Bar Examiner Job Description Sample
Claims Examiner - Litigation Examiner
Location: Phoenix, AZ
Length of Assignment: Direct Hire
Compensation: $70,000 to $92,000 Annually, Depending on Experience
Our client, a leading insurance company, is currently seeking a Senior Litigation Examiner to join their organization in either their Minneapolis or Phoenix office. This candidate will be responsible for managing complex litigated Commercial Auto, Trucking, and Bodily Injury claims across multiple jurisdictions.
- 7+ years experience managing complex litigated Bodily Injury & Commercial Auto files from inception to close
- Must have strong multi-jurisdictional experience and familiarity with state laws and regulations
- Proven ability to maintain oversight of high-exposures often above $250K+
- A Bachelors Degree or Professional Designation
TheBestIRS, Insurance Recruiting Specialists, is the leading provider of insurance jobs in Arizona for Claims Examiners concentrating in Workers Compensation, Property, Commercial Lines, Personal Lines and Catastrophe. TheBestIRS have been placing insurance professionals in direct hire, temporary and temp-to-hire opportunities with insurance carriers, self-insurance companies and third party administrators for nearly 2 decades and are adding new clients every day. Apply for one of our insurance jobs in AZ and find out why TheBestIRS is the best choice for your insurance career.
Kitchen Managers And Bar Managers- Growing Bar & Restaurant Concepts
Are you a Foodie and passionate about Hospitality and great service? Then we have opportunities for you!
Fantastic immediate opportunities for Restaurant Managers & Kitchen Managers with a Fast Growing Corporate Restaurant Brand in Dallas, TX and surrounding areas . Must be passionate about food, bar and service and enjoy working in a structured environment. Looking for professional Restaurateurs who want to help grow a Great Concept and grow their Careers. This exciting opportunity offers great training, great compensation & benefits, and much more! Plus, great pay and quality of life balance!
Kitchen & Restaurant Manager Candidates will need 2-3 years of Management Experience in their related role in Full Service Casual Dining or Upscale Restaurants Building and Leading Teams, Delivering Memorable Service, and the ability to Drive Profits.
If you meet the requirements as a Kitchen or Restaurant Manager and have a Passion for the Industry and Love to Please the Guest, we will provide you with a Package that includes the following:
- $50K - $75k Base Salary, Plus Bonus
- Medical/Dental/ Vision insurance
- Training and Development
- Paid Vacation and great Benefits
- Competitive Salaries
- Great Culture
- Growth Opportunities
- Growing Company
Inquiries 100% CONFIDENTIAL
ResourceOne often knows about openings that are not posted on the job boards.
We get qualified management candidates in front of the decision makers for leading companies.
ResourceOne can work with you confidentially and protect your current job while looking for a better opportunity for you.
Sending your resume to ResourceOne gives you the advantage of being a part of our secure database for future openings that match your background.
AND THERE IS NO FEE TO YOU ... The companies we work for pay us for finding them qualified management talent.
ResourceOne recruits Management for corporate and privately owned entertainment, restaurant, retail, and corporate companies. We cover the entire United States.
Chef For Salad Bar And Hot Bar For Supermarket
Great job for Memorial Day-Labor Day! or May turn into Permanent.
We are now accepting applications for Seasonal Full Time Chef for The Shelter Island IGA supermarket on Beautiful Shelter Island.
Applicant must be able to Prep,, cook, and maintain Hot Bar and Salad Bar. Also, manage kitchen staff and oversee food production for new Supermarket Cafe and Prepared Food Program.
Leadership skills, good command of the English Language along with 5 years Experience preferred.
Housing available (within walking distance, bicycles also may be supplied.)
The position is seasonal-- temporary from Memorial Day- Labor Day. ( but can turn into permanent)
(Prep cooks also needed )
Bar Manager Position For A Want-To-Be Bar Owner
Bar Manager for Want-To-Be Bar Owners
Are you more than a great bartender? Do you dream of one day owning your own bar? Come learn and grow with us! We love an ownership mentality!!! We will expose you to the numbers and nuances of the business and give you the chance to try out marketing ideas with only a sweat investment. If the idea doesn’t work, learn from it. Great outcomes, based on performance, and sales, will be celebrated on the bonus scoreboard and in your paycheck!
*Customize the concept to maximize sales, loyalty and profit in your locale.
*Create a fun and comfortable bar ambience that keeps customer visit frequency strong.
*Responsible for staffing, scheduling, staff development, financial goals and business projections.
The Position Under general supervision in the Rent Program Department, conducts administrative hearings related to the enforcement of the Fair Rent, Just Cause for Eviction, and Homeowner Protection Ordinance ("Rent Ordinance") (RMC 11.100), Relocation Ordinance (RMC 11.102) and other relevant ordinances. Incumbents will conduct settlement mediation conferences and administrative hearings and render written decisions on petitions filed under the Rent Ordinance and prepare settlement agreements.
