Auditor Data Processing Job Description Samples

Results for the star of Auditor Data Processing

Marketplace Claims Process Auditor

Description: Position Purpose: Independently perform comprehensive audits of claims to source documents and identify incorrect payments.

Design and conduct audit planning and wrap up of engagements. Utilize appropriate sources of information, including eligibility, enrollment and provider/facility contracts to conduct quality audits of claims, pre and post payments. Execute review of Cost Sharing Reductions (CSR) reconciliation logic to ensure CSRs are applied correctly.

Confirm the accuracy of the accumulator process for deductible and out-of-pocket maximum. Analyze errors and determine root causes for appropriate classification and facilitate corrective action plans. Perform control total checks on the claims submitted to reconciliation tools.

Understand and support the resolution of errors. Utilize audit software to provide written documentation regarding audit observations. Monitor federal and state regulations and contract changes for impact on claim payments and update audit criteria as necessary Summarize and communicate quarterly audit and related findings, recommendations, process improvement opportunities and best practices and assist in the consolidation and presentation of metrics, as needed.

Compare reconciliation reports against actuarial estimates on the member level. Coordinate and oversee testing of benefits to ensure benefit plan designs are applied correctly. Validate benefit package, components, and the final plan design. Assist with special projects

Qualifications: Education/Experience: Bachelor s degree in Accounting, Finance, Business or related field or equivalent experience. 3 years of public accounting, internal audit or related operational or business experience. IT, Marketplace, auditing or health care industry experience required . Knowledge of CPT/HCPCS Coding 2 years of medical or pharmacy claims processing, training or auditing experience.Knowledge of claim software systems, Microsoft Office applications, Marketplace, Medicaid and/or Medicare reimbursement rules and the ability to interpret state and provider contracts preferred. Knowledge of CPT/HCPCS Coding preferred. License/Certification: CPA, CIA and/or CISA preferred. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Job:Claims Operations

Organization:Commercial Solutions


Requisition ID:1049018

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Risk Management Process Auditor

Overview: This position is responsible for mitigating the risks of the organization by conducting audits on established policies, procedures and working instructions, identifying deficiencies and recommending improvements. Job Details Pay:$40,000.00 AnnuallyBenefits:Medical, Dental, Vision & 401KSchedule:Monday

  • Friday, 8am

  • 5pm Responsibilities: + Monitor compliance with policies, procedures and working instructions by examining and analyzing records, reports, operating practices and documentation across the organization to include Operations, Information Technology, Human Resources, Accounting, etc.

  • Conduct audit interviews with employees to vet understanding and compliance with existing and proposed policies, procedures and working instructions + Communicate audit progress and findings and improve risk management by recommending changes to policies, procedures and working instructions + Compile audit findings into detailed reports and prepare summaries for management + Maintain knowledge of all Ceannate and client-specific security requirements as well as all laws and regulations pertaining to debt collection including but not limited to FDCPA, Privacy act, GLBA, EFTA, ECOA, DODD Frank, FCRA and pertinent state and federal laws + Perform other duties as required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactory. 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. Education and Experience: + Bachelor's degree in Business preferred or equivalent work experience + Prior experience as an internal or external auditor. Operational and financial auditing strongly preferred; collection agency experience a plus + Knowledge of Microsoft Office, including proficiency in Excel and word; Intelec system experience highly desirable + Professional Practices Management System (PPMS) methodology experience preferred Language Skills: + Ability to read, write and speak English proficiently Attributes: + Organization and planning; ability to understand and determine priorities, effectively manage time and develop work plans in order to accomplish tasks and /or projects + Judgment and decision making; ability to apply general rules to specific problems to produce answers that make sense + Innovation and creativity; ability to generate and translate ideas, and adapt to change + Teamwork; effectively participate and contribute as a member of a work group + Communication; ability to clearly organize and effectively convey information

  • Monitoring; monitoring/assessing performance of oneself, other individuals organization to make improvement or take corrective action

  • Active Listening; increases understanding and rapport between speaker and listener, pays close attention to both verbal and body language, then repeats back the most important points of the speaker's message Physical Demands: The physical demands describe 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 function.

  • Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus + While performing the duties of this job, the employee is regularly required to talk and hear + Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.) + Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms + Occasionally lift and/or move up to 20-25 pounds + Fine hand manipulation (keyboarding) + At times, may require more than 40 hours per week to perform the essential duties of the position. Periodic weekend or evening work is expected + Ability to travel as needed to company subsidiaries, or potential acquires to conduct due diligence Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Internal office + The noise level in the environment is typically low Terms and Conditions: + Posting end date for this job is subject to change based on the discretion of the hiring manager.

  • This position is open to both external and internal candidates.

  • Current employees must follow the internal process in order to apply for this position. Deviations from the process may disqualify your application. Please contact Recruiting for more information. Background Requirements: + Drug Test + Criminal Background + No Defaulted Student Loans + Security Clearance

  • Public Trust + Background Investigation & Fingerprint Check + Male applicants born after 12/31/1959 must have registered for the Selective Service System.
  • For more information, visit the agency's website at

  • Sensitivity for this role is 5C. Ceannate Corp is an Equal Opportunity/Affirmative Action EmployerMinority/Female/Disability/Veteran Options: Job ID 2017-1226 Job Location(s) US-IL-Rolling Meadows Posted Date 5/22/2017 Subsidiary Ceannate Category Other

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Shipboard Non-Tactical Automated Data Processing System (Snap) Technician

ICI Services is looking for a motivated individual who wants to join our team in support of Naval Ship Systems Engineering Station (NAVSSES), Philadelphia, PA. We are a mid-sized defense contractor providing Engineering, Logistics, Program Services, and Technical Services to government clients in 20 states and the District of Columbia. We need a Shipboard Non-Tactical Automated Data Processing System (SNAP) Technician

readyto join a fast-paced and exciting work environment.

Security Clearance: * Active Department of Defense (DoD) CONFIDENTIAL personnel security clearance

Responsibilities: * Provide on-site operational, technical, functional and training support for East coast submarine Naval Tactical Command Support System (NTCSS) MICRO SNAP/Optimized SNAP system installations

  • Support planning and preparation of scripts, patches, fixes, and/or updates for on-site visits supporting Space and Naval Warfare Systems Command (SPAWAR) * Provide onboard operational. Technical, functional and training support and provide functional assessments and grooms of onboardMICRO SNAP/Optimized SNAP systems

  • Conduct assessments and validations of MICRO SNAP/Optimized SNAP, R-Supply interfaces and connectivity

  • Provide operational, technical, functional and training support to verify system operation and system end user familiarity

Experience Requirements: * 10 years experience in the operation, maintenance, testing and repair U.S. Navy HM&E; systems and equipment * 5 years experience in providing troubleshooting, assessment, and training support for U.S. Navy NTCSS MICRO SNAP, Optimized SNAP (OMMS-NG/R-Supply/R-Adin), and Automated Work Notification (AWN) systems

Educational Requirements: * High school diploma or GED and a graduate of military schools or graduate of trade, industrial or correspondence school for engineering EOE/M/F/ Disability/Vet

VEVRAA Federal ContractorLocation: Philadelphia, PA Employment Type: Full time Req ID: 1748

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ECS Data Processing Clerk

About TEAM TEAM Industrial Services, Inc. was recently recognized as "One of the fastest growing companies in America" by both Forbes and Fortune magazines. TeamFurmanite is looking for a data admin in the ECS/LDAR division of our Toledo, OH Branch. Because of this growth we are constantly looking to add new team members that can relate to our core values and help us continue our growth. At TEAM you will find an environment that is open and inviting and appreciates the individual as well as team contributions of our employees. TEAM Industrial Services, Inc.

