Claim processor jobs in Dalton, GA - 478 jobs

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally. To enable this, we provide: Award-winning culture Inclusion and diversity as a priority Performance Based Incentive Plans Competitive benefits package that includes: Health, Vision, Dental, Short & Long-Term Disability Generous PTO (including paid time to volunteer!) Up to 9.5% 401(k) employer contribution Mental health support Career advancement opportunities Student loan repayment options Tuition reimbursement Flexible work environments *All the benefits listed above are subject to the terms of their individual Plans . And that's just the beginning… With 10,000 employees helping more than 39 million people worldwide, every role at Unum is meaningful and impacts the lives of our customers. Whether you're directly supporting a growing family, or developing online tools to help navigate a difficult loss, customers are counting on the combined talents of our entire team. Help us help others, and join Team Unum today! General Summary:Minimum starting hourly rate is $22.60 This is an entry level position within the Voluntary Benefits Claims Organization. This position is responsible for the thorough, fair, objective, and timely adjudication of voluntary benefits claims in conjunction with providing technical expertise regarding applicable regulations. This position is responsible for providing excellent customer service and interacts on a regular basis with employees, employers, health care providers and other specialized internal resources. Incumbents in this role are considered trainees and are assigned a formal mentor for 6-12 months until they are assessed as capable of independent work. Incumbents are primarily responsible for learning and developing the skills, knowledge, and behaviors necessary to successfully adjudicate assigned claims, in accordance with our claims philosophy and policies and procedures. Incumbent must demonstrate the ability to effectively manage an assigned caseload, exercise discretion and independent judgment, and appropriately render timely claim decisions while demonstrating strong customer service prior to movement to the exempt level claims specialist role. Principal Duties and Responsibilities: Maintain organizational service standards on all assigned claims demonstrating success in developing and implementing effective strategies to manage a caseload of varying size and complexity. Develop an understanding and working knowledge of Voluntary Benefits for Unum and Colonial Life, including products, policies, procedures, and contracts. Develop an understanding of the applicable contract/policy definitions and relevant provisions, clauses, exclusions, riders, and waivers, as well as regulatory and statutory requirements for claim products administered. Develop skill set to determine appropriate risk management strategies through analyzing and applying technical and complex contractual knowledge (policies and provisions) to ensure appropriate eligibility requirements, liability decisions, and benefits payee. Develop problem solving skills by demonstrating analytical and logical thinking resulting in the timely and accurate adjudication of a variety of simple to complex voluntary benefits claims. Develop a working knowledge of systems needed for claims adjudication. Provide excellent customer service and independently respond to all inquiries within service guidelines. Responsible for timely and accurate claims review, initiation and completion of appropriate claim validation activities, and referrals/notifications to other areas (i.e., medical assessments, billing, etc.) as appropriate. Produce objective, clear documentation and technical rationale for all claim determinations and demonstrate the ability to effectively communicate determinations while ensuring compliance with Voluntary Benefits procedures and all legal requirements including state regulations. Partner and coordinate file strategies utilizing specialized resources including nurses, physicians, vocational rehabilitation and assessing medical documentation, when appropriate. Ensure a timely and well communicated transfer process when transitioning integrated claims across lines of business, ensuring a coordinated and continuous claims experience for customers. Be familiar with specialized workflow requirements and performance standards for any assigned customers. May perform other duties as assigned. Job Specifications: 4-year degree preferred or equivalent work experience Ability to develop Voluntary Benefits product knowledge and apply a best-in-class service experience Medical background, voluntary benefits claims and/or disability management experience preferred Possess strong analytical, critical thinking, and problem-solving skills Ability to exercise independent judgment and discretion in increasingly complex claim adjudication decisions, including initial decision and ongoing medical management. Able to effectively utilize a broad spectrum of resources, materials, and tools needed to assist with the decision-making process Strong service and quality orientation. Ability to interact effectively and professionally with claimants, employers, medical resources, attorneys, accountants, brokers, sales representatives, etc. Demonstrated ability to operate with a sense of urgency and make balanced decisions with the highest degree of integrity and fairness. Excellent communication skills, written and verbal Meets the standards for this position, as defined in the Talent Management framework ~IN3 #LI-LM2022 Unum and Colonial Life are part of Unum Group, a Fortune 500 company and leading provider of employee benefits to companies worldwide. Headquartered in Chattanooga, TN, with international offices in Ireland, Poland and the UK, Unum also has significant operations in Portland, ME, and Baton Rouge, LA - plus over 35 US field offices. Colonial Life is headquartered in Columbia, SC, with over 40 field offices nationwide. Unum is an equal opportunity employer, considering all qualified applicants and employees for hiring, placement, and advancement, without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status. The base salary range for applicants for this position is listed below. Unless actual salary is indicated above in the job description, actual pay will be based on skill, geographical location and experience. $40,000.00-$75,600.00 Additionally, Unum offers a portfolio of benefits and rewards that are competitive and comprehensive including healthcare benefits (health, vision, dental), insurance benefits (short & long-term disability), performance-based incentive plans, paid time off, and a 401(k) retirement plan with an employer match up to 5% and an additional 4.5% contribution whether you contribute to the plan or not. All benefits are subject to the terms and conditions of individual Plans. Company: Unum

The Claims Specialist position is an on-site role based at our corporate headquarters in Savannah, Georgia. This role will play a key part in supporting and managing the claims process, working closely with cross-functional teams across the organization to help reduce and prevent accidents, injuries, and property damage involving both employees and customers, while promoting a proactive, safety-focused culture company-wide. ESSENTIAL DUTIES AND RESPONSIBILITIES Responsibilities: Will assist with the management process of claims for all lines of insurance to include property, general liability, auto, unemployment, and workers' compensation. Utilizes skills and trend-tracking to assist in reducing accidents, and occupational injuries. Coordinates claim notification with the insurance carriers and serves as a point of contact for all assigned claims with the insurance carriers. Contacts employees and customers with potential claims to assist in mitigating potential loss and further injuries. Assist with all Parker's Workers' Compensation (WC) Claims, Unemployment Claims, General Liability Claims, and all other from initial notification through to claim closure, including reviewing, analyzing, and approving authority amounts. Case management can include scheduling of appointments, obtaining current medical information, assisting managers with the transition of injured employees back to work, and assisting the injured employee. Ensure continued communication with injured parties to include customers, workers and leaders of the injured worker. May act as Parker's representative for depositions, informal conferences, mediations, and/or hearings pertaining to claims, working with assigned attorneys as necessary. Prepares Parker's written responses to unemployment claims based upon a summary of facts compiled from files, personnel records and interviews. May prepare cases for and represents Parker's at unemployment claim appeal hearings. Provides personnel employment information and verification, questions witnesses and claimant to ascertain facts of separation and presents a closing summary statement of the employer's position to the hearing officer. Prepares client witnesses for hearing appearances. Case preparation for hearings involves document gathering and organization, unemployment law research, and defense strategies. Maintains frequent telephone contact with management and leaders, gathering facts necessary to determine if unemployment claims are disputable and explaining unemployment rules, regulations, decisions and options. Refers information ascertained during investigations to the Claims team, Operations, and/or Human Resources, as necessary, when possible EEOC charges, wrongful discharge, or threatened litigation facts may have been uncovered. Other similar duties as required. Knowledge, Skills, and Abilities: Strong attention to detail Advanced skills in the use of Windows-based office software: Microsoft Office, Word, Excel, and PowerPoint and G-Suite products Must possess strong analytical and problem-solving skills Able to manage multiple priorities Able to research, collect, and analyze data and prepare written and oral reports Knowledge of claims processing techniques Able to analyze, classify, and rate risks, exposure, and loss expectancies Knowledge of workers' compensation laws and requirements, safety, loss control, and risk management principles Principles, practices, and procedures of general business including knowledge of the unemployment compensation system, filing appropriate unemployment responses, and personnel administration including legal aspects of hiring and firing; and the relationship of the Federal Unemployment Tax Act and the various state acts; knowledge of state and federal unemployment laws, rules and regulations. Highly organized and able to track a project from initial contact through the end of the project Ability to effectively communicate information and ideas in written and verbal format EDUCATION AND REQUIREMENTS Required: Associate or Bachelor's degree or equivalent experience 1-2 years' experience processing workers' compensation, general liability, and/or unemployment claims Experience in creating reports Preferred: ARM, CRM or similar designation 4+ years' experience processing workers' compensation, general liability, and/or unemployment claims TRAVEL As required PHYSICAL REQUIREMENTS Prolonged periods sitting/standing at a desk and working on a computer