CLASS CHARACTERISTICS This is a professional-level classification that is exempt from the classified service and receives direction from the Rent Program's Executive Director or Deputy Executive Director. The Hearing Examiner is responsible for conducting settlement mediation conferences and may provide lead direction to assigned staff. The work requires the exercise of considerable independence and judgment.
This class is distinguished from other attorney classifications in that the Hearing Examiner serves in a quasi-judicial capacity for the Rent Program, mediates disputes, negotiates settlements, hears cases and renders decisions that, unless modified, are the agency's final determination of cause. Examples of Duties (Illustrative Only) The following list of duties is intended only to describe the various types of work that may be performed and the level of technical complexity of the assignment(s) and is not intended to be an all-inclusive list of duties. The omission of a specific duty statement does not exclude it from the position if the work is consistent with the concept of the classification, or is similar or closely related to another duty statement.
Essential duties may include, but are not limited to, the following: 1. Conducts mediation conferences and administrative hearings for petitions filed under the City's Rent Ordinance. 2. Reviews petition information and data for accuracy and responds to inquiries concerning particular petitions. 3.
Instructs participants in hearings concerning their rights and applicable hearing procedures. 4. May personally inspect or order the inspection of premises that are the subject of hearings. 5. Researches and analyzes federal and state legislation and applicable case law affecting City ordinances and policies and determines impact upon City rent control practices. 6.
Prepares settlement agreements; responds to written inquiries related to hearing decisions on assigned cases. 7 Confers with legal counsel on department-related matters. 8. Attends meetings of the Rent Board, community groups, and other boards and commissions as requested by the Executive Director, Rent Program. 9. Maintains current knowledge of community and legislative issues and actions impacting ordinance and recommends policy and procedural improvements. 10.
Coordinates with other City departments, outside agencies, federal and state agencies and concerned citizen organizations; maintains liaison with other affected departments, program staff, and federal and state agencies. 11. Performs related duties as assigned. Minimum Qualifications Thorough Knowledge of: applicable local, state and federal requirements duties, powers, limitations and authority of the Ordinance; legal principles and practices including civil, criminal, constitutional, substantive and administrative law and procedure; ordinances, statutes and court decisions and sources of legal reference relating to local, state and federal law, Judicial procedure and rules of evidence; methods of legal research; dispute resolution and mediation methods and techniques.
Ability to: resolve disputes through mediation and negotiation; plan, organize, and conduct administrative hearings; interpret and apply legal principles and precedents to local government problems and effectively formulate sound decisions and judgments; exercise sound, fair and consistent independent judgment within established guidelines; conduct research on legal issues and problems and prepare legal opinions; presents statements of law, fact and argument clearly and logically; prepare clear and concise administrative briefs, hearing summaries, reports and other written correspondence; establish and maintain cooperative working relationship with staff, clients of diverse ethnic and economic groups and others contacted in the course of the work; operate a desktop computer with familiarity and proficiency using standard office or other business applications required to do the work. EDUCATION AND EXPERIENCE A minimum of two (2) years of experience in litigation, administrative law or mediation AND a Juris Doctorate degree from an accredited law school. Membership in the California State Bar is required.
LICENSE/CERTIFICATION Possession of, or ability to obtain before date of appointment, a valid California Driver License with a satisfactory driving record as an on-going requirement. PHYSICAL REQUIREMENTS In addition to requiring sufficient mobility to work in a typical office setting, vision sufficient to read printed materials, hearing and speech sufficient to exchange information in person and over the telephone. Duties may include sufficient mobility to make site visits and attend day and evening meetings.
OTHER REQUIREMENTS Must be willing to travel to various locations within and outside the City of Richmond to meet the program needs and to fulfill the job responsibilities. Must be able to attend evening or weekend meetings and events, as required. Supplemental Information APPLICATION AND SELECTION PROCESS Interested candidates should apply on-line by visiting the City of Richmond website at http://www.ci.richmond.ca.us and submit an application, a letter of interest, a detailed resume, and responses to the Supplemental Qualifications Questionnaire by the final filing date.
All application materials will be evaluated based on the criteria outlined in this announcement. Only those candidates that best meet the qualifications and needs of the department will be invited to continue in the selection process. The selection process will consist of interviews.
IMMIGRATION REFORM CONTROL ACT: In compliance with the Immigration Reform Control Act of 1986, individuals offered employment by the City of Richmond will be required to show documentation of eligibility to work in the United States as a condition of employment. NON-DISCRIMINATION POLICY:
The City's policy prohibits discrimination against any applicant on the basis of race, color, age, physical or mental disability, religion, creed, sex, sexual orientation or national origin. EOE/ADA/DRUG-FREE WORKPLACE WEBSITE: www.ci.richmond.ca.us Analyst: D. Newton 1/18 HEARING EXAMINER SUPPLEMENTAL QUALIFICATIONS QUESTIONNAIRE JANUARY 2018 The purpose of this Supplemental Qualifications Questionnaire is to obtain additional information to evaluate your qualifications for this position.
