Ampoule Examiner Job Description Samples

Results for the star of Ampoule Examiner

Building Inspector/Plans Examiner

Our supply chain management consultants can leverage significant supply chain experience, acquired while developing and implementing strategies for some of the world?s best known companies over the past forty years in more than one-thousand client engagements, and apply it, hands-on, to your organization.

Position Summary

This position is responsible for inspection of construction projects.

Requirements

  • High school graduate or equivalent plus two (2) years experience in construction inspection.

We have extensive experience in helping companies keep up with the dramatic changes in distribution center and warehouse operations. Our warehouse design consulting team combines on-the-floor data gathering with sophisticated modeling techniques to produce and implement warehouse/distribution center operation plans that provide increased savings and reliability for tomorrow while keeping the inventory moving today.


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Registered Nurse-Ub Pool Forensic Nurse Examiner Sane

POSITION SUMMARY: Responsible for providing and coordinating interdisciplinary patient care utilizing the nursing process.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 1. Assesses the physical, psychological, social and cultural dimensions of patients according to professional practice standards and institutional policy/procedure. 2.

Organizes and prioritizes nursing care activities considering the needs of the patient. 3. Implements patient population specific interventions based on individual patient needs. 4. Evaluates effectiveness of care progressing patient towards desired outcomes. 5.

Develops and implements patient/caregiver teaching plan based on identified health education needs and the condition and age of the patient. 6. Provides for a safe environment and safe delivery of care. 7. Assumes responsibility for professional development of self and contributes to and assists with the professional development of others. 8. Demonstrates leadership in the delivery of patient care.

MINIMUM REQUIREMENTS: * Education: Graduate of an accredited nursing program required. Bachelor’s of Science in Nursing Degree preferred.

  • Experience: 1 year of relevant experience.

  • License/Certification: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. American Heart Association (AHA) Health Care Provider BLS certification required.

GENERAL INFORMATION The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required of personnel so classified.

Pay Range: 25.80 - 42.70 Primary Location: Albemarle County-Charlottesville Job: Registered Nurse Schedule: Wage Shift: Variable Employee Status: Regular Job Posting: May 1, 2017 Req ID: 32763



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Jr. Records Examiner (Top Secret Clearance Required)

TIME SOLUTIONS, LLC

Company Job Title: Jr. Records Examiner

Chenega Job Title: Jr. Records Examiner

SCA Labor Category:

Clearance:

Top Secret

Location:

Winchester, VA

Reports To:

Program Manager

FLSA Status: SCA, Full-time, Hourly, Non-Exempt

Prepared Date: 5-24-2017

Approved Date: 5-24-2017 Executive Order 13495, The Non Displacement of Qualified Workers Under Service Contracts provide first right of refusal to incumbents on contracts. If the position is accepted by the incumbent on the job, other application/resume of non-incumbents will not be reviewed. *

THIS POSITION IS CONTINGENT UPON CONTRACT AWARD

Summary: Time Solutions, LLC is seeking a Jr. Records Examiner to provide document conversion support to the Federal Bureau of Investigation’s (FBI) Records Management Division (RMD). The Jr. Records Examiner shall perform document conversion tasks including, but not limited to, document preparation and reassembly (R/A). This individual may also assist with document scanning, image quality control, rescanning, and security classification review on a limited basis.

Essential Duties and Responsibilities:(Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position) * Prepare documents, files, records, and other physical material for scanning on high-speed document scanners in accordance with FBI Document Conversion Laboratory (DocLab) standard operating procedures (SOPs). Some examples of Prep activities include, but are not limited to: * Removing staples, fasteners, and any other metal material; repairing torn pages; aligning pages properly; writing R/A instructions on and inserting various patch sheets into the material as necessary; placing material in plastic sleeves as necessary; and photocopying some material as necessary; visually inspecting every page top-to-bottom.

