Claim processor jobs in Davenport, IA

Diversified Services Network, Inc. (DSN) is seeking a full-time Case File Processor to join our team in Springfield, IL! We offer full benefits, PTO, 401k, and more! This position prepares foster care applications for a title IV-E eligibility determination by collecting the required documentation to satisfy the eligibility requirements. This is accomplished by utilizing multiple systems including but not limited to: Department of Children and Family Services' Child Welfare systems (CYCIS & SACWIS), Department of Human Services/Healthcare and Family Services' systems (PACIS, IES, KIDS), Social Security Administration system (SOLQ), and Department of Labor systems (DOL/AWVS). In addition, Case Managers and Supervisors are contacted to resolve discrepancies or request additional information. This position requires the ability to multi-task and to adapt to changes daily. Candidates for this position must be very detail-oriented and possess the ability to process, discern, and retain information across multiple sources. Reading comprehension is a must. The ability to assess a process or situation and recommend an enhancement or change is a plus. Preparing Case Files for Submission to the DCFS Eligibility Determination Unit Job Duties: Check out cases ready for determination (court documentation present in the file). Review and interpret all gathered information. Follow up with the Case Manager and Supervisor if there are any discrepancies or further information is required. Routinely follow up on any outstanding requests for information or documentation. Complete all fields of information on the Cover Sheet for each case. Document any additional information relevant to the determination of eligibility. Ensure all documents are in the case file and are in the correct order. Submit the file to the supervisor for a quality control check. Correct any issues found during the quality control check, if applicable. Assist with all filing duties. Other duties as assigned. The expectation for a fully trained Case File Processor is to complete an average of at least 7 cases a day and with a less than 5% error rate. Required Skills Excellent verbal and written communication skills. Attention to detail. Organizational skills. Ability to take direction and follow instructions. Critical thinking skills. BENEFITS: • 401(k) • Dental insurance • Vision Insurance • Disability insurance • Employee assistance program • Health insurance • Health savings account • Life insurance • Paid time off • Paid Holidays

Do you have experience handling Lawyers Professional Liability or other Professional Liability claims? Are you motivated by working in a collaborative environment? If so, this role may be for you! We are looking for a strategic thinker with leadership skills to join our U.S. Lawyers Claims team. About the Role This role has responsibility for handling Lawyers Professional Liability claims while also supporting internal and external customers. You will manage a caseload of claims from receipt to final resolution. Our team works closely with the U.S. Agents Claims team, and you may have the opportunity to handle Agents Claims, as well. Additional key responsibilities include: * Maintain strong client focus by aggressively and proactively analyzing issues, providing support, and assuring client satisfaction in a timely fashion. * Complying with legal and regulatory requirements, investigate, evaluate, and settle claims, applying technical knowledge and people skills to reach fair and prompt claim resolution. * Complete detailed reviews of claim related issues, including coverage, liability, and damage assessments, and document the claim file appropriately. * Set and maintain appropriate and timely indemnity and expense reserves. * Formulate and execute negotiation and resolution strategies. * Evaluate claims data to assist with identifying claim trends. * Support Underwriting in connection with Claims information and consultation on coverages. * In this role, you will be working with other Claims Handlers dedicated to working on Lawyers Professional Liability Claims. Our team also handles other types of claims, including U.S. Agents claims, and has a strong emphasis on quality and customer service. About the Team We are a highly skilled, professional, and experienced claims team. Our department works closely with colleagues in Client Markets, Underwriting, Products, Actuary, and HR and we collaborate with various offices throughout the US and other places in the world. We are proud to deliver unparalleled customer service to our business partners and clients. We are looking for a new colleague to help us continue to raise the bar! About You Focused, self-motivated, and a confident professional with a hardworking sales mindset to develop insights, propose solutions, and build growth opportunities for clients and Swiss Re. You are a proactive and well-organized decision maker who works well both independently and as part of a team. You also have the following: Additional requirements include: * Bachelor's degree or equivalent industry experience. * 3+ years' Claims handling experience or equivalent industry experience. * Possess solid coverage, liability, damage investigation, evaluation, and claims resolution skills. * Excellent negotiation skills. * Excellent customer service skills and experience collaborating with underwriters, clients, brokers, and internal and external business partners. * Strong data analytic skills. * Experience with handling claims in a paperless environment. * Interest in developing leadership and management skills. * Possess, or willing to obtain, adjuster licenses as needed for various jurisdictions. * Ability to successfully deliver the Swiss Re Claims Commitment. Our company uses a hybrid work model requiring a minimum of three days in the office each week, with the option of working onsite full-time if preferred. The estimated base salary range for this position is $84,000 to $140,000. The specific salary offered for this or any given role will take into account a number of factors including but not limited to job location, scope of role, qualifications, complexity/specialization/scarcity of talent, experience, education, and employer budget. At Swiss Re, we take a "total compensation approach" when making compensation decisions. This means that we consider all components of compensation in their totality (such as base pay, short-and long-term incentives, and benefits offered), in setting individual compensation. About Swiss Re Swiss Re is one of the world's leading providers of reinsurance, insurance and other forms of insurance-based risk transfer, working to make the world more resilient. We anticipate and manage a wide variety of risks, from natural catastrophes and climate change to cybercrime. Combining experience with creative thinking and cutting-edge expertise, we create new opportunities and solutions for our clients. This is possible thanks to the collaboration of more than 14,000 employees across the world. Our success depends on our ability to build an inclusive culture encouraging fresh perspectives and innovative thinking. We embrace a workplace where everyone has equal opportunities to thrive and develop professionally regardless of their age, gender, race, ethnicity, gender identity and/or expression, sexual orientation, physical or mental ability, skillset, thought or other characteristics. In our inclusive and flexible environment everyone can bring their authentic selves to work and their passion for sustainability. If you are an experienced professional returning to the workforce after a career break, we encourage you to apply for open positions that match your skills and experience. Keywords: Reference Code: 136177 Nearest Major Market: Chicago Job Segment: Liability, Claims, Underwriter, Accounting, Actuarial, Insurance, Finance