Job Description When life gets hard, we make it easier! Libra Solutions helps overcome the burdens created by slow-moving legal processes. Combining technical innovation and financial strength, we help speed cumbersome workflows and ease financial barriers for our customers. And our companies are leaders in their industries! Oasis Financial is the largest and most recognized national brand in consumer legal funding. Oasis helps consumers awaiting legal settlements to move forward with their lives. MoveDocs is a personal injury solutions platform that integrates and streamlines medical, financial, and professional services for personal injury cases. Our mission is to improve outcomes for plaintiffs, accelerate settlements for attorneys, and ensure timely payment for providers. We are proud of our mission and passionate about applying technology to the challenge of making healthcare more accessible. We also are the leading inheritance funding provider through Probate Advance, helping heirs access their inheritance immediately, without the lengthy process of probate. Together, under the Libra Solutions banner, we have relationships with over 40,000 attorneys and over 7,000 healthcare providers nationwide, which gives us an amazing platform to service our customers. MoveDocs is seeking a Claims Specialist to join our growing Operations team. The successful candidate will be highly motivated to deliver exceptional customer service to various parties within the medical and legal community. This position will function as the primary point of communication with our clients to stay up to date on existing cases and answer client questions. MoveDocs takes pride in providing excellent and expedient service to our clients and the qualified candidate must be self-motivated, able to work autonomously and enjoy working in a fast-paced, high-volume environment. This role is located in our Huntersville, NC office. Answers high volume of inbound calls from insurance companies, attorneys, clients and/or medical providers daily Statuses cases to get updates on pending and ongoing case litigation and/or medical treatment. Drafts correspondence to defense insurance companies and/or attorneys including demand letters, emails, and faxes Delivers customer satisfaction through timely, accurate communications Develops rapport with the attorneys, firms, insurance companies and medical providers Requirements High School or GED required Experience in a high-volume call environment preferred Knowledge or experience with personal injury, medical billing, or claims a plus Previous claims and/or personal injury case manager experience preferred Self-motivated with desire to build great relationships, and to meet and exceed goals Ability to multitask while on the phone and the computer is a must Able to adapt to change and pivot easily between tasks Ability to work quickly and accurately to meet tight deadlines Possess excellent verbal and written communication skills for communicating with insurance companies, attorneys, and medical providers Basic computer proficiency and Outlook experience Benefits MoveDocs offers competitive compensation, benefits that include medical, dental, vision and life insurance plans, plus 401(k) with company match and paid time off.

Marketing Statement: Philadelphia Insurance Companies, a member of the Tokio Marine Group, designs, markets and underwrites commercial property/casualty and professional liability insurance products for select industries. We have been in operation since 1962 and are nationally recognized as a member of Ward's Top 50 and rated A++ by A.M.Best. We are looking for a Claims Specialist - Auto to join our team. JOB SUMMARY Investigate, evaluate and settle more complex first and third party commercial insurance auto claims. JOB RESPONSIBILITIES Evaluates each claim in light of facts; Affirm or deny coverage; investigate to establish proper reserves; and settles or denies claims in a fair and expeditious manner. Communicates with all relevant parties and documents communication as well as results of investigation. Thoroughly understands coverages, policy terms and conditions for broad insurance areas, products or special contracts. Travel is required to attend customer service calls, mediations, and other legal proceedings. JOB REQUIREMENTS High School Diploma; Bachelor's degree from a four-year college or university preferred. 10 plus years related experience and/or training; or equivalent combination of education and experience. • National Range : $82,800.00 - $97,300.00 • Ultimate salary offered will be based on factors such as applicant experience and geographic location. EEO Statement: Tokio Marine Group of Companies (including, but not limited to the Philadelphia Insurance Companies, Tokio Marine America, Inc., TMNA Services, LLC, TM Claims Service, Inc. and First Insurance Company of Hawaii, Ltd.) is an Equal Opportunity Employer. In order to remain competitive we must attract, develop, motivate, and retain the most qualified employees regardless of age, color, race, religion, gender, disability, national or ethnic origin, family circumstances, life experiences, marital status, military status, sexual orientation and/or any other status protected by law. Benefits: We offer a comprehensive benefit package, which includes tuition reimbursement and a generous 401K match. Our rich history of outstanding results and growth allow us to focus our business plan on continued growth, new products, people development and internal career opportunities. If you enjoy working in a fast paced work environment with growth potential please apply online. Additional information on Volunteer Benefits, Paid Vacation, Medical Benefits, Educational Incentives, Family Friendly Benefits and Investment Incentives can be found at *****************************************

