Claim processor jobs in Iowa

Job Family Claims About Us At Transamerica, hard work, innovative thinking, and personal accountability are qualities we honor and reward. We understand the potential of leveraging the talents of a diverse workforce. We embrace an environment where employees enjoy a balance between their careers, families, communities, and personal interests. Ultimately, we appreciate the uniqueness of a company where talented professionals work collaboratively in a positive environment - one focused on helping people look forward and plan for the best life possible while providing tools and solutions that make it easier to get there. Who We Are We believe everyone deserves to live their best life. More than a century ago, we were among the first financial services companies in America to serve everyday people from all walks of life. Today, we're part of an international holding company, with millions of customers and thousands of employees worldwide. Our insurance, retirement, and investment solutions help people make the most of what's important to them. We're empowered by a vast agent network covering North America, with diversity to match. Together with our nonprofit research institute and foundation, we tune in, step up, and are a force for good - for our customers and the communities where we live, work, and play. United in our purpose, we help people create the financial freedom to live life on their terms. What We Do Transamerica is organized into three distinct businesses. These include 1) World Financial Group, including Transamerica Financial Advisors, 2) Protection Solutions and Savings & Investments, comprised of life insurance, annuities, employee benefits, retirement plans, and Transamerica Investment Solutions, and 3) Financial Assets, which includes legacy blocks of long term care, universal life, and variable and fixed annuities. These are supported by Transamerica Corporate, which includes Finance, People and Places, General Counsel, Risk, Internal Audit, Strategy and Development, and Corporate Affairs, which covers Communications, Brand, and Government and Policy Affairs. Transamerica employs nearly 7,000 people. It's part of Aegon, an integrated, diversified, international financial services group serving approximately 23.9 million customers worldwide.* For more information, visit transamerica.com. Summary Evaluate and analyze documentation for claim payments or denials according to the policy/certificate provisions and state regulations, with limited authority limits. Responsibilities * Under direct supervision, analyze information/documentation received to determine how to proceed with a review of a claim and determine methods of obtaining additional information from alternative sources. * Review claims and outside sources used in the review. * Document correspondence and conversations. * Correspond verbally and in writing with claimants, medical providers, medical examiners, and law enforcement. * Work closely with department manager, legal counsel, medical director, claims assistants, and other departments to gather information for contested claims. * Monitor claims for fraud and proceed according to each situation, such as engaging the Fraud team or additional research. * Maintain compliance with regulations. Qualifications * Associate's degree in a business field or equivalent experience * Excellent communication and customer service skills * Organizational, problem-solving and analytical skills * Ability to cross train and learn other products * Ability to multi-task and adapt to change Preferred Qualifications * Claims experience Working Conditions * Office/Hybrid/Remote (Call Center) Environment Compensation The salary for this position generally ranges between $38,000-42,000 annually. Please note that the salary range is a good faith estimate for this position and actual starting pay is determined by several factors including qualifications, experience, geography, work location designation (in-office, hybrid, remote) and operational needs. Salary may vary above and below the stated amounts, as permitted by applicable law. Additionally, this position is typically eligible for an Annual Bonus of 6% based on the Company Bonus Plan/Individual Performance and is at the Company's discretion. This is not a contract of employment nor for any specific job responsibilities. The Company may change, add to, remove, or revoke the terms of this job description at its discretion. Managers may assign other duties and responsibilities as needed. In the event an employee or applicant requests or requires an accommodation to perform job functions, the applicable HR Business Partner should be contacted to evaluate the accommodation request. What We Offer For eligible employees, we offer a comprehensive benefits package designed to support both the personal and financial well-being of our employees. Compensation Benefits * Competitive Pay * Bonus for Eligible Employees Benefits Package * Pension Plan * 401k Match * Employee Stock Purchase Plan * Tuition Reimbursement * Disability Insurance * Medical Insurance * Dental Insurance * Vision Insurance * Employee Discounts * Career Training & Development Opportunities Health and Work/Life Balance Benefits * Paid Time Off starting at 160 hours annually for employees in their first year of service. * Ten (10) paid holidays per year (typically mirroring the New York Stock Exchange (NYSE) holidays). * Be Well Company holistic wellness program, which includes Wellness Coaching and Reward Dollars * Parental Leave - fifteen (15) days of paid parental leave per calendar year to eligible employees with at least one year of service at the time of birth, placement of an adopted child, or placement of a foster care child. * Adoption Assistance * Employee Assistance Program * Back-Up Care Program * PTO for Volunteer Hours * Employee Matching Gifts Program * Employee Resource Groups * Inclusion and Diversity Programs * Employee Recognition Program * Referral Bonus Programs Inclusion & Diversity We believe our commitment to diversity and inclusion creates a work environment filled with exceptional individuals. We're thrilled to have been recognized for our efforts through the Human Rights Campaign Corporate Equality Index, Dave Thomas Adoption Friendly Advocate, and several Seramount lists, including the Inclusion Index, 100 Best Companies for Working Parents, Best Companies for Dads, and Top 75 Companies for Executive Women. To foster a culture of inclusivity throughout our workforce, workplace, and marketplace, Transamerica offers a wide range of diversity and inclusion programs. This includes our company-sponsored, employee-driven Employee Resource Groups (ERGs), which are formed around a shared interest or a common characteristic of diversity. ERGs are open to all employees. They provide a supportive environment to help us better appreciate our similarities and differences and understand how they benefit us all. Giving Back We believe our responsibilities extend beyond our corporate walls. That's why we created the Aegon Transamerica Foundation in 1994. Through a mix of financial grants and the volunteer efforts of our employees, the foundation supports nonprofit organizations focused on the things that matter most to our people in the communities where we live and work. Transamerica's Parent Company Aegon acquired the Transamerica business in 1999. Since its start in 1844, Aegon has grown into an international company serving more than 23.9 million people across the globe.* It offers investment, protection, and retirement solutions, always with a clear purpose: Helping people live their best lives. As a leading global investor and employer, the company seeks to have a positive impact by addressing critical environmental and societal issues, with a focus on climate change and inclusion and diversity. * As of December 31, 2023

