Qureos Mentor

TEEMA

<div>Overview: 
Our client, the largest Third Party Administrator in North America is looking for an experienced Claims Adjuster to handle Workers Compensation Claims. At the direction of the Claims Supervisor and/or Claims Manager, the Claims Adjuster/Examiner II / III manages all aspects of workers&rsquo; compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines. This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff. The level of complexity, litigation exposure, settlement authority, and leadership responsibility will be commensurate with the examiner&rsquo;s experience and designation (Level II or Level III). 
 
What you will be doing: 
Applies to Examiner II &amp; III<ul><li>
Manage a full caseload of workers&rsquo; compensation claims, including complex indemnity claims.</li><li>
Initiate, conduct, and document timely and thorough claim investigations.</li><li>
Determine compensability and administer benefits in accordance with state laws, rules, and company/client handling instructions.</li><li>
Manage medical treatment and medical billing; authorize services as appropriate.</li><li>
Communicate effectively with claimants, medical providers, vendors, and clients regarding claim issues.</li><li>
Compute and set reserves in accordance with Company and Client guidelines.</li><li>
Maintain an organized diary system and document claim files to reflect status, strategy, and action plans.</li><li>
Settle and/or finalize claims and obtain appropriate settlement authority.</li><li>
Conduct scheduled file reviews and respond to client inquiries.</li><li>
Identify injury trends, safety concerns, and other claim-related issues and communicate proactively to clients.</li><li>
Adhere to all company policies, procedures, and best practices.</li><li>
Utilize office systems and technology efficiently to manage caseload responsibilities.</li><li>
Perform other related duties as assigned.</li></ul>
Advanced / Senior Responsibilities (Primarily Examiner III)<ul><li>
Manage very complex, catastrophic, and litigated indemnity claims from inception to conclusion.</li><li>
Refer cases to outside defense counsel and actively participate in litigation strategy, hearings, mediations, and settlements.</li><li>
Identify and manage:<ul><li>
Subrogation opportunities</li><li>
Apportionment potential</li><li>
Excess reporting criteria and reimbursement</li></ul></li><li>
Prepare and assist with state audits, regulatory reporting, and client-specific reporting requirements.</li><li>
Develop and execute proactive claim strategies to drive timely and cost-effective resolution.</li><li>
Conduct detailed client file reviews and participate in client meetings as needed.</li><li>
Mentor and provide technical guidance to less experienced Claims Examiners.</li><li>
Handle multi-jurisdictional workers&rsquo; compensation claims as assigned.</li></ul> 
What you will be doing: 
Education &amp; Experience 
Claims Examiner II:<ul><li>
Bachelor&rsquo;s degree in a related field (preferred)</li><li>
Minimum 3+ years of workers&rsquo; compensation claims experience, or equivalent combination of education and experience</li></ul>
Claims Examiner III:<ul><li>
Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>
Demonstrated experience handling complex and litigated indemnity claims</li></ul>
Knowledge, Skills &amp; Abilities<ul><li>
Strong technical knowledge of workers&rsquo; compensation statutes, regulations, and medical terminology</li><li>
Ability to independently analyze and manage complex claims</li><li>
Excellent written and verbal communication skills</li><li>
Ability to convey technical information to claimants, clients, and internal stakeholders</li><li>
Strong organizational, analytical, and time-management skills</li><li>
Ability to interact professionally with individuals at all levels of the business environment</li><li>
Proficiency in Microsoft Word and Excel (preferred)</li></ul>
Certifications / Licenses<ul><li>
Hawaii Workers Compensation Adjusters License</li></ul> 

