Claim processor jobs in Woodbury, MN - 46 jobs

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Edina, MN office, located at 7700 France Avenue South. A work from home option is not available. Responsibilities * Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. * Explain policy coverage to policyholders and third parties. * Complete thorough investigations and document facts relating to claims. * Determine the value of damaged items or accurately pay medical and wage loss benefits. * Negotiate settlements with policyholders and third parties. * Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications * Current pursuing, or have obtained a four-year degree * Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields * Ability to make confident decisions based on available information * Strong analytical, computer, and time management skills * Excellent written and verbal communication skills * Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy.

This job reviews, evaluates, and processes various Stop Loss (Excess Risk and Reinsurance) claims in accordance with established turnaround and quality standards. Responsible for building positive client relationships, providing education, and analyzing client claim losses as well as current issues regarding client activities; disseminates necessary information to the management. Follows up on pended claims in accordance with department standards. HNAS (Health Now Administrative Services) offers flexible, cost-effective solutions for employee health benefits. HNAS is part of Highmark Health, a national blended health organization with a mission to create remarkable health experiences. Our culture is built on your growth and development, collaborating across our organization, and making a big impact for those we serve. **ESSENTIAL RESPONSIBILITIES** + Processes daily incoming Stop Loss claims including initial entry claims or subsequent claims as needed; provides counseling to clients and assists with client service programs. + Evaluates various claims submitted by Third Party Administrators (TPAs) and Pharmacy Benefit Managers (PBMs) on behalf of self-funded clients for compliance with the following: underlying policy provisions, federal and state regulatory guidelines, and industry standards. + Monitors, reviews and analyzes various complex potential claims with emphasis on controlling losses through effective managed care. This includes following a departmental claim checklist to ensure eligibility is met, the payment reimbursement request is accurate by auditing the claim for duplicate line-item charges and determining if all information is available to finalize the payment request. Refers the claim to the cost containment and RxOps departments for review of high dollar charges if applicable. + Determines whether to pend or adjudicate claims following organizational policies and procedures; finalizes and adjudicates claims up to pre-determined dollar threshold. Completes pended claim letters for incomplete, invalid, or missing claim information to TPAs, brokers, or customers utilizing the appropriate application and/or template. + Identifies potential discrepancies in claim submissions and involves the Special Investigation Unit as necessary. Identifies issues which can be used to educate/train internal staff, streamline, and improve processes and update documentation. + Assists leadership with performing client performance evaluations to assess the accuracy of client reports submitted to the organization, efficiency of claim operations, and adequacy of systems and procedures. + Approves claim payments on behalf of multiple clients and provides client counseling and support services. Assists in the client service programs including revising and establishing procedures, protocols and ensuring client satisfaction with the organization. + Maintains accurate claim records. + Other duties as assigned or requested. **EDUCATION** **Required** + High School Diploma/GED **Substitutions** + None **Preferred** + Bachelor's degree **EXPERIENCE** **Required** + 5 years of relevant, progressive experience in health insurance claims + 3 years of prior experience processing 1st dollar health insurance claims + 3 years of experience with medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information effectively. + Organizational skills + Ability to manage time effectively. + Ability to work independently. + Problem Solving and analytical skills. **Language (Other than English):** None **Travel Requirement:** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** **Position Type** Office-based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required Yes Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $22.71 **Pay Range Maximum:** $35.18 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J273755

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Claim Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range $55,200.00 - $91,100.00 Target Openings 1 What Is the Opportunity? This position is responsible for handling low to moderate Personal and Business Insurance Auto Damage claims from the first notice of loss through resolution/settlement and payment process. This may include applying laws and statutes for multiple state jurisdictions. Claim types include multi-vehicle (2 or more cars) auto damage with unclear liability and no injuries. Will also handle more complex Auto Damage claims such as non-owned vehicles, fire/theft, and potential fraud as well as non-auto, property related damage. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations. What Will You Do? * Customer Contacts/Experience: * Delivers consistent service quality throughout the claim life cycle, including but not limited to prompt contact, explaining the process, setting expectations, on-going communication, follows-through and meeting commitments to achieve optimal outcome on every file. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC). * Coverage Analysis: * Reviews and analyzes coverage and applies policy conditions, provisions, exclusions and endorsements for Auto Damage only claims in assigned jurisdictions. Addresses proper application of any deductibles and verifies benefits available and coverage limits that will apply. Confirms priority of coverage (i.e. primary, secondary, concurrent) and takes into consideration other issues relevant to the jurisdiction. * Investigation/Evaluation: * Investigates each claim to obtain relevant facts necessary to determine coverage, causation, extent of liability/establishment of negligence, damages, contribution potential and exposure with respect to the various coverages provided through prompt contact with appropriate parties (e.g.. policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, etc.) Takes recorded statements as necessary. * Recognizes and requests appropriate inspection type based on the details of the loss and coordinates the appraisal process. Maintains oversight of the repair process and ensures appropriate expense handling. * Refers claims beyond authority as appropriate based on exposure and established guidelines. Recognizes and forwards appropriate files to subject matter experts (i.e., Subrogation, SIU, Property, Adverse Subrogation, etc.). * Reserving: * Establishes timely and maintains appropriate claim and expense reserves. Manages file inventory and expense reserves by utilizing an effective diary system, documenting claim file activities to resolve claim in a timely manner. * Negotiation/Resolution: * Determines settlement amounts based upon appraisal estimate, negotiates and conveys claim settlements within authority limits to insureds and claimants. As appropriate, writes denial letters, Reservation of Rights and other necessary correspondence to insureds and claimants. * May provide support to other parts of Auto Line of Business (e.g. Total Loss, Salvage, etc.) when needed. * Insurance License: * In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. * Perform other duties as assigned. What Will Our Ideal Candidate Have? * Bachelor's degree. * Demonstrated ownership attitude and customer centric response to all assigned tasks. * Ability to work in a high volume, fast paced environment managing multiple priorities. * Attention to detail ensuring accuracy. * Keyboard skills and Windows proficiency, including Excel and Word - Intermediate. * Verbal and written communication skills - Intermediate. * Analytical Thinking- Intermediate. * Judgment/Decision Making- Intermediate. * Negotiation- Intermediate. * Insurance Contract Knowledge-. * Basic. * Principles of Investigation- Intermediate. * Value Determination- Basic. * Settlement Techniques- Basic. What is a Must Have? * High School Diploma or GED. * One year previous Auto claim handling experience or successful completion of Travelers Auto Claim Representative training program. What Is in It for You? * Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. * Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. * Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. * Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. * Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