Multi-Line Claim Specialist (Auto and GL) Schedule: Monday-Friday, 8:00 AM-4:30 PM CT Compensation: $75,000-$85,000 annually At CCMSI, we look for the best and brightest talent to join our team of professionals. As a leading Third Party Administrator in self-insurance services, we are united by a common purpose of delivering exceptional service to our clients. As an Employee-Owned Company, we focus on developing our staff through structured career development programs, rewarding and recognizing individual and team efforts. Certified as a Great Place To Work, our employee satisfaction and retention ranks in the 95th percentile. Reasons you should consider a career with CCMSI: Culture: Our Core Values are embedded into our culture of how we treat our employees as a valued partner-with integrity, passion and enthusiasm. Career development: CCMSI offers robust internships and internal training programs for advancement within our organization. Benefits: Not only do our benefits include 4 weeks paid time off in your first year, plus 10 paid holidays, but they also include Medical, Dental, Vision, Life Insurance, Critical Illness, Short and Long Term Disability, 401K, and ESOP. Work Environment: We believe in providing an environment where employees enjoy coming to work every day, are provided the resources needed to perform their job and claims staff are assigned manageable caseloads. The Multi-Line Claim Specialist position is responsible for the investigation and adjustment of assigned general liability claims. This position may be used as an advanced training position for promotion consideration for supervisory/management positions. The position is also accountable for the quality of multi-line claim services as perceived by CCMSI clients and within our corporate claim standards. Responsibilities Investigate, evaluate and adjust multi-line claims in accordance with established claim handling standards and laws. Establish reserves and/or provide reserve recommendations within established reserve authority levels. Review, approve or provide oversight of medical, legal, damage estimates and miscellaneous invoices to determine if reasonable and related to designated multi-line claims. Negotiate any disputed bills or invoices for resolution. Authorize and make payments of multi-line claims in accordance with claim procedures utilizing a claim payment program in accordance with industry standards and within established payment authority. Negotiate settlements in accordance within Corporate Claim Standards, client specific handling instructions and state laws, when appropriate. Assist in the selection, referral and supervision of designated multi-line claim files sent to outside vendors. (i.e. legal, surveillance, case management, etc.) Review and maintain personal diary on claim system. Assess and monitor subrogation claims for resolution. Compute disability rates in accordance with state laws. Effective and timely coordination of communication with clients, claimants and other appropriate parties throughout the multi-line claim adjustment process. Provide notices of qualifying claims to excess/reinsurance carriers. Compliance with Corporate Claim Handling Standards and special client handling instructions as established. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Excellent oral and written communication skills. Initiative to set and achieve performance goals. Good analytic and negotiation skills. Ability to cope with job pressures in a constantly changing environment. Knowledge of all lower level claim position responsibilities. Must be detail oriented and a self-starter with strong organizational abilities. Ability to coordinate and prioritize required. Flexibility, accuracy, initiative and the ability to work with minimum supervision. Discretion and confidentiality required. Reliable, predictable attendance within client service hours for the performance of this position. Responsive to internal and external client needs. Ability to clearly communicate verbally and/or in writing both internally and externally. Education and/or Experience 10+ years liability claim experience is required. Bachelor's Degree is preferred. Experience with handling injury claims. Computer Skills Proficient with Microsoft Office programs. Certificates, Licenses, Registrations Adjusters license may be required based upon jursidiction. AIC, ARM or CPCU Designation preferred. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Object Handling Categories Work requires the ability to sit or stand up to 7.5 or more hours at a time. Work requires sufficient auditory and visual acuity to interact with others. CORE VALUES & PRINCIPLES Responsible for upholding the CCMSI Core Values & Principles which include: performing with integrity; passionately focus on client service; embracing a client-centered vision; maintaining contagious enthusiasm for our clients; searching for the best ideas; looking upon change as an opportunity; insisting upon excellence; creating an atmosphere of excitement, informality and trust; focusing on the situation, issue, or behavior, not the person; maintaining the self-confidence and self-esteem of others; maintaining constructive relationships; taking the initiative to make things better; and leading by example. Compensation & Compliance The posted salary reflects CCMSI's good-faith estimate in accordance with applicable pay transparency laws. Actual compensation will be based on qualifications, experience, geographic location, and internal equity. This role may also qualify for bonuses or additional forms of pay. CCMSI offers a comprehensive benefits package, which will be reviewed during the hiring process. Please contact our hiring team with any questions about compensation or benefits. Visa Sponsorship: CCMSI does not provide visa sponsorship for this position. ADA Accommodations: CCMSI is committed to providing reasonable accommodations throughout the application and hiring process. If you need assistance or accommodation, please contact our team. Equal Opportunity Employer: CCMSI is an Affirmative Action / Equal Employment Opportunity employer. We comply with all applicable employment laws, including pay transparency and fair chance hiring regulations. Background checks are conducted only after a conditional offer of employment. #EmployeeOwned #GreatPlaceToWorkCertified #CCMSICareers #ClaimsJobs #LiabilityAdjuster #RemoteJobs #InsuranceCareers #ChicagoJobs #LI-Remote We can recommend jobs specifically for you! Click here to get started.