  • Reassemble documents, files, records, and other physical material according to R/A instructions in order to return items to the state in which they were originally received. Some examples of R/A include, but are not limited to: * Restapling, refastening, and any other sort of rebinding; removing material from plastic sleeves; removing various patch sheets and photocopies inserted at Prep; replacing material in folders or on prongs as appropriate; visually inspecting every page top-to-bottom, front-to-back for classified information.

  • May perform scan activities on a limited basis including, but not limited to: * Using mechanical joggers to align stacks of material for scanning; operating high-speed document scanners; monitoring high-speed document scanner operation to prevent double-feeds, embedded barcodes, metal from being sent through the scanner, and any other issues that may arise during operation; clearing jams and repairing torn pages as necessary, adjusting the scanner’s speed to balance jams or as otherwise necessary.

  • May conduct image quality control (IQC) review activities on a limited basis including, but not limited to: * Deleting images of blank pages, rotating images to maximize optical character recognition (OCR) readability; reviewing images for defects including unacceptable sharpness, noise, contrast, brightness, distortion, contrast, bent corners, skewness, double-feeds, incorrect images, etc.; marking defective images for R/S; visually inspecting every image top-to-bottom for classified information. * IQC operators are required to conduct a page-by-page comparison of the physical material to the scanned image for Bureau files.

  • May perform rescan activities on a limited basis including, but not limited to, searching for and retrieving original page(s), rescanning page(s), adjusting image settings to acquire and store high-quality image(s). * May perform security classification review (SCR) activities on a limited basis using software to perform and adjudicate targeted word searches for classified information in digital files prior to customer delivery. Some examples of SCR include, reviewing individual words for security classification violations and passing/failing words as violations or not. * SCR operators are required to conduct a page-by-page comparison of the physical material to the scanned image for Bureau files.

  • May be required to lift/carry bulky items up to approximately 65 lbs., stand/sit for prolonged periods or time, wear and tolerate personal protective equipment (e.g., rubber gloves, surgical face masks, etc.) for prolonged periods of time.

  • May draft various documents and correspondence via telephone, e-mail, and other communication systems. Non-Essential Duties: * Other duties as assigned

Supervisory Responsibilities: * None.

Minimum Qualifications:(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.) * Minimum of a high school diploma and a minimum of 1 year of experience in a related field.

  • Active Top Secret Security Clearance is required.

  • Must be available to work 1stor 2ndshift.

Knowledge, Skills and Abilities: * Must possess strong organizational skills and attention to detail.

  • Ability to work independently and part of a team.

  • Must be capable of drafting various documents and correspondence and possess basic proficiency receiving/sending communications via Bureau telephone, e-mail, and other communication systems.

Diversity: * Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.

Ethics: * Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.

Physical Demands: * The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is frequently required to walk; use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; climb or balance and stoop, kneel, crouch, or crawl. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision.

Work Environment : * The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

  • The employee will normally work in a temperature-controlled office environment, with frequent exposure to electronic office equipment.

  • During visits to areas of operations, may be exposed to extreme cold or hot weather conditions. Is occasionally exposed to fumes or airborne particles, toxic or caustic chemicals, and loud noise. Chenega Corporation and family of companies is an EOE. Equal Opportunity Employer Minorities/Women/Veterans/Disabled/Sexual Orientation/Gender Identity Native preference under PL 93-638. We participate in the E-Verify Employment Verification Program.

Minimum Qualifications:(To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.) * Minimum of a high school diploma and a minimum of 1 year of experience in a related field.

  • Active Top Secret Security Clearance is required.

  • Must be available to work 1stor 2ndshift.

