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Workers Compensation Claims Examiner

ESSENTIAL FUNCTIONS And RESPONSIBILITIES




  • Analyzes and manages complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution.

  • Assesses liability and resolves claims within evaluation.

  • Negotiates settlement of claims within designated authority.

  • Calculates and assigns timely and appropriate reserves to claims; manages reserve adequacy throughout the life of the claim.

  • Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level.

  • Prepares necessary state fillings within statutory limits.

  • Manages the litigation process; ensures timely and cost effective claims resolution.

  • Coordinates vendor referrals for additional investigation and/or litigation management.

  • Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall cost of claims for our clients.

  • Manages claim recoveries, including be not limited to subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.

  • Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner.

  • Communicates claim activity and processing with the claimant and the client; maintains professional client relationships.

  • Ensures claim files are properly documented and claims coding is correct.

  • Refers cases as appropriate to supervisor and management.


ADDITIONAL FUNCTIONS and RESPONSIBILITIES



  • Performs other duties as assigned.

  • Supports the organization's quality program(s).

  • Travels as required.


QUALIFICATION


Education & Licensing


Baccalaureate degree from an accredited college or university preferred. Professional certification as applicable to line of business preferred. Licenses as required.


Experience


Four (4) years of claims management experience or successful completion of Claims Examiner II training required. BS/BA degree may substitute for two (2) years of required experience.


Skills & Knowledge




  • In-depth knowledge of appropriate insurance principles and laws for line of business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedure as applicable to line of business

  • Excellent oral and written communication, including presentation skills

  • PC literate, including Microsoft Office products

  • Analytical and interpretive skills

  • Strong organizational skills

  • Good interpersonal skills

  • Excellent negotiation skills

  • Ability to work in a team environment

  • Ability to meet or exceed Service Expectations


Accountant/Bookkeeper (Part-time)

Vaco is working with a rapidly growing marketing and technology company to identify a part-time Bookkeeper or Accountant for 20-25 hours per week. The incumbent needs to be absolutely proficient with QuickBooks as there will be very little training and our client is hoping to find someone who has the ability to hit the ground running. Our client is located in the Inverness/280 area.


Required:



  • Extensive experience managing the financials of a small company from accounts payable to financial reporting.

  • Must be an advanced QuickBooks user.

  • Ability to work unsupervised and must possess the ability to prioritize.



ONLY CANDIDATES WITH REQUIRED EXPERIENCE WILL BE CONSIDERED.

DUE TO THE HIGH VOLUME OF RESUMES PLEASE NOTE YOU DO NOT NEED TO APPLY IF YOU HAVE RECENTLY SUBMITTED TO ANOTHER VACO POSTING. YOUR QUALIFICATIONS WILL BE CONSIDERED FOR ALL OPEN VACO OPPORTUNITIES.

Your resume will never be submitted to a client company without your prior knowledge and consent to do so.

Do you know someone who is the right fit? Call today and learn more about the Vaco referral program.


Join Vaco Birmingham on Facebook at http://www.facebook.com/vacobirmingham



Engineering Manager

Engineering Manager
Job Description
The Engineering Manager will drive an Agile development team to deliver enterprise grade software that scales across hundreds of servers and meets aggressive fault tolerance standards. You must also:
Ensure that your team is comprised of top performers delivering at or beyond expectation. In order to achieve this, you will be expected to:
* Hire exceptional people
* Inspire, motivate and create a mutually respectful work environment

* Set great objectives for the team and the individuals on the team
* Manage the day-to-day workload to ensure that everyone is delivering to the best of their ability
* Review individual and team performance honestly and diligently - and provide regular feedback to all team members
* Ensure each team member receives consistent training and mentoring to continue to raise the standard
Ensure the product deliverables are at the required functional, technical and quality levels
* Liaise with the product owners to ensure all deliverables are as agreed and required
* Help to shape product direction by driving constant information-sharing and brain-storming between technical and business resources
* Liaise with the senior technical resources in the organization to ensure adherence to company technical direction
* Help to drive changes in our product and technical direction to ensure we are always at the leading edge of both
* Drive the team to deliver 100% quality