What part will you play? If you're looking for a place where you can make a meaningful difference, you've found it. The work we do at Markel gives people the confidence to move forward and seize opportunities, and you'll find your fit amongst our global community of optimists and problem-solvers. We're always pushing each other to go further because we believe that when we realize our potential, we can help others reach theirs. Join us and play your part in something special! This position will be responsible for the resolution of low complexity and low exposure claims and provide support to other team members as directed. This position will work closely with their manager to train and develop fundamental claims handling skills. Job Responsibilities * Confirms coverage of claims by reviewing policies and documents submitted in support of claims. * Conducts, coordinates and directs investigation into loss facts and extent of damages. * Evaluates information on coverage, liability, and damages to determine the extent of insured's exposure. * Strong emphasis on customer service to both internal and external customers is a major focus for the ACE as this role will handle small commercial claims that require excellent customer service to insureds and agents. * Set reserves within authority (up to $25,000) and resolve claims within a prompt timeframe avoiding expense relating to independent adjusting. Required Qualifications * This role will is responsible for Equine claims; equine knowledge or hands-on experience working with horses is strongly preferred. * Must have or be eligible to receive claims adjuster license. * Successful completion of basic insurance courses or achievement of industry designations. * Ability to be trained in insurance adjusting up to two years of claims experience. * 2-4 years of experience in general liability, construction defect, or related liability lines preferred. * Bachelor's degree preferred * Excellent written and oral communication skills. * Strong organizational and time management skills. #LI-Hybrid US Work Authorization US Work Authorization required. Markel does not provide visa sponsorship for this position, now or in the future. Who we are: Markel Group (NYSE - MKL) a fortune 500 company with over 60 offices in 20+ countries, is a holding company for insurance, reinsurance, specialist advisory and investment operations around the world. We're all about people | We win together | We strive for better We enjoy the everyday | We think further What's in it for you: In keeping with the values of the Markel Style, we strive to support our employees in living their lives to the fullest at home and at work. * We offer competitive benefit programs that help meet our diverse and changing environment as well as support our employees' needs at all stages of life. * All full-time employees have the option to select from multiple health, dental and vision insurance plan options and optional life, disability, and AD&D insurance. * We also offer a 401(k) with employer match contributions, an Employee Stock Purchase Plan, PTO, corporate holidays and floating holidays, parental leave. Are you ready to play your part? Choose 'Apply Now' to fill out our short application, so that we can find out more about you. Caution: Employment scams Markel is aware of employment-related scams where scammers will impersonate recruiters by sending fake job offers to those actively seeking employment in order to steal personal information. Frequently, the scammer will reach out to individuals who have posted their resume online. These "job offers" include convincing offer letters and frequently ask for confidential personal information. Therefore, for your safety, please note that: * All legitimate job postings with Markel will be posted on Markel Careers. No other URL should be trusted for job postings. * All legitimate communications with Markel recruiters will come from Markel.com email addresses. We would also ask that you please report any job employment scams related to Markel to ***********************. Markel is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of any protected characteristic. This includes race; color; sex; religion; creed; national origin or place of birth; ancestry; age; disability; affectional or sexual orientation; gender expression or identity; genetic information, sickle cell trait, or atypical hereditary cellular or blood trait; refusal to submit to genetic tests or make genetic test results available; medical condition; citizenship status; pregnancy, childbirth, or related medical conditions; marital status, civil union status, domestic partnership status, familial status, or family responsibilities; military or veteran status, including unfavorable discharge from military service; personal appearance, height, or weight; matriculation or political affiliation; expunged juvenile records; arrest and court records where prohibited by applicable law; status as a victim of domestic or sexual violence; public assistance status; order of protection status; status as a smoker or nonsmoker; membership or activity in local commissions; the use or nonuse of lawful products off employer premises during non-work hours; declining to attend meetings or participate in communications about religious or political matters; or any other classification protected by applicable law. Should you require any accommodation through the application process, please send an e-mail to the ***********************. No agencies please.

The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues. This role will require actively researching issues to adjudicate claims Requires knowledge of operational areas and systems. **Knowledge/Skills/Abilities** + Facilitates the resolution of claims issues, including incorrectly paid claims, by working with operational areas and provider billings and analyzing the systems. + This role is involved in member enrollment, provider information management, benefits configuration and/or claims processing. + Responds to incoming calls from providers regarding claims inquiries and provides excellent customer service; documents calls and interactions. + Assists in the reviews of state or federal complaints related to claims. + Supports the other team members with several internal departments to determine appropriate resolution of issues. + Researches tracers, adjustments, and re-submissions of claims. + Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards. + Manages defect reduction by supporting the identifying and communicating error issues and potential solutions to management. + Handles special projects as assigned. + Other duties as assigned. Knowledgeable in systems utilized: + QNXT + Pega + Verint + Kronos + Microsoft Teams + Video Conferencing + Others as required by line of business or state **Job Function** Provides customer support and stellar service to assist Molina providers with claims inquiries. Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Responsible for effectively managing and documenting calls and responding to providers regarding issues with claims and inquiries. Handles escalated inquiries, complex provider claims payments, records, and provides counsel to providers. Helps to mentor and coach Provider Claims Adjudicators. **Job Qualifications** **REQUIRED EDUCATION:** Associate's Degree or equivalent combination of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service, claims, provider and investigation/research experience. Outcome focused and knowledge of multiple systems. 1+ years of claims research and/or issue resolution or analysis of reimbursement methodologies within the managed care health care industry **PREFERRED EDUCATION:** Bachelor's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE:** 4 years **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in a home or office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $38.37 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Are you unhappy at your present job? ? Is it time for a change? Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? If you answered YES to the above, it's time to talk to First Chicago Insurance Company! We offer: Competitive Salaries Excellent benefits Growth opportunities! Apply only if you consider yourself a career professional who loves to work, because we work hard here! If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!! We are seeking an experienced Auto Bodily Injury Claims Specialist! The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. DUTIES & RESPONSIBILITIES: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim Process Bodily Injury, and coverage claims in accordance with established office procedures Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine necessary injury and coverage investigation Research case and statutory law in order to conduct proper claim investigation Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims Prepare and present claim evaluations for the appropriate settlement authority Maintain reasonable expense factors Handle other duties as assigned QUALIFICATIONS REQUIRED: 3-5 Years in Auto Casualty claims experience a MUST! Non-Standard Auto Claims experience a plus, not required Knowledge of legal and medical terminology Excellent negotiation, communication, written, organizational and interpersonal skills Ability to pass written examinations where required by state statutes to become a licensed claims adjuster Proficiency in Microsoft Office products First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: Competitive Salaries Commitment to your Training & Development Medical and Dental and Vision Reimbursement Short Term Disability/Long Term Disability Life Insurance Flexible Spending Account Telemedicine Benefit 401k with a generous company match Paid Time Off and Paid Holidays Tuition Reimbursement Wellness Program Fun company sponsored events And so much more! Estimated Compensation Range: $54,750/year-$97,500/year* *Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.