Please answer questions completely and accurately. Omitted information cannot be considered or assumed. Failure to submit the responses to this Supplemental Qualifications Questionnaire along with an application, a letter of interest, and a resume will disqualify candidates from further consideration.
NOTE: Questionnaire can be found on the "Supplemental Questions" tab. SDL2017
Examiner And Senior Examiner
Under general oversight, participates in the supervision of financial institutions (state member banks, financial holding companies, domestic and foreign-owned bank holding companies, foreign banking organizations, and nonbank subsidiaries) by proactively identifying risks through on and off-site examination and monitoring activities, to ensure that the institutions are operating in a safe and sound manner and in compliance with applicable laws and regulations. Meets with financial institution management to discuss findings. May develop and maintain in-depth expertise in one or more specialty areas or topics, including but not limited to capital markets, operations risk, information technology, or consumer regulations.
* · Performs examinations and inspections of financial institutions, ensures compliance with applicable laws and regulations, and produces a comprehensive report of findings. Conducts risk assessments and performs ongoing surveillance for a portfolio of institutions.
Demonstrates balanced, well-reasoned judgment in decision making and is able to effectively communicate with senior management and directors of supervised institutions under potentially adversarial circumstances. · Performs or assists in reviewing and editing work prepared by others for content, clarity and accuracy. Provides comments on regulatory proposals, develops procedures for use by field staff, reviews key financial reports and information from financial institutions and written communication to financial institutions. · Provides guidance, training, and feedback to less experienced examiners. May serve as an instructor at formal schools and through on-the-job training. · May serve in Examiner in Charge (EIC) role (possibly with focus on specialty function), which involves planning, coordinating, and monitoring supervisory activities.
May prepare or assist in preparing schedules and budgets. · Participates in a variety of continuing professional development programs. Maintains knowledge of current regulations and industry issues through communications and industry literature. *
Position Specific Information:
The Consumer Compliance Examination team has a position available for a highly motivated professional always seeking ways to be more efficient and effective, while promoting a positive attitude and work environment. Good interpersonal and communication skills are essential to team building and relationship development.
The ability to effectively solicit information and provide feedback to an array of constituents is very important. This job vacancy includes the following duties: • Perform consumer compliance examinations and ongoing monitoring of state member banks located throughout the Southeast. • Review risk management processes while evaluating the institution’s compliance with a variety of laws and regulations. • Write examination reports, risk assessments, and other correspondence, and discuss supervision matters with Boards of Directors and all levels of bank management. • Participate periodically in significant projects, initiatives, and committees in the Division and System. • Develop professional and effective relationships with all levels of Supervision and Regulation management, the Board and other Reserve Banks, other bank supervisors, and pertinent functional regulators. Qualifications 1.
Above average ability to communicate effectively with all levels of the Board, Reserve Bank and State Member Bank management, and consumers both verbally and in writing. Demonstrates excellent interpersonal skills (e.g., listening, motivating, enthusiasm, patience, consideration of others, etc.). Ability to professionally represent the Reserve Bank in discussions with consumers and bankers. Should have demonstrated excellent judgment. 2.
Heavy academic exposure to banking, preferably retail/consumer, audit, accounting, or finance. 3. Must have excellent writing skills in order to concisely communicate the Reserve Bank’s conclusions to bankers and management within the Board and the Reserve Bank. 4. Above average ability to prioritize tasks, manage time, meet deadlines, and multi task. 5.
Ability to expertly grasp other safety and soundness/compliance concepts. 6. Demonstrated ability to function as a team player. Education: Bachelor's Degree or 4 years equivalent experience; Bachelor's Degree preferred Experience : Two to Five years preferred Relocation:
Relocation may be considered. /This is not necessarily an exhaustive list of all responsibilities, duties, performance standards or requirements, efforts, skills or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g. emergencies, rush jobs, change in workload or technological developments)./ // /The Federal Reserve Bank of Atlanta is an equal opportunity employer. / //
Organization:Federal Reserve Bank of Atlanta
Title:Examiner and Senior Examiner
0523 Medical Claims Examiner
|PURPOSE:||“Makes a Difference” by:|
Processing payments and/or claim denials for complex group health which includes medical, dental, vision, FSA, HSA, HRA and disability benefits. Demonstrating the highest levels of customer service, technical skills and professionalism to ensure mutually rewarding and continued provider relationships.
|ESSENTIAL RESPONSIBILITIES:||“Gets It Done” by:|
|TRAINING & EXPERIENCE:||Individual is able to “Get It Done” with the following qualifications:|
|WORKING CONDITIONS (Location, travel, etc.):|
Desk: 408-800-4331 (PST);
Health Care Claims Examiner
The priority in this position is to accurately and promptly pay claims while maintaining expected level of production and accuracy.