The Company At Utica National Insurance Group, our 1,300 employees nationwide live our corporate promise every day: to make people feel secure, appreciated, and respected. We are an “A” rated, $1.7B award-winning, nationally recognized property & casualty insurance carrier. Headquartered in Central New York, we operate across the Eastern half of the United States, with major office locations in New Hartford, New York and Charlotte, and regional offices in Boston, New York City, Atlanta, Dallas, Columbus, Richmond, and Chicago. What you will do The Specialist will be responsible for the management and effective resolution of high exposure, complex liability claims in multiple jurisdictions. The ideal candidate will have considerable experience in effectively negotiating settlements via mediation and direct negotiations, managing and directing litigation, conducting coverage and additional insured evaluations, and drafting coverage position letters. Experience handling complex commercial general liability is required. Key responsibilities Responsible for thorough evaluation of coverage and proactive investigation, reserving, negotiating and managing the defense of complex liability claims in multiple jurisdictions. Manage all claims in accordance with Utica National's established claim procedures. Draft and present claim reviews to supervisor and upper management that provide full evaluation of coverage, liability and damages associated with claim, proposed plan to resolve claim and sufficient basis and support for authority requests above the Complex Liability Claims Specialist's individual monetary authority level. Maintain timely and accurate claim reserves in accordance Utica National's reserving philosophy. Effectively manage litigation process including appropriate assignment of defense panel counsel, monitoring of defense counsel's work product and working with defense counsel to efficiently and fairly resolve claims. Participate as appropriate in litigation activities including settlement negotiations, depositions, conferences, hearings, alternative dispute resolution sessions and trials. Maintain effective communications with insureds, claimants, agents, and other representatives involved in the claims cycle. Achieve the service standard of “excellent” during all phases of claims handling. Stay abreast of legal trends, case law, and jurisdictional environment and its impact on handling claims within the jurisdiction. Responsible for analyzing and communicating changes in law, regulation, and custom to ensure consistent quality claim handling. What you need Four year degree or equivalent experience preferred. Minimum of 5 years of commercial casualty claims handling experience working with high complexity litigated casualty claims. Proven experience negotiating claims and active participation in alternative dispute resolution practices. Experience with general liability, additional insured considerations and complex coverage determinations. Licensing Required to obtain your license(s) as an adjuster in the state(s) in which you are assigned to adjust claims. Licensing must be obtained within the timeframe set forth by the Company and must be maintained as needed throughout your employment. Salary range: $103,300 - $140,000 The final salary to be paid and position within the internal salary range is reflective of the employee's work experience, their geographic location, education, certification(s), scope and responsibilities in the role, and additional qualifications. Benefits: We believe strongly that talented people are core to our success and are attracted to companies that provide competitive pay, comprehensive benefits packages, career advancement and challenging work opportunities. We offer a Comprehensive Benefits Plan for full time employees that include the following: Medical and Prescription Drug Benefit Dental Benefit Vision Benefit Life Insurance and Disability Benefits 401(k) Profit Sharing and Investment Plan (Includes annual Company financial contribution and discretionary Profit Sharing contribution based upon annual company financial results) Health Savings Account (HSA) Flexible Spending Accounts Tuition Assistance, Training, and Professional Designations Company-Paid Family Leave Adoption/Surrogacy Assistance Benefit Voluntary Benefits - Group Accident Insurance, Hospital Indemnity, Critical Illness, Legal, ID Theft Protection, Pet Insurance Student Loan Refinancing Services Care.com Membership with Back-up Care, Senior Solutions Business Travel Accident Insurance Matching Gifts program Paid Volunteer Day Employee Referral Award Program Wellness programs Additional Information: This position is a full time salaried, exempt (non-overtime eligible) position. Utica National is an Equal Opportunity Employer. Apply now and find out what it's like to be a part of an amazing team, thrive in an exciting environment and work for a company you can be proud of. Once you complete your application, you can monitor your status in the hiring process by logging into your profile. A representative from our Talent Acquisition team will be in touch regarding any change in your candidacy. #LI-HL1

Integrity. Care. Trust. Compassion. Expertise. Do these words resonate with you? These values of Builders culture create success in all we do. We strive to provide deeply supportive partnerships to our customers, agents, and each other. Builders is proud to be named among the Great Places to Work. Our award-winning culture has earned top marks in Company Direction, Employee Appreciation, Work-Life Balance, Leadership, and Compensation and Benefits. Our strong culture keeps us Built Strong in a forever-changing world, and our AM Best A Rating is evidence of our financial strength. Position Summary The General Liability Claims Specialist is responsible for the thorough investigation, evaluation and resolution of general liability/construction defect claims. The Specialist delivers quality technical outcomes while ensuring exceptional customer service throughout the claims process. Responsibilities Manage a diverse caseload of property and casualty claims, including general liability, construction defect, and automobile losses across multiple jurisdictions, utilizing best-in-class claims handling practices. Conduct thorough investigations and in-depth coverage analyses to make informed coverage determinations; draft clear, professional coverage correspondence and communicate decisions to policyholders and key stakeholders with minimal supervision. Oversee all aspects of the claims process, ensuring comprehensive and timely investigations. Establish timely and appropriate reserves within designated authority, continuously evaluating and adjusting as necessary throughout the life of the claim. Assess liability, analyze exposure, and strategically negotiate claims to fair and efficient resolution. Identify and pursue risk transfer opportunities and enforce additional insured provisions to mitigate exposure. Maintain detailed, accurate, and organized documentation in all claim files, supporting transparency and compliance. Manage litigation toward prompt and cost-effective resolution. Prepare high-quality, timely reporting, including large loss summaries and reinsurance updates. Optimize claim outcomes through careful vendor management and cost control. Negotiate and resolve claims within established authority, balancing efficiency with fairness. Foster productive communication and collaboration with internal partners-such as Underwriting, Auditing, and Compliance-and external stakeholders, including agents, insureds, and claimants. Meet or exceed quality performance benchmarks and service expectations. Participate in hearings, pre-trial conferences, settlement discussions, trials, and related proceedings, as required. Perform other duties as assigned. Qualifications Bachelor's degree or an equivalent combination of education and experience in the insurance field Ten or more years of experience processing auto and/or general liability claims with five or more years of experience processing construction defect claims Senior Claim Law Associate (SCLA) or Chartered Property Casualty Underwriter (CPCU) designation Georgia Adjuster License along with additional state licenses, as applicable Knowledge of construction defect and auto liability laws, rules and regulations Skill in analysis, time management, prioritization, negotiation and project management; ability to multi-task effectively while paying attention to detail Self -motivated, flexible with the capacity to work autonomously while ensuring transparent communication with internal leadership Skill in interpersonal interactions, with the ability to collaborate effectively with individuals at all organizational levels and with external stakeholders; skill in customer service and problem-solving Proficient in both verbal and written communication with the ability and commitment to maintain confidentiality Proficient with Microsoft Office Suite and function specific software applications Let's talk benefits! Competitive Salary Bonus Structure Profit Sharing Medical, Dental, Vision Insurance Employer Paid Short Term Disability Employer Paid Long Term Disability Employer Paid Life Insurance Voluntary Life Insurance 401K with Company Match PTO About Builders Builders is a mid-sized mutual with remarkable strengths. Rated A by AM Best, Builders has forged rock-solid financial strength and a reputation for reliability and fairness in fulfilling our promises to customers. Kind, collaborative, and customer-centric, our experienced and passionate teams foster a rewarding atmosphere of excellence, trust, and mutual respect, meriting the “Culture Excellence” honors from Top Workplaces. Flexible and highly personal, our experts leverage deeply supportive partnerships with knowledgeable independent agencies to drive better services and protection for policyholders. Our financial excellence, amazing people, and powerful partnerships build outstanding outcomes and peace of mind for our agents and their clients. This is what we mean by Insurance Built Strong . Builders Insurance Group is an Equal Opportunity Employer. We welcome applicants from all walks of life and don't discriminate based on any protected status. Join us in creating a diverse and inclusive workplace! If, during the application process you need assistance, or an accommodation due to a disability, please contact *******************.