Are you unhappy at your present job? ? Is it time for a change? Are you an experienced Auto Bodily Injury Claims Specialist looking to join a growing company where you will be rewarded for your hard work, and have future upward career growth opportunities? If you answered YES to the above, it's time to talk to First Chicago Insurance Company! We offer: * Competitive Salaries * Excellent benefits * Growth opportunities! Apply only if you consider yourself a career professional who loves to work, because we work hard here! If you are an experienced AUTO CLAIMS PROFESSIONAL (with many years of auto and especially nonstandard auto related experience) we'll make sure you are COMPENSATED AS A PROFESSIONAL!! We are seeking an experienced Auto Bodily Injury Claims Specialist! The Auto Bodily Injury Claims Specialist will be responsible for investigating and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. DUTIES & RESPONSIBILITIES: * Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss * Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability status, and damages that are applicable for each claim * Process Bodily Injury, and coverage claims in accordance with established office procedures * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief * Operating Officer to determine necessary injury and coverage investigation * Research case and statutory law in order to conduct proper claim investigation * Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims * Prepare and present claim evaluations for the appropriate settlement authority * Maintain reasonable expense factors * Handle other duties as assigned QUALIFICATIONS REQUIRED: * 3-5 Years in Auto Casualty claims experience a MUST! * Non-Standard Auto Claims experience a plus, not required * Knowledge of legal and medical terminology * Excellent negotiation, communication, written, organizational and interpersonal skills * Ability to pass written examinations where required by state statutes to become a licensed claims adjuster * Proficiency in Microsoft Office products First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: * Competitive Salaries * Commitment to your Training & Development * Medical and Dental and Vision Reimbursement * Short Term Disability/Long Term Disability * Life Insurance * Flexible Spending Account * Telemedicine Benefit * 401k with a generous company match * Paid Time Off and Paid Holidays * Tuition Reimbursement * Wellness Program * Fun company sponsored events * And so much more! Estimated Compensation Range: $54,750/year-$97,500/year* * Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.

Job Description Medical Device Cybersecurity Analyst- New Lenox, IL Salary: $70,000 to $90,000/yr Other Forms of Compensation: Join Intelas, a Compass One Healthcare company. Intelas, a Compass One Healthcare company, delivers smarter asset management by blending expert service teams with intelligent, data-driven strategies that help hospitals improve uptime, simplify oversight, and make more informed capital decisions. Our programs support 100% regulatory compliance and drives 98% equipment uptime-so clinicians can focus on care, not equipment issues. We support nearly 4,500 healthcare sites nationwide-from large, campus-based acute care hospitals to system-integrated outpatient clinics. With more than 1.15 million medical devices managed, we provide the clarity and consistency needed in today's rapidly evolving healthcare environment. Join Intelas-where your career thrives, your potential is unleashed, and your work directly supports patient care. Whether you're just starting out or are a seasoned professional, our people-first approach ensures opportunities for continuous growth, development, and fulfillment. Explore more at intelashealth.com. Job Summary Please note:This is an on site position SUMMARY The Medical Device Cybersecurity Analyst will be involved in response to cybersecurity alerts, ensuring Client KPI's are met, perform audits and risk assessments of medical devices, and provide subject matter expertise with Intelas's resources for medical device cybersecurity. ESSENTIAL DUTIES AND RESPONSIBILITIES: • Monitors and responds to Intelas's comprehensive medical device asset and cybersecurity management platform findings and mitigating steps. •Strong knowledge of computers, operating systems, security, and networking •Ability to interpret technical documentation and manuals •Generate and build bi-weekly, monthly, and quarterly client reports •Correlate and perform GAP analysis on discovered medical devices with Intelas's CMMS •Create security work orders in Intelas's CMMS and assign to the field as applicable •Triage, respond and assign work orders generated from Intelas's CMMS cybersecurity module as appropriate •Ensure work orders are completed within defined KPI's and assist on site Crothall resources if needed for successful completion •Research and engage OEM's for available approved patches and firmware upgrades •Proactively collect most current MDS2 forms •Maintain database of approved patches, firmware upgrades and MDS2 forms •Collaborate and work with Clients to respond and coordinate mitigating steps and compensating controls on contracted medical devices that may arise from Clients passive asset discovery and risk assessment technology •Participate and contribute to Intelas's CEIT Council •Maintains operational security metrics to measure the effectiveness of security controls and identify opportunities for improvement •Assist in threat intelligence gathering, monitoring of zero-day and correlate to clients CMMS inventory •Assist in development and implementation of continued best practices and risk management of inventoried connected medical devices •Assures compliance with all regulatory standards including patient safety and all relative criteria governing the safe and appropriate use, testing and management of medical devices. MINIMUM QUALIFICATIONS: •Knowledge of the operation and prior hands-on experience in the maintenance and repair of wide variety of medical equipment and systems •High attention to detail and exceptional work quality •Experience with process improvement •Proven ability to work effectively in an unstructured, fast-paced environment •Excellent written and verbal communication skills •Overnight travel may be required for Client visits or industry conferences or workshop. PREFERRED QUALIFICATIONS: • Healthcare experience; General knowledge of Biomedical and Diagnostic Imaging • Knowledge of healthcare cybersecurity is considered a plus • Experience with Computerized Maintenance Management Systems (CMMS) • Knowledge of connected medical device asset discovery and risk analysist platforms EDUCATION: • Associates degree in Information Technology or Biomedical Engineering required • Security+ within 3 years of employment • BMET preferred Apply to Intelas today! Intelas is a member of Compass Group USA Click here to Learn More about the Compass Story Associates at Intelas are offered many fantastic benefits. • Medical • Dental • Vision • Life Insurance/ AD • Disability Insurance • Retirement Plan • Flexible Time Off • Holiday Time Off (varies by site/state) • Associate Shopping Program • Health and Wellness Programs • Discount Marketplace • Identity Theft Protection • Pet Insurance • Commuter Benefits • Employee Assistance Program • Flexible Spending Accounts (FSAs) • Paid Parental Leave • Personal Leave Associates may also be eligible for paid and/or unpaid time off benefits in accordance with applicable federal, state, and local laws. For positions in Washington State, Maryland, or to be performed Remotely, click here for paid time off benefits information. Compass Group is an equal opportunity employer. At Compass, we are committed to treating all Applicants and Associates fairly based on their abilities, achievements, and experience without regard to race, national origin, sex, age, disability, veteran status, sexual orientation, gender identity, or any other classification protected by law. Qualified candidates must be able to perform the essential functions of this position satisfactorily with or without a reasonable accommodation. Disclaimer: this job post is not necessarily an exhaustive list of all essential responsibilities, skills, tasks, or requirements associated with this position. While this is intended to be an accurate reflection of the position posted, the Company reserves the right to modify or change the essential functions of the job based on business necessity. We will consider for employment all qualified applicants, including those with a criminal history (including relevant driving history), in a manner consistent with all applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York Fair Chance Act. We encourage applicants with a criminal history (and driving history) to apply. Applications are accepted on an ongoing basis. Intelas maintains a drug-free workplace. Req ID: 1467914 Intelas ASHLEY VAVROCK [[req_classification]]