may not be available at this time. * There are multiple positions open across the 26 states in which we operate. The current locations for which we are seeking CAT Claim Reps are located in the job posting.* Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated experienced Claims professional to join our team. The position requires the person to: * Be available for frequent travel up to 21 days at a time. Travel is required upon short notice to location of catastrophe, which would most likely be out of state. * Meet the physical demands required for the position including carrying and climbing a ladder. * Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses. * Be familiar with insurance coverage by studying insurance policies, endorsements, and forms. * Work towards the resolution of claims, possibly attending arbitrations, mediations, depositions, or trials as necessary. * Ensure that claims payments are issued in a timely and accurate manner. Desired Skills & Experience * Bachelor's degree or equivalent experience * Minimum of 2 years claims handling experience or comparable experience * Field claims experience with multi-line property and casualty claims and wind/hail * Proficient with Xactimate software * Above average communication skills (written and verbal) * Ability to resolve complex issues * Organize and interpret data * Ability to handle multiple assignments * Possess a valid driver's license * Military experience is considered Benefits Auto-Owners offers a wide range of career opportunities, and we are seeking talent that will help us continue our long tradition of success. We offer a friendly work environment, structured training program, employee mentoring and an excellent package. Along with a matched 401(k), fully-funded pension plan (once vested), Auto-Owners offers medical, prescription, dental and vision insurance; associate, spouse and child life insurance; supplemental sick pay; long term disability; health care flexible spending accounts and dependent care flexible spending accounts. Additional benefits include: generous paid time off including holidays, vacation days, personal time, sick leave and parental leave; adoption assistance; discounts on personal insurance; education matching gift program, a student loan assistance program and a gym membership and fitness class reimbursement program. If you're looking to do rewarding work alongside great people, Auto-Owners is the place for you! Compensation Auto-Owners offers a generous compensation package. For this position, the anticipated annualized starting base pay range is: $50,000.00 - $88,800.00. Other components of the compensation package include benefit dollars used to purchase certain benefits and several bonus opportunities. Equal Employment Opportunity Auto-Owners Insurance is an equal opportunity employer. The Company hires, transfers, and promotes on the basis of ability, without consideration of disability, age, sex, race, color, religion, height, weight, marital status, sexual orientation, gender identity or national origin, or any factor contrary to federal, state or local law. * Please note that the ability to work in the U.S. without current or future sponsorship is a requirement. #LI-KC1 #LI-Hybrid

Be part of a team that values safety, inclusion, and excellence We are one of the largest U.S. railroads transporting the nation's freight across 28 western states and 3 Canadian provinces. As a member of our team, you will play a role in supporting the movement of essential products and materials that help feed, clothe, supply, and power communities throughout America and the world. We are committed to a culture where all employees are included, belong, and have equal opportunity to achieve their full potential. Come make a difference with us! Learn more about BNSF and our Benefits Job Location: Minneapolis Other Potential Locations: Minneapolis, MN Anticipated Start Date: 03/01/2026 Number of Positions: 1 Salary Range: $68,800 - $100,000 Apply early as this job may be removed or filled prior to the closing date, which is approximately seven (7) days after the posting date. Salary Range: 1+ years of experience: $68,800 - $87,900 3+ years of experience: $77,600 - $100,000 These ranges reflect what BNSF Railway reasonably expects to pay for this position, based on the role's level, scope, and responsibilities. Final compensation and position level will be determined by factors such as job-related skills, experience, and relevant education or training. In addition to base pay and bonus eligibility, BNSF offers a comprehensive benefits package. The BNSF Railway Law and Claims Department provides expert in-house counsel and collaborates with outside counsel to ensure the railroad operates safely and meets all legal and contractual obligations. Our licensed attorneys and legal professionals are dedicated to upholding the highest legal compliance standards. Additionally, our specialized Claims team promotes safety, investigates incidents, and resolves them ethically. This is a full-time position located in Minneapolis, MN. Key responsibilities may include: Implement processes and procedures under direction of leadership Cooperate and coordinate with Claims personnel on adjacent territories. Perform thorough and ethical investigations to resolve exposures in a fair, honest and responsible manner. Assist attorneys and paralegals in preparation and trial of lawsuits. Evaluate settlements of claims and lawsuits within proper authority. Work closely with all BNSF departments to perform incident investigations/analyses and promote the Claims department's vision statement. Engage with a variety of external contacts: local counsel, state, county, and city officials, law enforcement personnel, physicians, medical specialists, and expert consulting witnesses in specialized fields. Observe and review potential liabilities on company property with respective non-claims field personnel. Conduct investigations in various weather conditions. Work irregular hours and available 24/7 for on-call duties, with frequent evening, night, and weekend shifts (including holidays). The duties and responsibilities in this posting are representative categories to be used in deciding whether to apply for this position. This is not an exhaustive list of the position's duties. At BNSF Railway, we encourage individuals from all backgrounds to apply, showcasing their skills, experiences and development. We provide resources and tools to help you reach your full potential, fostering a supportive and inclusive environment. Basic Qualifications: * Able to work now and in the future without BNSF's assistance (whether monetary, through sponsorship, or otherwise) in obtaining, maintaining, or extending employment authorization (including H-1B, STEM OPT/CPT, or TN nonimmigrant status). * Minimum 1 year experience at BNSF or in a related field (railroad claims, railroad, insurance, legal, investigative) or a combination thereof. * Bachelor's degree Preferred Qualifications: * General knowledge of railroad operations and principles and/or insurance claims or related medical/legal field. * Knowledge and understanding of Federal Employers Liability Act (FELA). At BNSF, you will have access to a comprehensive and competitive benefits package including: * An industry-leading 401(k) and renowned Railroad Retirement program. * A range of robust health care options for you and your dependents (including domestic partners), including medical, dental, vision, telemedicine, mental health, cancer support, and high-quality care network options. * Health care spending accounts (HSA) with employer contributions, as well as life and disability insurance, provided at no cost. * Family benefits including parental, pediatric and family building support, adoption and surrogacy reimbursement, and dependent care spending account (with employer match). * Access to discounts on travel, gym memberships, counseling services and wellness support. * Annual bonus (Incentive Compensation Program) * Generous leave / time off policies. * For more information, visit Benefits. Please be aware of potential fraud that can occur when searching for new career opportunities. Please review our FAQ for more information and awareness. All positions require pre-employment background verification, medical review and pre-employment drug screen. You can find more information by reviewing the Hiring Process. Federal authority requires BNSF employees, whose work requires unescorted access to secure areas of port facilities, to obtain a TWIC. More information is available at ************************************* BNSF Railway is an Equal Opportunity Employer, all qualified applicants receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. SF: MO | [[mfield5]] | Law | Minneapolis, MN | 55401