(NYSE: TISI) was founded in 1973 and is a leading provider of specialty industrial services that are required in maintaining high temperature, high pressure piping systems and vessels utilized extensively in the refining, petrochemical, power, pipeline and other heavy industries. The aerospace and automotive industries also rely on TEAM's inspection services.

TEAM has the largest North American service network in its industry, with more than 80 locations across the continent. The nearly 4,000 employees at TEAM have provided it with the largest North American market share in its industry, and have created a strong heritage of profitable, organic growth. TEAM also serves the international market through both its own international subsidiaries, and through licensed arrangements in 14 countries.

Job Description


Position Title:

ECS Data Processing Clerk

FLSA Status: Non-Exempt

Reports to:

ECS Supervisor



Other Requirements: Works a fluctuating schedule dependant on project needs. Occasional out of town and overnight travel.

GENERAL SUMMARY Responsible for the maintenance and upkeep of computer database to ensure compliance with applicable regulations.

ESSENTIAL JOB FUNCTIONS * * Maintain safe, secure and healthy environment by adhering to Company/Customer safety standards and practices and to legal regulations, alerting others regarding potential hazards or concerns.

  • Perform all duties as assigned and adhere to TEAM's Core Values of: * Safety First – in everything we do.

  • Integrity – means doing the right thing.

  • Service Leadership – throughout the company.

  • Innovation – supports continuous growth and improvement.

  • Pride and Respect – for ourselves and our company.

  • General knowledge of how components are monitored and repaired.

  • Maintain computer database.

  • Ensure compliance with applicable local, state and federal emissions regulations.

  • Create and schedule monitoring routes in database.

  • Coordinate with client personnel for update and scheduling.

  • Operates standard office equipment including computers, scanners and fax machines.

  • Coordinate with LRS supervisor for repairs on leaking components.

NON ESSENTIAL JOB FUNCTIONS * Describe duties that may be done in the field but are not "required" to do the job successfully.

JOB STANDARDS QUALIFICATIONS * Requires high school diploma or equivalent with prior experience or education in database management.

  • Must have working knowledge of office programs and equipment.

  • Must be able to type (how many words per minute). * Must have proven ability to perform a variety of tasks, changing assignments on short notice.

  • Must have proven ability to prioritize and complete assignments by specific deadlines.

  • Must have proven ability to communicate effectively with clients, supervisors and co-workers.

WORKING CONDITIONS * Work is conducted in a semi-private office/cubicle setting.

  • Field duties require outdoor work in a plant atmosphere.

  • Interaction with other crew employees, as well as supervisors and client personnel.

  • Working in plant and/or shop areas around production machinery with extreme noise levels.

  • Must be able to wear safety equipment as required by the safety department for personal protection.

  • May be at more than one job site in a day and must be able to tolerate climate changes.

  • May be required to travel out of town on a periodic basis.

PHYSICAL REQUIREMENTS * Ability to lift and carry 50 pounds.

  • Sufficient clarity of speech and hearing or other communication capabilities, with or without reasonable accommodation, which permits employee to communicate effectively.

  • Ability to sit for prolonged periods of time with or without reasonable accommodation.

  • Sufficient vision or other powers of observation, with or without reasonable accommodations, which permits employee to investigations.

  • Sufficient manual dexterity with or without reasonable accommodation, which permit the employee to perform routine office duties.

  • Sufficient personal mobility and physical reflexes, with or without reasonable accommodations to perform office duties and travel when necessary to off-site locations.

  • Sufficient personal mobility to maneuver within a refinery or plant environment to include the ability to gain access to elevated platforms via ladders and stairwells. This job description is intended to indicate the kinds of tasks and levels of work difficulty required of the position given this title and shall not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of management to assign, direct and control the work of employees under supervision. The listing of duties and responsibilities shall not be held to exclude other duties not mentioned that are of similar kind or level of difficulty.