Job:Clerical Support

Organization:Time Solutions

Title:Jr. Records Examiner (Top Secret Clearance Required)

Location:Virginia-Winchester

Requisition ID:1700001588


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Plans Examiner, Senior OR Plans Examiner 2 (J035/J034)

Plans Examiner, Senior OR Plans Examiner 2 (J035/J034) Salary See Position Description Location Eugene, OR Job Type Regular Department Public Works Job Number 201700113 Closing 6/5/2017 5:00 PM Pacific + Description

  • Benefits + Questions Description Note:Lane County Public Works Land Management is seeking to hireEITHERa Senior Plans ExaminerORa Plans Examiner 2 Plans Examiner Senior:To examine building plans for compliance with applicable state and local codes for fire and life safety to include residential, multi-unit residential, and commercial structures; and to perform related work as required. Plans Examiner 2:To examine building plans for compliance with applicable state and local codes to include residential, multi-unit residential and small commercial structures; and to perform related work as required.

    To examine building plans for compliance with applicable state and local codes to include multi-unit residential and commercial structures; and to perform related work as required. Schedule:Monday
  • Friday; 8:00 am

  • 5:00 pm. Shifts may change to accommodate operations needs.

    Occasional overtime may be required. Plans Examiner. Senior - $24.74 - $34.26 per hour Plans Examiner 2 - $20.82 - $28.85 per hour This a AFSCME represented position

  • Examples of Duties
  • Duties may include, but are not limited to the following Reviews construction plans of commercial, industrial, public, residential and related buildings of all complexities for compliance with state structural, mechanical and plumbing specialty codes and County codes and ordinances. Identifies plan deficiencies and notifies applicants of required modifications; approves original or revised plans.

    Provides general information to the public and interprets construction codes, policies and procedures. Meets with developers, designers and contractors to help identify code issues and resolve code problems relative to construction plans or design proposals. Performs technical research on code or engineering issues.

    Assists applicants in completing the building permit process. Conducts on-site inspections of units for compliance to state codes and County ordinances. Determines the values of commercial and other building permit fees and issues permits.

    Records and files applications and plans received. Trains examiners with less experience. Minimum Qualifications Knowledge of:

    State structural, mechanical and plumbing specialty codes. Pertinent County and state laws, codes and ordinances. Building plans, blueprints and construction terminology.

    Practices, methods and materials used in commercial, industrial and residential construction. Structural integrity criteria and tables. Building permit process.

    Principles of structural engineering and architecture. Principles and practices of computer programming. Principles and practices of training.

    Ability to: Read and interpret blueprints and building plan specifications and detect design faults. Determine building occupancy status and the appropriate fire and safety construction requirements.

    Conduct plans examination/inspection, document findings, determine corrective actions for compliance with appropriate code. Interpret and explain complex codes. Perform mathematical computations.

    Maintain accurate and complete records. Make decisions independently and use initiative and judgment in carrying out tasks and responsibilities. Establish and maintain effective working relationships with those contacted in the course of work.

    Communicate clearly and concisely, both orally and in writing. Experience and Training; Additional Information Plans Examiner 2 Training: Equivalent to the completion of the twelfth grade.

    Additional specialized training in engineering, architecture or a related field is desirable.

    Experience: Two years of responsible plans examination experience. An equivalent combination of experience and training that will demonstrate the required knowledge and abilities is qualifying.

    Special Requirements:

    Possess and maintain in continuous good standing those certifications as specified and required by the State's Building Codes Division through Oregon Administrative Rule that will authorize the individual in this classification to legally perform the following duties as an agent of a County or municipality in the State of Oregon: Review construction plans for compliance with provisions of the Oregon Residential Specialty Code (ORSC). Conduct plan review of proposed manufactured dwelling or park trailer installations for conformance with the State's adopted manufactured dwelling standard.

    Plans Examiner, Senior Training: Equivalent to the completion of the twelfth grade.

    Additional specialized training in engineering, architecture or a related field is desirable.

    Experience: Three years of responsible plans examination experience. An equivalent combination of experience and training that will demonstrate the required knowledge and abilities is qualifying.