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. Acts as a subject matter expert by providing training, coaching, or responding to complex issues. May handle customer service inquiries and problems. **Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process. - Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals. - Ensures all compliance requirements are satisfied and all payments are made against company practices and procedures. - Identifies and reports possible claim overpayments, underpayments and any other irregularities. - Performs claim rework calculations. - Distributes work assignment daily to junior staff. - Trains and mentors claim benefit specialists.- Makes outbound calls to obtain required information for claim or reconsideration. **Required Qualifications** - New York Independent Adjuster License - Experience in a production environment. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. **Preferred Qualifications** - 18+ months of medical claim processing experience - Self-Funding experience - DG system knowledge **Education** **-** High School Diploma required - Preferred Associates degree or equivalent work experience. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $18.50 - $42.35 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ***************************************** We anticipate the application window for this opening will close on: 02/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran - committed to diversity in the workplace.

Who is Federated Insurance? At Federated Insurance, we do life-changing work, focused on our clients' success. For our employees, we provide tremendous opportunities for growth. Over 95% of them believe our company has an outstanding future. We make lives better, and we're looking for employees who want to make a difference in others' lives, all while enhancing their own. Federated's culture is grounded in our Four Cornerstones: Equity, Integrity, Teamwork, and Respect. We strive to create a work environment that embodies our values and commitment to diversity and inclusion. We value and respect individual differences, and we leverage those differences to achieve better results and outcomes for our clients, employees, and communities. Our top priority in recruitment and development of our next generation is to ensure we align ourselves with truly exceptional people who share these values. What Will You Do? Customer-focused, source of knowledge and comfort, desire to help, professional - Does that sound like you? We are seeking someone who possesses those skills to assist our clients through the claims process and to help them return to normalcy after a loss. No previous insurance or claims experience needed! Federated provides an exceptional training program to teach you the fundamentals of claims and will prepare you to assist clients. This is an in-office position that will work out of our Edina, MN office, located at 7700 France Avenue South. A work from home option is not available. Responsibilities Work with policyholders, physicians, attorneys, contractors and others to ensure claims are resolved in a prompt, fair and courteous way. Explain policy coverage to policyholders and third parties. Complete thorough investigations and document facts relating to claims. Determine the value of damaged items or accurately pay medical and wage loss benefits. Negotiate settlements with policyholders and third parties. Resolve claims, which may include paying, settling, or denying claims, defending policyholders in court, compromising or recovering outstanding dollars. Minimum Qualifications Current pursuing, or have obtained a four-year degree Experience in a customer service role in industries such as retail, hospitality, logistics, banking, automotive dealerships, vehicle rental, sales or similar fields Ability to make confident decisions based on available information Strong analytical, computer, and time management skills Excellent written and verbal communication skills Leadership experience is a plus Salary Range: $63,800 - $78,000 Pay may vary depending on job-related factors and individual experience, skills, knowledge, etc. More information can be discussed with a with a member of the Recruiting team. What We Offer We offer a wide variety of ways to support you as a whole, both professionally and personally. Our commitment to your growth includes opportunities for internal mobility and career development paths, inspiring excellence in performance and ensuring your professional journey thrives. Additionally, we offer exceptional benefits to nurture your personal life. We understand the importance of health and financial security, offering encompassing competitive compensation, enticing bonus programs, cost-effective health insurance, and robust pension and 401(k) offerings. To encourage community engagement, we provide paid volunteer time and offer opportunities for gift matching. Discover more about Federated and our comprehensive benefits package: Federated Benefits You. Employment Practices All candidates must be legally authorized to work in the United States for any employer. Federated will not sponsor candidates for employment visa status, such as an H1-B visa. Federated does not interview or hire students or recent graduates with J-1 or F-1 visas or similar temporary work authorization. If California Resident, please review Federated's enhanced Privacy Policy. We can recommend jobs specifically for you! Click here to get started.