Responsibilities & Duties:Claims Processing and Assessment: Evaluate incoming claims to determine eligibility, coverage, and validity. Conduct thorough investigations, including reviewing medical records and other relevant documentation. Analyze policy provisions and contractual agreements to assess claim validity. Utilize claims management systems to document findings and process claims efficiently. Communication and Customer Service: Communicate effectively with policyholders, beneficiaries, and healthcare providers regarding claim status and requirements. Provide timely responses to inquiries and maintain professional and empathetic communication throughout the claims process. Address customer concerns and escalate complex issues to senior claims personnel or management as needed. Compliance and Documentation: Ensure compliance with company policies, procedures, and regulatory requirements. Maintain accurate records and documentation related to claims activities. Follow established guidelines for claims adjudication and payment authorization. Quality Assurance and Improvement: Identify opportunities for process improvement and efficiency within the claims department. Participate in quality assurance initiatives to uphold service standards and improve claim handling practices. Collaborate with team members and management to implement best practices and enhance overall departmental performance. Reporting and Analysis: Generate reports and provide data analysis on claims trends, processing times, and outcomes. Contribute to the development of management reports and presentations regarding claims operations.

Company Details Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong). This role is would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. Urbandale, IA Lincoln, NE The Company is an equal employment opportunity employer. #LI-LD1 Responsibilities As a Casualty Claims Adjuster for commercial lines, you'll investigate low to medium level commercial casualty claims in a prompt, equitable manner by analyzing coverage, liability and damages; evaluating reserves; and negotiating settlement or conclusion of claim. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent Internal mobility opportunities. Visibility to senior leaders and partnership with cross functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education. We'll count on you to: Examine and analyze policies, contracts and claim forms to determine coverage. Investigate loss in a prompt manner by investinagion, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, property damage inspections, etc. Utilize independent adjusting services to assist in the claim investigation as appropriate. Establish accurate claim reserves and re-evaluate exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes. Negotiate settlement or conclusion of claim. Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. Perform other related duties as assigned by management. Qualifications What you need to have: 2+ years related casualty claims experience and/or training; or equivalent combination of education and experience. Ability to travel on an occasional basis. Proficient with Microsoft Word, Excel, and Outlook What makes you stand out: Bachelor's Degree preferred but not required Prior commercial lines casualty claims experience Ability to organize, prioritize and manage multiple tasks in a fast-paced environment; and quickly and professionally respond to inquiries from customers Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. 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. Sponsorship Details Sponsorship not Offered for this Role Not ready to apply? Connect with us for general consideration.