Business Claim Specialist Visa GC/Citizen Division Pharmaceutical Contract 6 Month Timings Mon - Fri between 8.00AM - 5.00PM Qualifications The primary function/purpose of this job. Verify member submitted claims forms, member's eligibility and pharmacy information is complete and accurate, updating system information as needed. Superior data entry proficiency is expected in order to provide accurate and timely processing of claims submitted by member, pharmacy or appropriate agency. Moderate knowledge of drugs and drug terminology used daily. Process claims according to client specific guidelines while identifying claims requiring exception handling. Navigate daily through several platforms to research and accurately finalize claim submissions. Oral or written communication with internal departments, members, pharmacies or agencies to resolve claim issues. Adhere to strict HIPAA regulations especially when communicating to others outside the client. Prioritize and coordinate influx of daily workload for claims processing, returned mail and out-going correspondence and e-mails to assure required turnaround time is met. Assess accuracy of system adjudication and alert management of potential problems affecting the integrity of claim processing. Analyze claims for potential fraud by member or pharmacy. May be required to work on special projects for claims team. ESSENTIAL FUNCTIONS: The 6-10 major responsibility areas of the job. Weight: (%) (Total = 100%) 1. Manage member and client expectations related to claim reimbursements. Input claim requests into adjudication platform maintaining compliance to performance guarantees, HIPAA guidelines and service standards, which include production and accuracy standards. Processing according to client guidelines making exceptions upon member appeal and client approval. Recognize and escalate appropriate system crises/problems and fraudulent claims to management. 40 % 2. Identify claims requiring additional research, navigate through appropriate system platforms to perform research and resolve issue or forward as appropriate 15 % 3. Research to define values for missing information not submitted with claim but required for processing. Identify drug form, type and strength to manually determine correct NDC number value which will allow claim to process. Continue researching values if system editing does not accept original assigned value. Utilize anchor platform, internet resources and/or contacting retail pharmacist as resources for missing values. 15 % 4. Initiate correspondence to members, pharmacies or other internal departments for missing information, claim denials or other claim issues. 15 % 5. Evaluate claim submission, ensure all required information is present and determine what action should be taken. Confirm patient eligibility and verify patient information matches system. Update member's address to match claim form if necessary. 5 % 6. Identify exception handling and process per client requirements. Monitor system to ensure client specific documentation related to claims processing and benefits is current and system editing is operating appropriately. 5 % 7. Variety of other miscellaneous duties as assigned 5 % SCOPE OF JOB Provide quantitative data reflecting the scope and impact of the job - such as budget managed, sales/revenues, profit, clients served, adjusted scripts, etc. Maintain an average of 30 Commercial claims per hour (cph) or 35 Work Comp claims per hour (cph). MINIMUM QUALIFICATIONS TO ENTER THE JOB: Formal Education and/or Training: High school diploma or equivalent required, some college or technical training preferred Years of Experience: Two years' experience in P.B.M. environment is helpful but not required. Computer or Other Skills: Strong data entry, 10-key skills, general PC skills and MS Office experience Knowledge and Abilities: • Strong data entry and 10-key skills • Retail pharmacy, customer service experience helpful but not required • PC and MS Office literate • Strong attention to detail • Excellent retention and judgment ability • Proficient written and oral communication skills • Ability to work in fast-paced, production environment • Reliable, self-motivated with excellent attendance • Team player who has the ability to stay on task with little supervision If you are available and interested then please reply me with your “ Chronological Resume” and call me on ************** . Additional Information Thanks & Regards, Ranadheer Murari | Team Recruitment | Mindlance, Inc. | W : ************ *************************

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations. Job Responsibilities: Basic Functional Duties * With guidance, performs basic Arbitrator duties, including: * Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. * Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making. * Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. * Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. * Uses appropriate levels/limits of financial approval authority to resolve cases. * Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information. * Prepares and facilitates communications for resolution via telephone, email, and in-person discussion. * Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. * Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements. * Engages with supervisor/manager to determine if escalation is required. Knowledge & Subject Matter Milestones * Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience. * Gains familiarity and understanding of Arbitration concepts and procedures. * Gains foundational understanding of auction-specific operational and administrative processes. * Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements. Client Interaction/Communication Responsibilities * Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines. * Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives. * Provides relevant information such as claim status to clients. Other Duties * Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors. * Participates in support of all safety activities aligned with Safety Excellence. * Performs other duties as assigned. Qualifications and Experience * Education * High School Diploma or equivalent required. * Bachelor's degree preferred. * Experience * Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus. * 1-2 years of experience in areas of responsibility. * 1+ years of automotive, mechanical, and/or body shop experience preferred. * Skills and Abilities * Active Listening * Accuracy and Attention to Detail * Resilience/Adaptability * Demonstrates Empathy * Verbal and Written Communication * Decision Making * Customer Focus * Time Management * Conflict Resolution * Builds Positive Relationships Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship. Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.

Analyze, plan, design, maintain, and provide ongoing optimization and support of medical imaging systems. Perform workflow assessments, capture business needs and analyze internal business systems to determine functional requirements for optimal utilization. Possess proficient clinical, technical, or application knowledge and experience. Perform system builds, upgrades, and system enhancements as needed. Support application through all phases of implementation, optimization, and maintenance. Work with cross-functional teams and end users to achieve application integration to meet clinical and/or business needs. Contributes to project teams and collaborates to ensure system functionality and user satisfaction. Exercise discretion and judgment in the performance of original, creative, intellectual work. Incumbent is subject to callback and on-call as required. Perform other duties as assigned. Job Responsibilities • Assist in implementation and serve as point person on assignments related to all phases of implementation of medical imaging systems and new projects used in corporate-wide Epic-related information system solutions to meet project milestones. • Analyzes problems, recommends improvement, and develops appropriate action plans utilizing Baptist Management System tools to promote transformation and ensure successful implementation. • Completes testing of software applications using established standards and protocols. • Provides ongoing support of medical imaging systems and other applications under area of responsibility. • Supports system configuration and maintenance tasks, ensuring alignment with clinical workflows and operational requirements. • Collaborates with end users and stakeholders to gather and document requirements, facilitating effective system integration. • Assists in troubleshooting and resolving technical issues in medical imaging systems, escalating complex problems as needed. • Completes assigned goals Experience Minimum Required 5 yrs. of relevant experience Education Minimum Required Bachelor Degree in either Radiology, Computer Engineering or Information Technology. Training Minimum Required None Special Skills Minimum Required Skill and proficiency in communicating and performing the techniques of information systems and/or telecommunications assessment.