Graco manufactures and markets premium equipment to move, measure, control, dispense and spray a wide variety of fluid and powder materials. What does that mean? Well, we pump peanut butter into your jar, and the oil in your car. We glue the soles of your shoes, the glass in your windows and the screen on your phone. We spray the finish on your vehicle, coatings on your pills, the paint on your house and texture on your walls. Graco is part of your daily life. The Senior Warranty Claims Coordinator will lead the processing of warranty claims and returns with precision and efficiency, ensuring strict compliance with company policies and maintaining the highest standards of accuracy. This senior role will proactively collaborate with regional teams to address complex challenges in diverse markets, leveraging expertise to implement effective solutions. Additionally, the Senior Coordinator will play a pivotal role in enhancing customer support, ensuring a seamless and superior experience throughout the claims and returns process. What You Will Do at Graco Warranty Claims Processing Oversee accurate and timely entry, validation, and reconciliation of warranty claims across CRM, WOW, ERP, and logistics systems (Precision and/or Brigg). Analyze claims that fall outside published policies, determine root causes, and recommend appropriate resolutions or policy clarifications. Ensure accurate matching of warranty RGAs (WRAs) to returned products and validate disposition outcomes. Direct coordination of returned product flow to engineering, vendors, quality, or used equipment programs, ensuring proper documentation and traceability. Customer and Distributor Interaction Respond to customer and distributor inquiries and disputes Clearly communicate warranty policy and any references to policy to both internal teams and external customers and distributors. Collaborate closely with Sales, Engineering, Quality, Logistics, Finance, and regional teams to drive timely resolution and alignment. Influence stakeholder decisions by providing data-driven insights and expert recommendations. Documentation and Reporting Ensure integrity, accuracy, completeness and up-to-date warranty claim files and databases. Analyze warranty data and trends to identify risks, recurring issues, and opportunities for cost reduction and performance improvement. Develop and report on key warranty metrics, supporting leadership decision-making and continuous improvement initiatives. Contribute to forecasting and strategic planning related to warranty exposure and program effectiveness. Process Improvement Support continuous improvement initiatives to enhance warranty processes, controls, and customer experience. Champion customer adoption of online warranty claim submission tools. Support change management efforts by documenting best practices, training materials, and process updates. Additional Responsibilities Generate and implement plans to increase customer participation in online warranty claim generation. Coordinate continual improvement initiatives for warranty processes. Define, implement, and monitor enhancements to warranty systems and policies. Other duties as assigned. What You Will Bring to Graco 2 year degree post-secondary education in business, accounting or other related field, or equivalent education and experience. 4+ years of experience in a high-volume customer service environment or equivalent. Advanced proficiency with PC tools, including word processing, spreadsheets, and database applications, with a focus on optimizing workflows. Exceptional oral, written, and telephone communication skills, with the ability to convey complex information clearly and effectively. Proven expertise in negotiation, problem-solving, and high-stakes decision-making. Superior organizational skills with the ability to prioritize and manage multiple, competing issues in a dynamic environment. Extensive product knowledge and technical proficiency to address warranty claims and product return inquiries, supported by at least four years of hands-on experience with products and parts. Accelerators Global industrial manufacturing experience and knowledge. Multilingual skills, with a preference for Spanish. #LI-AI1 #LI-Hybrid Applicants must be legally authorized to work in the United States. This role is not eligible for immigration sponsorship now or in the future (e.g., H-1B, TN, F-1 OPT). At Graco, you truly make a difference. Your unique talents contribute to our organizational growth and future. Not only do you make a difference, but Graco's culture empowers employees to create their own career path. Whether you choose to advance within your current department or explore new opportunities in different divisions, you have the ability to build your future. Our managers are here to provide support and guidance as you continue to grow within your career. Graco has excellent opportunities available to individuals who want to be part of a fast-moving, growing company that is committed to quality, innovation and solving fluid handling problems for our customers. Graco is proud to be named a Best Place to Work by Fortune Magazine in 2016, 2018, 2019, 2021 & 2022. Graco offers attractive compensation, benefits and career development opportunities. Graco's comprehensive benefits include medical, dental, stock purchase plan, 401(k), tuition reimbursement and more. Our company uses E-Verify to confirm the employment and eligibility of all newly hired employees. To learn more about E-Verify, including your rights and responsibilities, please visit ********************* The base pay range for this position is listed below, exclusive of fringe benefits or other compensation. If you are hired, your final base hourly rate will be determined based on factors such as geographic location, skills, competencies, education, and/or experience. In addition to those factors, we will also consider internal equity of our current employees. Please keep in mind that the range provided is the full base salary range for the role. Hiring at or near the maximum of the range would not be typical to allow for future and continued salary growth. $21.35 - $37.40

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job CategoryClaimCompensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. 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. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards. Salary Range$67,000.00 - $110,600.00Target Openings2What Is the Opportunity?The position is responsible for investigating, evaluating, reserving, negotiating and resolving assigned Specialty Liability related Bodily Injury and Property Damage claims, or first party business property claims of moderate severity, or complexity. Provides quality claim handling throughout the claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific regulations.What Will You Do? Timely coverage analysis and communications with insured based on application of policy information, facts or allegations of each case. Consults with Unit Manager on use of Claim Coverage Counsel. Investigates each claim through prompt contact with appropriate parties such as policyholders, accounts, claimants, law enforcement agencies, witnesses, agents, medical providers and technical experts to determine the extent of liability, damages, and contribution potential. Takes necessary statements. Identifies resources for specific activities required to properly investigate claims such as Subrogation, Risk Control, Salvage and fire or fraud investigators and to other experts. Requests through Unit Manager and coordinate the results of their efforts and findings. Verifies the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Keeps effective diary management system to ensure that all claims are handled timely. At required time intervals, evaluates liability and damages exposure, and establishes proper indemnity and expense reserves. Utilizes evaluation documentation tools in accordance with department guidelines. Responsible for prompt, cost effective, and proper disposition of all claims within delegated authority. Negotiates disposition of claims with insureds and claimants or their representatives. Recognizes and implements alternate means of resolution. Maintains claim files, have an effective diary system, and document claim file activities in accordance with established procedures. May attend depositions, and any other legal proceedings, as needed. Updates appropriate parties as needed, providing new facts as they become available, and their impact upon the liability analysis and settlement options. Recognizes cases based on severity protocols to be referred timely to next level claim professional or Major Case Unit. Appropriately deals with information that is considered personal and confidential. Fulfills specific service commitments made to certain accounts, as outlined in Special Account Communication (SAC) instructions, and inquiries from agents and brokers. Represents the company as a technical resource, attends legal proceedings as needed, act within established professional guidelines as well as applicable state laws. Provides quality customer service and ensures file quality. Shares accountability with business partners to achieve and sustain quality results. In order to perform the essential functions of this job, acquisition and maintenance of Insurance License(s) may be is required to comply with state and Travelers requirements. Generally, license(s) must be obtained within three months of starting the job and obtain ongoing continuing education credits as mandated. Writes denial letters, Reservation of Rights and other complex correspondence. Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools. Meets all quality standards and expectations in accordance with the Knowledge Guides. Perform other duties as assigned. What Will Our Ideal Candidate Have? Bachelor's Degree. 2 years business experience. Demonstrated knowledge and ability in claims handling. Advanced level knowledge and skill in claims and litigation. Basic working level knowledge and skill in various business line products. Strong negotiation and customer service skills. Strong verbal and written communication skills. Strong keyboard skills and Windows proficiency, including Excel and Word. Demonstrated good organizational skills with the ability to prioritize and work independently. Demonstrated strong written, verbal and interpersonal communication skills including the ability to convey and receive information effectively. Analytical Thinking- Intermediate. Judgment/Decision Making- Intermediate. Communication- Intermediate. Negotiation- Intermediate. Insurance Contract Knowledge- Intermediate. Principles of Investigation- Intermediate. Value Determination- Intermediate. Settlement Techniques- Intermediate. Written, verbal and interpersonal communication skills including the ability to convey and receive information effectively - Intermediate. Interpersonal and customer service skills - Intermediate. Organizational and time management skills - Intermediate. Ability to work independently - Intermediate. What is a Must Have? One-year bodily injury liability claim handling experience, or one year of liability claim experience, or one year of property claim handling experience, or successful completion of Travelers Claim Representative training program. What Is in It for You? Health Insurance: Employees and their eligible family members - including spouses, domestic partners, and children - are eligible for coverage from the first day of employment. Retirement: Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers. Paid Time Off: Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays. Wellness Program: The Travelers wellness program is comprised of tools, discounts and resources that empower you to achieve your wellness goals and caregiving needs. In addition, our mental health program provides access to free professional counseling services, health coaching and other resources to support your daily life needs. Volunteer Encouragement: We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice. Employment Practices Travelers is an equal opportunity employer. We value the unique abilities and talents each individual brings to our organization and recognize that we benefit in numerous ways from our differences. In accordance with local law, candidates seeking employment in Colorado are not required to disclose dates of attendance at or graduation from educational institutions. If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email so we may assist you. Travelers reserves the right to fill this position at a level above or below the level included in this posting. To learn more about our comprehensive benefit programs please visit *********************************************************