Claims Auditor I, II and Senior Location : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Claims Auditor I is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The Claims Auditor II is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The Claims Auditor Senior is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. How you will make an impact : * Performs audits of high dollar claims. * Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. * Contacts others to obtain any necessary information. * Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. * Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. * Refers overpayment opportunities to Recovery Team. * Claims Auditor II - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. * Claims Auditor Senior - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. Minimum Requirements : * Claims Auditor I : Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. * Claims Auditor II : Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. * Claims Auditor Senior : Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities & Experiences: * Stop loss claims experience highly preferred. * Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. * Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. * Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Job Level: Non-Management Non-Exempt Workshift: 1st Shift (United States of America) Job Family: CLM > Claims Support Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

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 Council Bluffs, IA and surrounding 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.

As a Bilingual Claims Care Representative, you will support policyholders, beneficiaries, and other stakeholders throughout the claims process. Your role will include aiding, answering inquiries, processing claims, and ensuring a smooth customer experience. You'll work with a high level of confidentiality and adhere to all privacy regulations with a compassionate team working alongside you. Your responsibilities will include: * Interact with customers via telephone and email to aid with the claims process. * Assist customers in completing claims forms, gathering documentation, and submitting claims for processing in both Spanish and English. Update and maintain records in bilingual communication and documentation as needed. * Review, verify, and process claims in accordance with company procedure and legal requirements * Translate and respond to correspondence and service emails in Spanish. * Collaborate with internal departments such as underwriting, legal, and compliance to ensure complex claims are handled efficiently. * Resolve customer complaints or issues. When appropriate, collaborate with internal departments to resolve escalated cases. Requirements * High school diploma or equivalent * Prior experience in call center environment is required. * Fluency in both Spanish and English verbal and written communication required. * Customer service, claims processing, or a related field, ideally within the insurance industry preferred but not required * Prior experience in using CRM systems, claims management software, and other relevant tools is preferred. * Knowledge of life insurance policies, claims procedures, and relevant regulations is a plus. Our benefits include: * An excellent schedule - office closes at 1 p.m. every Friday * Annual profit sharing * 401(k) with company match with discretionary contribution * Company-sponsored group medical and dental insurance Company-paid life insurance * Company-paid long-term disability * Hybrid work environment * Paid holidays * Generous vacation time and sick leave * Paid parental leave * Casual dress year-round About Homesteaders: Homesteaders Life Company, a mutual company owned by its policy holders, is a national leader providing products and services to help people design a better farewell. Founded in 1906, Homesteaders is known for secure preneed funding and innovative solutions that help funeral and end-of-life professionals and consumers connect with each other. We are currently not hiring in Colorado, Montana, New York, Illinois, Minnesota, and California. Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.

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.

Join our Claims Academy - we are building the next generation of expert Claims Adjusters! It's an exciting time at CBCS! We've been experiencing explosive growth, and as a result, we're adding a number of Claims Representatives to our team! No experience? No problem. At CBCS, you'll receive in-depth training, providing you with all the information and tools you'll need to succeed. From day one, you'll be surrounded by and learning from talented industry experts, dedicated trainers, mentors and colleagues all invested in your professional growth! As a Claims Representative you will: Analyze and process claims Talk with injured employees, doctors, CEO's, and attorneys from all across the U.S. Engage private investigators if fraud is suspected Advise clients and negotiate settlements on their behalf Actively manage litigation This position will never leave you bored. No two claims are the same so you'll be constantly learning new things and meeting new people. The ideal candidate will have a Bachelor's degree and prior experience in an office or customer service setting, a competitive spirit, and thrive in a fast-paced professional business environment. Pay & Benefits Salary Most Benefits start Day 1 Medical, Dental, Vision Insurance Flex Spending or HSA 401(k) with company match Profit-Sharing/ Defined Contribution (1-year waiting period) PTO/ Paid Holidays Company-paid ST and LT Disability Maternity Leave/ Parental Leave Subsidized Parking Company-paid Term Life/ Accidental Death Insurance About Cottingham & Butler Claims Services At Cottingham & Butler, we sell a promise to help our clients through life's toughest moments. To deliver on that promise, we aim to hire, train, and grow the best professionals in the industry. We look for people with an insatiable desire to succeed, are committed to growing, and thrive on challenges. Our culture is guided by the theme of “better every day” constantly pushing ourselves to be better than yesterday - that's who we are and what we believe in. As an organization, we are tremendously optimistic about the future and have incredibly high expectations for our people and our performance. Our ability to grow as a company, fuels investments in new resources to better serve our clients and provide the amazing career opportunities our employees want and deserve. This is why we are a growth company and why we are committed to being better every day. Want to learn more? Follow us on ****************** | LinkedIn

