assistant controller

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aba supervisor

Western Growers Assurance Trust

<div><p><b>JOB DESCRIPTION SUMMARY</b></p><p>
Position reports to the Supervisor Benefit Distribution &amp; Installation and performs in-depth pharmacy and medical plan coding of new and existing business accounts. This position will ensure that all new and existing health (medical/dental/pharmacy) insurance plans underwritten by Western Growers Assurance Trust (WGAT) and those of Pinnacle Claims Management, Inc. (PCMI) are in compliance with the respective employers&rsquo; summary plan descriptions.</p><div><p><b>
DUTIES AND RESPONSIBILITIES</b></p><h1 class="jobSectionHeader"><i>
Plan Coding</i></h1><ul><li>
Plan code new business and plan changes.</li><li>
Verify new and existing plans loaded on the company&rsquo;s claim management system against the appropriate Summary Plan Description to determine the accuracy of present and future claims payments.</li><li>
Respond to work orders received from examiners to investigate plan issues and irregularities.
</li><li>Evaluate testing requests for all new plans prior to loading them into the production system.</li></ul><h1 class="jobSectionHeader"><i>
Administrative
</i></h1><ul><li>Keep a detailed log of open and completed work.
</li><li>Document resolutions to closed work orders.</li><li>
Identify inefficiencies within the established processes and suggest possible solutions to save time, reduce risk, and/or reduce expenses.
</li><li>Create and document a minimum of one new Standard Operating Procedure (SOP) annually.
</li><li>Identify, initiate and implement at least one process improvement and/or innovation annually.</li><li>
Maintain detailed log of plans that are currently being coded and in the process of being loaded.</li><li>
Send confirmations to internal stakeholders when applicable plans have been loaded. Work with programmers to test claims and related system programs to verify impact within the Health Care Processing System (HCPS).</li></ul><h1 class="jobSectionHeader"><i>
Other</i></h1><ul><li>
Utilize all capabilities to satisfy one mission &mdash; to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.</li><li>
Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
</li><li>Maintain a HIPAA-compliant workstation and utilize appropriate security techniques to ensure HIPAA-required protection of all confidential/protected client data.
</li><li>Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).</li><li>
All other duties as assigned.</li></ul></div><p><b>
Physical Demands/Work Environment</b></p><p>
The physical demands and work environment described here represent those that an employee must meet to perform this job&rsquo;s essential functions successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.</p><p><b>
Qualifications</b></p><ul><li>
BS/BA degree in computer science, business or related field and a minimum of two years of experience as a pharmacy, medical, dental claims auditor and/or plan testing experience, preferred.</li><li>
Exceptional ability to interpret summary plan descriptions of employee medical, dental, pharmacy benefits.</li><li>
Strong ability to work efficiently and effectively in a multiple task, multi-project, and multi-demanding environment to meet expected goals, dates, and milestones.</li><li>
Excellent writing, editing, and proofreading skills to compose and edit correspondence, reports, emails, and other written materials.</li><li>
Superior ability to analyze and interpret group health benefits provisions, administrative policies, and provider contracts.</li><li>
Advanced skills in Microsoft Office applications, specifically word processing and spreadsheets.</li><li>
Demonstrated ability to analyze and comprehend complex issues, and personalities using independent judgment, leadership, tact, diplomacy, and initiative</li><li>
Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.</li><li>
Home router with wired Ethernet (wireless connections and hotspots are not permitted).
</li><li>A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
</li><li>A functioning smoke detector, fire extinguisher, and first aid kit on site.</li></ul></div>