    Special Requirements:

    Possession of ICC Certified Building Plans Examiner (B3) and Oregon Inspector Certificate (the latter within 6 months of appointment) OR Oregon Code Certification as an A-level Plans Examiner (PEA). AND Possession of a valid ICC Certified Fire Plans Examiner (F3) and Oregon Inspector Certificate (the latter within 6 months of appointment) OR Oregon Code Certification as a Fire and Life Safety Plans Examiner. Special Requirements: Applicants must possess a valid Oregon Driver's License at time of hire.

    The successful candidate(s) for this classification are required to take and pass a pre-employment drug test before entering county employment. Lane County complies with the Americans with Disabilities Amendments Act of 2008. If you require reasonable accommodation in the application and/or interview process due to disability, requests must be made in a timely manner.

    Contact a recruitment specialist at 541.682.3124. Careers with Lane County Offer Extraordinary Benefits At Lane County, we value our employees and we show it with our extraordinary benefits. We know that you chose public service for more than a paycheck, and our outstanding benefits are designed to help you Live Well, Live Lane - throughout your career.

    Read on to learn what great benefits await you in a career with Lane County. Benefits to keep you & your family well -physically Health insurance coverage becomes effective the first of the month following your first 30 days as an eligible employee. Medical/Rx/Vision- Lane County offers medical, prescription and vision exam coverage for employees and their eligible dependents.

    Medical/Rx/Vision for AdminPro, FOPPO, Local 626, Non-Represented, and Prosecuting Attorneys positions- Lane County offers medical, prescription and vision exam coverage for employees and their eligible dependents. The plan options and costs per month are outlined below: If you enroll in the HDHP the County will contribute to your HSA: $1,500 (individual) or $3,000 (family). *Eligible employees who complete a Health History Risk Assessment (HHRA), Biometric Screening, and Comprehensive Health Review at the Live Well Center receive a $20 per month credit. Wellness clinic

  • The Live Well Center is for Lane County benefits-eligible employees, spouses and dependents (ages 2 and up) who are enrolled in the Lane County health plan. Marathon Health manages the Live Well Center and their clinical team provides confidential, affordable care for your acute and preventive healthcare needs.

    The Live Well Center also provides health coaching, chronic disease counseling, comprehensive primary care services, and much more. Dental- Lane County provides dental coverage for employees and their eligible dependents. Employee Assistance Program (EAP)– Lane County provides this counseling and concierge service to employees and members of their immediate households.

    Fitness Center Membership– Lane County provides employees with a free membership to a local fitness center. Employees may add their families at a discounted rate. County-paid benefits to keep you & your family well-financially Retirement-Lane County pays for, and enrollsemployees in the Oregon Public Service Retirement Plan (OPSRP) and the Individual Account Program (IAP) following six full months of employment. Disability

  • Lane County pays a portion of wages for eligible employees through

Short-Term Disability, and provides Long-Term Disability coverage. Lane County complies with all State and Federal disability laws for employee, family, parental and pregnancy leaves regulations.

Time Management –Lane Countyprovides employees with a generous bank of hours to be used for sick, vacation, family emergencies and personal days. Holidays –Lane County providesnine paid holidays per year. Life Insurance

  • Lane County pays for employee life, and accidental death & dismemberment term insurance. County-paid training & development to keep your career well On-site classes –Lane County offers a variety of on-site classes to develop employees' soft and technical skills.

    Online training-Lane County offers a variety of online classes to help employees continually improve their skills. Conferences and Seminars– Lane County pays for employees to attend professional conferences to encourage continuous learning and professional development. Lane County offers these other valuable benefits Deferred Compensationretirement savings- Employees may enroll in a deferred compensation program 457(b) to save for retirement.

    Vision– Eligible employees may purchase supplemental vision insurance. Supplemental LifeInsurance– Employees may purchase supplemental life insurance for themselves and their dependents/spouse. Aflac– Optionalemployee-paid voluntary group coverage is available through Aflac.