Lockton is currently seeking a Clinical Claims Specialist within our Specialty Practice unit. The objective of this role is to improve and reduce the severity of complex and catastrophic claims, reduce the cost of risk while improving the health of our employer client's employee health plan. * Provide explanation of disease states and associated costs to internal and external stakeholders. * Provide cost-of-care estimates used in the risk assessment of stop loss underwriting. * Consult with and advise underwriting on medical/clinical care approaches, standards of care and research of data for new business and renewals. * Serve as a resource regarding medical necessity issues, standards of care and analysis for the reimbursement of submitted stop loss claims. * Review claims and clinical documents to identify and monitor opportunities to increase member quality of care and overall cost reduction. * Collaborate with various key stake holders to strategize clinical and cost savings strategies and assist on execution of plan. * Coordinate implementation of claims savings solutions with Lockton Client Service Teams, TPAs, and stop loss carriers including regular tracking to measure savings and plan performance. * Manage and organize task lists and open items and cases. * Attend team clinical rounds to discuss cases and strategy solutions.

Start Your Journey in Claims - Join Us! Content Claims Specialist - Field (Level I) What We're Looking For: 6+ months of related experience Strong attention to detail and communication skills Ability to work independently and travel for field inspections

**Working Title: Insurance Claims Specialist** **Job Class: Management Analyst 2** **Agency: Direct Care and Treatment** + **Job ID** : 91583 + **Telework Eligible** : Yes + **Full/Part Time** : Full-Time + **Regular/Temporary** : Unlimited + **Who May Apply** : Open to all qualified job seekers + **Date Posted** : 01/21/2026 + **Closing Date** : 01/27/2026 + **Hiring Agency/Seniority Unit** : Direct Care and Treatment / DCT MAPE State Operated Svcs + **Division/Unit** : DCT Support Services / DCT Finance Pt Accounting + **Work Shift/Work Hours** : Day Shift / 7:30am - 4:00pm + **Days of Work** : Monday - Friday + **Travel Required** : No + **Salary Range:** $25.67 - $37.26 / hourly; $53,598 - $77,798 / annually + **Classified Status** : Classified + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Nonexempt + Designated in Connect 700 Program for Applicants with Disabilities (********************************************************************************** : Yes Direct Care & Treatment (DCT) is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DCT does not participate in E-Verify. **The work you'll do is more than just a job.** At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. **This position requires an employee to be onsite at 3200 Labore Rd, Ste 104, Vadnais Heights, Minnesota at least 50% of the time, with some opportunity to perform work from a telework location.** + Telework (*************************************************** is available on a limited basis. + Only candidates residing in Minnesota or a state bordering Minnesota (Iowa, North Dakota, South Dakota, or Wisconsin) within 50 miles of the work address listed above are eligible for telework. + Candidates residing in Minnesota and more than 50 miles from the primary/principal work address above may be eligible to telework more than 50%. **This posting may be used to fill multiple vacancies** Direct Care and Treatment (DCT) is seeking an individual to join our DCT Finance team for an exciting opportunity as an Insurance Claims Specialist. As the Insurance Claims Specialist, you will secure reimbursement for treatment provided to individuals at State facilities. Responsibilities include: + Confirm insurance eligibility and benefit verification and ensure timely claim submission of inpatient and outpatient mental health, chemical dependency, residential, vocational and foster care, primary care and dental services. + Review, research and correct demographic discrepancies and/or insurance coverage in the Practice Management System (PM) to ensure timely claim processing and payment. + Review aged and unpaid claims. Analyze research and navigate payer specific coverage and reimbursement policies and/or submit coding reviews to resolve billing discrepancies in a timely manner. **Minimum Qualifications** **_To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates each job's beginning and ending month and year._** One (1) year of experience performing insurance claims management in a healthcare setting. Experience must include the following: + Experience with accounting principles, practices, and procedures + Experience in revenue cycle, medical billing, processing claim submissions, and analyzing insurance coverage + Experience analyzing data, reports and interpreting records to identify and resolve discrepancies + Experience using Microsoft Office Excel sufficient to create and maintain databases and spreadsheets, and to create and use formulas and queries to produce desired results + Analytical and organizational skills to conduct research, interpret and understand relevant MN statutes, policies, contracts, guidelines, rules and regulations. OR Three (3) years of administrative support experience in the areas of insurance claims management in a healthcare setting. Experience must include the following: + Experience with accounting principles, practices, and procedures + Experience supporting revenue cycle, medical billing, reviewing claim submissions, and understanding insurance coverage and inquiries + Experience using Microsoft Office Excel sufficient to maintain databases and spreadsheets Note: A bachelor's degree in **B** usiness Administration, Accounting, Finance or related degree may substitute for 1 year of administrative support experience. **Preferred Qualifications** + Experience with Inpatient Psych, Inpatient Residential and Outpatient Mental Health. + Experience with Medicare and Medicaid billing. + Two (2) - five (5) years of experience in revenue cycle, medical billing, processing claim submissions, and analyzing insurance coverage. + Our employees are dedicated to ensuring cultural responsiveness. Preferred candidates will have a variety of experiences working effectively with others from different backgrounds and cultures. **Additional Requirements** To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held. REFERENCE/BACKGROUND CHECKS - Direct Care & Treatment will conduct reference checks to verify job-related credentials and criminal background check prior to appointment. EDUCATION VERIFICATION - Applicants will be required to provide a copy of their high school diploma at time of interview OR copies of their college transcript or college degree/diploma at time of interview. Copies of the college degree/diploma are acceptable ONLY if it clearly identifies the field in which it was earned. AN EQUAL OPPORTUNITY EMPLOYER Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status. Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at ************ or email ******************* . Please indicate what assistance is needed.