WHO WE ARE IMT is proud of our heritage and will never forget where our roots are firmly planted. Locally run from its office in West Des Moines, Iowa, IMT has been a Midwest company since it was founded in Wadena, Iowa in 1884. That s over 140 years! Today, IMT continues to offer a strong line of personal and commercial insurance products for which it has always been known, along with exceptional service for a competitive price. Our products are offered through Independent Agents throughout a six-state territory Iowa, Illinois, Minnesota, Nebraska, South Dakota and Wisconsin. PROPERTY CLAIM REPRESENTATIVE IMT Insurance is now taking applications for the position of a Property Claim Representative in the Quad Cities, area. This individual will conduct investigations and attempt settlement of claims submitted by policyholders for property losses. The ideal candidate will be an analytical, detailed worker, who can manage time and work on multiple projects while maintaining accuracy and service. IMT Property Claims Representatives investigate and evaluate claims involving personal and commercial property to determine proper policy coverages and apply best claims practices to ensure accurate settlements in accordance with company guidelines. If you're interested in joining our claims department, apply online today! A DAY IN THE LIFE Conduct interviews with insureds, claimants and other interested parties Conduct thorough investigations and examine insurance policies to determine coverage Inspect damages and prepare written estimates of repair or replacement Correspond with insureds, claimants and other interested parties Prepare and report findings and negotiate settlements DESIRED QUALIFICATIONS 0 - 3 years Property claims experience preferred Bachelor's Degree Excellent verbal and written communication skills Excellent problem-solving and negotiation skills Good keyboard/PC skills Excellent organizational and prioritization skills Ability to climb ladder to assess roof damage Ability to lift minimum 30 lbs Must maintain valid driver s license Able to travel/stay overnight for storm claim duty BENEFITS & PERKS IMT Insurance is committed to our employees and their families. When you work for IMT, you earn far more than just a paycheck. The IMT office was new in 2018 and offers a fitness room, game room and a variety of collaboration areas. This position includes learning and development opportunities and more! Below is a list of what IMT offers our employees: Medical, dental, and vision insurance, Life & A D & D insurance, 401K retirement savings accounts, spending accounts, long and short-term disability, profit share, paid vacation & sick time, employee assistant program and additional voluntary benefits. The salary range for this position is $53,000.00 - $99,000.00 Starting salary and level of position will depend on level of experience This position is not eligible for tips or commission but may be eligible for additional bonuses WHAT DEFINES US Our vision is to provide peace of mind in the moments that matter. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant based on race, color, sex, age, national origin, religion, sexual orientation, gender identity and/or expression, status as a veteran, and basis of disability or any other federal, state or local protected class. Our agents and customers come from all walks of life and so do we. Our goal is to hire great people from a wide variety of backgrounds, because it makes our team stronger. If you share our values and our passion for creating a Worry Free life for others, we want to talk to you

We are looking to add a Liability Claims Specialist to join our Creative Risk Solutions team. This role will provide high quality claims handling and expertise for all CRS customers. This includes investigating, communicating, evaluating, and resolving auto and general liability claims utilizing the CRS Best Practice of Claim Handling. Essential Responsibilities: Articulate and assess coverage for commercial auto and commercial general liability claims. Adjudication of claims. Investigate bodily injury/liability claims and negotiate settlements when applicable, utilizing our “Best Practices for Claims.” Enter and maintain accurate loss information on a computer system during the claim process. Set and maintain accurate reserves within reserve authority. Negotiate and process interim and final settlements, within settlement authority. Research information for responding to questions and complaints posed by our insured's, claimants, agency partners and fronting carriers. Qualifications: Education: High school diploma; college degree preferred. Technical designations encouraged, such as AIC and CPCU. Experience: 2+ years of exposure in the liability claims field. Prior agency involvement preferred. Licensing: Active adjusters license required Skills: An ideal candidate should have a fundamental understanding of general and auto liability coverages, along with knowledge of claims processing procedures. Must be able to handle confidential matters with discretion and exercise independent judgment. Proficiency in typing and using various software packages, including Maverick, is also required. Technical Competencies: An ideal candidate will have a strong grasp of claims principles, practices, and insurance coverage interpretation, contributing to workflows and adhering to compliance requirements. They will prioritize problem-solving, actively foster relationships, and collaborate to deliver impactful solutions and a world-class client experience. Here's a little bit about us: Creative Risk Solutions is a leading provider of innovative risk management solutions. We specialize in delivering customized claims management, loss control, and risk consulting services to our clients. Our team is dedicated to excellence, integrity, and creating value for our clients through proactive risk management strategies. In addition to being great at what you do, we place a high emphasis on building a best-in-class culture. We do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Benefits: In addition to core benefits like health, dental and vision, also enjoy benefits such as: Paid Parental Leave and supportive New Parent Benefits - We know being a working parent is hard, and we want to support our employees in this journey! Company paid continuing Education & Tuition Reimbursement - We support those who want to develop and grow. 401k Profit Sharing - Each year, Holmes Murphy makes a lump sum contribution to every full-time employee's 401k. This means, even if you're not in a position to set money aside for the future at any point in time, Holmes Murphy will do it on your behalf! We are forward-thinking and want to be sure your future is cared for. Generous time off practices in addition to paid holidays - Yes, we actually encourage employees to use their time off, and they do. After all, you can't be at your best for our clients if you're not at your best for yourself first. Supportive of community efforts with paid Volunteer time off and employee matching gifts to charities that are important to you - Through our Holmes Murphy Foundation, we offer several vehicles where you can make an impact and care for those around you. DE&I programs - Holmes Murphy is committed to celebrating every employee's unique diversity, equity, and inclusion (DE&I) experience with us. Not only do we offer all employees a paid Diversity Day time off option, but we also have a Chief Diversity Officer on hand, as well as a DE&I project team, committee, and interest group. You will have the opportunity to take part in those if you wish! Consistent merit increase and promotion opportunities - Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important - not only with your financial wellbeing, but also your career wellbeing. Discretionary bonus opportunity - Yes, there is an annual opportunity to make more money. Who doesn't love that?! Holmes Murphy & Associates is an Equal Opportunity Employer.