#Workwolf</div>

Workers Compensation Claims Examiner II/III - Hybrid

<div>Title: Salesforce Health Cloud Architect (Enterprise Solutions)
Location: 100% remote, but must reside in one of the following states: Z, AK, AR, CO, DC, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA, WA, WI, WY
Compensation: Contract-to-hire with range of $69-73.25 during the contract period (76-80/hr if you reside in one of the bolded states) and 145-152K upon conversion to direct hire (up to 167K in the bolded states)
The Opportunity Are you a master of the Salesforce ecosystem ready to define the future of healthcare for our nation&rsquo;s heroes? We are seeking a Salesforce Health Cloud Architect to serve as the primary visionary and technical lead for our enterprise-level Health Cloud platform. In this role, you will not just follow a roadmap&mdash;you will constitute the blueprint. You will translate complex business strategies into scalable technical solutions, ensuring our architecture is robust, secure, and perfectly aligned with Department of Defense (DoD) standards.
Key Responsibilities<ul><li>
Architectural Blueprinting: Oversee the design and constitution of the Health Cloud platform, converting business requirements into high-level technical solutions and POCs.</li><li>
Technical Leadership: Provide expert direction and mentorship to development teams and 3rd-party vendors, acting as the bridge between executive strategy and technical execution.</li><li>
Ecosystem Integration: Define and support complex system interfaces, data integration services, and security protocols across multiple enterprise platforms.</li><li>
Risk Mitigation: Identify and mitigate architectural risks, ensuring all designs adhere to enterprise standards and long-term &quot;big picture&quot; objectives.</li><li>
Innovation Advocacy: Maintain a constant awareness of emerging Salesforce technologies, recommending new tools to drive the organization&rsquo;s technical vision forward.</li></ul>
Required Qualifications<ul><li>
Clearance: Must be a U.S. Citizen capable of obtaining a Department of Defense (DoD) background investigation.</li><li>
Education: Bachelor&rsquo;s Degree in CS, Engineering, Mathematics, or a related field.</li><li>
Salesforce Expertise: 5+ years of hands-on experience specifically in Salesforce Health Cloud and 7+ years in general application development.</li><li>
Leadership: 2+ years of experience leading technical project teams.</li><li>
DevOps Mastery: 5 years of experience with Salesforce DevOps toolsets and CI/CD practices.</li><li>
Technical Stack: Deep proficiency in Apex, LWC, JavaScript, Flows, and SOAP/REST APIs.</li></ul>
Preferred Skills<ul><li>
Salesforce Certified Application Architect (Highly Preferred).</li><li>
Experience with OmniStudio and Lightning Web Components.</li><li>
Previous experience in a high-profile government contract environment.</li><li>
Advanced Technical Degree.</li></ul>
#Workwolf #BCDC_Consulting</div>

Salesforce Health Cloud Architect

<div>Good morning! This is a high-impact, high-visibility role. Finding an EA in the DC market who can navigate both the legal world and the Department of Defense (DoD) requirements&mdash;all while commanding a six-figure salary&mdash;requires a posting that sounds as prestigious as the position itself.
Here is the refined package for the Executive Administrative Assistant to the General Counsel.<h2 class="jobSectionHeader">
1. Professional Job Posting: Executive Assistant to the General Counsel</h2>
Title: Executive Assistant to the General Counsel (Legal &amp; Strategic Support) Location: Washington, DC (High-Profile / Fast-Paced) Salary Range: $100,000 &ndash; $112,000 Company: Confidential &ndash; Premier Government Healthcare &amp; Legal Entity
The Opportunity We are seeking a career Executive Assistant with a sophisticated legal background to support the General Counsel in our Washington, DC office. This is not a standard administrative role; it is a high-level partnership requiring the discretion of a legal professional and the technical agility of a modern coordinator. You will act as the &quot;right hand&quot; to legal leadership, managing complex calendars, board-level communications, and sensitive government-related documentation.
Key Responsibilities<ul><li>
Legal &amp; Executive Liaison: Provide elite-level support to the General Counsel, including drafting, proofreading, and editing complex legal correspondence and board-level documents.</li><li>
Complex Orchestration: Manage high-density Outlook calendars, coordinate intricate domestic/international travel, and develop detailed itineraries.</li><li>
Board &amp; Event Coordination: Lead the logistical planning for Board of Trustees meetings and high-profile organizational events.</li><li>
Technical Trouble-Shooting: Act as a first-line resource for executive technology, including VPN, Zoom, Microsoft 365, and DocuSign.</li><li>
Confidentiality &amp; Compliance: Handle highly sensitive information with absolute discretion, ensuring all tasks align with DoD standards and healthcare regulations.</li></ul>
Required Qualifications<ul><li>
Clearance: Must be a U.S. Citizen capable of obtaining a favorable Department of Defense (DoD) background investigation.</li><li>
Experience: 10+ years of Executive Administrative experience, with at least 5 years specifically supporting a General Counsel or working within a legal office (in-house or government).</li><li>
Education: High School Diploma or GED required (Bachelor&rsquo;s in Business preferred).</li><li>
Tech Stack: Advanced proficiency in Microsoft 365 (Teams, Word, Excel, PPT), Zoom, and DocuSign.</li></ul>
Preferred Skills<ul><li>
Knowledge of government programs (TRICARE, VA, Military Health System).</li><li>
Background in a healthcare environment.</li><li>
Prior military service is highly valued.</li></ul>
#Workwolf #BCDC_Consulting</div>