- Adjudicate claims in accordance with the Summary Plan Document
- Review claims for coordination of benefits, correct coding edits and duplicate billings
- Request additional information when needed
- Interact with client representatives, members and providers
- Perform other duties as assigned
Basic Skills and
- Previous medical claim processing experience
- Strong understanding of Group Health Benefit Plan provisions
- Medical terminology, ICD and CPT coding knowledge
- Attention to Detail is a must
- Ability to work in a fast paced environment where changes to procedures are common
- Excellent verbal, listening and written communication skills
- Exceptional reading and math skills
Added plus for the ideal candidate:
· Problem solving skills
· Understanding of Flexible Spending, Dependent Care Assistance Plans and Health Savings Accounts
Business Administrators & Consultants, Inc. is a 35-year-old organization with our Home Office located in Reynoldsburg, Ohio. BAC has built our reputation on delivering high touch customer service to our clients. As a national Third Party Benefit Administrator, BAC has sales offices in Cleveland & Columbus, Ohio; Indianapolis Indiana; and Houston & Corpus Christi Texas. BAC works with customers in all 50 states and abroad.
Senior Claims Examiner - San Antonio, TX
Examiners are responsible for adjudication of all claims. Examiners are responsible for handling customer service calls as needed, recalculating claims on an as needed basis. Examiners will be expected to maintain production and quality standards.Primary
Coordinates with the Claims Manager and / or Claims Supervisor on workflow issues and the handling of batches in date order
Documents all claims production via the system BA screen (which tracks individual examiner production). Online transactions to be tracked separately
Responsible for weekly / monthly goal of batches to include meeting and maintaining a 95% quality standard and production standard of 35 claims per hour on transactions
Evaluates each claim for appropriate coding of CPT and ICD codes against charges that are being billed and entered
Responsible for inputting accurate batch accounts, invoice numbers, status codes to ensure accurate entry into Claims Processing system, which creates reporting
Must meet and maintain 95% quality expectations. These are identified via errors tracked on phone calls, overpayments, unsolicited checks, appeals, TDI complaints and errors on processing
Responsible to create and generate any overpayment documentation (notes in system, letter to typing) on all overpayments created by the examiner or any overpayments identified by examiner
Takes ownership of the total work process and provides constructive information to minimize problems and increase customer satisfaction
Performs all other related duties as assigned
Required Qualifications:High School Diploma or GED2 - 4 years of health care claims processing experience
Medical Terminology, 10-key and computer literacy
Proficient with Medicare processing guidelines, working knowledge of medical contracts, RBRVS, facility and ambulatory payment methodologies
Exceptional ability to organize, prioritize and communicate effectively
Must have commonly used knowledge of claims examination concepts, practices and rules, ICD and CPT coding and network contracts
This position utilizes experience and judgment to plan, accomplish goals, and effectively solve problems
Ability to make decisions based on sound knowledge
Performs a variety of tasks that may require a limited degree of creativity and latitude
More than 5 years of related experience
Advanced training in claims processes
Previous claims examiner experience
Careers with WellMed. Our focus is simple. We're innovators in preventative health care, striving to change the face of health care for seniors. We're impacting 90,000+ lives, primarily Medicare eligible seniors in Texas and Florida, through primary and multi-specialty clinics, and contracted medical management services. We've joined Optum, part of the UnitedHealth Group family of companies, and our mission is to help the sick become well and to help patients understand and control their health in a lifelong effort at wellness. Our providers and staff are selected for their dedication and focus on preventative, proactive care. For you, that means one incredible team and a singular opportunity to do your life's best work.(sm)Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Associated topics: auto, automobile, casualty, claim adjuster, claim examiner, claim investigator, insurance, investigate, liability, liability adjuster
Building Inspector/Plans Examiner
Our Business Analytics consulting services is uses a suite of proprietary Analytics tools that are precise and detailed. The tools can be used as a stand alone solution or connected to ERP systems. The approach is to use our operational experience, gained from our supply chain management consulting, to create the right questions and structure while transactional data mixed with supplementary information and mathematical algorithms provides the input to user-friendly dashboards of your business performance.
This position is responsible for inspection of construction projects.
- High school graduate or equivalent plus two (2) years experience in construction inspection.
The databases and the tools are designed for handling of Big Data, which enables analysis on a detailed level. The user friendliness is essential and the most challenging issue is the data fed into the analytical models. This is why the models are designed to use data that already exists in most companies and why the data input is made easy and intuitive.
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