Ensure your team understands and adheres to company development process.
Liaise with the rest of the development organization to help drive process and keep it current.
Ensure best use of resources at all times...
* Work with other Engineering Managers and product owners to ensure the correct allocation of resources across all teams
* Allocate your team to their areas of strength - but ensure that they are constantly stretched and challenged - and are consistently motivated to excel
Be the company representative on your team
* Be the conduit for delivering information from the Senior Leadership Team to your team and back up again
* "Sell" the company to the team every day
* Champion your team to the rest of the organization
Manage costs for your team.
* Ensure projects are delivered within budget
* Ensure correct levels of remuneration for your team members
* Ensure every dollar spend you see is necessary and wise.
Required Skills
* Bachelor of Science degree or equivalent - post-graduate qualifications are an added advantage.
* Strong familiarity and experience (at least 5 years) with Microsoft .Net programming technologies: C#, VB.Net, ASP.Net, MVC, etc. on Windows-based platforms. (IIS, Microsoft SQL Server, MSMQ, etc.).
* About 2-3 years of experience managing small/medium sized software development teams (preferably in an Agile setting).

* A strong working knowledge of Agile and Scrum methodologies. It is required to possess the understanding of software engineering duties/responsibilities and how that fits within a team environment.

* Experience coding on/with and recommending Open Source solutions, including PostgreSQL, Hadoop, Cassandra, MySQL, Lucene, Linux, etc a plus.

* Experience with Web or Saas-based applications preferred.

* Experience with enterprise-scale transactional inventory systems a major plus.



Administrative Assistant



Irvine based Real Estate company seeking a dynamic Assistant to join its winning team of professionals:


This position will be responsible for providing full administrative and marketing support. Duties may include:

- Prepare and distribute presentations, reports, proposals, spreadsheets, correspondence and other documents.
- Create and maintain market surveys other presentations with a high level of accuracy.
- Maintain and update database.
- Process and check expense reports.
- Coordinate travel arrangements.
- Help perform front desk responsibilities.
- Ordering office supplies.
- Heavy callendaring, meeting arrangements, and email correspondence.

This position requires a person who can be responsible for prioritizing projects in order to meet multiple deadlines in a fast-paced, team oriented environment. Minimum 3-5 years administrative experience preferably in Home Building, Commercial Real Estate, or the like and general marketing duties and client interaction.
Must have had at least 2 years of experience supporting multiple people
Strong ability to multi-task with multiple projects and deadlines in a fast paced work environment.





Structural Engineer

Structural/ Civil Engineer - Contract - 6-12 Months Orlando - Qualified Candidates will have a Bachelor's in Civil Engineering with a Structural focus, 5-10 years of experience and have a P.E. designation. Experience must include reconstruction on existing facilities including project assessment, gathering field data, and identifying solutions for steel, concrete, and wood framed commercial structures. Masters in Structural Engineering also considered and demonstrated knowledge of OSHA and ANSI requirements. Proficiency in AutoCAD is also preferred.


Controller

Interim Controller



  • The position will be responsible for the coordination, management, and reporting of the Company's financials to theSEC, including preparation of 10-Ks and 10-Qs, Earnings Press Releases, Statement of Change, etc.

  • Prepare footnotes and MD&A comments.

  • Responsible for technical GAAP Research, interpretation, and application.



  • Work on complex accounting research & projects.

  • Supervise accounting staff.

  • Prepare annual budgets/forecasts/trends.



  • Assistance with financial planning and analysis, internal financial reporting, and coordination of external audit.