    Group discounts– Group discounts may include homeowners and auto insurance, pet health insurance, credit union membership. The above information describes typical benefits available for Regular Full-time Employees. Actual benefits received may differ by position, employment status (regular, temporary, or extra help) and/or bargaining group.

    Paid medical, dental and vision coverage for dependents is determined by labor agreement or APM, as applicable. Please note that

TemporaryandExtra Helppositions are not typically eligible for benefits. This is a only brief summary of benefits available to eligible Lane County employees.

In all cases, plan documents govern. For additional information about these extraordinary benefits contact the Benefit Resource Center at 1-866-468-7272, or Lane County HR at (541) 682-3124. 01 Please answer YES if you meet one of the following criteria: You have a valid Oregon Driver's License; You have a valid driver's license from another state AND are able to obtain an Oregon Driver's License by the time of appointment.

  • Yes + No 02 Please describe your experience performing plans examination. Be sure to include years of experience; types of occupancies reviewed; and your specific responsibilities.

    Be sure to distinguish between any residential and/or commercial plans examination experience you may have. 03 Do you possess any professional certifications or licensures relevant to the position of either Senior Plans Examiner or Plans Examiner 2? If so, please list them below. 04 Please A) describe your customer service philosophy in working with the public. Also, B) what differences do you see in providing customer service to the development community (i.e. contractors, architects, engineers, planning consultants, and so forth), versus providing customer service to the average lay person. 05 Outline the skills you possess that will enable you function as an effective team player with other professionals in the permit-assistance area (land-use planners, surveyors, development assistance staff, etc.). 06 Lane County is committed to supporting a diverse workplace.

    How has your experience prepared you to work effectively with persons from diverse backgrounds, or backgrounds different than your own? Required Question

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Senior CGL Litigation Examiner - Remote

Amazing Opportunity to work remotely from home.  10  plus years of senior level litigated excess GL claims is required. We are specifically looking for experience in the following:

  • Complex Litigated Commercial General Liability claims
  • Excess GL
  • Professional Liability
  • Manuscripted policies
  • New York Labor Law
This position is a remote position therefore we are in search of a highly organized and disciplined commercial claims examiner who is accustomed to working in a paperless environment. If your claims experience includes a minimum of 10 years of litigated commercial excess claims, we want to talk with you.
Recent or current New York Labor Law experience and intellectual property is preferred as well as insurance industry certifications. Our client is A+ rated, offers an exceptional rich benefits package and has an experienced tenured management team. Salary is open, depending upon qualifications.  All inquiries are confidential. Don't miss this one. Apply Today!

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Oakland Senior Medical Claims Examiner – Managed Care

Senior Medical Claims Examiner – Managed Care
Oakland, CA
Job Summary:
The Claims Examiner is responsible for in-depth analysis and final resolution of claims requiring clinical review, ensuring full compliance with policies and all regulatory procedures along with building, and fostering collaborative working relationships.  The Claims Examiner is also responsible for reviewing medical claims and documentation, using good judgment to make decisions regarding appropriate payment practices and communicating decisions.  This position specifically serves as the internal claims payment expert trainer, and as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues.

Position Description:

  • Serve as the internal claims payment expert, and as a liaison between the plan, claims, providers and various departments to effectively identify and resolve claims issues.
  • Review claims for medical necessity, coding and assure payment per the terms of the contract, member benefits and authorization.
  • Research and resolve complex verbal and written providers’ claims inquiries
  • Provide technical review of claims and medical records including records submitted by providers and internal records provided in electronic healthcare data bases.
  • Identify providers experiencing a large number of claims issues or with the potential to develop claims issues and proactively work to eliminate barriers for accurate and timely claims processing.
  • Prepare both internal and external documentation, assuring clarity in communication to all stakeholders.
  • Meet with external and internal clients for reviewing decisions and improving processes for better documentation and communication.
  • Direct and educate provider services and provider relations staff with the claims reprocessing notification, utilizing knowledge of provider billing and claims processing.
  • Identify needs and conduct additional claims training to internal departments.
  • Apply knowledge of medical bill analysis relating to state and federal regulations affecting medical billing practice.
  • Review claims to identify any potential third party or workers’ compensation liability and inform management.
  • Communicate with appropriate internal staff when identifying questionable billing practices or third party collection opportunities.
  • Performs data analysis and trending to improve departmental quality.
  • Provides trend analysis and review of errors, outputs and solutions to leadership using information from provider disputes.
  • Administer the contractual compliance of claims workflow through the entire claim life cycle to ensure timely processing to ensure compliance with all regulatory agencies.
Background Profile:
Requires graduate of high school or equivalent education; Associate degree preferred.
At least 3-4 years direct experience as a claims processor or reviewer in a payer setting.
Around 2-3 years of experience working at a Managed Care Organization (Health Plan, HMO, MSO/TPA, IPA, Medical Group, etc).
Requires knowledge of and working experience with ICD-9 / ICD-10, CPT and HCPC coding systems.
Strong qualitative and quantitative skills, including but not limited to healthcare, finance and operational data, as well as the use of analytical tools
Strong analytical mind, with problem solving skills, an aptitude for accuracy, and attention to detail.
Ability to interpret, analyze and summarize large data sets and develop professional reports.
Excellent verbal and written communication skills, as well as excellent critical thinking skills.
Ability to present information logically and is able to assist others understand the information.
Strong skills presenting complex data and outcomes to executive teams; presentation software experience and samples will be expected during the hiring/interview process.
Knowledge of contracts and contractual interpretations for payment and benefit issues.
Knowledge of medical terminology, healthcare coding conventions and industry standard payment methodologies.
Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
Advanced computer skills required, to include Microsoft Word, Excel, Power Point, Access, and advanced data entry.
The Reward:
EXCELLENT BENEFITS AND HIGHLY COMPETITIVE SALARY OFFERED!
Conveniently located in downtown Oakland at a building with a BART station for easy commutes, this company offers a comprehensive benefits package to all full-time, permanent employees including health, dental, and vision insurance, life and AD&D insurance, excellent PTO program (+ 9 holidays) with 20 PTO days the first year, and annually accrue up to 45 days PTO. They also offer a tax-deferred 401(k) retirement plan, with 3% company matching, and much more!
Health Dental, and Vision, are all either no-cost or low-cost to the employee, and substantially discounted for dependents:
Medical Plans- Employer pays approximately 93% of the premium of all employees and 68% of the additional premium for all eligible dependents.
Dental Plan- Employer pays 90% of the premium for employees and 40-50% of the marginal premium for all eligible dependents.
Vision Plan- Employer pays 100% of the premium for employees and all eligible dependents.

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Claims Examiner

Title: Claims Examiner Location:

WA - Spokane-Spokane-Administrative and Conference North Job Number: 171036 Process claims for care provided outside of the staff model by reviewing and interpreting the members individual benefits and verifying payment of the claim within the terms of the providers contract. Qualifications: Education Minimum Education Requirements High School Diploma/GED Preferred Education Associates Degree Related field. Knowledge/Skills Minimum Knowledge/Skills Requirements Intermediate Knowledge of medical terminology.

Communication and analytical skills. Computer skills. Preferred Knowledge/Skills Advanced 10 key 70 strokes per minute.

Typing 50 WPM. Experience Minimum Experience Requirements 1 year Claims or medical billing experience. Preferred Experience Other Experience CPT.4 and ICD 9 coding experience.