Job Purpose: Responsible for the investigation, evaluation, negotiation and resolution of assigned claims, as well as providing policyholders with basic risk management assistance and guidance. Essential Functions 1 Effectively investigate, evaluate, negotiate and resolve claims presented against the insured's of the company within department procedures. Apply medical expertise, solicit subject matter experts and conduct research as needed. Includes working with defense attorneys, claimant, claimant's attorney, and insured. Monitor, evaluate and direct the legal counsel employed for the defense of insured's claims within settlement authority. Handle assigned claims, including court ordered appearances and mediations. 2 Confirm coverage and evaluate petitions as filed against insured. Present appropriate recommendations to Litigation Consultant or Vice-President of Claims in a timely manner. 3 Assist insureds by answering questions, referring to counsel as needed and provide guidance. 4 Performs other job related duties as assigned. Requirements: Education: College degree or equivalent experience. Adjuster license or ability to obtain within 90-120 days if not already licensed. Experience: 3-5 years claims experience with emphasis on general and professional liability claims and/or legal claims experience. AIC, SCLA, RPLU or other professional designations preferred. Skills: Requires negotiation skills, excellent verbal and written communication skills. Excellent presentation skills and interpersonal skills. Requires ability to develop expertise in assigned line of malpractice (medical, dental or legal). Requires knowledge of company coverages, policy terminology and legal concepts. Must maintain confidentiality. Mental Demands: Must have the ability to focus on task for extended periods of time. Must be flexible and have the ability to work with a variety of tasks and employees. Ability to plan, organize, be detail and deadline oriented and maintain a high accuracy rate. Must be able to interpret data/problem solve and make effective decisions with limited or incomplete information. Physical Demands: Continuous sitting for extended periods of time, some standing, walking, bending and reaching. Frequent use of fingers and hands to manipulate computer, telephone and other office equipment. Must be able to travel and work flexible hours. Ability to be able to look and concentrate at a computer/monitor for extended periods of time.

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn. Kelly Services has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as an Insurance Claims Processor position in a Fortune 500 corporation located in Des Moines, IA! Pay Rate: $13.25 per hour 7:30a - 4p Monday through Friday (unless otherwise specified) Job Information: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Pay Rate: $13.25 per hour Requirements: With this specific role, regular attendance is a necessity Medical Claim knowledge strongly preferred. Job Description: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Effectively communicates using verbal and written skills with peers, internal and external customers. Ability to work in a fast pace and high production environment. Ensure all claims are complete and prepares letters to be sent to both members and providers. Research errors on claims and provides resolution to allow the claim to be entered into the processing system appropriately. As needed, responsible for the entry, investigation, triage and analysis of basic claims. Completes daily reporting of receipts, production, aging and inventories. Additional Information All your information will be kept confidential according to EEO guidelines.

Description Medical Associates is hiring an experienced Insurance Claims Specialist to join our business office team! Skills You Bring: Strong attention to detail Great communication skills Ability to work independently and as a team Experience working with insurance and/or billing Schedule: This position is full time with four days per week working from 7am-3:30pm, one day per week working from 8am-5pm. Opportunity for a hybrid schedule once fully trained! Full Time Benefits Package Includes: Single or Family Health Insurance with discounted premium rates for wellness program participation 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing Flexible Paid Time Off Program (24 days off/year) Medical and Dependent Care Flex Spending Accounts Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc. What You'll Be Doing: Apply insurance payments to open claims for each payment received and balance individual batches. Manage work queues including but not limited to past due, at risk, technical denial, age trial balance, and suspended claims report. Research open claims activity, audit accounts, and issue refunds when appropriate. Review, update, or obtain patient information making necessary changes to ensure correct billing. Review claims prior to submission for correct data. File protests with insurance companies and follow up for payment. Assist patients and insurance companies with questions and forms. Perform clerical skills for the daily operation of the department. Complete all other assigned projects and duties. Knowledge and Skills: Experience: Three months to one year of similar or related experience. Customer service and insurance experience required. Education : High school diploma or GED required. Physical Aspects: Reaching - Extending hand(s) and arm(s) in any direction. Lifting - Raising objects from a lower to a higher position or moving objects horizontally from position-to-position. This factor is important if it occurs to a considerable degree and requires the substantial use of the upper extremities and back muscles. Fingering - Picking, pinching, typing or otherwise working, primarily with fingers rather than with the whole hand or arm as in handling. Grasping - Applying pressure to an object with the fingers and palm. Talking - Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly or quickly. Hearing - Perceiving the nature of sound with or without correction. Ability to receive detailed information through oral communication and to make fine discriminations in sound, such as when making fine adjustments on machined parts. Vision - 20 / 40 or better in the best eye with or without correction. Repetitive Motions - Substantial movements (motions) of the wrists, hands and/or fingers. Sedentary Work - Exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Environmental Conditions: None - The worker is not substantially exposed to adverse environmental conditions (such as in typical office or administrative work). Medical Associates Clinic & Health Plans is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, age, national origin, marital status, parental status, disability, veteran status, or other distinguishing characteristics of diversity and inclusion, or any other protected status. Please view Equal Employment Opportunity Posters provided by OFCCP ***************************

