9 jobs found in Sparks

Position Summary The Quality Assurance Specialist is responsible for auditing and adjusting all healthcare claims to ensure accuracy, completeness, and compliance with internal policies and external regulatory requirements. This role enhances operational effectiveness by identifying training needs and recommending process improvements. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Assists with the auditing and adjustments of all types of claims. Ensures the completion and submission of all required audit reports to management. Analyzes and identifies training needs based on audit results and system issues. Reviews and adjust a wide variety of claims to ensure accuracy, completeness, and compliance with established policies and procedures. Provides backup support for various claims processing and customer service functions as needed....

Pay Range: $50000 - $80000 / year** Sign-On Bonus Opportunity of up to $4,000* Our Perks & Benefits: Unlimited/uncapped commission – your earning potential is in your hands Lucrative incentive sales plans, bonuses and sales contests to recognize your success No cold calling – we provide a high volume of inbound leads and walk in traffic Comprehensive paid training and licensing, plus on-going mentorship and development Recognition-focused culture that celebrates your achievements Comprehensive benefits package including medical, dental, vision and life insurance Paid time off to recharge and maintain a healthy work-life balance Retirement Plan (401k) with company-matched contributions Fitness Reimbursement – up to $15/month for gym memberships Employee Assistance Program – confidential support for personal or professional challenges at no cost Extra Perks – optional plans for disability, hospital indemnity, health...

As an Underwriting Specialist at Oxford Risk Management Group, you will be required to execute critical thinking and should have strong communication skills, a high level of organization, the ability to multitask often, and be able to consistently provide world class customer service to our clients. The Underwriting Specialist must be creative and enjoy working within a small, entrepreneurial environment, that is mission-driven, results-driven, and community oriented. The ideal candidate will have knowledge of property and casualty insurance policies and the ability to exercise good judgment in a variety of situations, with strong written and verbal communication, administrative and organizational skills, and the ability to maintain a realistic balance among multiple priorities. The Underwriting Specialist will have the ability to work independently on projects, from conception to completion, and must be able to work under pressure at times to handle a wide variety of activities...

As an Underwriting Specialist at Oxford Risk Management Group, you will be required to execute critical thinking and should have strong communication skills, a high level of organization, the ability to multitask often, and be able to consistently provide world class customer service to our clients. The Underwriting Specialist must be creative and enjoy working within a small, entrepreneurial environment, that is mission-driven, results-driven, and community oriented. The ideal candidate will have knowledge of property and casualty insurance policies and the ability to exercise good judgment in a variety of situations, with strong written and verbal communication, administrative and organizational skills, and the ability to maintain a realistic balance among multiple priorities. The Underwriting Specialist will have the ability to work independently on projects, from conception to completion, and must be able to work under pressure at times to handle a wide variety of activities...

We are seeking a hands-on Application Support Specialist to assist with integrations, data flows, and day-to-day system operations across our core business applications. This role focuses on monitoring and maintaining existing integrations, supporting data, and assisting with basic system administration tasks. This is an early-career to mid-level role best suited for someone with foundational experience in SQL, integrations, and applications who is looking to grow their skills in integrations and platform support. Responsibilities Integration Support & Maintenance Build, monitor, support, and troubleshoot system integrations Assist with data exchanges between CRM, claims platform, and enterprise data warehouse. Support STFP and API-based integrations (REST), including issue triage and basic troubleshooting. Implement routine fixes, minor enhancements, and support performance improvements under guidance. Support data ingestion and validation processes within the...

We are seeking a hands-on Application Support Specialist to assist with integrations, data flows, and day-to-day system operations across our core business applications. This role focuses on monitoring and maintaining existing integrations, supporting data, and assisting with basic system administration tasks. This is an early-career to mid-level role best suited for someone with foundational experience in SQL, integrations, and applications who is looking to grow their skills in integrations and platform support. Responsibilities Integration Support & Maintenance Build, monitor, support, and troubleshoot system integrations Assist with data exchanges between CRM, claims platform, and enterprise data warehouse. Support STFP and API-based integrations (REST), including issue triage and basic troubleshooting. Implement routine fixes, minor enhancements, and support performance improvements under guidance. Support data ingestion and validation processes within the...

Title: Bookkeeper Department: Trust Accounting Position Type: Non-Exempt Hours per Week: 40 Position Summary The Bookkeeper provides financial accounting for assigned Client(s) and Trust Fund(s) in accordance with company policies, regulatory requirements, and plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Balances FICA, federal withholding, and payroll taxes; makes appropriate deposits. Reconciles checking, savings, and investments accounts. Posts journal entries to general ledger. Prepares and distributes Trust financial statements and statistics. Assists in the preparation of 941 and 945 forms. Ensures accounting files are current and in good order. Reviews vendor invoices for accuracy and reasonableness. Makes daily/weekly money transfers as needed. Prepares and sends disbursement letters....

Title: Pension Specialist Department: Associated Administrators Position Type: Non-Exempt Hours per Week: 40   Position Summary The Pension Specialist performs technical and administrative duties associated with the processing and verification of participants' retirement benefit inquiries and applications in accordance with Company policies, regulatory requirements, and plan guidelines. "Has minimum necessary access to Protected Health Information (PHI) and Personally Identifiable Information (PII) by Job Description/Role." Key Duties and Responsibilities Processes retirement benefit applications; verifies the accuracy of information, researches or investigates past service, related credits, and insurance deductions. Responds to inquiries from participants, beneficiaries, and union representatives regarding retirement benefits. Determines benefit eligibility and requests necessary documentation from unions, employers, and the...

The Captive Implementation Manager (CIM) is responsible for assigned new business implementations and managing select renewal activities that require review and approval from the Department of Insurance. The CIM serves as the project manager of these new implementations and certain renewal functions. The CIM will work independently and oversee key functions within the Captive Implementation Department pertaining to their assigned new implementation cases and select renewals. This position requires critical thinking, effective communication, and organization. The CIM must be creative and enjoy working within an entrepreneurial environment that is mission-driven, results-driven and community oriented.  The ideal individual will be organized and able to maintain a realistic balance among multiple priorities, can exercise good judgment in a variety of situations and demonstrate strong written and verbal communication skills.  The CIM is responsible for executing activities tied to...