Full-time Description For over two decades, Aspirion has delivered market-leading revenue cycle services. We specialize in collecting challenging payments from third-party payers, focusing on complex denials, aged accounts receivables, motor vehicle accident, workers' compensation, Veterans Affairs, and out-of-state Medicaid. At the core of our success is our highly valued team of over 1,400 teammates as reflected in one of our core guiding principles, “Our teammates are the foundation of our success.” United by a shared commitment to client excellence, we focus on achieving outstanding outcomes for our clients, aiming to consistently provide the highest revenue yield in the shortest possible time. We are committed to creating a results-oriented work environment that is both challenging and rewarding, fostering flexibility, and encouraging personal and professional growth. Joining Aspirion means becoming a part of an industry leading team, where you will have the opportunity to engage with innovative technology, collaborate with a diverse and talented team, and contribute to the success of our hospital and health system partners. Aspirion maintains a strong partnership with Linden Capital Partners, serving as our trusted private equity sponsor. We are seeking an engaging and professional Medical Claims Analyst to join our growing team in Columbus, GA. The primary responsibilities are working with patients, attorneys, and insurance carriers to increase revenue for our hospital partners. You will ensure accurate and efficient daily coordination of motor vehicle claim accounts in a fast-paced work environment. PLEASE NOTE: This is a on-site position in Columbus, GA Key Responsibilities Set-up and process new accounts daily. Effectively use company systems and technologies to successfully enter content information and verify information received. Effectively communicate with patients, attorneys, and insurance carriers. Establish and maintain a positive working relationship with internal and external partners. Display quality work, integrity, and ethical decision making during all work assignments. Display the ability to problem-solve. Work in a team environment handling complex high-volume work. Adhere to high standards of accountability, confidentiality (HIPAA compliant), and professionalism while dealing with medical and financial information. Requirements Excellent communication and interpersonal skills Upbeat personality Ability to problem solve and think on your feet Strong computer skills Ability to multi-task and prioritize work in a high production environment Punctuality and strong work ethic a must. Education and Experience Bachelor's Degree or equivalent experience preferred Prior experience with medical billing, patient access, healthcare front office preferred Benefits At Aspirion we invest in our employees by offering a full benefits package, including health, dental, vision and life insurance upon hire, matching 401k, competitive salaries, advancement opportunities, and incentive programs. The US base pay range for this position starts at $16.11 hourly. Individual pay is determined by a number of factors including, but not limited to, job-related skills, experience, education, training, licensure or certifications obtained. Market, location and organizational factors are also considered. In addition to base salary, a competitive benefits package is offered. AAP/EEO Statement Equal Opportunity Employer/Drug-Free Workplace: Aspirion is an Equal Employment Opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, age, sex, pregnancy, religion, national origin, ancestry, medical condition, marital status, gender identity citizenship status, veteran status, disability, or veteran status. Aspirion has a Drug-Free Workplace Policy in effect that is strictly adhered to. Please note that this position is contingent upon the successful completion of a pre-employment drug screening and background check. These steps are part of our standard hiring process to ensure a safe and compliant workplace. Salary Description $16.11 - $19.00/hr

Summit Spine and Joint Centers is a rapidly expanding Pain Management Group looking to add an experienced Medical Billing Specialist to our team. With twelve ambulatory surgery centers and twenty-three clinic locations across the State of Georgia, Summit Spine is winning the race to become the largest comprehensive spine and joint care provider in the state. We are looking for a motivated and hard-working Claims Processor who can join our growing team of professionals. Job Duties: Audits and ensure claim information is complete and accurate. claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management. Ensures accurate and timely billing of HCFA 1500 claims. Ensures that files are documented with appropriate information (i.e., date stamped, logged, signed, etc.). Creates logs for providers of pending medical encounters and or encounters with errors. Work directly with other billing staff and management to meet end of month closing deadlines. Able to work with clearinghouse rejections, print, and mail secondaries. Address inquiries from insurance companies, patients, and providers. Understands CPT, ICD10, HCPCS coding and modifiers. Knowledge of third-party payers, HMOs, PPOs, Medicare, Medicaid, Worker's Compensation, etc. Knowledge of ERAs, EOBs Knowledge of payer specific/LCD guidelines Understanding of health plan benefits (deductibles, copays, coinsurance) and eligibility verification Must be proficient with spreadsheets and word processing applications. Qualifications: Minimum of 3 years' experience with medical billing or revenue cycle in a medical setting Experience with Medicare, Medicaid, Commercial insurance plans, Workers' comp, and Personal Injury cases. Knowledge of claims submission of office visits, outpatient procedures, urinary drug screens, DME, MRI, and Chronic Care Management Knowledge of medical billing rules, such as coordination of benefits, modifiers, and understanding of EOBs and ANSI code denials. Excellent knowledge of CPT coding, ICD.10 coding and medical pre-certification protocols required. Excellent computer skills and familiarity with Microsoft Office Comfortable working in a growing, dynamic organization and able to navigate change. Self-motivated with ability to multi-task, prioritize work in a fast-paced, team environment. Bachelor's degree preferred. Experience using eClinicalWorks preferred. Experience with high level procedure billing and coding for Pain Management preferred The position is full time with competitive salary, PTO, health benefits and 401k match. The ideal candidate will be located in Georgia and able to be present at our administrative office, or near Austin, Texas where other members of the billing team are located.