Job Requirements



  • CPA (Certified Public Accountant) license strongly preferred

  • Bachelor's degree in Finance or Accounting required

  • 5+ years of SEC experience strongly preferred

  • Strong systems and Excel; large ERP experience is a plus

  • Big 4 CPA firm experience is strongly preferred

  • Excellent communication and analytical skills are a must


Sr. Business Systems Analyst

Vaco Technology has a medium term requirement for a Senior Application Systems Analyst. This position is a contractor opening and primary responsibility is ensuring that software applications satisfy business needs. Business needs encompass new development as well as ongoing application support and include both functional and non functional requirements. The Applications Systems Analyst works closely with the business area in order to elicit, analyze, communicate and validate requirements for business applications. The Applications Systems Analyst understands business problems and opportunities in the context of the requirements and recommends solutions that enable the business area to achieve its goals. The Applications Systems Analyst works closely with architects to translate business requirements into detailed design specifications and system requirements. This role requires a balanced mix of business and technical knowledge, interviewing and analytical skills and excellent oral and written communications skills.


Government client requires US citizenship.









Good business analysis and data analysis skills


Experience in writing SQL queries (required)


Experience in writing Oracle queries (preferred)


Exposure to data analysis tools such as Tableau or R (required)


Requirements



  • 7+ years experience in IT Application Development as an Analyst and/or Programmer Analyst on multiple development platforms.

  • 7+ years experience working with projects of major complexity.

  • 3+ years experience creating use cases.

  • Experience with modeling techniques (application and data).

  • Experience developing and communicating presentation material for stakeholders.

  • Experience identifying root causes, issues, and appropriate solutions.

  • Must be highly organized and have the ability to see 'big picture' while being detail oriented and self-starter.

  • Excellent oral and written communication.

  • Proven customer service skills.

  • Proven ability to complete tasks with minimal supervision.

  • Must be adaptable, flexible, organized, detail oriented, work well in a team environment, and have a strong drive for success.

  • Preferred qualifications

    • Preferred degree in Computer Science or Information Systems.

    • Agile project methodology experience.

    • Secure, web-based, interactive project experience.

    • Project experience with Java/J2EE and Business Intelligence technologies.





Vaco can offer:
*401K Plan
*Holiday pay after completion of 1,000 regular project hours
*40 hours vacation pay for every 1,000 regular hours worked
*Long Term Disability
Do you know someone who is the right fit?
Call today and learn more about our referral program.

We are unable to sponsor H1 status at this time.







Data Modeler/Analyst

Vaco Technology is seeking a data modeler/analyst for a contract role here in the Richmond area.



Responsibilities/Functions:




  • Collaborate with end users to identify needs and opportunities for improved data analytics and delivery.

  • Articulate customer needs and impact.

  • Streamline processes regarding data flow and data quality to improve data accuracy, viability and value.

  • Oversee the ongoing development and operations of a business intelligence architecture that enables fact-based decision-making, ad hoc analysis and insight generation.

  • Through systematic analysis, break down and sort through complex and challenging issues and problems to derive an outcome.

  • Collaborate with actuarial and project management teams to identify process improvements throughout different steps in the model including data load, model run, and model output

  • Knowledge of SQL, MS Access, VBA and/or other programming languages



  • Translate high-level business requirements on multiple, complex applications into detailed functional and technical specifications.

  • When required, perform data and/or process analysis to drive solutions to critical time sensitive processes.

  • Serve as senior technical expert on assigned area's applications, including codes, interfaces and data flows.

  • Responsible for maintenance of multiple in-place programs; coordinates with project teams and business analysts to translate detailed specifications into new or enhanced application solutions.

  • Develop IT systems strategy in assigned areas of responsibility.

  • Demonstrate advanced expertise in multiple programming languages, basic systems analysis techniques, testing, debugging, documentation standards, file design, storage and interfacing.

  • Maintain functional peer relationships and detailed working knowledge of the assigned area's systems, organization, and business processes.


Basic Qualifications:


5+ years business and IT experience



  • B.S. Degree in Computer Science or related field

  • Articulate communicator - verbal, written, formal & informal

  • Strong business analytic and statistical skills

  • Ability to quickly develop business acumen

  • Proactive, solutions oriented

  • Strong data visualization capabilities.

  • Experience with transforming data into OLAP cubes, web reports, KPI's, Scorecards.

  • Must be customer focused and possess excellent oral and written communication skills.