TEAM Industrial Services, Inc. strictly prohibits discrimination against applicants, employees, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex, gender, age, physical or mental disability, citizenship, past, current or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state or local laws.Requisition Number: 020714893 Job Title: ECS Data Processing Clerk Job Category: Emissions Control/Monitoring (LDAR) City: Toledo State/Province: Ohio Country: U.S.

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Data Process Development/Improvement Analyst

Overview: Based in Northern, VA, Axiologic Solutions LLC has opportunities for you to become part of our high-quality team that delivers innovative solutions to key Federal clients. We are currently seeking a candidate to capture and maintain processes, workflows, lesson learned towards improved IC collaboration. This position will be located in either Reston, VA or Washington, DC.

Responsibilities: * Provide recommendations to simplify existing processes and automate where appropriate to achieve greater efficiency within mission and business operations.

  • Make recommendations, as required, for evoking the implementation of industry best practices to be used jointly with the Government that are designed to ensure the highest quality of delivery and sustainability of the program and supporting projects.

  • Capture and maintain processes, workflows, lesson learned towards improved IC collaboration and work force restructuring and training efforts.

  • Support CM activities in accordance with CIO processes.

  • Recommend data analytic improvements to support ops.

  • Delver high quality capability and services which are deliberate, measurable and tailored to user needs while increasing effectiveness and reducing cost.

  • Keep Government apprised of all risks associated with a projects time, scope, and cost.

  • Implement risk mediation steps to manage and remediate unplanned high risks not previously identified and reported in weekly reports.

  • Propose remediation timeline to restore risk standard.

  • Utilize PMI standards and CIO approved SOPs and best practices in the Program/Project management activities under the PWS to include management and oversight of PM Life Cycle: Schedule, Financial, Quality, Resource, Communications, change and Configuration, and Risk.

  • Ensure submitted requirements are thoroughly understood, documented, and submitted through the CIO approval process for completion by appropriate CIO organization.

  • Deliver high quality capability and services which are deliberate, measurable and tailored to user needs while increasing effectiveness and reducing costs.

Qualifications: * Active TS/SCI security clearance.

  • Seven years or more years of specialized experience with process improvement.

  • Bachelor's degree or equivalent training and/or experience.

  • Manage fact finding, analysis and development of final reports and delivery of presentations related to process improvement.

  • Knowledge of organization operations and business objectives.

  • Collects, analyzes and interprets process data in one or more areas.

  • Support activity and data modeling, development of modern business methods, identification of best practices, and creating and assessing performance measurements.

  • Develops or modifies processes to solve complex problems for computer systems and business and electronic interfaces to achieve desired results through the use of a variety of process improvement methodologies.

  • Apply process improvement, reengineering methodologies, and internet-related methodologies and principles to conduct process modernization projects.

  • Develops and apply advanced process engineering and design methods, theories and research techniques in the investigation and solution to a variety of complex and advanced requirements and problems. We are proud of our diverse environment, EOE, M/F/Disability/Vet/Sexual Orientation/Gender Identity.

Job Start/End Date: 13-Apr-2017 to 01-Jul-2017 (EST) Location: Washington, DC, USA Pay Type: Salary Employment Type: Full Time

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Hiring For Data Auditor W/ Hl7, Mirth Exp. OH

Role Data Auditor w HL7, Mirth Exp.
Location Columbus, OH Duration 12+ Months Interview Phone Skype Industry medical services Leader in medical services have partnered in search of a Data Auditor.
The Data Auditor will be tasked with validating and analyzing large quantities of healthcare data.
Previous healthcare care experience is a must.
Job Requirements A minimum of 3 years' with HL-7 A minimum of 3 years' with Mirth Connect At least 3 years of experience doing data analysisvalidation in a large healthcare setting Strong verbal and written communication skills Work well in a team environment Nice to have PowerScribe or similar speech recognition software experience Regards, Kailash Negi VSG Business Solutions 221 Cornwell Dr Bear, DE 19701 Email ID Phone x 102 Due to High volume of calls, I may not be able to answer your call.
If you have anything urgent, please drop an email, will respond asap.