Process Specialist Claims Examiner In the role of Process Specialist, you will serve as a subject matter expert for the claim team in answering team member questions regarding case specifics and assisting with complicated cases. You will respond to phone and email inquiries related to claims and follow up on any outstanding requirements within a specified timeframe. You will maintain detailed, compliant, and accurate documentation of all claim activity and collaborate with the team to update procedures and develop new procedures as appropriate. Responsibilities: Serve as an SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training in new procedures. Perform quality reviews on claims/letters. Qualifications: Basic High School Diploma or GED Equivalent. Will also consider three years of progressive experience in the specialty in lieu of every year of education. 2 years' experience relevant to the job description Preferred Associate or bachelor's degree 3 years' experience analyzing life claims. Effective written and verbal communication skills Knowledge of the insurance industry or insurance products/procedures through a combination of experience and/or coursework Organizational and follow through skills. Sensitivity to service and quality Ability to work with confidential information. Your responsibilities include but may not be limited to Serve as a SME for claim team in answering team member questions regarding case specifics and assisting with complicated cases. Customer Service Experience - respond to phone and email inquiries related to claims. Follow up on any outstanding requirements within a specified timeframe. Maintain detailed, compliant, and accurate documentation of all claim activity. Collaborate with team to update procedures and develop new procedures as appropriate. Coordinate special projects as assigned. Training on new procedures. Perform quality reviews on claims/letters. Note: Applicants for employment in the U.S. must possess work authorization which does not require sponsorship by the employer for a visa (H1B or otherwise). The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face. About Us Infosys McCamish Systems,(*********************************** located in Atlanta, Georgia, is the Life Insurance and Retirement Services subsidiary of Infosys BPM Limited.(******************* Infosys McCamish was started in 1985 as a virtual insurance company and went to market as a commercial services provider in 1995.It has an outstanding business perspective and an exemplary track record that no other outsourcer of business solutions can claim - generating US$16 billion of recurring premium in less than five years as a virtual insurance company. Infosys McCamish has expert technology and outsourcing credentials, along with a proven business model for re-engineering systems and performing back-office services at a reduced cost, while reinforcing accuracy, speed and security. Seven of the top ten US insurers are among Infosys McCamish's many BPM clients. Infosys McCamish has its operations spread across Atlanta GA and Des Moines IA in USA. U.S. citizens and those authorized to work in the U.S. are encouraged to apply. We are unable to sponsor at this time. EOE/Minority/Female/Veteran/Disabled/Sexual Orientation/Gender Identity/Nationality Infosys is an equal opportunity employer, and all qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, spouse of protected veteran, or disability.

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.

Job Details Headquarters - Mokena, IL Full Time High School $44000.00 - $50000.00 Salary/year Full Time: 80 hours per pay period Billing & InsuranceDescription The Outbound Claims Specialist is responsible for coding and scrubbing claims for errors, adding modifiers, and submitting claims to insurance. Work Schedule: This position is on-site with a schedule of Monday - Friday 7:30 am - 4:00 pm Essential Functions: Bill out claims to insurance providers in a timely manner. Review provider coding on notes/appointments to ensure compliance with insurance guidelines and to ensure accurate and timely reimbursement. Ensure client records are up-to-date and accurate. Initiate internal communication with therapists ensuring accuracy and completion of notes. Serve as a liaison between clients and clinics to ensure timely, appropriate transfer of information and response to billing inquiries. Attend relevant seminars to remain abreast of current issues regarding therapy and ABA billing practices, compliance with CMS guidelines and industry best practice. Meet or exceed department goals set by team lead or billing manager on a regular basis. Adhere to all practice policies related to HIPAA. Qualifications Required Education, Experience and Credentials: High school diploma or equivalent One year of billing experience in a medical office or healthcare setting Knowledge, Skills and Abilities: Excellent interpersonal and communication skills Able to work effectively with all levels of the organization and in a diverse work group. Proactive and independent with the ability to take initiative. Excellent time management skills with a proven ability to meet deadlines. Comfortable with technology, with the ability to learn multiple systems and software. Proficient with Google Workspace Must maintain discretion and client confidentiality. Personal Attributes: Interpersonal skills with strong verbal and written communication skills Process oriented with strong attention to detail and accuracy Accountability Integrity Problem Solving Initiative Work Environment & Physical Demands Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Travel Requirements Not applicable This is a full-time position. Full-time employees are eligible for a comprehensive range of benefits, including Medical, Dental, Vision, and Life Insurance; a 401(k) retirement plan with company match; Paid Time Off; Sick Time; and a robust Employee Assistance Program.