Executive Administrative Assistant

<div>Overview: 
Company is seeking a high-level Executive Assistant to support the Office of the President and CEO, along with other key leadership (CLT). The ideal candidate will have experience in healthcare environments, knowledge of government programs (TRICARE, VA, Military Health System), and a strong sense of discretion and professionalism. Military service is a plus.
Key Responsibilities:<ul><li>
Manage calendars, appointments, travel, meetings, and expense reports for the CEO and CLT.</li><li>
Coordinate logistics for internal and external meetings, including meals and materials.</li><li>
Handle complex travel arrangements and prepare detailed itineraries and expense reports.</li><li>
Draft and edit correspondence, personal notes, and special communications in the CEO&rsquo;s voice.</li><li>
Support onboarding of executive hires and consultants by coordinating workspace, equipment, and introductory meetings.</li><li>
Serve as internal/external liaison and handle confidential matters with discretion.</li><li>
Conduct research, compile reports, and assist with special projects.</li><li>
Maintain office supply inventory and coordinate with IT and facilities as needed.</li><li>
Regular, reliable attendance and occasional non-standard hours are required.</li></ul>
Qualifications:<ul><li>
Bachelor's degree in Business or related field.</li><li>
Experience in a healthcare setting and familiarity with government healthcare programs.</li><li>
Strong written and verbal communication, multitasking, and time management skills.</li><li>
Proficiency in Microsoft 365 (Outlook, Word, Teams, PowerPoint, Excel), Zoom, VPN, and DocuSign.</li><li>
Ability to work independently and handle high-pressure situations with professionalism.</li><li>
Customer-focused with excellent interpersonal and organizational skills. 
 
10 Years minimal experience in executive administrative support required.</li></ul>
Work Environment: 
Primarily office-based with some travel required for board meetings and events. Extensive use of computers and phones; prolonged sitting may be necessary. 