Skills: HL-7, Mirth, healthcare

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Data Processing Representattive

Market America, a product brokerage and Internet marketing company that specializes in One-to-One Marketing, is seeking an experienced Data Processing Representative to support our Data Services Department. 

Position Summary

Verifies and places customers’ orders. Ensures accuracy of information and completion of documentation. Processes and quality checks various forms.

Essential Duties and Responsibilities

  • Receives and verifies information on orders, applications and other forms
  • Processes orders, applications and other forms accurately in the system
  • Handles phone calls for orders being placed
  • Processes account cancellations and autoship cancellations
  • Generates memos and submits to internal departments
  • Verifies accuracy of data entry, applications, orders,  and cancellations completed by other team members
  • Identifies errors and notifies team member for improvement
  • Complies with company policies and procedures
  • Performs other duties as assigned

Education and Experience

High School Diploma or GED

One year experience of general office duties, data entry, and customer service

Moderate levels of English reading comprehension, writing, and speaking, and customer service

Proficient use of MS Office Products and computer software applications

Working Conditions and Environment

Intermittently lift, carry, push, and pull up to 10 pounds

Continuously see and have balance

Frequently hear, talk, sit, grasp, and have repetitive use of arms, wrists, hands, and fingers

Occasionally stand and reach above shoulders

Intermittently stand, stoop/bend, twist, crouch, kneel, crawl, walk, climb stairs and ladders, operate foot and hand controls, and squeeze

Exposure to electrical equipment and moderate indoor temperatures

Occasional long or odd hours.

 Market America offers competitive salary and generous benefits, including health, dental, vision, life, short and long-term disability insurance, a 401(k) retirement plan with company match, and an on-site health clinic.

Qualified candidates should apply online. This position is based in Greensboro NC. Not a telecommuting position.
Market America is proud to be an equal opportunity employer.
Market America, Inc. is a product brokerage and Internet marketing company that specializes in One-to-One Marketing. Its mission is to provide a robust business system for entrepreneurs, while providing consumers a better way to shop. Headquartered in Greensboro, NC, the company was founded in 1992 by President and CEO JR Ridinger and has generated over $5.3 billion in accumulated sales. Market America employs nearly 700 people globally with operations in the United States, Canada, Taiwan, Hong Kong, Australia, United Kingdom and Mexico. Through the company*s shopping website, SHOP.COM, consumers have access to over 40 million products, including Market America exclusive brands and thousands of top retail brands. By combining Market America*s entrepreneurial business model with SHOP.COM*s powerful comparative shopping engine, Cashback program, Hot Deals, ShopBuddy*, social shopping integration and countless other features, the company has become the ultimate online shopping destination.
For more information:
United States: or http://www.SHOP.COM

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Supervisor Data Processing

Job Title Supervisor Data Processing Employment Status Full Time Laboratory / Department Finance Controllers Office Department Description The Finance Department of the University encompasses the Controller's Office and the Office of Budget, Treasury and Research Administration. These offices are dedicated to ensuring the integrity of data submitted, recorded and reported and to providing the highest level of financial services in support of the University's mission in Biomedical Research.

Detailed Description The Data Processing Supervisor will be responsible for all data-entry into the Oracle IAS System including journal entries prepared by all members of the Finance Office, daily Petty Cash prepared by the Cashier, importing journals through the desktop integrator from files prepared by Treasury, and verifying all imported data. Will input Accounts Payable (A/P) data into the Oracle IAS system including direct invoices for payment to outside vendors via checks and ACH and input employee expense reimbursement to be included in employee payroll processing each pay day. The Data Processing Supervisor will also maintain the File360 Imaging system, print A/P checks, prepare positive pay files, encrypt files prepared by A/P, and send files to the bank.

Job Requirements High School Diploma or equivalent required; Bachelor's degree preferred. A minimum of 3-5 years of experience with data processing, preferably Oracle, required. Must be organized, reliable, detail-oriented, and possess excellent interpersonal skills.