License/Certifications Minimum License/Certifications Requirements None Required Preferred License/Certifications None Required External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Job: Insurance & Billing Organization: GHC Bargaining Unit: EWA Admin NonExempt (non-union) FTE: 1 Schedule:

Full-time Shift: Day Job Days of shift: M-F Hours of shift: 8:00 am-5:00 pm Travel:

No Job level: Entry Level Job type: Standard Employee status:

Regular J2W code: ADM1N



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Workers' Compensation Examiner (Consultant)

Position Summary: This position is directly responsible for the supervision of our workers’ compensation claims program with a large financial exposure for CVS. This involves the oversight of all workers’ compensation claims in an assigned territory that are handled by insurance carriers and Third Party Administrators (TPA). This position is directly responsible for ensuring adherence to claim handling guidelines, analyzing TPA performance and directing claims handling. In addition, this position requires the ability to field and provide solutions on a high volume of inquiries from the CVS business units and departments.

Required Qualifications: - 1+ years of experience working in Worker’s Compensation, preferably in Lost Time Claims or TPA Oversights

Preferred Qualifications: - Insurance designations a plus.

  • Excellent analytical, organizational, written and communication skills.

  • Spanish speaking a plus.

  • Some overnight travel may be required for vendor meetings and claim reviews.

  • Texas Non-Subscription, General Liability, and/or Auto MedPay/PIP experience a plus.

Education: Verifiable High School Diploma or GED Required. Insurance Designations a plus.

Business Overview: CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers.

What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy.

Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers. CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law.

CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster:

EEO IS THE LAW Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking AA EEO CVS Health For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/



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Architectural Building Plans Examiner

Your Opportunity: We put the engine in buildings engineering. Intelligent design. Innovative execution. These are the elements of buildings engineering that rev us up. With decades of experience under our belts, we’re achieving remarkable results with our work in building technologies, energy, and environmental performance. Our team of interdisciplinary engineers works collaboratively with clients to design buildings and processes that are on track for safety, performance, and sustainability. Our team of interdisciplinary code professionals work collaboratively to assure client designs comply with life-safety requirements of the international codes. Our history with local and regional jurisdictions and tribal governments includes plan review, field inspection, and interim building official. Stantec’s Phoenix office is looking for a Building Code Examiner who is responsible for approving moderately complex commercial and residential projects such as new construction, tenant improvements, remodels, additions, and small structures based on applicable codes, ordinances, and administrative directives which are enforced by the jurisdictions that Stantec Consulting Services provides plan review services.

Your Duties: The responsibilities include reading plans, interviewing applicants to determine if proposed construction conforms to various codes and ordinances, and interpreting and approving building plans and specifications. Incumbents work with building codes which are complex and require a variety of interpretations based upon the specific conditions of each construction project, including the scope of work to be performed, nature of work, age of existing building, codes applicable during the original construction, and present code requirements. Essential Functions:devises construction permit applicants by phone or in person as to whether proposed construction conforms with the building, plumbing, mechanical, and electrical codes, and related regulations and directives.

  • Researches and enters technical data as required for sites, permits, or plans information into computer.

  • Reads code updates and ordinance changes and attends seminars to keep current on code and ordinance changes.

  • Reviews tenant improvement and remodeling plans and other data to approve or deny applications for commercial and industrial construction permits.

  • Completes forms to approve or deny applications for construction permits.

  • Interprets codes and informs applicants of construction code requirements.

  • Provides technical information to field inspectors by reviewing and researching codes.

  • Checks data files to insure that documents meet the requirements and are released in accordance with established procedures.

  • Advises construction permit applicants of the types of plans that must be submitted for proper review, the amount of time required for the review process, expedited review options, and recourse available to resolve problems encountered during the review process.

  • Assists Project Manager Assistant in technical and customer problem resolution for commercial and residential projects.

  • Demonstrates superior seamless customer service, integrity, and commitment to innovation, efficiency, and fiscally responsible activity.

Your Capabilities and Credentials: + Five years of experience reviewing plans, schedules, and other data to ensure proposed construction conforms to building, plumbing, mechanical, and electrical codes, ordinance, and related regulations Other combinations of experience and education that meet the minimum requirements may be substituted.

Knowledge of : + Building codes (UBC, IBC, NFPA), ordinances, and directives, including buildings, as applied to new and existing residential construction projects and complex commercial projects.