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 $140,000 - $155,000 (Boston, Manhattan, West Hartford) Salary range $125,000-$135,000 (Chicago, Atlanta) 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-AJ1 Work with amazing people and be part of a unique culture

We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Woodridge, IL. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $23.00 an hour and up Sign-On Bonus: $5,000 for employees starting before January 1, 2026. We offer a variety of benefits including: Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360... Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Document and submit requests for Patient Refunds when appropriate. Pharmacy Adjudication Specialist Qualifications and Responsibilities... Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion

UFG is currently seeking a Claims Specialist III - Workers Compensation who will be primarily responsible for verifying applicable coverages, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for reserve and settlement, and negotiating medium to high complexity claims to resolution in accordance with claims best practices. The Claims Specialist III - WC role demonstrates a strong desire to learn and grow, promotes a positive work environment, and embraces a strong service-oriented mindset in support of internal and external customers. This role requires strong communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. It also requires the ability to work independently with a low level of supervision and a high level of accountability. A strong desire to advance one's professional development and the development of others is essential to this role. Essential Duties and Responsibilities: Review claim assignments to determine policy coverage, compensability of a claimed injury or illness and facilitation of medical, indemnity and other statutory workers' compensation benefits. If a coverage issue is relevant, review facts with a designated leader or mentor to determine a proper plan of action. Make prompt, meaningful contact with insureds and their employees to research facts by conducting interviews; securing, understanding and synthesizing information from relevant documents; identifying other relevant parties to a claim; and proactively supporting all parties with their commitment to outcomes. Establish rapport and an outcome focused relationship with insureds and their employees, as well as other internal and external stakeholders, through consistent on-going contact throughout the recovery process and claim resolution. Request and analyze medical records to determine compensability according to evidence-based causation by jurisdiction. Have proficiency with conducting medical and legal research. Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. Promptly and supportively inform insured and employees as well as other stakeholders of coverage and compensability decisions. Support stay-at-work or return-to-work opportunities for insureds and their employees. Propose and facilitate vocational support when appropriate by jurisdiction. Identify subrogation potential and document evidence in support of subrogation. Understand the subrogation mechanism and actively partner with internal and external subrogation partners to achieve outcomes with a goal to achieve global resolution. Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Have strong knowledge of Medicare settlement obligations. Assess and periodically re-assess the nature and severity of injury or illness and design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Identify factors which could impact successful outcomes and collaborate on plans of action to mitigate impacts. Assess and periodically re-assess claim file reserves to a high degree of accuracy. This will be achieved through understanding medical diagnoses and care plan developments; thorough analysis of wage information and accurate calculations of indemnity benefits; and by securing and providing job descriptions specific to the employee to medical providers. Promptly identify factors of risk for increased loss and expense costs. Execute all technical claim handling functions such as documenting facts within the claims management system in a consistent, concise and clear manner; make timely decisions and promptly communicate decisions to stakeholders; process accurate benefit payments; and seek opportunities to mitigate claim handling expenses. Proactively seek resolution of claims by defining stakeholder outcome expectations early and often, managing processes focused on outcomes and engaging in direct negotiation, mediation, settlement conferences or hearings according to jurisdiction. Proficient with seeking opportunities to overcome resolution barriers. Comply with statute specific claims handling practices and reporting requirements. Inform underwriting of increased hazards or unusual circumstances concerning a risk/policy exposure. Participate in internal and external continuing education opportunities to maintain licensure and develop claim handling skills and abilities. Demonstrate a supportive attitude and presence within the team by adapting well to change in process or procedure. Share innovative ideas to improve work product and outcomes. Take initiative to identify and learn about areas of professional development. Proactively seek out opportunities to collaborate with peers. Demonstrate interest in one's own career development and actively support peers with their development. This role requires a strong understanding of the insurance mechanism and interactions between business functions as well as strong support for initiatives that advance the goals of the enterprise. Job Specifications: Education: High school diploma required. Post-Secondary education or bachelor's degree preferred. Licensing/Certifications/Designations: Meet the appropriate state licensing requirements to handle claims. Within 1 year of hire, complete the Workers' Recovery Professional (WRP) certification program. Within 3 years of hire, complete the Senior Workers' Compensation Law Associate (SCLA) designation program. Willingness to pursue other professional certifications or designations as requested. Experience: 5+ years of general work experience. 10+ years of workers' compensation claims handling experience or a combination of workers' compensation claims handling experience and experience in a related field. Knowledge: Proficient knowledge of insurance, medical and legal concepts is required with a high degree of ability to articulate knowledge verbally and in writing. Skills and Abilities: Service-Oriented Mindset Clear and Concise Communication Analytical and Critical Thinking Attitude of Collaboration and Curiosity Proactive Decision-making and Problem-solving Time management and Sense of Service Urgency Demonstrate aptitude for mentorship and leadership Actively leads execution of claims initiatives Working Conditions: Working remote from home or general office environment. Occasionally the job requires working irregular hours. Infrequent overnight travel and weekend hours may be required. Disclaimer The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this job. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and skills required. Additional tasks and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.

Job Description this is an onsite position in Holstein, IA. Overall Responsibilities: The duties of the Claims Specialist Lead are to perform as a mentor and trainer for Claims Specialist team members, along with managing assigned claim territory. Report to Tech Services/Claims Manager on team performance. Specific responsibilities include, but are not limited to the following: Train team members on systems and process for claim documentation Provides assistance to identify production errors for proper claim resolution Manage and report workload within assigned Claims Specialist team to meet service level standards Primary contact with Wisconsin production operations personnel for identification and resolution of production and shipping claims for team Essential Job Functions: Works with team to minimize errors Manages daily departmental duties for assigned team Participate and conduct personnel performance reviews Processes claims for assigned territory Participate and facilitate meetings/group function as needed Participates in claims meetings with production to discuss trends and quality improvement actions Have advanced understanding of VT product offering, construction, labeling, hardware, fire approvals, STC approvals, and production processes Functions as a resource for distributors and follows up with customers regarding claims Assists in sourcing special or subcontracted materials Works with Management and Sales Service to schedule ship dates for remake doors and accessories Work closely with Department Manager Confers with Project Coordinators, Schedulers, Detailers, and Production when appropriate Supports 5S/lean program keeping work area organized Available to work 8 to 10 hours per day as required Observes all safety policies and procedures at all times Participates and conducts Tech Services team meetings Assists with charting and reports for the department as needed Works individually or with team members as assigned, maintaining a positive work environment Other duties as assigned Position Requirements Must be able to work in an office environment during standard business hours High School Diploma or equivalent 2 to 4 years of relevant work experience Able to review your own work and the work of others ensuring accuracy of presented data Able to use and troubleshoot general office equipment including computer data entry (Word, Excel, IFS, VTOL, XA as needed) and other computer functions, telephone, and printers Self-Motivated Satisfactory attendance record Able to deal with multiple problems and tasks effectively and efficiently Excellent written and verbal communication with internal and external customers Strong organizational skills, detail oriented and consistently works toward continuous improvement All team members are expected to follow the Code of Conduct to the highest standards as well as to adhere to the Attendance Policy of VT Industries. Physical Requirements Tolerance for sitting long periods of time. Possess finger dexterity to write, type, and use a calculator. Maintain adequate vision to view small print and computer terminal. Ability to speak and hear, walk throughout facilities with occasional light lifting (25 pounds), stooping, kneeling, crouching, and reaching with hands and arms required. Ability to travel between multiple facilities as required to perform core job duties. The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