Job Type: Permanent Build a brilliant future with Hiscox Put your claims skills to the test and join one of the top Professional Liability Insurers in the Industry as a Complex Claims Specialist! Please note that this position is hybrid and requires working in office two (2) days per week. Position can be based near the following office locations: * West Hartford, CT (preferred) * Atlanta, GA * Boston, MA * Chicago, IL * Los Angeles, CA * Manhattan, NY About the Hiscox Claims team: The US Claims team at Hiscox is a growing group of professionals with experience across private practice and in-house roles, working together to provide the ultimate product we offer to the market. Complex Claims Specialists are empowered to manage their claims with high levels of authority to provide fair and fast resolution of claims for our insured and broker partners. The Role: The primary role of a Complex Claims Specialist is to analyze liability claim submissions for potential coverage, set adequate case reserves, promptly and professionally respond to inquiries from our customers and their brokers, and to proactively drive early resolution of claims arising from our commercial lines of insurance. This particular role is open to Atlanta and will be focused on servicing claims and potential claims arising from our book of Cyber, Tech PL, Media and/or Crime professional liability lines of business. This is a fantastic opportunity to join Hiscox USA, a growing business where you will be able to make a real impact. Together, we aim to be the best people producing the best insurance solutions and delivering the best service possible. What you'll be doing as the Complex Claims Specialist: Key Responsibilities: To perform all core aspects of in-house claims management, including but not limited to: * Reviewing and analyzing claim documentation and legal filings * Drafting coverage analyses for tech E&O, first and third party cyber claims * Strategizing and maximizing early resolution opportunities * Monitoring litigation and managing local defense and breach counsel * Attending mediations and/or settlement conferences, either in person or by phone as appropriate * Smartly managing and tracking third-party vendor and service provider spend * Continually assessing exposures and adequacy of claim reserves, and escalating high exposure and/or volatile claims to line manager * Liaising directly on daily basis with insureds and brokers * Maintaining timely and accurate file documentation/information in our claims management system Our Must-Haves: * 5+ years of professional lines claims handling experience * A JD from an ABA-accredited law school and bar admission in good standing may be considered as a supplement to claims handing experience * A minimum of 2-3 years professional experience in the area of Cyber and Technology coverage experience required * Proven ability to positively affect complex claims outcomes through investigation, negotiation and effectively leading litigation * Advanced knowledge of coverage within the team's specialty or focus * Advanced knowledge of litigation process and negotiation skills * Excellent verbal and written communication skills * Advanced analytical skills * B.A./B.S degree from an accredited College or University, JD degree from an ABA accredited law school is preferred What Hiscox USA Offers: * Competitive salary and bonus (based on personal & company performance) * Comprehensive health insurance, Vision, Dental and FSA (medical, limited purpose, and dependent care) * Company paid group term life, short-term disability and long-term disability coverage * 401(k) with competitive company matching * 24 Paid time off days with 2 Hiscox Days * 10 Paid Holidays plus 1 paid floating holiday * Ability to purchase 5 additional PTO days * Paid parental leave * 4 week paid sabbatical after every 5 years of service * Financial Adoption Assistance and Medical Travel Reimbursement Programs * Annual reimbursement up to $600 for health club membership or fees associated with any fitness program * Company paid subscription to Headspace to support employees' mental health and wellbeing * Recipient of 2024 Cigna's Well-Being Award for having a best-in-class health and wellness program * Dynamic, creative and values-driven culture * Modern and open office spaces, complimentary drinks * Spirit of volunteerism, social responsibility and community involvement, including matching charitable donations for qualifying non-profits via our sister non-profit company, the Hiscox USA Foundation About Hiscox USA: Hiscox USA was established in 2006 to focus primarily on the needs of small and middle market commercial clients, via both the broker and direct distribution channels and is today the fastest-growing business unit within the Hiscox Group. Today, Hiscox USA has a talent force of about 420 employees mostly operating out of 6 major cities - New York, Atlanta, Dallas, Chicago, Los Angeles and San Francisco. Hiscox USA offers a broad portfolio of commercial products, including technology, cyber & data risk, multiple professional liability lines, media, entertainment, management liability, crime, kidnap & ransom, commercial property and terrorism. You can follow Hiscox on LinkedIn, Glassdoor and Instagram (@HiscoxInsurance) Salary Range: $125,000- $160,000 The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. #LI-RM1 Work with amazing people and be part of a unique culture

Claims Specialist Program Are you looking to help people and make a difference in the world? Have you considered a position in the fast-paced, rewarding world of insurance? Yes, insurance! Insurance brings peace of mind to almost everything we do in our lives-from family trips to your first car to weddings and college graduations. As a valued member of our claims team, you'll help our customers get back on their feet and restore their lives when catastrophe strikes. The details When you're part of the Claims Specialist Program, you'll acquire various investigative techniques and work with experts to determine what caused an accident and who is at fault. You'll independently manage an inventory of claims, which may include conducting investigations, reviewing medical records, and evaluating damages to determine the severity of each case. You'll resolve cases by working with individuals or attorneys to settle on the value of each case. You will have required comprehensive training, one-on-one mentoring, and a strong pay-for-performance compensation structure at a global Fortune 100 company. Make a difference in the world with Liberty Mutual. Qualifications What you've got You have 0-2 years of professional experience. A strong academic record with a cumulative 3.0 GPA preferred You have an aptitude for providing information in a clear, concise manner with an appropriate level of detail, empathy, and professionalism. You possess strong negotiation and analytical skills. You are detail-oriented and thrive in a fast-paced work environment. You must have permanent work authorization in the United States. What we offer Competitive compensation package Pension and 401(k) savings plans Comprehensive health and wellness plans Dental, Vision, and Disability insurance Flexible work arrangements Individualized career mobility and development plans Tuition reimbursement Employee Resource Groups Paid leave; maternity and paternity leaves Commuter benefits, employee discounts, and more Learn more about benefits at ************************** A little about us As one of the leading property and casualty insurers in the country, Liberty Mutual is helping people embrace today and confidently pursue tomorrow. We were recognized as a ‘2018 Great Place to Work' by Great Place to Work US, and were named by Forbes as one of the best employers in the country for new graduates and women-as well as for diversity. Liberty Mutual is an equal opportunity employer. We will not tolerate discrimination on the basis of race, color, national origin, sex, sexual orientation, gender identity, religion, age, disability, veteran's status, pregnancy, genetic information, or on any basis prohibited by federal, state, or local law. We can recommend jobs specifically for you! Click here to get started.

Good things are happening at Berkshire Hathaway GUARD Insurance Companies. We provide Property & Casualty insurance products and services through a nationwide network of independent agents and brokers. Our companies are all rated A+ "Superior" by AM Best (the leading independent insurance rating organization) and ultimately owned by Warren Buffett's Berkshire Hathaway group - one of the financially strongest organizations in the world! Headquartered in Wilkes-Barre, PA, we employ over 1,000 individuals (and growing) and have offices across the country. Our vision is to be a leading small business insurance provider nationwide. Founded upon an exceptional culture and led by a collaborative and inclusive management team, our company's success is grounded in our core values: accountability, service, integrity, empowerment, and diversity. We are always in search of talented individuals to join our team and embark on an exciting career path! Benefits: We are an equal opportunity employer that strives to maintain a work environment that is welcoming and enriching for all. You'll be surprised by all we have to offer! * Competitive compensation * Healthcare benefits package that begins on first day of employment * 401K retirement plan with company match * Enjoy generous paid time off to support your work-life balance plus 9 ½ paid holidays * Up to 6 weeks of parental and bonding leave * Hybrid work schedule (3 days in the office, 2 days from home) * Longevity awards (every 5 years of employment, receive a generous monetary award to be used toward a vacation) * Tuition reimbursement after 6 months of employment * Numerous opportunities for continued training and career advancement * And much more! Responsibilities Berkshire Hathaway GUARD Insurance Companies is seeking a Trucking Claims Specialist to join our P&C Claims Casualty team. This role will report to the AVP of Claims and is responsible for investigating and resolving commercial auto liability and physical damage claims, with a focus on trucking exposures. The ideal candidate will bring strong analytical skills, sound judgment, and a commitment to delivering high-quality claims service. Key Responsibilities * Investigate and resolve commercial auto liability and physical damage claims involving trucking exposures. * Review and interpret policy language to determine coverage and consult with coverage counsel when needed. * Manage a caseload of moderate to high complexity and exposure, applying effective resolution strategies. * Communicate with insureds, claimants, attorneys, body shops, and law enforcement to gather relevant information. * Collaborate with defense counsel and vendors to support litigation strategy and recovery efforts. * Ensure claims are handled accurately, efficiently, and in alignment with service and regulatory standards. * Participate in file reviews, team meetings, and ongoing training to support continuous learning. Qualifications * Minimum of 3 years of trucking industry experience. * Experience with bodily injury and/or cargo exposures. * Familiarity with trucking operations, FMCSA/DOT regulations, and multi-jurisdictional claims practices. * Strong analytical and negotiation skills, with the ability to manage multiple priorities. * Proven ability to manage sensitive and high-stakes situations with accuracy and professionalism. * Possession of applicable state adjuster licenses. * Juris Doctor (JD) preferred; alternatively, a bachelor's degree or equivalent experience in insurance, risk management, or a related field.