  • Various construction materials and methods and stages of construction.

  • Mathematical principles required to perform related technical calculations.

Ability to :

  • Work cooperatively with other Stantec and jurisdictional employees and the general public.

  • Read and accurately interpret plans and specifications.

  • Objectively interpret and consistently apply code requirements and related standards in accordance with department policies.

  • Measure dimensions using engineer's and architect's scales.

  • Use graphic instructions, such as blueprints, plans, schematic drawings, or other visual aids.

  • Comprehend and make inferences from written material.

  • Work safely without presenting a threat to self or others.

Additional Requirements : Must possess the following certifications: + ICC Building Plans Examiner or Registered Arizona Architect or Engineer

Job ID30847# of Openings Remaining1

LocationUS-AZ-PhoenixExperience (Years)5

Posted Date4/6/2017

DisciplineBuildings Engineering


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Claim Examiner I Swhp Pipeline

Claim Examiner I SWHP Pipeline

Description The Claim Examiner I for Baylor Scott and White Health (BSWH) is responsible for claims processing, research and adjudication to correctly apply benefit determinations on routine uncomplicated medical claims (CMS 1500 and UB04) and Rx claims in accordance with claim processing guidelines. In addition, the Claim Examiner I for BSWH has the following responsibilities: + Processes and adjusts uncomplicated professional and facility and Rxclaims according to claims processing guidelines + Pends claims as directed by departmental policies and procedures, follows up for resolution and process pended claims immediately following a benefit / payment determination

  • Works claims inventory from assigned queues to ensure all claims process within established turnaround time as directed by department policy and procedures + Reviews all output reports to ensure accurate benefit and rider determinations + Completes reports to ensure prompt payment of claims + Coordinates win-scanning of claims related documents into members MACESS folder + Identifies and review problems systematic or procedural with Supervisor for timely follow-up and correction

  • Consistently meet /exceed productivity standards and accuracy standards for payment, procedural and financial + Performs follow-up and takes all necessary actions required to resolve all errors and findings assessed by the Quality Review Team + Performs task individually and as part of an assigned team + Maintains confidentiality regarding rules around HIPPA guidelines + May be required to work in excess of regular scheduled hours + Focuses on achieving departmental and organizations objectives + Complies with company policies and procedures, which includes punctuality as they relate to work time, lunch, and break period The ideal candidate will possess the following knowledge, skills, and abilities: + Medical claims processing strongly preferred + Medical terminology, CPT, HCPCS, ICD9, ICD10, and coding preferred + Demonstrates effective data entry skills; ability to navigate within a computer / systems-without assistance + Experience in a windows-based computer environment + Excellent verbal and written communication skills + Excellent attention to detail + Excellent analytical and problem solving skills + Ability to prioritize and work within time frames to accomplish tasks + Excellent organizational skills + Location/Facility–Temple - Health Plan For more information on the facility, please click ourLocationslink. + Specialty/Department/Practice –Claims + Shift/Schedule–Full Time + Benefits –Our competitive benefits package includes\ * : + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 \ * Note: Benefits may vary based upon position type and/or level. Baylor Scott & White Health (BSWH) is the largest not-for-profit health care system in Texas and one of the largest in the United States.

    With a commitment to and a track record of innovation, collaboration, integrity and compassion for the patient, BSWH stands to be one of the nation’s exemplary health care organizations. Our mission is to serve all people by providing personalized health and wellness through exemplary care, education and research as a Christian ministry of healing. Joining our team is not just accepting a job, it’s accepting a calling!

Qualifications + H.S. Diploma/GED Equivalent

Job

Health Plan

Primary Location US-Texas-Temple

Job Type

Standard

Shift

Day Job

Organization

Insurance

Job Level

Individual Contributor

Job Posting

Apr 24, 2017, 3:19:49 PM

Employee Status

Regular

Req ID: 17012129



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