#Workwolf</div>

Executive Administrative Assistant to CEO

<div>Job Summary
Job Summary
The Executive Administrative Assistant (EAA) provides executive-level administrative support to the Chief Compliance and Legal Officer (CCLO) and other senior executives with primary responsibilities in the Washington, D.C. area. The EAA must demonstrate exceptional judgment, discretion, and organizational skills, along with strong initiative to manage a broad range of activities and projects. This position delivers proactive administrative, project management, and organizational support in a fast-paced environment, working with minimal supervision. It requires professionalism, flexibility, resourcefulness, efficiency, and meticulous attention to detail. The EAA will also support the President and CEO as needed and assist senior executives traveling within the D.C. area, collaborating closely with the Assistant to the President and other Executive Administrative Assistants.
Government Reporting
Indirect 
Education &amp; Experience
Required<ul><li>High school diploma or GED.</li><li>Minimum of 10 years of executive administrative support experience, including at least five years supporting a General Counsel or working in a legal office (in-house or government).</li><li>Demonstrated flexibility and ability to reprioritize tasks and schedules as necessary. Capable of handling multiple projects simultaneously in a timely manner.</li><li>Effective teamwork skills with proven commitment to executive support, maintaining confidentiality in handling sensitive information.</li><li>Advanced technical aptitude to troubleshoot and resolve issues with VPN, Zoom, Microsoft 365 (Outlook, Word, Teams, PowerPoint, and Excel), and DocuSign.</li><li>Proven experience managing and prioritizing complex Outlook calendars, coordinating meetings, travel arrangements, and itineraries.</li><li>Strong organizational skills and meticulous attention to detail.</li><li>Exceptional grammar, writing, and communication abilities; skilled in proofreading, editing, and drafting correspondence.</li><li>Experience coordinating events, including Board of Trustees meetings and related activities.</li><li>U.S. Citizen
</li><li>Must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation</li></ul>
Preferred<ul><li>Bachelor&rsquo;s degree in Business or a related field.</li><li>Five or more years of experience supporting a General Counsel or legal department (in-house or government).</li><li>Experience in a healthcare environment.</li><li>Knowledge of government programs (e.g., TRICARE, VA, Military Health System).</li><li>Prior military service, a plus.</li><li>Experience working in a high-profile, fast-paced setting, a plus.</li></ul>
Key Responsibilities<ul><li>Manages daily administrative operations for the CCLO and other senior executives, including scheduling, appointments, travel coordination, calendar management, meetings, expense reports, and file maintenance.</li><li>Screens calls, greets visitors, and manages correspondence, safeguarding privileged and confidential materials. Responds to routine requests and assists with special inquiries as needed.</li><li>Plans and coordinates detailed travel itineraries, including flights, hotels, and ground transportation; prepares travel logs and expense reports.</li><li>Handles logistics for internal and external meetings, including setup and teardown.</li><li>Drafts, formats, and prepares business and personal correspondence.</li><li>Supports senior executives with special projects and written communications.</li><li>Maintains effective communication with the Assistant to the President and CEO to coordinate support within the D.C. executive team.</li><li>Conducts research and compiles information for reports and summaries as requested.</li><li>Serves as the primary point of contact for day-to-day facility-related matters in the D.C. office; ensures adequate office supplies and properly functioning equipment.</li></ul>
..<ul><li>Coordinates onboarding for Executive Members and Consultants, ensuring IT setup, workspace preparation, introductions, and scheduling of initial meetings.</li><li>Performs other duties as assigned.</li><li>Regular and reliable attendance is required.</li></ul>
Competencies
Technical Skills
Expertise in business and professional writing, research, data analysis, and customer service. Skilled in Microsoft 365 (Outlook, Word, Teams, PowerPoint, and Excel), VPN, Zoom, DocuSign, and standard office equipment. Exercises discretion and judgment in handling confidential or proprietary matters.
Team-Building / Team Player
Positively influences others, builds group commitment, and works collaboratively to achieve team success.
Organizational Skills
Effectively organizes people and tasks, adapts to shifting priorities, and manages within time constraints and available resources.
Multi-Tasking / Time Management
Prioritizes and manages multiple tasks to meet shifting deadlines in a high-volume, high-pressure environment.
Independent Thinking / Self-Initiative
Critical thinker who focuses on outcomes, works independently, and proactively identifies necessary resources to complete tasks.
Empathy / Customer Service
Demonstrates respect, patience, and understanding while maintaining a customer-focused approach.
Coping / Flexibility
Adapts to various situations and individuals while maintaining professionalism and problem-solving focus.
Computer Literacy
Functions effectively within a Microsoft-based environment, using Word, Outlook, the intranet, and department applications.
Communication / People Skills
Persuasive and adaptable communicator who listens actively, collaborates effectively, and works well under varying circumstances.
Working Conditions
Working Conditions<ul><li>Availability to work outside regular business hours as needed.</li></ul> 
#Workwolf</div>

<div>Job Summary
Workers Compensation Claims Examiner III
TeemaGroup
Full-time
Hybrid | Philadelphia, PA, United States 
 
The Opportunity
You&rsquo;re the kind of person who is always looking to learn. You want to grow into something greater and you&rsquo;re looking for an employer encourages and supports your professional development. This is the largest privately held Third party claims administrator in the US. 
Responsibilities<ul><li>
Adjuster will work hybrid</li><li>
Effectively manages a caseload of 125 to 150 workers&rsquo; compensation files, including very complex claims. *</li><li>
Jurisdiction is PA and NJ. *</li><li>
Initiates and conducts investigation in a timely manner. *</li><li>
Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines. *</li><li>
Manages medical treatment and medical billing, authorizing as appropriate. *</li><li>
Refers cases to outside defense counsel. Directs and manages as appropriate. *</li><li>
Communicates with claimants, providers and vendors regarding claims issues. *</li><li>
Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Examiner I and Claims Examiner II. *</li><li>
Settles and/or finalize all claims and obtains authority as designated. *</li><li>
Maintains diary system for case review and documents file to reflect the status and work being performed on the file. *</li><li>
Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns. *</li><li>
Involves TRISTAR loss control staff when appropriate. *</li><li>
Adheres to all Company policies and procedures. *</li><li>
Conducts file reviews independently. *</li><li>
Other duties as assigned.</li></ul> 
Education/Experience: Bachelor&rsquo;s degree in related field (preferred); three (3) or more years related experience; or equivalent combination of education and experience. 
 