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.

About Carrot: Carrot is a global, comprehensive fertility and family care platform, supporting members and their families through many of life's most memorable moments. Trusted by many of the world's leading multinational employers, health plans, and health systems, Carrot's proven clinical program delivers exceptional outcomes and experiences for members and industry-leading cost-savings for employers. Its award-winning products serve all populations, from preconception care through pregnancy, IVF, male factor infertility, adoption, gestational carrier care, and menopause. Carrot offers localized support in over 170 countries and 25 languages. With a comprehensive program that prioritizes clinical excellence and human-centered care, Carrot supports members and their families through many of the most meaningful moments of their lives. Learn more at get-carrot.com. The Role: In this role, you will be responsible for reviewing incoming member out-of-pocket expenses, as well as expenses incurred using their Carrot Card. You will collaborate with members of the Care team, Customer Success and Finance team to ensure an exceptional member experience. This is an in office position in West Des Moines, Iowa. The needed shift is 8:00 am- 5:00 pm or 10:00 am- 7:00 pm CST, Monday through Friday. Training will take place for the first 4 weeks from 8:00 am- 5:00 pm CST. The Team: This role will coordinate activity between our Payments team and insurance payers to ensure that payment for applicable care is quickly and accurately facilitated. Minimum Qualifications: Bachelors Degree 1-3 years of relevant work experience including claims submission/processing experience Highly detail-oriented and organized Structured thinker and love to check things off your to-do list Excellent verbal and written communication skills Problem-solving skills to analyze, troubleshoot and resolve issues An innovative spirit to push the boundaries of claims operations Preferred Qualifications: Literacy in Spanish (to support the translation of documents) Strong Interpersonal Skills Ability to thrive in a fast-paced, results-oriented environment Solve problems creatively and think on your feet Ability to lean in to changing priorities and processes Track claims and denials through the entire lifecycle Identify gaps in claims and reach out to providers for missing information Help members troubleshoot issues involving claims or eligibility Compensation: Carrot offers a holistic, total rewards package designed to support our employees in all aspects of their life inside and outside of work, including health and wellness benefits, retirement savings plans, short- and long-term incentives, paid time off, sick time, parental leave, family-forming assistance, and a competitive compensation package. This is a non-exempt position with a base pay of $56,000-$64,000 ($26.92/hr.- $30.77/hr.). In addition, this role may include variable compensation based on performance. Overtime pay will apply when required, and paid overtime may be necessary during peak periods. The actual rate of pay will be determined based on job-related skills and experience. Why Carrot? Carrot has received national and international recognition for its pioneering work, including Fast Company's Most Innovative Companies and World Changing Ideas, Inc. Power Partners, and Modern Healthcare's Innovators. Carrot's global workforce has been acknowledged with several accolades, including Fortune's Best Workplaces in Healthcare, Great Place to Work, and Age-Friendly Employer certifications. Carrot is regularly featured in media reporting on issues related to the future of work, women in leadership, and healthcare innovation, including MSNBC, The Economist, Bloomberg, The Wall Street Journal, CNBC, National Public Radio, Harvard Business Review, and more. Learn more at carrotfertility.com.

