Headlands Research will never ask a candidate for personal identifiable information (date of birth, social security number, driver’s license information, etc) via email or messenger tools, or for a financial deposit of any kind. At Pinnacle Claims Management, we are an innovative third-party administrator (TPA) that provides a full suite of comprehensive and customized health benefits administration services for self-funded companies, including health management and wellness solutions, and pharmacy benefit management. High school diploma or equivalent and one (1) to three (3) years of customer service and/or accounting/business experience with knowledge of generally accepted accounting procedures, analytical abilities, or equivalent combination of education and experience preferred.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. The Appeals & Grievance Coordinator is responsible for the day-to-day functions of the tracking and trending of all grievances, appeals, and complaints received within the Member Services Department.
In this role, you will handle inquiries, resolve issues, and ensure every customer receives a positive and professional experience across email, chat, and phone channels. We believe every interaction matters, and we aim to build long-term trust through clear communication, fast support, and meaningful solutions.
Our programs are focused on your whole family's wellness, including your physical, mental and financial wellbeing A core C&F tenet is owning your career development, so we provide a wealth of ways for you to keep learning, including tuition reimbursement, industry-related certifications and professional training to keep you progressing on your chosen path A dynamic, ambitious, fun and exciting work environment We believe you do well by doing good and want to encourage a spirit of social and community responsibility, matching donation program, volunteer opportunities, and an employee-driven corporate giving program that lets you participate and support your community At C&F you will BELONG If you require special accommodations, please let us know. Salary ranges are available for all positions at this location, taking into account roles with a comparable level of responsibility and impact in the relevant labor market and these salary ranges are regularly reviewed and adjusted in accordance with prevailing market conditions.
As a key player in our team, you will work closely with the Environmental Health and Safety Sr Leader, Process & Programs and the Americas EHS Director to establish and maintain a safe, accident-free, and healthy work environment at both the office and field levels by promoting wellness and security initiatives that enhance employee safety and well-being while performing their work. Manage OSHA injury and illness logs, EHS programs, historical metrics, and regulatory compliance responses at the Americas level in support of customer safety performance requests, including maintaining compliance with 3rd party EHS validation services (e.g., Avetta, ISN, Appruv), and potential marketing communications.
p style="line-height:1.2;margin-top:16px;margin-bottom:16px">What we desire in a candidate: self-motivation, proven leadership abilities, a customer service attitude, integrity, a desire for professional development and growth, a willingness to learn, and exceptional people skills. UNION BENEFITS – Our staff also belong to a union which includes benefits- Free college classes for all members.
p style="line-height:1.2;margin-top:16px;margin-bottom:16px">What we desire in a candidate: self-motivation, proven leadership abilities, a customer service attitude, integrity, a desire for professional development and growth, a willingness to learn, and exceptional people skills. UNION BENEFITS – Our staff also belong to a union which includes benefits- Free college classes for all members.
Spanish Job Description Below (Descripción del puesto en español abajo)
Spanish-speaking candidates are strongly encouraged to apply.
Bilingual Customer Support & Client Relations Representative (Remote)
We are ...
They will work with a diverse caseload of patients, assessing their needs, developing treatment plans, and delivering therapeutic interventions to promote improved functional abilities and independence. Our dedicated clinicians provide flexible, high-quality care that meets patients where they are, supporting recovery, enhancing communication, and driving meaningful, long-term outcomes.
Conducts in-market member engagement including Welcome Calls, New Member Onboarding, JSA Scheduling, High Quality PCP and Provider Terms, Product/Vendor Changes, CAHPS Proxy, Disenrollment Quality Assurance, and Proactive Service Recovery. • Resolves incoming calls concerning members' eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member's primary care physician and proactively engage member with their wellness plan options.
Develop leads, schedule appointments, identify customer needs, and market appropriate products and services. Along with customer service duties, you will assist with communications with our Spanish speaking clientele.
div>The Workers’ Compensation Claim Specialist is responsible for managing a caseload consisting primarily of litigated and some complex claims, ensuring timely and accurate payment of benefits while delivering high‑quality service to our clients.
The Claim Specialist works closely with clients, defense counsel, and medical providers to evaluate claims for settlement, negotiate resolutions, and bring cases through settlement and closure.
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#TravelingEmployees #ComplexClaims #ClaimsCareers #IND123 #LI-Remote
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Responsibilities:
When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust.
Responsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Responsibilities: When we hire Workers’ Compensation Adjusters at CCMSI, we look for detail‑driven problem‑solvers who balance empathy with sound judgment, navigate complex regulations with confidence, and deliver fair, timely outcomes that support injured workers and strengthen client trust. At CCMSI, we partner with global clients to solve their most complex risk management challenges, delivering measurable results through advanced technology, collaborative problem-solving, and an unwavering commitment to their success.
Making a lasting impact on the communities it serves, Acrisure has pledged more than $22 million through its partnerships with Corewell Health Helen DeVos Children's Hospital in Grand Rapids, Michigan, UPMC Children's Hospital in Pittsburgh, Pennsylvania and Blythedale Children's Hospital in Valhalla, New York. This role works closely with medical providers, employers, claims professionals, and injured workers to facilitate appropriate treatment, promote recovery, and support safe and effective return to work outcomes.