* Top 100 Agency for 2025 * Best Agencies to Work for in 2024 by the Insurance Journal * Big "I" Best Practices Agency in 2023 * Annual bonus eligibility * No weekends required - great work/life balance * 3+ weeks of Paid Time Off * 8 Paid Company Holidays We are looking for someone who will * Manage the claims reporting process for agency clients. * Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures. * Follow up on claim to obtain the specific adjuster and claim number relevant to the reported loss. Notify appropriate parties when a claim is processed with carrier, providing accurate and timely claim information. * Continuously monitor claims until claims are closed by the insurance carrier. Report any potential issues with a claim to the client's Account Manager and Producer, escalating to management as needed. * Prepare reports by collecting and summarizing information as requested by management. Why Join AAA Club Alliance and the Energy Insurance team? * A base rate of $20.00 to $25.00/hour, depending on experience and geographic location. * Annual bonus potential Do you have what it takes? * Minimum of 2 years experience handling claims for Commercial Insurance - general liability, workers compensation, commercial auto, etc. * Strong communication skills (both verbal and written) and attention to detail * Strong time management skills * Ability to obtain property and casualty license within 60 days of hire Full time Associates are offered a comprehensive benefits package that includes: * Medical, Dental, and Vision plan options * Up to 2 weeks Paid parental leave * 401k plan with company match up to 7% * 2+ weeks of PTO within your first year * Paid company holidays * Company provided volunteer opportunities + 1 volunteer day per year * Free AAA Membership * Continual learning reimbursement up to $5,250 per year * And MORE! Check out our Benefits Page for more information ACA is an equal opportunity employer and complies with all applicable federal, state, and local employment practices laws. At ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. We strive to attract and retain candidates with a passion for their work and we encourage all qualified individuals to apply. It is ACA's policy to employ the best qualified individuals available for all positions. Hiring decisions are based upon ACA's operating needs, and applicant qualifications including, but not limited to, experience, skills, ability, availability, cooperation, and job performance. Job Category: Insurance

The Claims Specialist position will manage the intake, review, processing, and oversight of multi-line insurance claims. This position provides consulting and advocacy on behalf of our clients throughout the process of a claim and the duration of the loss event. This position will play a vital role in our agency supporting fair and timely claims resolution for our clients. Responsibilities Serve as the primary liaison between the client and the insurance carrier during the claims process. Maintain clear, timely, and professional communication with all stakeholders (clients, carriers, internal teams, legal counsel). Document all claim activity, communications, and outcomes accurately in the agency's management system. Adhere to all regulatory, ethical, and internal best practice standards. Protect operations by keeping claims information confidential. Receive initial claim information from clients and ensure timely and accurate reporting to the appropriate insurance carrier. Input new claim data into the claims system, verify information, and maintain high data integrity. Manage correspondence, create claim files, process documentation, and assist the rest of the team with requests as needed. Prepare loss runs requests, basic claim status reports, and assist with reporting requirements. Field general client or carrier inquiries and route complex coverage or resolution issues to experienced colleagues. Participate in training and mentorship opportunities to develop foundational insurance knowledge, including policy language and industry standards. Bell Bank Culture, Policy and Accountability Standards: Know by name and face as many customers and employees as possible, calling them by name as often as possible. Know and practice LOCBUTN, our Golden Rules, and Bell Bank Customer Service Standards. Know, understand, and live the company values and bottom line. Conduct activities consistent with established Bell Bank policies, procedures and systems, the Bell Bank Employee Conduct policies, the Bank Secrecy Act and all applicable state and federal laws and regulations. All employees are responsible for information security, including compliance with policies and standards which protect sensitive information. Prompt and reliable attendance. Perform other duties as assigned. Education, Experience, and Other Expectations Bachelor's degree in business administration or related field. 1-2 years of experience handling multi-line claims. Associate in Claims (AIC) or other related designations is an advantage. Skills and Knowledge Extensive knowledge of insurance-related policies and legislation. Proficient in analytical math. Excellent conflict resolution and organization skills. Strong written and oral communication skills. Accuracy in claim processing and documentation. A growth mindset and ability to work independently but as part of a team environment.

The Opportunity HealthEZ is seeking a Healthcare Claims Auditor who is responsible for creating and maintaining audit procedures, auditing internal company departments, claims, payments, and statements. The Healthcare Claims Auditor will serve clients, employers and members. This individual will collaborate with all departments to increase revenue and decrease expenses. What you'll do Conduct Claims and Statement audits Provide audit results for Senior Management Audit a percentage of third-party administrator claims and provide feedback Provide feedback to Management and Staff regarding auditing results Work with department heads to create and develop company audit procedures for all business units Create audit procedures for medical/dental claims Perform other tasks as assigned Qualifications What we expect from you Bachelor's degree or equivalent experience Minimum of 5 years claims processing experience Detail oriented with excellent written and verbal communication skills Ability to multi-task and prioritize Training/Auditing experience preferred Ability to provide constructive feedback on results Software: Must be proficient in Excel, Outlook, Word, PowerPoint, and the Ability to learn new systems We make healthcare EZ! Additional Opportunity Details: Target Base Compensation Range for this role is $22.00-25.00/hr.* * Factors that may be used to determine your actual salary include your job specific skills, education, training, job location, number of years of experience related to this role and comparison to other employees already in this role. Employee benefits are part of the competitive total rewards package that HealthEZ provides to you. Our comprehensive benefits program includes health benefits, retirement plan (401k), paid time away, paid leaves (including paid parental leave) and more. HealthEZ recognizes its responsibilities under federal, state, and local laws requiring non-discriminatory employment practices. All employment decisions, practices and procedures will be carried out without regard to race, color, creed, religion, sex (including pregnancy), sexual orientation, national origin or ancestry, age, marital status, disability, family status, status with regard to public assistance, or any other characteristic protected under applicable local, state, and federal laws. HealthEZ is proud to be an equal opportunity employer.