Project Resources Group (PRG) is seeking a Claims Recovery Specialist for our Charlotte, NC office. Be part of our expanding team focused on recovering third-party property and utility damage claims, primarily in a B2B setting. We're looking for motivated, detail-oriented professionals with strong negotiation skills. Experience in collections or insurance adjusting is highly relevant and transferable. We offer a competitive base salary plus commission. Key Responsibilities Resolve and negotiate claims recovery of repair and replacement costs on third-party cable/fiber and utility damages across multiple state lines, via phone, email, and letters. Work directly with liable parties' insurance providers to defend and negotiate claims settlements. Collaborate with claims departments and management of liable parties, from small businesses to large corporations to municipalities. Learn, understand, and be able to utilize state dig laws and statutes, 811 excavator requirements, NESC standards, CGA guidelines, etc. Develop a professional working relationship with damaging parties, on-site field investigators, management, and other personnel. Conduct 40-50 inbound/outbound calls daily, approximately 2-2.5 hours of total talk time throughout the day. Enter notes and documentation throughout the recovery process into the company's proprietary Claims Database Tool. Use a calendar and diary system to coordinate handling claims to be worked twice weekly. Follow advanced claim handling procedures as detailed by the OPD Claims Manager. Use photographs, narratives, job costs, site sketches, locate tickets, and other components on-site field investigators provide to visualize and understand the damage scene to defend liability accurately. Participate in weekly department meetings to discuss individual and team recovery tactics, strategies, and goals. Maintain a working knowledge of the entire PRG claims recovery process. Preferred Qualifications Strong proficiency in Microsoft Word, Outlook, and Excel. Tech-savvy with the ability to quickly adapt to new software and systems. Excellent written and verbal communication skills, with an emphasis on professional phone and email correspondence. Familiarity with the construction, cable, or utility locate industries is advantageous. Understanding of B2B construction, claims management, recovery, or insurance claim negotiation and settlement processes is preferred. Ideally, 3-5 years of experience in claims, recovery, and/or the insurance industry. College education is preferred. Bilingual in Spanish is a plus. Compensation and BenefitsWe offer a competitive hourly pay ($19-$23/hour based on experience), plus the potential to earn substantial commissions up to $4,000-$10,000 monthly based on performance. Along with a comprehensive benefits package, including: Medical, dental, and vision coverage for employees and dependents 401(k) retirement plan, with company match after 1 year Short-term disability coverage after 1 year Paid time off and holidays Additional perks such as company-paid life insurance, and other supplemental insurances available About PRG Since 2001, PRG has been a leader in construction management and outside plant damage recovery for the telecommunications and utility industries. With 20+ offices and 800+ employees nationwide, we deliver industry-leading solutions with speed, accuracy, and expertise. Equal Opportunity EmployerPRG is proud to be an Equal Opportunity Employer. PRG does not discriminate on the basis of actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex or gender (including pregnancy, childbirth, pregnancy-related conditions, and lactation), gender identity or expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, genetic information, or any other characteristic protected by applicable federal, state, or local law and ordinances.

Here are the job details for your review: Job Title: Claims Specialist Pay Rate: $22/hr on W2, Duration: 12 Months Job Location: REMOTE Notes: Position is 100% remote, 40 hours/week. Seeking candidates who have proficient SAP and excel knowledge/skills Job Description: • Supervise the transportation claims inbox and work with the vendors, customers and internal partners to ensure that KC is recovering the appropriate funds o Assist with end-to-end task completion • Maintain daily contact with key client contacts and perform data entry / order processing within specified system. • Document and report on status of pending inquiries regarding account problems, plus some outgoing phone calls. • Intermediate position that requires a Bachelors degree or 8+ years of equivalent experience. • Work with freight payment team to ensure any disputes with transportation carriers are solved timely • Communication with carriers to ensure that there are no gaps in information required • End to end management of freight claims inclusive of assisting KC in creating a new procedure in how to file claims • Assistance to returns and refusals inbox which will require associate to coordinate with carriers, distribution facilities and customer service to determine if loads need to be cancelled, re-scheduled or re-worked