Knowledge, Skills and Abilities:<ul><li>
Technical knowledge of statutory regulations and medical terminology.</li><li>
Analytical skills.</li><li>
Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.</li><li>
Ability to interact with persons at all levels in the business environment.</li><li>
Ability to independently and effectively manage very complex claims.</li><li>
Proficient in Word and Excel (preferred).</li></ul>
#Workwolf</div>

Workers Compensation Claims Examiner III

<div>Job Summary
Workers Compensation Claims Examiner III
TeemaGroup
Full-time
In-Office | Kapolei, HI, United States 
POSITION SUMMARY
At the direction of the Claims Supervisor and/or Claims Manager, the Claims Examiner II / III manages all aspects of workers&rsquo; compensation indemnity, medical-only, future medical, and litigated claims from inception through resolution, within established authority and company/client guidelines.
This role requires frequent interaction with clients, claimants, medical providers, attorneys, vendors, nurse case managers, vocational case managers, and internal staff.
The level of complexity, litigation exposure, settlement authority, and leadership responsibility will be commensurate with the examiner&rsquo;s experience and designation (Level II or Level III).
DUTIES AND RESPONSIBILITIES
Core Responsibilities (Applies to Examiner II &amp; III)<ul><li>Manage a full caseload of workers&rsquo; compensation claims, including complex indemnity claims.</li><li>Initiate, conduct, and document timely and thorough claim investigations.</li><li>Determine compensability and administer benefits in accordance with state laws, rules, and company/client handling instructions.</li><li>Manage medical treatment and medical billing; authorize services as appropriate.</li><li>Communicate effectively with claimants, medical providers, vendors, and clients regarding claim issues.</li><li>Compute and set reserves in accordance with Company and Client guidelines.</li><li>Maintain an organized diary system and document claim files to reflect status, strategy, and action plans.</li><li>Settle and/or finalize claims and obtain appropriate settlement authority.</li><li>Conduct scheduled file reviews and respond to client inquiries.</li><li>Identify injury trends, safety concerns, and other claim-related issues and communicate proactively to clients.</li><li>Adhere to all TRISTAR company policies, procedures, and best practices.</li><li>Utilize office systems and technology efficiently to manage caseload responsibilities.</li><li>Perform other related duties as assigned.</li></ul>
Advanced / Senior Responsibilities (Primarily Examiner III)<ul><li>Manage very complex, catastrophic, and litigated indemnity claims from inception to conclusion.</li><li>Refer cases to outside defense counsel and actively participate in litigation strategy, hearings, mediations, and settlements.</li><li>Identify and manage:</li><li>Subrogation opportunities</li><li>Apportionment potential</li><li>Excess reporting criteria and reimbursement</li><li>Prepare and assist with state audits, regulatory reporting, and client-specific reporting requirements.</li><li>Develop and execute proactive claim strategies to drive timely and cost-effective resolution.</li><li>Conduct detailed client file reviews and participate in client meetings as needed.</li><li>Mentor and provide technical guidance to less experienced Claims Examiners.</li><li>Handle multi-jurisdictional workers&rsquo; compensation claims as assigned.</li></ul>
Essential job functions.
QUALIFICATIONS REQUIRED
Education &amp; Experience<ul><li>Claims Examiner II:</li><li>Bachelor&rsquo;s degree in a related field (preferred)</li><li>Minimum 3+ years of workers&rsquo; compensation claims experience, or equivalent combination of education and experience</li><li>Claims Examiner III:</li><li>Minimum 5+ years of progressive workers&rsquo; compensation claims experience</li><li>Demonstrated experience handling complex and litigated indemnity claims</li></ul>
#Workwolf</div>

Join TEEMA and explore 11   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

TEEMA

About Company

Workers Compensation Claims Examiner II/III - Hybrid

Salesforce Health Cloud Architect

Executive Administrative Assistant

Executive Administrative Assistant to CEO

Executive Administrative Assistant to CEO

Workers Compensation Claims Examiner III

Workers Compensation Claims Examiner III