By joining Sedgwick, you'll be part of something truly meaningful. It's what our 33,000 colleagues do every day for people around the world who are facing the unexpected. We invite you to grow your career with us, experience our caring culture, and enjoy work-life balance. Here, there's no limit to what you can achieve. Newsweek Recognizes Sedgwick as America's Greatest Workplaces National Top Companies Certified as a Great Place to Work Fortune Best Workplaces in Financial Services & Insurance Claims Specialist, Professional Liability (Medical Malpractice) **PRIMARY PURPOSE** **:** To analyze complex or technically difficult medical malpractice claims; to provide resolution of highly complex nature and/or severe injury claims; to coordinate case management within Company standards, industry best practices and specific client service requirements; and to manage the total claim costs while providing high levels of customer service. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Analyzes and processes complex or technically difficult medical malpractice claims by investigating and gathering information to determine the exposure on the claim; manages claims through well-developed action plans to an appropriate and timely resolution. + Conducts or assigns full investigation and provides report of investigation pertaining to new events, claims and legal actions. + Negotiates claim settlement up to designated authority level. + Calculates and assigns timely and appropriate reserves to claims; monitors reserve adequacy throughout claim life. + Recommends settlement strategies; brings structured settlement proposals as necessary to maximize settlement. + Coordinates legal defense by assigning attorney, coordinating support for investigation, and reviewing attorney invoices; monitors counsel for compliance with client guidelines. + Uses appropriate cost containment techniques including strategic vendor partnerships to reduce overall claim cost for our clients. + Identifies and investigates for possible fraud, subrogation, contribution, recovery, and case management opportunities to reduce total claim cost. + Represents Company in depositions, mediations, and trial monitoring as needed. + Communicates claim activity and processing with the client; maintains professional client relationships. + Ensures claim files are properly documented and claims coding is correct. + Refers cases as appropriate to supervisor and management. + Delegates work and mentors assigned staff. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred. Licenses as required. Professional certification as applicable to line of business preferred. **Experience** Six (6) years of claims management experience or equivalent combination of education and experience required. **Skills & Knowledge** + In-depth knowledge of appropriate medical malpractice insurance principles and laws for line-of-business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security application procedures as applicable to line-of-business + Excellent oral and written communication, including presentation skills + PC literate, including Microsoft Office products + Analytical and interpretive skills + Strong organizational skills + Excellent negotiation skills + Good interpersonal skills + Ability to work in a team environment + Ability to meet or exceed Performance Competencies **WORK ENVIRONMENT** When applicable and appropriate, consideration will be given to reasonable accommodations. **Mental** **:** Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines **Physical** **:** Computer keyboarding, travel as required **Auditory/Visual** **:** Hearing, vision and talking _As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in jurisdictions requiring pay transparency in job postings. Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in this job posting only, the range of starting pay for this role is_ **_$117,000 - $125,000_** _. A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits._ The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. **If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The company's expertise, combined with the most advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. With over 33,000 colleagues and 10,000 clients across 80 countries, Sedgwick provides unmatched perspective, caring that counts, and solutions for the rapidly changing and complex risk landscape. For more, see** **sedgwick.com**

Job Description About the Role: We are seeking a highly motivated and detail-oriented Claims Representative to join our team in Minnesota, MN. As a Remote Claims Representative, you will be responsible for investigating, evaluating, and resolving insurance claims related to property and auto damages. You will work closely with clients, insurance adjusters, and other stakeholders to ensure timely and accurate claims processing. Your goal will be to provide exceptional customer service and achieve positive outcomes for our clients. Minimum Qualifications: 3+ years of experience in insurance claims handling Strong knowledge of property and auto claims processes and regulations Excellent communication and interpersonal skills Ability to work independently and as part of a team Preferred Qualifications: Experience with subrogation and claims resolution Knowledge of personal lines insurance Experience with claims processing software Responsibilities: Investigate and evaluate insurance claims related to property and auto damages Communicate with clients, insurance adjusters, and other stakeholders to gather information and resolve issues Process claims in accordance with company policies and procedures Maintain accurate records of claims and related activities Provide exceptional customer service throughout the claims process Skills: As a Claims Representative, you will use your strong analytical and problem-solving skills to investigate and evaluate insurance claims. You will also need excellent communication and interpersonal skills to effectively communicate with clients, insurance adjusters, and other stakeholders. Your ability to work independently and as part of a team will be crucial in ensuring timely and accurate claims processing. Additionally, your knowledge of property and auto claims processes and regulations, as well as experience with claims processing software, will be essential in performing your daily tasks.

Recognized as a Milwaukee Journal Sentinel Top Workplace for 14 consecutive years, including three years of being honored as number one! Join us at West Bend, where we believe that our associates are our greatest asset. We hire talented individuals who are conscientious, dedicated, customer focused, and able to build lasting relationships. We create and maintain an environment where you feel a sense of belonging and appreciation. Your diversity of thought, experience, and knowledge are valued. We're committed to fostering a welcoming culture, offering you opportunities for meaningful work and professional growth. More than a workplace, we celebrate our successes and take pride in serving our communities. Job Summary When employees are injured on the job, they need someone who can guide them through the process with care and expertise. As a Workers' Compensation Claims Representative at West Bend, you'll guide injured employees through the recovery process, ensure fair and timely claim resolution, and help businesses stay compliant. If you thrive on problem-solving, negotiation, and making a real impact, this is your opportunity to lead with confidence. Work Location This position offers a hybrid schedule with three in-office collaboration days for team meetings and other events. In certain cases, highly qualified candidates with strong jurisdictional experience may be considered for a remote arrangement. The internal deadline to apply is 2/3/2026. External applications will be accepted on a rolling basis while the position remains open. Responsibilities & Qualifications As a Claims Representative, you will manage claims of varying complexity using current claim technology and best practices. You will conduct thorough investigations to determine coverage, evaluate damages/benefits, and assess liability/compensability. You will negotiate settlements with insureds, claimants, and attorneys while maintaining proactive file management, accurate reserving, and adherence to audit and regulatory standards. This role collaborates closely with internal partners and external stakeholders, with the scope of responsibility (including field work and regional liaison duties) increasing with experience level. Key Responsibilities Investigate and resolve claims within assigned authority Determine coverage, damages, and liability Negotiate settlements with insureds, claimants, and attorneys Maintain accurate documentation and reserving Communicate promptly and professionally with all stakeholders Collaborate with internal teams and external partners Adhere to audit and compliance standards Participate in training and team initiatives Preferred Experience and Skills Prior experience managing claims at the appropriate level of complexity (from low/moderate to high-exposure/complex) Proficiency with computers and current claim technology Interpersonal, oral, and written communication skills with customer-focused professionalism Negotiation, problem-solving, and conflict resolution skills Time management and organizational discipline with proactive file handling Independent decision-making ability (higher levels) and results orientation Technical expertise in coverage analysis, compensability, and damages evaluation (higher levels) Prior experience managing claims across multiple jurisdictions (higher levels) with preferred jurisdictions of Minnesota and Iowa Preferred Education and Training Bachelor's degree in Business, Insurance or related field Associate in General Insurance (AINS) designation Associate in Claims (AIC) designation CPCU coursework or other continuing education Licensure in jurisdictions where required Salary Statement The salary range for this position is $67,000 - $100,000. The actual base pay offered to the successful candidate will be based on multiple factors, including but not limited to job-related knowledge/skills, experience, business needs, geographical location, and internal equity. Compensation decisions are made by West Bend and are dependent upon the facts and circumstances of each position and candidate. Benefits West Bend offers a comprehensive benefit plan including but not limited to: Medical & Prescription Insurance Health Savings Account Dental Insurance Vision Insurance Short and Long Term Disability Flexible Spending Accounts Life and Accidental Death & Disability Accident and Critical Illness Insurance Employee Assistance Program 401(k) Plan with Company Match Pet Insurance Paid Time Off. Standard first year PTO is 17 days, pro-rated based on month of hire. Enhanced PTO may be available for experienced candidates Bonus eligible based on performance West Bend will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act for Colorado employees, in accordance with its plans and policies. #LI-LW1 EEO West Bend provides equal employment opportunities to all associates and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, and promotion.