Company Cox Automotive - USA Job Family Group Vehicle Operations Job Profile Arbitrator I Management Level Individual Contributor Flexible Work Option No remote option; must work at a specified Cox location Travel % No Work Shift Day Compensation Hourly base pay rate is $16.59 - $24.86/hour. The hourly base rate may vary within the anticipated range based on factors such as the ultimate location of the position and the selected candidate's knowledge, skills, and abilities. Position may be eligible for additional compensation that may include commission (annual, monthly, etc.) and/or an incentive program. Job Description This position facilitates the resolution of customer claims and concerns (includes all physical and digital/online transactions) after a sale and is responsible for the timely and successful arbitration of vehicles between buyer and seller in accordance with auction and NAAA policies. The role will work to gain familiarity with fundamental arbitration concepts, procedures, standards, policies and systems. This position requires organization and management of sale day activities including post sale inspections and sale day arbitrations. Job Responsibilities: Basic Functional Duties With guidance, performs basic Arbitrator duties, including: Reviews customer claims to verify that they meet Manheim's National Arbitration policies and any account-specific guidelines. Investigates basic, less complex cases (e.g., late title claims, basic condition report claims, vehicle availability, post-sale inspection fails, mechanical/structural/undisclosed vehicle damage, etc.) or those requiring more prescriptive decision making. Interfaces with all departments involved in the complaint (i.e., reconditioning, front office, dealer services, vehicle entry, etc.), including during the fact finding and investigative phases. Uses appropriate resources to investigate and facilitate relevant inspection, documentation, and communication to ensure appropriate actions are completed to move cases forward or to resolution. Uses appropriate levels/limits of financial approval authority to resolve cases. Evaluates claims by obtaining, comparing, evaluating, and validating various forms of information. Prepares and facilitates communications for resolution via telephone, email, and in-person discussion. Mediates disputes and negotiates repair and/or pricing of disputed vehicles to arrive at a mutually acceptable solution and to keep vehicles sold. Monitors and maintains accurate files for each arbitration case, verifying accuracy of all required documentation, including invoices and settlement agreements. Engages with supervisor/manager to determine if escalation is required. Knowledge & Subject Matter Milestones Demonstrates an understanding of investigating claims and negotiating and influencing others while maintaining a positive client experience. Gains familiarity and understanding of Arbitration concepts and procedures. Gains foundational understanding of auction-specific operational and administrative processes. Learns and adheres to National Auto Auction Association (NAAA) arbitration standards, Manheim Marketplace Policies, and relevant legal requirements. Client Interaction/Communication Responsibilities Advises clients of the arbitration claim process, company policies, any auction- or account-specific guidelines, and NAAA guidelines. Facilitates both written and verbal communications between buyers, sellers, and various auction team members and third parties to actively gather information necessary to guide parties toward agreement and resolution, while maintaining an awareness of goals and objectives. Provides relevant information such as claim status to clients. Other Duties Demonstrates safety commitment by following all safety and health procedures and modeling the appropriate behaviors. Participates in support of all safety activities aligned with Safety Excellence. Performs other duties as assigned. Qualifications and Experience Education High School Diploma or equivalent required. Bachelor's degree preferred. Experience Previous experience in claims management and/or problem and conflict resolution preferred. Claim adjuster experience is a plus. 1-2 years of experience in areas of responsibility. 1+ years of automotive, mechanical, and/or body shop experience preferred. Skills and Abilities Active Listening Accuracy and Attention to Detail Resilience/Adaptability Demonstrates Empathy Verbal and Written Communication Decision Making Customer Focus Time Management Conflict Resolution Builds Positive Relationships Drug Testing To be employed in this role, you'll need to clear a pre-employment drug test. Cox Automotive does not currently administer a pre-employment drug test for marijuana for this position. However, we are a drug-free workplace, so the possession, use or being under the influence of drugs illegal under federal or state law during work hours, on company property and/or in company vehicles is prohibited. Benefits Employees are eligible to receive a minimum of sixteen hours of paid time off every month and seven paid holidays throughout the calendar year. Employees are also eligible for additional paid time off in the form of bereavement leave, time off to vote, jury duty leave, volunteer time off, military leave, and parental leave. About Us Through groundbreaking technology and a commitment to stellar experiences for drivers and dealers alike, Cox Automotive employees are transforming the way the world buys, owns, sells - or simply uses - cars. Cox Automotive employees get to work on iconic consumer brands like Autotrader and Kelley Blue Book and industry-leading dealer-facing companies like vAuto and Manheim, all while enjoying the people-centered atmosphere that is central to our life at Cox. Benefits of working at Cox may include health care insurance (medical, dental, vision), retirement planning (401(k)), and paid days off (sick leave, parental leave, flexible vacation/wellness days, and/or PTO). For more details on what benefits you may be offered, visit our benefits page. Cox is an Equal Employment Opportunity employer - All qualified applicants/employees will receive consideration for employment without regard to that individual's age, race, color, religion or creed, national origin or ancestry, sex (including pregnancy), sexual orientation, gender, gender identity, physical or mental disability, veteran status, genetic information, ethnicity, citizenship, or any other characteristic protected by law. Cox provides reasonable accommodations when requested by a qualified applicant or employee with disability, unless such accommodations would cause an undue hardship.Applicants must currently be authorized to work in the United States for any employer without current or future sponsorship. No OPT, CPT, STEM/OPT or visa sponsorship now or in future.

Join Our Dynamic Insurance Team - Unlock Your Potential! Are you ready to take control of your future and build a career in one of the most stable and lucrative industries? We are seeking driven individuals to join our thriving insurance team, where you'll receive top-tier training, support, and unlimited income potential. NOW HIRING: ✅ Licensed Life & Health Agents ✅ Unlicensed Individuals (We'll guide you through the licensing process!) We're looking for our next leaders-those who want to build a career or an impactful part-time income stream. Is This You? ✔ Willing to work hard and commit for long-term success? ✔ Ready to invest in yourself and your business? ✔ Self-motivated and disciplined, even when no one is watching? ✔ Coachable and eager to learn? ✔ Interested in a business that is both recession- and pandemic-proof? If you answered YES to any of these, keep reading! Why Choose Us? 💼 Work from anywhere - full-time or part-time, set your own schedule. 💰 Uncapped earning potential - Part-time: $40,000 - $60,000 /month | Full-time: $70,000 - $150,000+++/month. 📈 No cold calling - You'll only assist individuals who have already requested help. ❌ No sales quotas, no pressure, no pushy tactics. 🧑 🏫 World-class training & mentorship - Learn directly from top agents. 🎯 Daily pay from the insurance carriers you work with. 🎁 Bonuses & incentives - Earn commissions starting at 80% (most carriers) + salary 🏆 Ownership opportunities - Build your own agency (if desired). 🏥 Health insurance available for qualified agents. 🚀 This is your chance to take back control, build a rewarding career, and create real financial freedom. 👉 Apply today and start your journey in financial services! ( Results may vary. Your success depends on effort, skill, and commitment to training and sales systems. )

SUMMARY: Responsible for processing and researching claims with a thorough knowledge of the company structure and claims processing procedures. Audit claims and provides feedback to both team and providers where necessary. Run, review and reconcile reports and advise leadership and Finance department of balance status. This position also reviews process trends and alerts leadership when additional training is needed. ESSENTIAL FUNCTIONS• Resolve all complex telephone and written requests requiring additional information or research and analyze situations.• Respond to provider requests within 24 hours of receipt by written correspondence (letter/email).• Interacts with all internal and external customers in a caring and respectful manner.• Understands and interprets all contracts, agreements, policies and procedures pertaining to reimbursement structure.• Provide Peer review, tutorials, and recommendations• Audit and report on claims that are processed by Claims Specialist I's and Claims Account Representatives to management weekly.• Executes timely and accurate processing of all allocated claims.• Process a minimum of 500 claims per day• Refers questions not specifically covered in manuals or daily operations to the Team Lead.• Maintains confidentiality of patient and provider information.• Maintains protected health information in accordance with HIPAA privacy guidelines.• Train and assist Specialists by relaying instructions, messages and other information as requested by management.• Maintains a current working knowledge of all company policies, procedures, rules, regulations, memorandums and operational software.• Responsible and accountable for updating management on changes and/or extraordinary circumstances affecting the company and/or transportation provider.• Monitor and report uncommon denial analysis trends• Responsible for generating and reviewing all closing reports and prepare it for management review• Other duties as assigned REQUIRED SKILLS AND ABILITIES• Listens and communicates clearly, professionally, and empathetically.• Excellent communications skills in both oral and written.• High Level of Professionalism, attention to detail.• Professional telephone etiquette including excellent verbal communication skills and use of proper grammar.• Strong work ethic and self-starter, able to effectively manage multiple priorities and adapt to change within a fast-paced business environment.• Excellent listening skills and the ability to ask probing questions, understand concerns, and overcome objections.• Ability to foster positive working relationships across all departments• Highly organized, displays strong attention to detail and accuracy.• Intermediate level proficiency in Windows (Microsoft Word and Excel is a must)• Must have 8,000 kspm• Able to function effectively in demanding situations• Knowledge of Southeastrans Reconciliation Process, Claims policies and procedures• Knowledge of Medicaid Non-Emergency Transports• Able to handle multiple tasks simultaneously• Able to lift and/or move items up to 25 pounds• Able to work with a group or independently QUALIFICATION• High School diploma or equivalent• Associate Degree preferred• Two or more years' experience processing claims