recruiting potential providers, monitoring, record keeping, and providing nutrition education for participating child care providers. Conducts in-home monitoring reviews of the family child care providers on their caseload to ensure compliance with USDA Child Care Food Program (CCFP) regulations.
Contact Representative (Benefits Coordinator) US Department of Health and Human ServicesContact Representative (Benefits Coordinator)OR$45,409–$72,644 / yearGS-08: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the next lower grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: interpreting and applying federal, state, Tribal, and third-party program regulations to determine eligibility and ensure compliance for programs such as Purchase Referred Care, Medicare, Medicaid, Affordable Care Act, Veterans Affairs Healthcare, and other alternate resources; conducting in-depth patient interviews to assess eligibility, verify coverage, and complete applications; registering eligible patients in various assistance programs; resolving claim denials and eligibility issues through coordination with patients, healthcare providers, and outside agencies; reviewing Medicaid eligibility information and supporting billing requirements; and utilizing effective oral and written communication to explain program requirements, provide referrals, and resolve complex patient service issues. MINIMUM QUALIFICATIONS: GS-06: Your resume must demonstrate at least one (1) year of specialized experience equivalent to at least the GS-05 grade level in the Federal service obtained in either the private or public sector performing the following type of work and/or tasks: determining patient eligibility for alternate resources programs; interpreting and applying Medicare, Medicaid, VA, and other third-party payer policies and procedures; conducting patient interviews to identify available healthcare coverage and funding sources; assisting patients with enrollment and claims processes; researching and resolving eligibility, denial, and reimbursement issues; maintaining effective working relationships with patients and resource agencies; and safeguarding confidential patient information in accordance with Privacy Act and HIPAA requirements.
Senior Manager, Inventory Control Ichor Systems, Inc.Senior Manager, Inventory ControlTualatin, ORThis player/coach role is ideal for a hands-on leader with advanced PowerBI skills, essential for data-driven decision-making and reporting to executive leadership. Your insights and analysis will be presented regularly to the executive team, ensuring that inventory management aligns with business objectives, minimizes financial risks, and maximizes customer satisfaction.
Billing Certified Coder Northwest Human Services IncBilling Certified CoderSalem, ORQUALIFICATIONS: Current Certified Coder credential through an accredited organization or college Minimum 12 years of coding experience in physician-based services Knowledge of CPT-4, HCPCS, and ICD-10 coding Basic understanding of medical billing processes and accounting principles related to payments and adjustments Strong computer skills and ability to navigate electronic medical records and billing systems. We are a mission focused organization providing compassionate and professional medical, dental, psychiatry, mental health, and wraparound services for those in our community who need it most - uninsured individuals, families, the homeless, and migrant workers.
Customer Service Representative - State Farm Agent Team Member Ryan Gelbrich - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSalem, ORAs a Customer Service Representative - State Farm Agent Team Member with Ryan Gelbrich - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Sr. Medical Coding Quality Analyst -Hybrid/Remote Our clientSr. Medical Coding Quality Analyst -Hybrid/RemoteSalem, OregonRemoteExperience: 5+ years of medical coding experience, including 2+ years in multispecialty coding and 2+ years in a quality analyst or leadership role. This is a Contract to hire role, offering $35-$41 an hour, and is on a hybrid remote work schedule and fully remote after first week training.
Customer Service Representative - State Farm Agent Team Member Mark Marshall - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberMcMinnville, ORAs a Customer Service Representative - State Farm Agent Team Member with Mark Marshall - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Casey Hill - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSherwood, ORAs a Customer Service Representative - State Farm Agent Team Member with Casey Hill - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
NewSenior Quality Specialist CVS Health CorpSenior Quality SpecialistOR$18.50–$38.82 / hourActs as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.
Customer Service Representative - State Farm Agent Team Member Ben Search - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSalem, ORAs a Customer Service Representative - State Farm Agent Team Member with Ben Search - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Jeb Barram - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSalem, ORAs a Customer Service Representative - State Farm Agent Team Member with Jeb Barram - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Alex Ferry - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberSalem, ORAs a Customer Service Representative - State Farm Agent Team Member with Alex Ferry - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Brian Koenig - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberWilsonville, ORAs a Customer Service Representative - State Farm Agent Team Member with Brian Koenig - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Jake Larson - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberCanby, ORAs a Customer Service Representative - State Farm Agent Team Member with Jake Larson - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Customer Service Representative - State Farm Agent Team Member Jay Puppo - State Farm AgentCustomer Service Representative - State Farm Agent Team MemberWilsonville, ORAs a Customer Service Representative - State Farm Agent Team Member with Jay Puppo - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support.
Service Coordinator- Continuous Cavco Industries IncService Coordinator- ContinuousORJob Summary: The Service Coordinator supports Field Service Technicians by communicating with, responding to, and acting on customer, dealer and retailer requests, questions, and concerns, and administers service needs per Cavco Homes warranty and service guidelines. While performing the duties of this job, the employee is regularly required to talk and hear, in order to communicate to employees as well as function safely around construction equipment.
Utility Billing/EMS Billing Support Specialist City of CorvallisUtility Billing/EMS Billing Support SpecialistCorvallis, OR$24.65–$31.31 / hourAssociates Degree from accredited college or university with major coursework in computerized accounting systems, medical insurance billing, business administration or related field and one year of related experience in office and business practices and procedures including professional billing experience using computerized accounting systems. Performs utility billing customer service duties such as providing information, processing transactions, reconciling customer accounts, adjusting customer statements, resolving complex customer inquiries and complaints, posting monthly meter reads, posting and processing manual and electronic payments.