  • Good judgment and problem solving skills

  • Works effectively within a team framework; develops and maintains strategic relationships with others across the organization; earns trust of others.



Preferred Qualifications:




  • Experience with statistical modeling and awareness of actuarial concepts

  • SAS Certification or equivalent experience

  • M.S in Computer Science/Math/Statistics

  • Experience Implementing Commercial Off The Shelf (COTS) applications in a highly complex financial environment

  • Understanding of ETL processes and experience working with Informatica for ETL design/development

  • Working knowledge of Oracle Databases and Database design and/or development

  • Insurance or Financial Services industry experience

  • Demonstrated leadership skills

  • Ability to work closely with end-users, management, and technical teams

  • Ability to balance the wants and needs of a diverse set of customers and team members; appreciate and value differences

  • Strong communication, organization and performance execution skills

  • Experience translating business requirements to technical specifications

  • Familiarity with Sarbanes-Oxley and HIPAA compliance requirements


Vaco can offer:
*Holiday pay after completion of 1,000 regular project hours
*40 hours vacation pay for every 1,000 regular hours worked
*Long Term Disability
Do you know someone who is the right fit?
Call today and learn more about our referral program.

We are unable to sponsor H1 status at this time.



Bilingual Executive Admin - Ruskin, FL

Our client a global production company located in Ruskin, FL has an immediate need for a bilingual Executive admin to support the CEO.

POSITION SUMMARY

Provide executive level administrative support to the President and CEO, as well as, coordinate business unit and customer meetings/events.

DUTIES AND RESPONSIBILITIES

* Support daily activities such as appointment & meeting scheduling; communication to customer and staff, process mail, phone messages, correspondence, conference room maintenance
* Prepare agendas, meeting notes, monthly reports and presentations for the President and staff
* Participate on inter-department team planning projects, including Town Halls
* Update master phone lists, management team schedules for vacation, travel and other out-of-office activities
* Prepare invoices, reports, memos, letters, financial statements and other documents
* Provide management support in the following areas for the President:
- Travel
- Expenses
- Management schedules
- Skip level meetings
- Staff meetings
* Interface with customer in the following activities:
- Customer meetings
- Administrative contacts
- Correspondence
* Coordinate off-site document storage
* Order and control inventory of office supplies
* Update floor plans/desk locations
* Perform all other duties as assigned


MINIMUM REQUIREMENTS

Language Requirement: Bilingual fluency in Spanish and English
Previous Experience: 2-10 years in an executive-level administrative capacity

SPECIAL SKILLS
Users knowledge of Excel, Outlook, Message Manager & Internet Explorer and Word and PowerPoint (advanced level)
Demonstrates communication skills (written & verbal)
Maintains confidentiality
Demonstrates interpersonal skills in relationships with everyone, including management team, co-workers, customers (internal & external); anticipates the needs of management staff and suppliers
Demonstrates organizational skills in prioritizing tasks, creative thinking, anticipating the needs of management team and acting independently when appropriate
Demonstrates ability to use office equipment, phone, fax, shredders, copiers, printers

Credit Analyst/Collections Associate

Our client in Clearwater is looking for a credit analyst collections candidate. Must have b2b collections and also credit granting experience. Position is long term temporary - 8 months to 12 months plus. It is a long term temporary position. We are looking for a candidate who will be content in the same position long term.


Credit review of customer orders for credit decisions. Initiate b2b collection calls for portfolio of about 3,000 customers. Make independent credit limit decisions of up to $50k, using standard and non-standard credit reporting tools. Perform reconciliation of open customer items and present it to customers in a clear and concise communication. Provide customer service for customers with credit questions and concerns.


Handle collection of receivables in an average of 41 days or less, shares incoming customer calls, perform credit hold and release timely to meet ship on time constraints, uses good judgment in establishing and changing credit limits.


Each credit analyst handles about 3,000 customers, collects receivables in about 41 days, and sets credit limits according to established credit guidelines.


Immediate need!!! Apply today. Great company and culture! For immediate consideration send your resume to amorgan@vaco.com.



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