**Claims Auditor I, II and Senior** **Location :** This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. _Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law._ The **Claims Auditor I** is responsible for pre and post payment and adjudication audits of high dollar claims for limited lines of business, claim types and products including specialized claims with appropriate guidance from management and peers. The **Claims Auditor II** is responsible for audits of high dollar claims across the stop loss business, including specialized claims, working independently and without significant guidance. The **Claims Auditor Senior** is responsible for auditing of high dollar claims across the stop loss business, including complex specialized claims within Service Experience. Serves as the subject matter expert for the unit. **How you will make an impact :** + Performs audits of high dollar claims. + Ensures claim payment accuracy by verifying various aspects of the claim including eligibility, pre-authorization, and medical necessity. + Contacts others to obtain any necessary information. + Completes and maintains detailed documentation of audit which includes decision methodology, system or processing errors, and monetary discrepancies which are used for financial reporting and trending analysis. + Provides feedback on processing errors; identifies quality improvement opportunities and initiates basic requests related to coding or system issues, where applicable. + Refers overpayment opportunities to Recovery Team. + **Claims Auditor II** - all the above, plus: Independently interprets Medical Policy and Clinical Guidelines. + **Claims Auditor Senior** - all the above, plus : Service as a subject matter expert for Policy and Clinical Guidelines. Associates at this level serve as a mentor and resource to other audit staff. Must possess strong research and problem solving skills. **Minimum Requirements :** + **Claims Auditor I :** Requires a HS diploma or GED and a minimum of 3 years of claims processing experience; or any combination of education and experience which would provide an equivalent background. + **Claims Auditor II :** Requires a HS diploma or GED and a minimum of 5 years of claims processing experience including a minimum of 1 year related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. + **Claims Auditor Senior :** Requires a HS diploma or GED and a minimum of 4 years related experience in a quality audit capacity (preferably in healthcare or insurance sector); or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities & Experiences:** + Stop loss claims experience highly preferred. + Working knowledge of insurance industry and medical terminology; working knowledge of relevant systems and proven understanding of processing principles, techniques and guidelines strongly preferred. + Ability to acquire and perform progressively more complex skills and tasks in a production environment strongly preferred. + Strong research and problem solving skills preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is : Claims Auditor I $21.41 to $38.88/hr Claims Auditor II $22.54 to $40.94/hr Claims Auditor Senior $25.69 to $46.64/hr Locations: Illinois, Massachusetts, Minnesota, Washington State In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. *The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, paid time off, stock, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. How We Work At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ******************************************** for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

UFG is seeking to add an entry-level Claims Specialist I to our high performing Workers' Compensation Claim Specialization team. The role is responsible for verifying applicable coverage, conducting timely and thorough research of the facts of a loss, analyzing compensability and evaluating benefits for accurate reserves. This role will primary be responsible for Medical Only type of claims and may also have responsibility for low complexity, low severity indemnity claims in accordance with claims best practices. The following Essential Duties & Responsibilities defines the growth trajectory of knowledge and skills a successful candidate will be given opportunity to develop. The Claims Specialist I - WC role demonstrates a desire to learn and grow, promotes a positive work environment, and embraces a service-oriented mindset in support of internal and external customers. This role requires good communication skills, attention to detail, and the ability to handle multiple tasks efficiently and effectively. Essential Duties & 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; and identifying other relevant parties to a claim. 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. Interact with medical providers to clearly define medical causation and establish treatment plans focused on recovery. Promptly and supportively inform insureds 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. Identify subrogation potential and document evidence in support of subrogation. Partner with the Technical Leader on increasing knowledge of the subrogation mechanism. Identify potential Medicare eligibility and comply with all Medicare Secondary Payor requirements of law. Assess and periodically re-assess the nature and severity of injury or illness. Design a plan of action focused on recovery and resolution in accordance with claims best practice guidelines by jurisdiction. Assess and periodically re-assess claim file reserves for adequacy. 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. 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. With the support of the Technical Leader, negotiate settlements of low to medium complexity claims. 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. Job Specifications: Education: High school diploma required. Post-Secondary education or Bachelor's degree is considered advantageous. Licensing/Certifications/Designations: Meet the appropriate state licensing requirements to handle claims. Within 2 years of hire, complete the Workers' Recovery Professional (WRP) certification program. Experience: 3+ years of general work experience. Knowledge: Basic knowledge of insurance, medical, and/or legal concepts is considered advantageous. 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 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 task and requirements may be assigned, as necessitated by business need. UFG retains the right to modify the description of this job at any time.