We are Hiring for a Trainee to learn and handle Auto Bodily Injury Casualty Claims! Are you a high performing Auto Liability PD Claim Professional, seeking advancement within your career? Are you interested in learning how to handle injury claims, up to and included attorney represented complex casualty claims? Are you currently in a Claims role and feel that there is no opportunity to grow your Claims career? If you answered YES, then look no further! First Chicago Insurance is recruiting a training class of ambitious individuals who currently excel within the auto liability PD claims insurance industry. No prior auto bodily injury/casualty claims handling experience required! At the end of the training program, you will be expected to and able to successfully investigate, evaluate, negotiate, and resolve bodily injury, uninsured/underinsured motorist bodily injury, and medical payments claims. The training class will run approximately 4-6 weeks and will be a balanced mix of classroom instruction and on-the-job/side-by-side training. Following is more information about this unique opportunity to elevate your insurance career: The Casualty Specialist Trainee will be responsible for the investigation and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. DUTIES & RESPONSIBILITIES: * Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss. * Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability, status, and damages that are applicable for each claim. * Process Bodily Injury, and coverage claims in accordance with established office procedures. * Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine necessary injury and coverage investigation. * Research case and statutory law in order to conduct proper claim investigation. * Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims. * Prepare and present claim evaluations for the appropriate settlement authority. * Maintain reasonable expense factors. * Handle other duties as assigned. QUALIFICATIONS REQUIRED: * 2+ years of auto liability property damage claim adjusting experience is required. * JD (Juris Doctorate) a plus! * Non-standard Auto Claims handling experience preferred is not required. * Excellent negotiation, written and verbal communication, organizational and interpersonal skills. * Ability to pass written examinations where required by state statutes to become a licensed claims adjuster. * Proficiency in Microsoft Office products. * Bilingual in Spanish preferred but not required. * On-Site position. First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: * Competitive Salaries * Commitment to your Training & Development * Medical and Dental * Short Term Disability/Long Term Disability * Life Insurance * Flexible Spending Account * Telemedicine Benefit * 401k with a generous company match * Paid Time Off and Paid Holidays * Tuition Reimbursement Training Programs * Wellness Program * Fun company sponsored events * And so much more! Estimated Compensation Range: $27.88/hr-$31.25/hr* * Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.

We are Hiring for a Trainee to learn and handle Auto Bodily Injury Casualty Claims! Are you a high performing Auto Liability PD Claim Professional, seeking advancement within your career? Are you interested in learning how to handle injury claims, up to and included attorney represented complex casualty claims? Are you currently in a Claims role and feel that there is no opportunity to grow your Claims career? If you answered YES , then look no further! First Chicago Insurance is recruiting a training class of ambitious individuals who currently excel within the auto liability PD claims insurance industry. No prior auto bodily injury/casualty claims handling experience required! At the end of the training program, you will be expected to and able to successfully investigate, evaluate, negotiate, and resolve bodily injury, uninsured/underinsured motorist bodily injury, and medical payments claims. The training class will run approximately 4-6 weeks and will be a balanced mix of classroom instruction and on-the-job/side-by-side training. Following is more information about this unique opportunity to elevate your insurance career: The Casualty Specialist Trainee will be responsible for the investigation and settlement of automobile bodily injury claims. They will settle complex liability claims which require greater investigation and verification, as well as casualty claims including severe injuries which may result in extended disability or bodily injury as well as coverage related litigation. DUTIES & RESPONSIBILITIES: Review & determine course of action on each file assigned, utilizing technical knowledge & experience for the purpose of supporting final disposition of a loss. Conduct thorough investigations and keep accurate and relevant documentation of file activity on each claim assigned including coverage, liability, status, and damages that are applicable for each claim. Process Bodily Injury, and coverage claims in accordance with established office procedures. Work closely with Third Parties, plaintiff counsel, Claim Director and Chief Operating Officer to determine necessary injury and coverage investigation. Research case and statutory law in order to conduct proper claim investigation. Document policy status, coverage, liability and damages on all claims and notify re-insurer on qualifying claims. Prepare and present claim evaluations for the appropriate settlement authority. Maintain reasonable expense factors. Handle other duties as assigned. QUALIFICATIONS REQUIRED: 2+ years of auto liability property damage claim adjusting experience is required. JD (Juris Doctorate) a plus! Non-standard Auto Claims handling experience preferred is not required. Excellent negotiation, written and verbal communication, organizational and interpersonal skills. Ability to pass written examinations where required by state statutes to become a licensed claims adjuster. Proficiency in Microsoft Office products. Bilingual in Spanish preferred but not required. On-Site position. First Chicago Insurance Company provides a competitive benefits package to all full- time employees. Following are some of the perks First Chicago employees receive: Competitive Salaries Commitment to your Training & Development Medical and Dental Short Term Disability/Long Term Disability Life Insurance Flexible Spending Account Telemedicine Benefit 401k with a generous company match Paid Time Off and Paid Holidays Tuition Reimbursement Training Programs Wellness Program Fun company sponsored events And so much more! Estimated Compensation Range: $27.88/hr-$31.25/hr* *Published ranges are estimates. Offered compensation will be based on experience, skills, education, certifications, and geographic location.