Thank you for your interest in becoming part of the team at Legrand! The L&D Program Specialist will assist the design, delivery, and management of impactful learning experiences for internal teams, customers, and industry partners. This role combines instructional design expertise with program management for certifications and Legrand AV University initiatives, ensuring our training ecosystem supports sales enablement, customer success, and partner engagement. The position will be involved in online and in-person training programs, certification tracks, and collaborative efforts with industry partners to elevate knowledge and adoption of our solutions.DUTIES AND ACCOUNTABILITIES Assist L&D Leadership with strategic planning and program design. Manage certification programs for dealers, installers, and partners, including AV University partnerships and industry alignment. Assist instructional designers, SMEs, and others involved in training development. Oversee learning metrics, certification tracking, and reporting through LMS platforms. Lead initiatives for learning assessment and evaluation, including formative and summative assessments, gamification, and certification exams. Identify learning gaps and opportunities through empathy interviews and feedback; design and implement strategies to enhance learner experience, loyalty, and retention. Create innovative, engaging learning experiences for customers and partners, including interactive activities, simulations, and games that drive retention and knowledge transfer. Assist with instructional design-analysis, design, development, multimedia creation, and program evaluation Transform lecture material and presentations into compelling, effective training content. Collaborate with SMEs across the organization to ensure accuracy and relevance. Administer and optimize online learning platforms - Legrand AV University, SharePoint Sites, including reporting and analytics. Develop expertise in Articulate 360 and video editing tools to produce interactive, high-quality content and learning modules. Maintain accurate archives of course documentation, certification records, and departmental tracking. Drive cross-functional collaboration to gather insights and improve efficiencies. Lead special projects related to training, enablement, and partner engagement. Provide input and guidance on instructional programs developed by Product Management Teams of Legrand AV. Stay current on emerging training technologies and methodologies. Deliver high-quality work and meet commitments consistently. Promote workplace safety and participate in safety programs and initiatives. Demonstrate core values: Integrity, Customer Responsiveness, Innovation, Passionate Contribution & Empowerment, and Continuous Improvement. Travel occasionally for off-site training and trade show events (minimal). JOB REQUIREMENTSEssential Knowledge, Skills and Abilities Required: A growth mindset coupled with a strong drive to get better and be better at your craft. Expertise in the “how” of instructional design, including how people learn, how best to engage them, and how to leverage tools and resources to be both effective and efficient. Demonstrated ability to produce high-quality, engaging learning products, including training videos, animations, and other multimedia learning activities. Familiarity and experience with applying sound instructional design theory to the creation of L&D programs and initiatives, including online courses and Instructor-Led Training (ILT). Strong project management skills along with excellent written and oral communication skills. Ability to get work done on time, rinse and repeat. Ability to demonstrate flexible and efficient time management and to appropriately prioritize workload based upon organization or department needs. Detail orientation and excellent follow-through skills. Minimum Education and Experience Required: Bachelor's Degree with a minimum of 3-5 years of e-learning and/or traditional instructional design experience. Proven experience designing high-quality e-learning modules and delivering impactful Instructor-Led Training (ILT) that enhances retention and supports revenue growth. Strong background in curriculum development for certification programs and partner training initiatives, ensuring alignment with industry standards and business objectives. Familiarity with AV industry organizations and standards, including InfoComm, CEDIA, AIA, and BICSI, with the ability to integrate these frameworks into training programs. Demonstrated success collaborating with SMEs to create effective learning solutions, including structured kick-off processes and stakeholder alignment. Preferred Qualifications: Experience applying instructional techniques and design methods specifically for manufacturer product training within the AV industry. Ability to develop curriculum and training programs that showcase AV technologies, ensuring content is engaging, retention-focused, and aligned with revenue growth objectives. Familiarity with AV industry standards and organizations such as InfoComm, CEDIA, AIA, and BICSI, and the ability to incorporate these frameworks into training initiatives. Strong understanding of AV technology and equipment, with the capability to translate complex technical concepts into clear, impactful learning experiences. Special Job Requirements: Ability to work flexible hours as needed - particularly at planned sales and customer meetings. WORKING CONDITIONS/PHYSICAL DEMANDS While performing the duties of this job, the employee is regularly required (for the majority of the working day) to sit and make coordinated movements of the fingers for data entry on a keyboard. Duties will occasionally require the employee to be able to reach above shoulder level, reach below knee level, bend, stoop, squat/kneel; and lift, push or pull up to 50 pounds. General office environment. Long-distance or air travel as needed - not to exceed 10% travel. Note: Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Legrand is proud to be an Equal Opportunity Employer. You will be considered for this position based upon your experience and education, without regard to race, color, religion, age, sex, national origin, sexual orientation, ancestry; marital, disabled or veteran status. We are committed to creating and maintaining a workforce environment that is free from any form of discrimination or harassment. If you'd like to work in a fun, creative, business-casual environment that offers a comprehensive benefit package, we encourage you to apply! Legrand is an equal employment opportunity employer. For California residents, please see the link for the Privacy Notice for Candidates. California law requires that we provide you this notice about the collection and use of your personal Information.