Must work well independently as well as with all members of a diverse department. Additional Details

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Process Auditor

Company Profile: PeopleReady believes in creating new opportunities for our customers, our temporary associates, and our permanent staff members.

We offer a variety of career paths at our local branches, including management, sales, recruiting, and operations. There are also career opportunities at our TrueBlue corporate offices in Tacoma and Chicago in areas including finance, IT, human resources, and marketing. Job Description:

Process Auditor Hendersonville, TN PeopleReady is hiring for Process Auditors in the Hendersonville area. Ask us about our sign-on bonus! Job Description:

The process auditor will inspect, test, sort, sample, or weigh raw materials or processed, machined, fabricated, or assembled parts or products for defects, wear, and deviations from specifications. May use precision measuring instruments and complex test equipment. Pay Rate: $12.00 - $14.00 per hour Shift/Hours: 1st, 2nd and 3rd shift available.

PeopleReady will help you find the jobs you want, by matching your skills, experience and preferences. Our recruiters and branch staff get to know you and become your career coaches. We have jobs in a variety of industries with some of the largest companies and most influential brands.

We ll work with you to assess your skills and discuss your dreams. You ll never pay a fee for our services. Job Requirements Inspect, test, or measure materials, products, installations, or work for conformance to specifications Measure dimensions of products to verify conformance to specifications, using measuring instruments such as rulers, calipers, gauges, or micrometers Read blueprints, data, manuals, or other materials to determine specifications, inspection and testing procedures, adjustment methods, certification processes, formulas, or measuring instruments required Record inspection or test data, such as weights, temperatures, grades, or moisture content, and quantities inspected or graded Mark items with details such as grade or acceptance-rejection status How to Apply:

Click here to apply online now or call 615.884.6112 for more information. PeopleReady is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristic protected by law. If required, candidates must be willing to submit to a formal criminal background check and drug screen prior to placement.

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Data Processing Clerk

Title Resource Group (TRG) is a full-service title and settlement services company. TRG serves real estate companies, corporations and financial institutions in support of residential and commercial real estate transactions. TRG has over 2,200 employees with 400+ offices, providing closing services in all 50 US States.We're seeking a Data Processing Clerk to join the team in Madison, NJAs our Data Processing Clerk, you'll work part-time, about 25 to 30hrs/week. Hours are approximately from 1 PM – 6 PM.In this role, you'll have the opportunity to manage numerous, time-sensitive wire transfer requests that require 100% attention and accuracy. You'll process large quantities of data; therefore, must have strong attention to detail.Various Responsibilities:* Manage daily wire transfer activities, ensuring time sensitive actions are processed first

  • Review documentation for completeness and accuracy to assure compliance with company wire transfer procedures and requirements

  • Confirm incoming wires, enter and/or release wires in bank system(s) accurately

  • Provide timely response to customer inquiries

  • Communicate with banks, resolve issues and manage reporting as needed

  • Maintain Wire Transfer Request Log to ensure no wires are duplicated, including success of wires

  • Access and navigate various instances of company "Title" system (I-Closings)* Proofread and release wire transfers entered into bank systems by others

  • Respond to internal and external customer inquiries and keep team members aware of any wires on hold or expected documents

Minimum Requirements:* High school or GED required

  • Data entry experience required* 1-year customer service experience

  • Escrow, Title Company, Mortgage or Banking preferred

  • Strong PC skills required

  • Must have excellent oral and written communication skills

  • Excellent interpersonal, organizational and time management skills

  • Must be able to adhere to appropriate company policies and procedures

  • Must be detail focused and possess excellent follow up skills

  • Candidates may be required to pass exam required for NJ Resident Producer LicenseNote: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time.Title Resource Group, LLC a subsidiary of Realogy Holdings Corp, is committed to: EOE AA M/F/Vet/Disability#LI-RS1Posted by StartWire. Apply now!.

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