Plan Coder

Allied Universal

<div><p>GSOC Operator</p><h2 class="jobSectionHeader"><b>
Overview</b></h2><div><br>
Company Overview:
</div><div>Allied Universal&reg;, North America&rsquo;s leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers we serve.</div><h2 class="jobSectionHeader"><b><br>
Job Description</b></h2><p><br>
As a GSOC Operator, you will serve and safeguard clients in a range of industries such as Commercial Real Estate, Healthcare, Education, Government and more. The Global Security Operations Center (GSOC) Operator, under guidance of GSOC Supervisor, is responsible for assisting company personnel in all concerns that pertain to safety and security for corporate locations around the globe. The individual will work in a GSOC environment, monitoring several screens. The Operator will use a variety of tools that range from access control and alarm monitoring systems to various business intelligence sources, open-source media, Internet, and in-house tools. The Operator is required to detect, analyze, and alert others of any incidents which may impact the client&rsquo;s people, products, property, or brand image. These may range from extreme weather conditions, political instability, crime, terror, to technical failures.</p><p><b>
Join the world&rsquo;s leading global security company!</b></p><div><b>
Hiring for a GSOC Operator &ndash; Unarmed</b></div><div><b>
4+Years Experience is required/preferred for this role.</b></div><ul><li><b>
Pay-rate is $29.87 per hour. Part Time 24 Hours / Swing Shift 1400-2200 Hour / Friday &amp; Saturday
</b></li><li><b>Location Irvine, California</b></li><li><b>
Excellent benefits and career growth opportunities
</b></li></ul><p></p><p><b>RESPONSIBILITIES:</b></p><ul><li>
Manage the start-to-end process for granting physical access to client campuses. Includes interfacing with client associates via phone and email, granting and removing access within the client access control database, and troubleshooting access problems presented by the client.</li><li>
Proactively monitor physical access and video surveillance alarms within the respective systems and be able to execute appropriate response protocols in accordance with approved operation procedures</li><li>
Monitor and report after hours facilities power outages to the client</li><li>
Monitor and respond to facilities 911 and duress alerts in accordance with client operating procedures</li><li>
Support internal investigations when requested by producing supporting access and video evidence</li><li>
Reviewing of all incident reports for all 12 campuses.</li><li>
Assist client in all concerns that pertain to safety and security for all locations.</li><li>
Ability to operate within a GSOC environment, monitoring several screens and utilizing a variety of tools that range from access control and alarm monitoring systems to various business intelligence sources such as open-source media, Internet, and in-house tools</li><li>
Detect, analyze, and alert of critical incidents, which may impact the campuses &ndash; these may range from extreme weather conditions, political instability, crime, terror, to technical failures</li><li>
Monitor phone and email communications from client associates/students reporting suspicious activities</li><li>
Provide excellent customer service to associates by carrying out safety and security procedures, site-specific policies and when appropriate, emergency response activities</li><li>
Create, disseminate, and archive all &ldquo;BOLO - Be on the Lookout&rdquo; approved by client</li><li>
Ability to respond in a calm, organized, and professional manner.</li><li><div>
Provide backup coverages for all sites supporting continuous operation of &quot;SPOE - Single Point of Entry&quot;.</div></li><li>
Serve as the communication hub for all campuses.</li><li>
Provide support and participate in crisis mitigation (IMT)</li></ul><p>
</p><ul><li>Provide customer service to our clients by carrying out safety and security procedures, site-specific policies and when appropriate, emergency response activities</li><li>
Respond to incidents and critical situations in a calm, problem solving manner</li><li>
Investigate alarms and respond by sending security patrol, or alerting Fire services or Police as needed</li><li>
Assist company employees in all concerns that pertain to safety and security</li><li>
Monitor travel safety and security of company&rsquo;s employees</li></ul><div><b>
QUALIFICATIONS:</b></div><ul><li>
Be at least 18 years of age for unarmed roles; 21+ years of age for armed roles</li><li>
Possess a high school diploma or equivalent, or five (5) years of verifiable experience</li><li>
Minimum of two (2) years of military, law enforcement, government, or security experience</li><li>
As a condition of employment, applicants will be subject to a background investigation in accordance with all federal, state, and local laws. Allied Universal will consider qualified applications with criminal histories in a manner consistent with applicable laws.</li><li>
Licensing requirements are subject to state and/or local laws and regulations and may be required prior to employment.<br>
<ul><li>A valid driver&rsquo;s license will be required for driving positions only</li></ul></li></ul><div><b>
BENEFITS:
</b></div><ul><li>Medical, dental, vision, basic life, AD&amp;D, and disability insurance</li><li>
Enrollment in our company&rsquo;s 401 (k) or Supplemental Income Plan, subject to eligibility requirements</li><li>
Eight paid holidays annually, five sick days, and four personal day</li><li>
40 hours of vacation after one year of employment at eligible work assignments. Unused vacation is only paid out where required by law.</li></ul><h2 class="jobSectionHeader"><b><br>
Closing</b></h2><div><br>
Allied Universal&reg; is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race/ethnicity, age, color, religion, sex, sexual orientation, gender identity, national origin, genetic information, disability, protected veteran status or relationship/association with a protected veteran, or any other basis or characteristic protected by law. For more information: www.aus.com
</div><div>If you have difficulty using the online system and require an alternate method to apply or require an accommodation, please contact our local Human Resources department. To find an office near you, please visit: www.aus.com/offices.</div><h2 class="jobSectionHeader"><b><br>
Requisition ID</b></h2><br>
2026-1645981</div>

GSOC Operator

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Plan Coder

GSOC Operator