Company Details Rated Best Places to Work 2020, 2022 and 2024 by Business Insurance, Continental Western Group is a regional property casualty insurance company offering commercial products and services through independent agents in the Midwest. CWG provides unique value through the service provided by our experienced group of employees and independent agents. Since 1886 - Strong, Local and Trusted. As a Berkley company, we enjoy operational flexibility that allows us to deliver quality coverage solutions. W. R. Berkley Corporation, and all member insurance companies, are rated A+ (Superior) by A.M. Best Company, and carry Standard & Poor's Financial Rating of A+ (Strong). This role is would ideally be based in one of our two offices where we offer a hybrid work schedule with four days in the office; and one day remote where it makes sense to do so. Urbandale, IA Lincoln, NE The Company is an equal employment opportunity employer. #LI-LD1 Responsibilities As a Casualty Claims Adjuster for commercial lines, you'll investigate low to medium level commercial casualty claims in a prompt, equitable manner by analyzing coverage, liability and damages; evaluating reserves; and negotiating settlement or conclusion of claim. What you can expect: Culture of innovation, teamwork, supportive colleagues and leaders willing to invest in talent Internal mobility opportunities. Visibility to senior leaders and partnership with cross functional teams. Opportunity to impact change. Benefits - competitive compensation, paid time off, comprehensive wellness benefits and programs, employer funded health savings account, profit sharing, 401k, paid parental leave, employee stock purchase plan, tuition assistance and professional continuing education. We'll count on you to: Examine and analyze policies, contracts and claim forms to determine coverage. Investigate loss in a prompt manner by investinagion, telephone, or correspondence to determine the extent of the Company's liability. Request necessary reports, e.g., police reports, fire reports, medical records, property damage inspections, etc. Utilize independent adjusting services to assist in the claim investigation as appropriate. Establish accurate claim reserves and re-evaluate exposures and reserves during the life of the claim. Correctly enter claim data and file documentation into claim and related systems for reporting purposes. Negotiate settlement or conclusion of claim. Participate in educational, coaching and mentoring opportunities to enhance claims adjusting skills and knowledge. Perform other related duties as assigned by management. Qualifications What you need to have: 2+ years related casualty claims experience and/or training; or equivalent combination of education and experience. Ability to travel on an occasional basis. Proficient with Microsoft Word, Excel, and Outlook What makes you stand out: Bachelor's Degree preferred but not required Prior commercial lines casualty claims experience Ability to organize, prioritize and manage multiple tasks in a fast-paced environment; and quickly and professionally respond to inquiries from customers Possess strong customer orientation; problem analysis and problem resolution skills; and interpersonal and communication skills Additional Company Details We do not accept any unsolicited resumes from external recruiting agencies or firms. The company offers a competitive compensation plan and robust benefits package for full time regular employees. 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. Sponsorship Details Sponsorship not Offered for this Role

Kelly Services is looking to hire several Site Logistics Operators/Material Handlers in Knoxville, TN for an industry leading chemical company. For this opportunity, you could be placed as a Chemical Finished Product Operator or a Polymers Packaging/Warehousing/Shipping Operator on a long-term, indefinite assignment. You will be working with chemicals and should be comfortable doing such - either with previous experience or the willingness to learn. Kelly Services has been providing outstanding employment opportunities to the most talented individuals in the marketplace. We are proud to offer a contract opportunity to work as an Insurance Claims Processor position in a Fortune 500 corporation located in Des Moines, IA! Pay Rate: $13.25 per hour 7:30a - 4p Monday through Friday (unless otherwise specified) Job Information: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Pay Rate: $13.25 per hour Requirements: With this specific role, regular attendance is a necessity Medical Claim knowledge strongly preferred. Job Description: Responsible for sorting and routing customer and provider claims or inquires to the appropriate areas within and outside the company. Will prepare various claims for entry and ensure all claims are complete and prepares letters to be sent to both members and providers. Effectively communicates using verbal and written skills with peers, internal and external customers. Ability to work in a fast pace and high production environment. Ensure all claims are complete and prepares letters to be sent to both members and providers. Research errors on claims and provides resolution to allow the claim to be entered into the processing system appropriately. As needed, responsible for the entry, investigation, triage and analysis of basic claims. Completes daily reporting of receipts, production, aging and inventories. Additional Information All your information will be kept confidential according to EEO guidelines.